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Keywords: Utilization Review Nurse, Location: California

Page: 11

LVN - Primary Care - SRS Sorrento Mesa - Variable - FT - Eligible for $7.5K New Hire Sign On Incentive

ability to type a minimum of 30 words per minute with 0-2 errors; Have the ability to proof work. Knowledge of insurance, utilization review... while providing quality care to a designated patient population. Required Qualifications California Licensed Vocational Nurse (LVN...

Company: Sharp HealthCare
Location: San Diego, CA
Posted Date: 08 Feb 2025

CARE MANAGER II (RN) - PD - HOI-CARE MANAGEMENT

planning, utilization review, and/or providing psychosocial support. May review clinician assessments and patients’ financial... of clinical experience in an acute healthcare system environment. One year of Utilization Review experience required. Care...

Company: Hoag
Location: Irvine, CA
Posted Date: 08 Feb 2025

Clinical Coordinator

, and customer service expectations of home health services. Participates in the performance improvement projects and utilization... review. Assists in the performance improvement monitoring is completed in a timely manner and that plans of corrections...

Posted Date: 08 Feb 2025

Clinical Coordinator

, and customer service expectations of home health services. Participates in the performance improvement projects and utilization... review. Assists in the performance improvement monitoring is completed in a timely manner and that plans of corrections...

Posted Date: 08 Feb 2025

UM Clinical Denial Manager

Position Overview: Manages the operations of the centralized Utilization review department for Sutter Health entities... development). JOB ACCOUNTABILITIES: Effectively manages the activities of the utilization review team, providing leadership...

Company: Sutter Health
Location: Sacramento, CA
Posted Date: 08 Feb 2025

SRS -Lead RN - OB/GYN - Full Time - Day Shift

ability to type a minimum of 30 words per minute with 0-2 errors; Have the ability to proof work. Knowledge of insurance, utilization review... Nurse (RN) - CA Board of Registered Nursing -REQUIRED AHA Basic Life Support for Healthcare Professional (AHA BLS...

Company: Sharp HealthCare
Location: San Diego, CA
Posted Date: 08 Feb 2025
Salary: $51880 - 82000 per year

LVN – OBYGN - SRS Otay – Day – FT - Eligible for $7.5K New Hire Sign On Incentive

of insurance, utilization review, scheduling requirements and support of front desk responsibilities. Able to operate and maintain.... Required Qualifications California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians -REQUIRED AHA...

Company: Sharp HealthCare
Location: Chula Vista, CA
Posted Date: 08 Feb 2025
Salary: $7500 per month

FSH RN Hospital Educator/Total Joint Coach

and methods of utilization review/management, care coordination, transfer coordination, discharge planning or case management... in-services and teaching. Implement and supervise the nurse preceptor program; supervises all students and new graduates in the...

Posted Date: 08 Feb 2025

LVN, Home Health

standards of practice Fiscal Responsibility (includes productivity, HHRG rating, supply management, utilization review... Overview: Under the general direction of a qualified registered nurse , the Licensed Vocational Nurse assists in the nursing...

Company: Sutter Health
Location: Concord, CA
Posted Date: 08 Feb 2025
Salary: $34.9 - 46.87 per hour

PROGRAM DIRECTOR ADULT DAY HEALTH CARE

, risk and resource management strategies. Schedules and facilitates in-service education, emergency drills, utilization... review, pharmacist visits and Advisory Board Meetings. Assumes responsibility for all case records, monthly statistics...

Location: Anaheim, CA
Posted Date: 07 Feb 2025
Salary: $100000 per year

Senior Director, Care Mgmt

and Medicaid Services (CMS) Conditions of Participation related to utilization review and discharge, including other federal... in significant capitated markets In-depth knowledge of: utilization review, case management, managed care, clinical effectiveness...

Company: Sutter Health
Location: Emeryville, CA
Posted Date: 07 Feb 2025

RN-Care Coordinator

utilization of resources for maximum patient outcomes. Partners with the Charge Nurse, Social Worker, physician and other members... to resource utilization, admissions and discharge planning. Reports to RN-Manager Clinical Operations Supervises N...

Posted Date: 07 Feb 2025
Salary: $70200 per year

Practice Transformation Facilitator

, by providing feedback, education, and training. Deliver progress reports and review with practices and care teams. Assess... teams towards solutions. Identify and prioritize key quality and utilization initiatives critical to success...

Company: CINQCARE
Location: Los Angeles, CA
Posted Date: 06 Feb 2025
Salary: $90000 - 100000 per year

MDS Coordinator

, performs utilization reviews, and has knowledge of Quality Improvement and Care Planning. Ensures Medicare A recipients... with evidence-based practices in the field (specifically relating to issues within LTC). Assists with Charge Nurse duties when...

Company: HumanGood
Location: Los Altos, CA
Posted Date: 06 Feb 2025
Salary: $51 - 70 per hour

Sr. Sales Representative, Interventional - Fresno, CA

is responsible for the growth of overall product utilization within their accounts, including, but not limited to, selling the... physician, nurse, and technologist training and account in-servicing of dialysis access products. Provide product technical...

Company: Teleflex
Location: Fresno, CA
Posted Date: 06 Feb 2025

Manager of Care Coordination

and management skills. Thorough knowledge of Care Coordination, Discharge Planning, Case Management and Utilization Review... resolution. Performs random auditing and review of all case management activities to ensure DHCS compliance standards...

Posted Date: 05 Feb 2025
Salary: $136296.78 - 177185.81 per year

LVN – Surgical Float Pool – SRS ENT All Clinics– Day – PRN

of insurance, utilization review, scheduling requirements and support of front desk responsibilities. Able to operate and maintain.... Required Qualifications California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians -REQUIRED AHA...

Company: Sharp HealthCare
Location: La Mesa, CA
Posted Date: 05 Feb 2025
Salary: $32350 - 48520 per year

CMT Care Manager, LVN

loan forgiveness programs - NHSC/Nurse Corps/Pediatric Specialty | HPSA Scores: Primary: 17 | Dental: 25 | Mental: 20... of specialized case and utilization management methodologies and practices; applies concepts to everyday practice. The practice...

Company: SAC Health
Location: San Bernardino, CA
Posted Date: 03 Feb 2025
Salary: $29 - 32.06 per hour

Case Manager - Critical Need

and/or patient safety which are identified during case review or other activities. Reviews, analyses and identifies utilization... and methods of Utilization review/management, discharge planning or case management. Working knowledge of regulatory...

Company: Actalent
Location: San Diego, CA
Posted Date: 02 Feb 2025
Salary: $65 - 72 per hour

LVN – Pediatrics After Hour – SRS South/East County – Variable – FT - Eligible for $7.5K New Hire Sign On Incentive

ability to type a minimum of 30 words per minute with 0-2 errors; Have the ability to proof work. Knowledge of insurance, utilization review... while providing quality care to a designated patient population. Required Qualifications California Licensed Vocational Nurse (LVN...

Company: Sharp HealthCare
Location: Santee, CA
Posted Date: 02 Feb 2025
Salary: $7500 per month