Inpatient Review Nurse

Job Summary:Saviance Technologies is seeking a highly skilled Care Review Clinician I to join our Utilization Management team. As a key member of our team, you will be responsible for conducting inpatient medical necessity and utilization reviews, ensuring our members receive appropriate care when they need it.Key Responsibilities:Conduct thorough reviews...

Job SummarySaviance Technologies is seeking a skilled Clinical Review Clinician I to join our team. As a key member of our Utilization Management team, you will play a critical role in ensuring that our members receive the right care at the right time.Key ResponsibilitiesConduct daily review and evaluation of members requiring hospitalization and/or...

Job SummaryWe are seeking a skilled Clinical Review Specialist to join our team at Saviance Technologies. As a key member of our Utilization Management team, you will play a critical role in ensuring that our members receive the right care at the right time.Key ResponsibilitiesConduct daily reviews and evaluations of members requiring hospitalization and/or...

About the RoleThe Facility Compliance Review team at Blue Shield of California reviews post-service prepayment facility claims for contract compliance, industry billing standards, medical necessity, and hospital-acquired conditions/never events. As a Utilization Management Nurse, Senior, you will report to the Senior Manager, Facility Compliance Review. In...

Job SummaryWe are seeking a highly skilled RN, Quality Peer Review Coordinator to join our team at Long Beach Memorial Medical Center. In this role, you will play a critical part in ensuring the highest quality patient care by coordinating the evaluation of quality patient care data and physician peer review of identified variances.Key...

About SCAN Health PlanSCAN Health Plan is a not-for-profit organization dedicated to improving the lives of older adults in the United States. With over 40 years of experience, we have established ourselves as a leading expert in senior healthcare. Our mission is to keep seniors healthy and independent, and we are committed to creating a workforce that...

Job SummarySaviance Technologies is seeking a highly skilled Care Review Clinician I to join our Utilization Management team. As a key member of our team, you will be responsible for conducting inpatient medical necessity and utilization reviews, ensuring our members receive appropriate care when they need it.Key Responsibilities:Conduct thorough reviews and...

About SCANSCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, Nevada, Texas and New Mexico....

About the RoleThe Care Management Coordinator will play a vital role in supporting Integrated Care Case Managers in the day-to-day clinical operations to improve member outcomes and timely care coordination in partnership with and under the guidance of the Integrated Care Delivery Care Team according to Care Management protocol, policy, and procedure.Key...

About SCANSCAN Group is a not-for-profit organization dedicated to addressing the most pressing issues facing older adults in the United States. As the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, SCAN serves over 270,000 members in California, Arizona, Nevada, Texas, and New Mexico.The...

About the RoleThe Medical Director, Behavioral Health Operations will play a critical role in ensuring that Blue Shield of California is at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system in California.This position will report to the Senior Medical Director, Behavioral Health and will...

About SCANSCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. With over 40 years of experience, SCAN has established itself as a leading expert in senior healthcare, serving more than 270,000 members in California, Arizona, Nevada, Texas, and New Mexico.The JobThe Care...

About SCANSCAN Group is a not-for-profit organization dedicated to addressing the most pressing issues facing older adults in the United States. As the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, SCAN serves over 270,000 members in California, Arizona, Nevada, Texas, and New Mexico.The...

Job Title: Registered Nurse - Case ManagementAdecco Healthcare is seeking a skilled Registered Nurse to join our client's team in Long Beach, CA. This is a direct-hire position with a competitive salary range of $86,000-$90,000 per year.Job SummaryThe Registered Nurse - Case Management role reports to the Chief Medical Officer and is primarily focused on...

KurzSolutions is seeking a skilled Registered Nurse to join our team at the VA Long Beach Healthcare System. As a Registered Nurse, you will provide professional nursing care to patients in a Med/Surg or PACU setting, assessing their physical, emotional, spiritual, and socio-cultural needs. You will also provide pre-operative nursing care to patients and...

KurzSolutions is seeking a skilled Registered Nurse to join our team at the VA Long Beach Healthcare System. As a Registered Nurse, you will provide professional nursing care to patients in a Med/Surg or PACU setting, assessing their physical, emotional, spiritual, and socio-cultural needs. You will also provide pre-operative nursing care to patients and...

Fifth Commandment Healthcare Staffing is seeking a skilled Registered Nurse/Case Manager to join our team at Long Beach Memorial Medical Center. This is a 3x12-hour day shift position, requiring the ability to work in a mixed licensure department. The ideal candidate will have Level I Trauma experience and a minimum of 1-2 years of Inpatient Case Management...

About the RoleWe are seeking a highly skilled and experienced Charge Nurse to join our team at Harborview Behavioral Health Center. As a key member of our clinical leadership team, you will play a critical role in planning, directing, and evaluating patient care.Key ResponsibilitiesCollaborate with healthcare leaders and physicians to develop and implement...

Clinical Documentation Specialist Lead **Job Summary:** VirtualVocations is seeking a skilled Clinical Documentation Specialist Lead to oversee daily review assignments for CDI Specialists and facilitate accurate clinical documentation to support coding. **Key Responsibilities:** * Collaborate with healthcare team members to ensure accurate medical...

Job Title: Registered Nurse IIJob Summary:The Registered Nurse II provides high-quality patient care in the PACU at Long Beach Medical Center. This role requires a strong nursing background, excellent communication skills, and the ability to work effectively in a fast-paced environment.Responsibilities:Provide safe and effective patient care in accordance...