- 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
- Veterans Affairs, Veterans Health Administration (Mather, CA)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities The Registered Nurse - Nurse Manager (Patient Care Services) is responsible for the direction and supervision of operation, specific… more
- Children's Hospital & Research Center Oakland (Oakland, CA)
- **Position Summary:** A Clinical Nurse Specialist (CNS) is a Masters prepared Advanced Practice Registered Nurse whose function is to improve outcomes in patient ... three spheres of practice: patient care, nursing, and systems. The Pediatric Clinical Nurse Specialist is a clinical expert in pediatric nursing who, in addition to… more
- Alameda Health System (Oakland, CA)
- Nurse Anesthetist - Highland Hospital, Oakland, CA. + Oakland, CA + Highland General Hospital + Anesthesiology + Services As Needed / Per Diem - Varies + Nursing + ... recruiting for 3 (three) Per Diem/Services As Needed (SAN) Certified Registered Nurse Anesthetist (CRNA) to work 12-hour, varied shifts at our Highland Hospital's… more
- Option Care Health (Hayward, CA)
- …managing, and reporting nursing operational and financial data to the Regional Nurse Manager, Area Director of Nursing, and/or Director of Operations. Supports the ... Director of Operations, Area Director of Nursing and/or the Nurse Manager in the recruitment, development, and monitoring of...using find and replace, undo, spell check, track changes, review pane and/or print functions). + Basic level skill… more
- Satellite Healthcare (San Leandro, CA)
- **WHAT YOU WILL DO** As a Staff Nurse you will actively participate in professional role development activities, including continuing education, quality assessment ... and improvement, and the review and clinical application of... and clinical application of research findings. The Staff Nurse develops ethically sound practice and confronts ethical challenges… 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
- Horizon Services, Inc. (San Leandro, CA)
- …after 6 months, and $500 after 12 months of employment) JOB TITLE: Nurse Practitioner, Physician Assistant LOCATION: San Leandro, CA - Cherry Hill Detoxification ... community where our collective experiences enrich each other's growth. The Nurse Practitioners and/or Physician Assistants in our Incidental Medical Services… more
- Elevance Health (Walnut Creek, CA)
- **Wellness Nurse Consultant** **Sign Bonus: $5000** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. family of ... is the territory/market that they will work in._ The **Wellness Nurse Consultant** position is responsible for developing and recommending customized, group-specific… 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 (Concord, 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)
- **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
- Satellite Healthcare (Oakland, CA)
- …activities including continuing education, quality assessment and improvement, and the review and clinical application of research findings. The RN identifies ... **MINIMUM QUALIFICATIONS** **Experience:** + One (1) year of registered nurse experience. + One (1) year of experience as...+ One (1) year of experience as a Nephrology Nurse with dialysis experience required; in peritoneal dialysis, home… more
- Alameda Health System (Oakland, CA)
- System Educator Care Coordination/Utilization Review + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Day + Care Management + Req ... **Role Overview:** The System Educator of Care Coordination and Utilization Review is responsible for developing, implementing, and maintaining education and… 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
- Alameda Health System (San Leandro, CA)
- …Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or experience in case ... management/community health preferred. Preferred Licenses/Certification: Public Health Nurse , Case Management, or Home Health. Required Licenses/Certifications: BLS… more
- Fresenius Medical Center (Pittsburg, 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
- 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. ... will be able to provide guidance and coaching to other Physicians, Nurse Practitioners, Physician Assistants and other interdisciplinary staff in GEC and referral… more