- 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
- Alameda Health System (Oakland, CA)
- … Management provides Care Coordination, Compliance, Transition Coordination, and Utilization Management . **DUTIES & ESSENTIAL JOB FUNCTIONS:** NOTE:The ... background. Within the last 3 years, experience in Case Management in an acute setting or utilization ...or health plan. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California,… more
- Fresenius Medical Center (Oakland, CA)
- …and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... **POSITION FEATURES:** This is a per diem RN opportunity for our Oakland, CA surgery center....adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other… 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 ... Competency Development, Case Management Best Practice Standards Development, Case Management Competency Development + Utilization Management : Avoidable… more
- 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
- 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
- Alameda Health System (San Leandro, CA)
- …Heart Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. **Additional Information** ... AHA-American Heart Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Alameda Health… more
- Sutter Health (Burlingame, CA)
- …: **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire CCM certification ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the… more
- 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
- 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 (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 (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
- 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
- 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
- Alameda Health System (Alameda, CA)
- …health preferred.** **Required Licenses/Certifications:** **Valid license to practice as a Registered Nurse in the State of California.** **Required ... FTE:1 + Posted:March 27, 2024 **Summary** **Role Overview:** The AHD Case Manager ( RN ) is responsible for providing comprehensive case management services to… 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 ... the department. Utilization of data analytics, lean six sigma project management tools, financial analytics tools, and software program adaption for operational … more
- Sutter Health (Oakland, CA)
- …**EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the… 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
- Alameda Health System (Oakland, CA)
- …is required. + Preferred Experience: N/A Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California or valid license as ... of financial analyses including cost of care to reimbursement, denials management , and non-reimbursed services, promoting effective resource utilization ,… more
- Sutter Health (Castro Valley, CA)
- …Health related field or equivalent education/experience **CERTIFICATION & LICENSURE** + Registered Nurse - State Licensure - RN Required + Basic Life Support ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the… more