- Elevance Health (Walnut Creek, CA)
- …years acute care clinical experience is required. **Preferred Qualifications** + Previous utilization review/ utilization management experience in a managed ... Costa Mesa, Los Angeles, Rancho Cordova, Sacramento, Walnut Creek, Woodland Hills** The Nurse Medical Management I is responsible to collaborate with healthcare… more
- 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 ... health record (EHR) systems and other healthcare software. **Licenses and Certifications** + Nursing/ RN - Registered Nurse - State Licensure and/or Compact… 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
- Sutter Health (San Francisco, CA)
- …**EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** ... Management Assistants to determine preferences for post-acute care services. Utilization Management . * Reviews medical record to ensure patient continues… more
- Sutter Health (San Francisco, CA)
- …in nursing, case management or related field. **CERTIFICATION & LICENSURE** RN - Registered Nurse of California CCM-Certified Case Manager (optional) ... Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The … 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
- 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
- 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)
- …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 (Oakland, 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
- Sutter Health (San Francisco, CA)
- …in nursing, case management or related field. **CERTIFICATION & LICENSURE** + RN - Registered Nurse of California (required) + CCM-Certified Case Manager ... Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The … 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 Licenses/Certifications: ... + FTE:1 + Posted:November 7, 2024 **Summary** **SUMMARY:** The AHD Case Manager ( RN ) is responsible for providing comprehensive case management services to… 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
- Alameda Health System (Oakland, CA)
- …in Nursing preferred. Required License/Certifications: CCRN - Critical Care Registered Nurse is desirable. Required Licenses/CertificationsTPM: ACLS, TNCC, ... Labor and Delivery + Full Time - Varies + Management + Req #:40650-30009 + FTE:1 + Posted:November 5,...department). Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
- Alameda Health System (Oakland, CA)
- …on Trauma standards (2014). Required License/Certifications: CCRN - Critical Care Registered Nurse is desirable. Required Licenses/Certifications: ACLS - ... Intensive Care Unit + Full Time - Day + Management + Req #:38769-28406 + FTE:1 + Posted:January 22,...department). Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
- Sutter Health (San Francisco, CA)
- …+ Bachelor's: Nursing or health related field preferred. **CERTIFICATION & LICENSURE** + RN - Registered Nurse of California + DL-Valid Drivers License Class ... of care within an interdisciplinary team and participating in effective utilization management and control of patient supplies. Consistently provides… more
- Alameda Health System (Oakland, CA)
- …of the required experience.) Required License/Certifications:CCRN - Critical Care Registered Nurse is desirable. Required Licenses/Certifications:ACLS - Advanced ... Labor and Delivery + Full Time - Night + Management + Req #:40380-29783 + FTE:1 + Posted:October 22,...Emergency department). Required Licenses/Certifications:Valid license to practice as a Registered Nurse in the State of California… more
- Sutter Health (San Francisco, CA)
- …+ Other: Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... Manager, the Primary Care Clinician (PCC) is 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 (Novato, CA)
- …**EDUCATION:** Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California BLS-Basic Life Support Healthcare ... at Home - Outer Bay **Position Overview:** 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
- 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