Prior Authorization Nurse (LVN) RN

Managed Care Resources (MCR)
Encino, California
Review referral requests (routine, urgent & stat) for various office visits, outpatient and inpatient procedures using Milliman Care Guidelines to determine medical necessity Coordinate reviews, defe...

Posted: 8 days ago

San Fernando Valley Prior Authorizations Nurse (RN or LVN) - Managed Care

CareNational Healthcare Services, LLC
San Fernando Valley, California
Prior Authorizations Nurse (RN or LVN) - Managed Care San Fernando Valley, CA Job Summary: The role of the Prior Authorization Nurse is to promote the quality and cost effectiveness of medical care...

Posted: 7 days ago

Prior Authorization Nurse

Conifer Health Solution
Encino, California
Description As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operationa...

Posted: 1 day ago

Hospital - Registered Nurse (RN), Case Manager

Managed Care Resources (MCR)
Santa Monica, California
Hospital - Case Manager Registered Nurse (RN) Full Time, 40 Hours Per Week  About the Job: Concurrent review and analysis of inpatient records to determine if the patient's admission and continu...

Posted: 9 days ago

Beverly Hills Inpatient Case Management (RN) - Managed Care

CareNational Healthcare Services, LLC
Beverly Hills, California
Inpatient Case Management (RN) - Managed Care Beverly Hills, CA Job Summary: As a member of the medical management team, the Nurse Case Manager plays an integral part in the coordination of care as...

Posted: 8 days ago

UM RN (Registered Nurse) - Case / Care Manager

Managed Care Resources (MCR)
Beverly Hills, California
Nurse Case/Care Manager - Telephonic, Desk Job About the Job: ·        Care Coordination ·        Reviews, verifies and processes requests for referrals/authorizations of services...

Posted: 9 days ago

UM Nurse (RN LVN) Case Manager

Company Confidential
Chatsworth, California
Reviews, verifies and processes requests for referrals Evaluate the quality of necessary medical services, and be able to acquire and analyze the cost of care Telephonic Case Care Coordination, HH, ...

Posted: 1 day ago

HEDIS RN (TELEPHONIC CASE MANAGER)

Ask Staffing
Chatsworth, California
Send Resume to M55556@accuick.com Our client is currently seeking a HEDIS RN (TELEPHONIC CASE MANAGER) Â Description Registered Nurse. Must have Worker's Compensation Case Management experience. ...

Posted: 1 day ago

Registered Nurse ER / Telemetry Case Manager (3pm - 11pm) Job

Yoh
Northridge, California
Registered Nurse ER Case Manager(3PM-11PM) needed for a direct hire opportunity with Yoh's client located in Northridge, CA. Top Skills Should You Possess: - Hospital Inpatient Case Management - ER...

Posted: 1 day ago

Registered Nurse Hospital Case Manager Job

Yoh
Tarzana, California
Registered Nurse Hospital Case Manager needed for a contract opportunity with Yoh's client located in Tarzana, CA. Top Skills Should You Possess: - Hospital Inpatient Case Management What You'll Be...

Posted: 1 day ago

UM Nurse - Case Manager - Telephonic

Managed Care Resources (MCR)
Van Nuys, California
Nurse Case Manager Monday - Friday; 8/hr/day Medical Management Office About the Job: Manages a caseload of patients by assessing the individual's needs made by the PCP/â..Specialist.â.. Utilizat...

Posted: 7 days ago

Concurrent Review Case Manager - Registered Nurse (RN)

Managed Care Resources (MCR)
Culver City, California
Case Manager, Inpatient (Concurrent Review) Monday - Friday; 8/hr/day About the Job: Utilization Review, Concurrent Review, Discharge Planning, Transfers Level of Care and length of stay reviews (...

Posted: 7 days ago

RN Case Manager - Transplant -

AppleOne Companies
Torrance, California
Job Description: We are in the immediate need of an RN case manager with strong Transplant experience and at least 1-2yrs as a Case Manager. Must have a valid RN license clear background We are an eq...

Posted: 7 days ago

Nurse Case Manager (Field based position)

ISYS SOLUTIONS, INC.
Woodland Hills, California
Nurse Case Manager  Field based position working from a home office  ISYS rewards professionalism and initiative. When you succeed, ISYS succeeds!  Excellent benefits: Strong compensation and...

Posted: 7 days ago