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Care Management Specialist, RN

L.A. Care Health Plan
Los Angeles
Certification in Case Management. Current California Registered Nurse license. Weekly presentations of cases are required in Case Management rounds and at...


UnitedHealth Group
Experience in utilization management. When making a determination of coverage based on medical necessity, the UM Nurse obtains relevant clinical information and...

Part-Time UM/QI RN

UnitedHealth Group
Inpatient case management experience. Ability to transition to case management and inpatient/SNF teams as needed for unexpected or short notice staffing needs...

Registered Nurse / RN Case Manager

HCS Healthcare
REGISTERED NURSE / RN CASE MANAGER REQUIREMENTS:. The Ideal Registered Nurse / RN Case Manager would possess:....

Prior Authorization Nurse Reviewer

All Medical Personnel | Healthcare Staffing
Prior Authorization Nurse Reviewer. Reviews each referral/authorization request, compares against patient’s authorization request history and applies criteria...

Case Manager - SAC 18-07

Hill Physicians Medical Group
Document all case management activities in the HPMG case management online system. Certification in case management preferred....

Field Nurse Case Manager (Remote-San Jose, CA)

Mitchell International, Inc.
San Jose
Current, unencumbered Registered Nurse or Licensed Vocation Nurse license in the resident state; In addition to salary and benefits, we also offer our Field...

RN, LVN, PT, PTA, OT, COTA,CHHA- Home Health Professionals Wanted

Home Health
Santa Monica
Certification as a Registered/Vocational Nurse, Physical Therapist, Physical Therapy Assistant, Certified Occupational Therapy Assistant, Certified Home Health...

Prior Authorization - Nurse - Office Based - RN/LVN/LPN

Registered Nurse (RN). Collaborate with various staff within provider networks and case management team electronically or telephonically to coordinate member...

Nurse Director of Utilization Review Management

A Nurse with management experience in a similar free standing, Behavioral Health / Psych facility. Certification in Case Management is preferred as is...

Licensed Vocational Nurse - LVN - Home Care Shifts

AllCare Extended Care
Serving the community for 24 years, we help educate our nurses with continuous clinical skills training for your home care career advantage....

Case Manager Nurse, Part-time

Health Plan of San Joaquin
French Camp
Strong clinical skills as defined in California scope of practice guidelines for RN’s. In-depth knowledge of managed care principles, practices and regulatory...

QI Nurse

Health Plan of San Joaquin
French Camp
Unrestricted Registered Nurse license. In-depth knowledge of the principles and practices of quality improvement, including HEDIS....

Nurse Medical Mgmt I/II/Sr - Newbury Park or Woodland Hills, CA - (PS4320VMJ)

Anthem, Inc.
Woodland Hills
Nurse Medical Management I/II/Sr. Join us and together we will drive the future of health care. Family of companies, it’s a powerful combination, and the...

Case/Care Management Manager

Federal Services
Rancho Cordova
The Case Management Manager effectively manages a case management team and provides leadership and management of the services and activities of the regional...

Regional Medical Center of San Jose - Physician

San Jose
Hospitalists do mainly rounds while physician assistants and nurse practitioners handle the majority of admissions....

Utilization Review Health Care Professional - Onsite

EK Health Services Inc
EK Health Services has built a reputation for offering superior, goal-oriented Workers' Compensation case management, utilization review, and bill review...

3720 Dir Staff Development

Coordinates general orientation for all new employees beginning the first day of employment; Inspiring nurses to provide top quality care ' by sharing your...

Onsite RN Telephonic Case Manager - Workers' Compensation

QuestPro Consultants
San Jose
Valid CA RN License - Prior Workers' Compensation Case Management Experience is a REQUIRED. The RN nurse case manager at this location as with all their Offices...

Expert Integrated Disability Management (IDM) Case Manager

Pacific Gas & Electric
Advocacy Case Management (CM):. Previous workers’ compensation case management, utilization review or managed care experience....

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