• Utilization Management RN

    Stanford Health Care (Palo Alto, CA)
    …Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN ) will be responsible for ensuring the efficient ... record (EHR) systems and other healthcare software. **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State… more
    Stanford Health Care (10/23/24)
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  • Pediatric ED Complex Care Manager (LCSW) - Social…

    Stanford Health Care (Palo Alto, CA)
    …+ LCSW - Licensed Medical Social Worker - State Licensure or + Nursing / RN - Registered Nurse - State Licensure and/or Compact State Licensure ... Competency Development, Case Management Best Practice Standards Development, Case Management Competency Development + Utilization Management : Avoidable… more
    Stanford Health Care (08/30/24)
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  • Inpatient Review ( RN ) Case Manager…

    Molina Healthcare (San Jose, CA)
    …to a 3 day/12 hour shift from then on._** **_Previous experience with Emergency Room Utilization Management / Utilization Review is preferred for this role. ... Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina… more
    Molina Healthcare (09/26/24)
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  • Nurse Medical Management ll

    Elevance Health (Palo Alto, CA)
    …equivalent and a minimum of 3 years acute care clinical experience or case management , utilization management or managed care experience; or any combination ... each way of a relevant Elevance Health location. The ** Nurse Medical Management ll** is responsible to...and initiatives. **Minimum Requirements:** Requires current active valid unrestricted RN license to practice as a health professional in… more
    Elevance Health (11/02/24)
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  • Nurse Clinician: Prior Authorization:…

    Molina Healthcare (San Jose, CA)
    …we are seeking a Nurse with previous experience in Prior Auth Utilization Management and knowledge of Interqual or MCG guidelines. CALIFORNIA LICENSURE IS ... **JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN)… more
    Molina Healthcare (10/17/24)
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  • Oncology Research Nursing Professional ( RN

    Stanford Health Care (Palo Alto, CA)
    …job.** **A Brief Overview** The Oncology Research Nursing Professional (ORNP) -is a Registered Nurse ( RN ) who works collaboratively with Clinical Research ... directions. + Understand and respond to multiple personalities and work/ management styles. + Resource management / utilization ...in a research related degree **Licenses and Certifications** + CA- RN ( Registered Nurse ) . +… more
    Stanford Health Care (10/02/24)
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  • Mgr-Care Coordination Social Work - Fixed-term,…

    Stanford Health Care (Palo Alto, CA)
    …to create an effective plan to address them. **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State ... and Abilities** + Knowledge of principles and best practices of case management , utilization review, social work, care coordination and discharge planning.… more
    Stanford Health Care (08/23/24)
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  • Case Manager ( RN ) - Neuro / Case…

    Stanford Health Care (Palo Alto, CA)
    …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing/ RN - Registered Nurse - State Licensure and/or Compact ... Why work at Stanford Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager with bedside or case management experience working within or… more
    Stanford Health Care (10/24/24)
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  • Case Manager RN , Home Health

    Sutter Health (Saratoga, CA)
    …+ Other: Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... area Palo Alto, Mountain View and surrounding An experienced RN who is responsible for the overall management...the established plan of patient care and ensuring effective management of visit utilization and control of… more
    Sutter Health (10/24/24)
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  • Nurse Care Manager II

    Elevance Health (Palo Alto, CA)
    management plan and modifies as necessary. + Assists with development of utilization /care management policies and procedures. + Participates in or leads ... Creek 661 BRYANT ST Palo Alto 21215 BURBANK BLVD Woodland Hills The ** Nurse Care Manager** **II** is responsible for collaborating with healthcare providers and/or… more
    Elevance Health (10/18/24)
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  • Program Manager ( RN ), Cancer Destination…

    Stanford Health Care (Palo Alto, CA)
    …Epic and Beacon platforms if appropriate for project work **Licenses and Certifications** + CA- RN ( Registered Nurse ) . **These principles apply to ALL ... the department. Utilization of data analytics, lean six sigma project management tools, financial analytics tools, and software program adaption for operational … more
    Stanford Health Care (09/10/24)
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  • Lead Advanced Practice Provider ( Nurse

    Stanford Health Care (Palo Alto, CA)
    …their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or ... a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist). +… more
    Stanford Health Care (09/09/24)
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  • Neonatal Quality and Practice Advisor (1.0 FTE,…

    Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
    …years of progressively responsible and directly related work experience License/Certification: CA Registered Nurse ( RN ); BLS for healthcare providers; ... level and purpose of the job. Quality and Practice Advisor (QPA) are Registered Nurses who utilize evidence informed practice to facilitate and lead improvements in… more
    Lucile Packard Children's Hospital Stanford (10/19/24)
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  • Neonatal Clinical Nurse Specialist - CPEI…

    Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
    …Three (3) years of progressively responsible and directly related work experience License/Certification: CA Registered Nurse ( RN ), CNS - Clinical Nurse ... Clinical Nurse Specialists are Master's Degree prepared advanced practice Registered Nurses in roles characterized by the following responsibilities: + Provide… more
    Lucile Packard Children's Hospital Stanford (10/17/24)
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