Offres utilization management à Huntington Beach, California (CA) State

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of b...

Registered Nurse – Advanced Skills / ICU Registered Nurse / ICU RN. ScionHealth - Kindred Cornerstone & Solara Hospitals is seeking a Registered Nurse (RN) ICU - Intensive Care Unit for a nursing job in Westminster, California. Posted job title: Registered Nurse RN ICU Part Time. ...

Community Health System is seeking a Registered Nurse (RN) CVICU for a nursing job in Fresno County, California. Direct impact on quality patient care in a 24-bed unit with an RN-patient ratio of max 1:2. In this new 24-bed unit, you will have a maximum RN-to-patient ratio of 1:2. We got our star...

ScionHealth - Kindred Cornerstone & Solara Hospitals is seeking a Registered Nurse (RN) ICU - Intensive Care Unit for a nursing job in Surfside, California. Registered Nurse – Advanced Skills / ICU Registered Nurse / ICU RN. Posted job title: Registered Nurse RN ICU Full Time Nights. ScionHealt...

Graduated from an accredited Bachelors of Science in Nursing as Registered Nurse / RN or Associate Degree in Nursing or Nursing Diploma program as a Registered Nurse / RN. ScionHealth - Kindred Cornerstone & Solara Hospitals is seeking a Registered Nurse (RN) ICU - Intensive Care Unit for a nursi...

TravelNurseSource is working with LRS Healthcare to find a qualified Telemetry RN in Santa Ana, California, 92705!. As a travel nurse, you'll work in various healthcare settings, gaining exposure to diverse patient populations, medical procedures, and healthcare systems. In some assignments, trav...

Job training, support and education by a Registered Nurse. ...

Job training, support and education by a Registered Nurse. ...

Client in CA seeking RN Case Manager to work days. Aside from the many museums that showcase California's history, there are also many historic sites and monuments. There's plenty to see and do in California. You won't be disappointed! Indoor or outdoor, you'll be hard pressed to find a sport tha...

ResponsibilitiesThe Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while main...

This registered professional nurse will function within the full scope of RN licensure, according to the California Nursing Practice Act. Sufficient education to obtain a valid California RN license. Current valid California RN license. MarinHealth is already realizing the benefits of impressive ...

Understanding the Nurse Licensure Compact (NLC) Rules for Travel Nurses. Epic Travel Staffing is hiring a Travel RN - Case Manager. Nurses Week at Epic Travel Staffing: 7 Days of FREE Virtual Events. Nurses Week Gift Guide & Discounts. ...

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered...

IDR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Mather, California. Position Overview for the Case Management Assistant:. Required Skills for the Case Management Assistant:. Facilitates and implements the transition of care and discharge plans for ambulator...

Graduated from an accredited Bachelors of Science in Nursing as Registered Nurse / RN or Associate Degree in Nursing or Nursing Diploma program as a Registered Nurse / RN. ScionHealth - Kindred Cornerstone & Solara Hospitals is seeking a Registered Nurse (RN) ICU - Intensive Care Unit for a nurs....

Alignment Health is seeking a remote RN case manager (must have California RN License) to join the case management, special needs program (SNP) team. Remote RN Case Manager, SNP (Must Have California RN License). As the RN case manager (SNP), you will be responsible for health care management and...

Ensure appropriate service utilization and benefit administration by monitoring over- and underutilization* Act as a liaison between the medical staff, utilization review and third party services to effectively promote the appropriate levels of medical care. Ability to build rapport with medical ...

... utilization. Maintain and oversee the development and execution of the weekly work plans. * Ensure projects are adequately staffed * Execute projects within budget * Time and expense management ...

... and utilization. * Onboard new clients effectively, providing guidance, training, and support to ... Manage projects related to customer support and service improvement initiatives, collaborating with ...

Drug utilization management. * Conduct comprehensive medication review and/or medication reconciliation. * Comprehensive evaluation of patient medical records, to provide proper patient counseling

Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...

Except for emergency and primary care services, the Physician must obtain prior written authorization from the respective Institution/Facility CEO/CME or designee, as per the Utilization Management ...

... CCHCS's Utilization Management Plan. Temporary/Relief Primary Care Physician shall complete and return all forms required by CDCR regarding treatment of patient/youth. Authorization must be ...

KNOWLEDGE OF CASE MANAGEMENT COMPONETS: UTILIZATION REVIEW AND DISCHARGE PLANNING * CA RN LICENSE & BLS CARD from American Heart Assoc. Benefits : * Medical, dental and vision coverage is provided ...