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Showing All Jobs 21-28 of 28 displayed.

14A* Palmdale, CA Registered Nurse Auditor

Requirements Current Licensed:

  • RN
  • 3 Years ICU Experience
  • Knowledge of nursing documentation
  • CAT-LAB / billing and bundling knowledge
  • RAC experience


13A* Los Angeles Admitting Case Manager-Registered Nurse (ONLY)


  • RN with 3 years acute experience and 2 years critical care.


  • Current CA RN license     
  • Reliable and Viable Transportation
  • Knowledge of insurance, Medicare and medical reimbursement guidelines preferred

  • Experience as Pre-Admission/Admission liaison or Case Manager preferred
  • Excellent communication skills

12A* Culver City, CA Registered Nurse - Case Manager - Hospital, RN

Must be knowledgeable in:

  • Utilization Management
  • Available community resources
  • Charting practices and guidelines
  • Discharge Planning
  • InterQual Criteria a huge plus
10A* Santa Monica, CA Quality Management, QI - Registered Nurse - Medical Group, LVN

Ability to / Knowledge of:

  • Proven ability to read and interpret medical record data for chart audits or abstractions. 
  • Must have functional knowledge of Microsoft Software: Outlook, Word, Excel.
  • Ability to navigate database.
  • Excellent written and oral communication skills.
  • Ability to work with a diverse team and have excellent organizational skills. 


06A* Beverly Hills, CA 90210 Certified Non-Profit Women's Clinic Office Manager Requirements

Candidates must have:

  • College Degree
  • Certification as a Medical Assistant
  • 3 Years Supervisory Experience
  • Strong knowledge of medical systems and Medi-Cal
  • Knowledge Title X and Title XXII
  • Familiarity with EAPC funding and HIPPA Compliance Measures
03A* Pasadena Registered Nurse (RN) - Case Manager - UR, Inpatient


  • Clinical assessment to provide utilization review and/or discharge planning services

  • Clinical knowledge to identify potential quality issues, delays in service, post-acute care needs.

  • Ability to negotiate orders with the physicians in order to assign alternate levels of care.

  • Working knowledge of reimbursement related to Medicare, Medi-Cal & Managed Care.

  • Ability to manage cases smoothly

  • Ability to track outcomes and report findings

02A* Garden Grove, CA Registered Nurse Telephonic Case Manager

Additional Responsibilities:

  • Other duties may be assigned as needed.
  • Assessing, planning, implementing, evaluating and providing specialty health care management
  • Promote quality, cost effective care throughout the health continuum
  • Knowledge of utilization management, case management and healthcare provided throughout the continuum
  • Ability to problem solve, handle multiple tasks at one time and remain organized, and work both autonomously and as a teamate
04A* Loma Linda, CA Registered Nurse (RN) - CASE MANAGER - Hospital Knowledge of:

  1. Discharge Planning
  2. Utilization Review
  3. Concurrent Review
  4. Utilization Management

  5. InterQual Guidelines a plus (Not Required)