- 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 ... institution, navigating the complexities of patient care and resource utilization management , and education . Primary...systems and other healthcare software. **Licenses and Certifications** + Nursing/ RN - Registered Nurse -… more
- Stanford Health Care (Palo Alto, CA)
- …the processes and outcomes of patient health care **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State ... is your opportunity to work with a unique and supportive team. You can put your bedside RN experience to great use in case management . Our RN Case Managers… more
- 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 ... + Advocacy & Education : Patient/Family Self Care Management , Patient/Family Health Management Education ,...Case Management Best Practice Standards Development, Case Management Competency Development + Utilization Management… more
- HCA Healthcare (Campbell, CA)
- …with purpose and integrity. We care like family! Jump-start your career as a(an) Utilization Management RN today with HCA Healthcare. **Benefits** HCA ... **_Note: Eligibility for benefits may vary by location._** Come join our team as a(an) Utilization Management RN . We care for our community! Just last year,… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …years of progressively responsible and directly related work experience License/Certification: CA Registered Nurse ( RN ) Knowledge, Skills, & Abilities These ... patient rights and ethical treatment, safety and security of physical environments, emergency management , teamwork, respect for others, participation in ongoing … more
- Sutter Health (Saratoga, CA)
- …+ Other: Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS- Basic Life Support Healthcare ... Overview:** Primary coverage area: Mountain View, Palo Alto and surrounding An experienced RN who is responsible for the overall management of patients,… more
- 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 ... and maintaining program(s)/project(s) endeavors that support the strategic goals of the department . Utilization of data analytics, lean six sigma project … more
- Molina Healthcare (San Jose, CA)
- …will move to a 3 day/12 hour shift from then on._** **_Previous experience with Emergency Room Utilization Management / Utilization Review is required ... ** EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_PERMANENT...or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current… more
- Stanford Health Care (Palo Alto, CA)
- …will do** + Care coordination for caseload of patient's in the ECT department . Including receiving the initial referral, initial screening/ education of patients, ... and psychiatry staff for patient and ECT service issues. + Utilization and review- Reviews prospectively, concurrently, and retrospectively for ECT patient's… more
- 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
- Molina Healthcare (San Jose, CA)
- …seeking a LVN (Licensed Vocational Nurse ) with experience in Prior Authorizations, Utilization Review / Utilization Management and knowledge of Interqual ... QUALIFICATIONS** **Required Education ** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) or… more
- 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 ... staff, hiring, employee evaluations, and program development for the Department of Social Work and Case Management .... concerns for individual cases. + Assumes responsibility for department in absence of Director . + Takes… more
- 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 ... patient rights and ethical treatment, safety and security of physical environments, emergency management , teamwork, respect for others, participation in ongoing … more
- Molina Healthcare (Santa Clara, CA)
- …license **PREFERRED EDUCATION :** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a home ... + Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization + Perform face-to-face in-person visits in a… more
- Elevance Health (Palo Alto, CA)
- …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This is a...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more