- Elevance Health (Walnut Creek, CA)
- …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception… more
- Lucile Packard Children's Hospital Stanford (Walnut Creek, CA)
- …paragraph summarizes the general nature, level and purpose of the job. The Nurse Practitioner (NP) functions under this Nurse Practitioner Job Description ... Executive Committee and the LPCH Board Credentials, Policies and Procedures Committee. Nurse Practitioner (NP): The Nurse Practitioner functions under the… more
- Elevance Health (Walnut Creek, CA)
- ** Nurse Appeals - Licensed RN Nurse ** **Location:** This position will work in a hybrid model (remote and office). Ideal candidates will live in the state of ... PulsePoint locations. **Shift:** Monday to Friday from 8:00am-5:00pm **PST** The ** Nurse Appeals** is responsible for investigating and processing medical necessity… more
- Stanford Health Care (Pleasanton, CA)
- …sessions. Qualifications: - Graduate of an accredited Physician Assistant or Nurse Practitioner program. - Current and valid state license and certification ... as a Physician Assistant or Nurse Practitioner. - Minimum of 2 years of experience...enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and… more
- Fresenius Medical Center (Pittsburg, CA)
- …therapy for assigned patients under the direct supervision of a registered nurse . Participates in the implementation and evaluation of patient care. Responsible for ... intravenous medication in accordance with physician orders and state nurse practice laws. + Perform and document pre, interim,...+ Perform and document pre, interim, and post treatment review of patient condition. + Initiate basic CPR measures… more
- Elevance Health (Walnut Creek, CA)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the… more
- Elevance Health (Walnut Creek, CA)
- **Diagnosis Related Group Clinical Validation Auditor-** **Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How you will make… more
- Fresenius Medical Center (Concord, CA)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks… more
- Fresenius Medical Center (Antioch, CA)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks… more
- Sutter Health (Concord, CA)
- …Home - Bay **Position Overview:** Under the general direction of a qualified registered nurse , the Licensed Vocational Nurse assists in the nursing process by ... Fiscal Responsibility (includes productivity, HHRG rating, supply management, utilization review ) * Demonstrates ability to prioritize individual position requirements,… more
- Elevance Health (Walnut Creek, CA)
- …complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. **How you will make an impact:** ... guidelines within scope of licensure. + These reviews may require in-depth review ; however, any deviation from application of benefits plans will require guidance… more
- GE Aerospace (San Ramon, CA)
- …and reviews with Product Line teams (cost council, PMO meetings, AUC review , etc). + Participate in continuous improvement projects to mitigate inflation (Cost ... and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more