Perform prospective, retrospective, or concurrent medical necessity reviews for an assigned panel of members Review cases for medical necessity and apply the appropriate clinical criteria; to include, but not limited to Medicare criteria, Medicaid/Medi cal criteria, Interqual, Milliman, or Health Plan specific guidelines Collaborate with the Medical Director to ensure the

Field inbound calls in a queue from members and providers for purpose of assessment and triage Focus on initial inpatient admission for psychiatric and chemical dependency patients Make patient assessments and determining appropriate levels of care Participate in member crisis calls Determine if additional clinical treatment sessions are needed Manage inpatient mental hea

Through the use of evidence based practices such as harm reduction, housing first, and trauma informed care, the Case Manager supports Clients' housing stability, self sufficiency, and community integration. The Case Manager partners with Clients who are currently homeless to assess and address barriers to housing placement. Once Clients locate best fit housing, The Case

The Nurse Specialist Clinical Review is responsible for utilizing their nursing knowledge and judgment in reviewing all client employee examinations, testing, and questionnaires, in consultation with Occupational Health Physicians, to determine ability to perform essential job functions. A clinical background is necessary, preferably in Occupational Health, ER, ICU, Med S

Director of Nursing Med/Surg Acute Facility Sherman Oaks Hospital Location US CA Sherman Oaks ID 2024 159694 Category Director Position Type Full Time Shift Days Job Type Exempt Overview Sherman Oaks Hospital is a 153 bed, not for profit, acute care community hospital located in Sherman Oaks, California. Staffed with over 500 employees and an extraordinary team of physici

Registered Nurse Emergency Services Facility Encino Hospital Medical Center Location US CA Encino ID 2024 161756 Category RN Position Type Full Time Shift Days Job Type Non Exempt Overview Join an award winning team of dedicated professionals committed to our core values of quality, compassion and community! Encino Hospital Medical Center, a member of the Prime Healthcare

Registered Nurse (RN) ICU Facility Garden Grove Hospital Medical Center Location US CA Garden Grove ID 2024 161789 Category RN Position Type Full Time Shift Nights Job Type Non Exempt Overview Founded in 1982, Garden Grove Hospital Medical Center is a 167 bed community hospital centrally located in beautiful Southern California dedicated to providing our community with hi

Registered Nurse (RN) Telemetry Facility Chino Valley Medical Center Location US CA Chino ID 2024 161407 Category RN Position Type Full Time Shift Days Job Type Non Exempt Overview Chino Valley Medical Center is a 112 bed community hospital established in 1972 and centrally located in Southern California's Chino Valley. A nine time recipient of the Healthgrades Patient Sa

Provides case management of Intensive Supervision Appearance Program (ISAP) participants from entry to release by administering the program's policies and procedures as defined by the Department of Homeland Security (DHS) contract. Primary Duties and Responsibilities Develops, implements, coordinates, reviews and updates case management and individual service plans for IS

Clinical Supervisor Psych Facility Huntington Beach Hospital Location US CA Huntington Beach ID 2024 161692 Category RN Position Type Full Time Shift Nights Job Type Non Exempt Overview Join an award winning team of dedicated professionals committed to our core values of quality, compassion and community! Huntington Beach Hospital, a member of the Prime Healthcare Foundat

390 S Fair Oaks,Pasadena,California,91105 2540,United States of America DaVita is seeking a Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionate wa

Coordinate the scheduling of Physician's and Nurse Practitioner's (NP) visits with appropriate hospice and palliative care patients according to established protocols. Confirm dates and times of visits for each patient with physicians and NP's. Communicate all appointments via the Outlook calendar daily Maintain schedules for physicians and nurse practitioners in the fiel

JOB TITLE Ch arge OR Nurse GENERAL SUMMARY OF DUTIES The Charge OR Nurse manages day to day operations of each area. This includes but is not limited to overseeing the scheduling and managing staff, inventory control, human resources, and risk management. REQUIREMENTS Graduate of an accredited school of nursing. Current state RN license. Current BLS certification. Current

Registered Nurse, RN CCU (CVICU) Part Time Facility Centinela Hospital Medical Center Location US CA Inglewood ID 2024 160811 Category RN Position Type Part Time Shift Days Job Type Non Exempt Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healt

Registered Nurse (RN) Telemetry Facility La Palma Intercommunity Hospital Location US CA La Palma ID 2024 158979 Category RN Position Type Full Time Shift Nights Job Type Non Exempt Overview Founded in 1972, La Palma Intercommunity Hospital is a 141 bed acute care community hospital and the only hospital in La Palma. Our highly qualified team is committed to providing out