- Veterans Affairs, Veterans Health Administration (Mather, CA)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...equivalent to the Nurse I, Level 2 ; OR a Master's… more
- Alameda Health System (Oakland, CA)
- Nurse , Care Management + Oakland, CA + Highland General Hospital + HGH Care Coordination + Part Time - Day + Care Management + Req #:40544-29921 + FTE:0.5 + ... by each individual in the classification. 1. Coordinates all utilization review functions, including response to payor requests for concurrent and retrospective… 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
- Veterans Affairs, Veterans Health Administration (Martinez, CA)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... of eligible applications will be December 6, 2024 with subsequent cut-off dates every 2 weeks. Eligible applications received after that date will be accepted on an… more
- Alameda Health System (Oakland, CA)
- …employee education files as needed for managers and/or any regulatory agencies. 2 . Assists AHS leadership team during regulatory hospital surveys with multiple ... leadership team to evaluate and complete the Periodic Performance Review (PPR) as required by the Joint Commission. 3....14. Participates in continuing education provider unit as a Nurse Planner; utilizes Board of Registered Nursing (BRN), The… more
- Alameda Health System (Oakland, CA)
- …Collaborates with AHS leadership team to evaluate and complete the Periodic Performance Review (PPR) as required by the Joint Commission. + Assists in organizing and ... revises competencies as needed to meet regulatory obligations. Develops annual educational review courses with post-tests or other validation methods for all staff… more
- Alameda Health System (Oakland, CA)
- …such as PDCA, Lean, Six Sigma, and Statistical Process Control Analysis. 2 . Evaluates data, makes judgments, and recommendations regarding quality improvement work, ... systemwide Medical Staff quality and performance improvement activities such as Peer Review , OPPE, and FPPE as required by regulatory agencies. 10. Conduct in-depth… more
- Ethos Veterinary Health (Concord, CA)
- …for the CCU department, you will be responsible for: + Continuously review and assess workload, formulating and implementing plans to ensure efficient and ... community of more than 1,500 specialized doctors providing care for nearly 2 million pets annually. The integrated and collaborative network of veterinary… more
- Alameda Health System (Oakland, CA)
- …information for the purpose of completing initial and concurrent utilization review to ensure certification/approval of in-patient and post discharge services as ... by the care coordination nursing staff at all AHS acute care facilities. 2 . Communicates status with Utilization Management staff and arranges for patient transfer;… more
- Alameda Health System (Oakland, CA)
- …interactions with payors and communicates status with Care Management staff. 2 . Coordinates and obtains authorizations for admissions; documents all information in ... information for the purpose of completing initial and concurrent utilization review to ensure certification/approval of in-patient and post discharge services. 5.… more