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Showing All Jobs 11-20 of 28 displayed.

26A* Los Angeles, CA Registered Nurse - Case Manager - Discharge Planning Requirements

Applicants should meet the following requirements:    
    -Active RN license  
    -Clinical background in patient assessment in an acute hospital setting    
    -3 years minimum healthcare sales and marketing experience

    -Minimum of 2 years nursing exp. in an Med/Surg setting and 1 year Critical Care exp.

25A* Los Angeles, CA Registered Nurse (RN) - Case Manager, Telephonic

Must be able to:    

  • Evaluate the quality of necessary medical services, and be able to acquire and analyze the cost of care.
  • Assist in the formulation of medical case management policies and procedures; understand and interpret policies, procedures and regulations.
  • Develop and maintain effective working relationships with all levels of staff, other programs, agencies, and the general public.
  • Communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, consulting, and advising.
  • Assess resource utilization, cost management and negotiate effectively.
  • Effectively utilize computer and appropriate software and interact as needed with Information Systems.
  • Prepare clear, comprehensive written and oral reports and materials.
23A* Beverly Hills, CA Director of Nursing

Requirements A qualified candidate will have:
    - Valid Registered Nursing License in the State of CA
    - Understanding of small practice procedures
    - Preferable BSN or MSN
    - 5+ years managerial / supervisory experience

21A* Long Beach, CA Health Care, Claims - Examiner, Auditor Requirements
  1. Monday - Friday; Full Time
  2. Fast paced, production environment
  3. Ability to start relatively quickly 
  4. 5+ Years experience in claims
22A* San Luis Obispo, CA Clinical Lab Specialist - Perm.

 Requirements - Candidates are expected to understand medical terminology, specimen collection, processing, and testing.  

- Experience in one or more of the following disciplines: Hematology, Chemistry, Coagulation, Microbiology, Blood Bank/Serology, Urinalysis.

- Assists the Lab Manager deliver a fair and consistent performance evaluation and progressive discipline process. 

- Follows established procedures to perform all lab tests (including all levels of complexity as defined by our criteria) to obtain data for use in the diagnosis and treatment of disease.

- Practices cost containment and fiscal responsibility through the efficient use of supplies, equipment, time, etc.

05A* Murrieta Registered Nurse (RN) - Case Management - Telephonic, On-site

Must be knowledgeable in:

  • Utilization Management

  • Charting practices and guidelines

  • Utilization Review

  • Plan of Care; Admission to Discharge

19A* Hollywood, CA Registered Nurse (RN) - CASE MANAGER, Hospital

About the Job:

  1. Inpatient Utilization Review
  2. Discharge Planning
  3. InterQual Criteria
  4. Concurrent Review
  5. Authorization, TARS
09A* Cypress, CA Registered Nurse (RN) - Quality Improvement Specialist (QI, QA)

Experience / Must have:


  • Participates in development and implementation of Quality Improvement programs
  • To review health procedures and statistics.
  • To determine and document any areas that may need improvement.
  • Inspecting and sampling the entire process as a part of quality assurance.
  • To review the current policies and improvise plans to improve upon the existing quality standards.
  • To review and analyze the effectiveness of the modifications made.
  • Ensure the highest quality of care is provided and is in compliance with federal, state, and local regulatory requirements and established departmental policies and procedures.
  • Ensures accuracy & completeness of patient records
  • Ability to read and interpret medical record data for chart audits or abstractions. 
  • Ability to navigate database a plus.
  • Excellent written and oral communication skills.
  • Ability to work with a diverse team and have excellent organizational skills.

16A* Pasadena, CA Registered Nurse Case Manager
Duties and Responsibilities include:
- Case Management / Utilization Review department
- Prior Authorization, Concurrent Review, Discharge Planning
- Extended and discharge reviews in all reimbursement categories.
- Connections to the community

Highly regarded, extremely reputable hospital in the San Fernando Valley is looking for an RN with at least 2 years of Case Management experience in an acute setting.  Must have worked as a Case Manager in a hospital or long term care facility.  

15A* Anaheim, CA Registered Nurse (RN) - Case Manager, Inpatient, LVN

About the Job:

  • -Concurrent Review-
  • -Utilization Review-
  • -Discharge Planning-
  • -Authorizations (TARS)-
  • -InterQual Criteria-