• Dir., Utilization Management - Case…

    Stanford Health Care (Palo Alto, CA)
    …**This is an onsite Stanford Health Care job.** **A Brief Overview** The Dir- Utilization Management (UM) leads and shapes the UM Strategy, while providing ... redesign work necessary to implement improvements. + Directs the utilization management , concurrent review, prior authorizations medical...in nursing (MSN) + Current unrestricted license as a Registered Nurse issued by the state of… more
    Stanford Health Care (07/30/24)
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  • Utilization Management RN

    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 ... vary by location._** Come join our team as a(an) Utilization Management RN . We care...organizations. Apply Today! **Job Summary and Qualifications** The UM Nurse 's primary function is to ensure timely review of… more
    HCA Healthcare (08/23/24)
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  • Utilization Mgmt ED RN - Case…

    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
    Stanford Health Care (06/22/24)
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  • Utilization /Case Manager II,…

    Sutter Health (Burlingame, CA)
    …: **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire CCM certification ... **Organization:** Bay Administration **Position Overview:** Responsible for Utilization Management and accurate bed placement for patients coming in from the ED.… more
    Sutter Health (06/20/24)
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  • Case Manager II - Utilization

    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 ... include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness… more
    Lucile Packard Children's Hospital Stanford (09/11/24)
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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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  • Manager, Care Management

    Sutter Health (Burlingame, CA)
    …Social Work Candidates Only or equivalent education/experience **CERTIFICATION & LICENSURE** RN - Registered Nurse of California CCM- Preferred LCSW-Licensed ... and guidelines. Has frequent contact with the Administrative Team, Nurse Executives and Directors, Risk Management &...case management programs. 8 years experience in utilization management and discharge planning. 8 years… more
    Sutter Health (08/15/24)
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  • SLH Case Manager RN , Full Time, Benefited,…

    Alameda Health System (San Leandro, CA)
    Management , Utilization Review, Home Health or Public Health Registered Nurse experience. Schedule: every other weekend and alternating holidays work ... Heart Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. **Additional Information**… more
    Alameda Health System (08/02/24)
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  • LVN Clinician: Prior Authorization: California,…

    Molina Healthcare (San Jose, CA)
    …seeking a LVN (Licensed Vocational Nurse ) with experience in Prior Authorizations, Utilization Review / Utilization Management and knowledge of Interqual ... **JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN)… more
    Molina Healthcare (08/28/24)
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  • Registered Nurse Clinical Practice…

    Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
    …level and purpose of the job. Clinical Practice Quality Specialists are Registered Nurses with advanced degrees who utilize evidence-informed practice to facilitate ... and ethical treatment, safety and security of physical environments, emergency management , teamwork, respect for others, participation in ongoing education and… more
    Lucile Packard Children's Hospital Stanford (08/20/24)
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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 (California Registered Nurse ) .… more
    Stanford Health Care (08/31/24)
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  • LCSW Mgr - Care Coordination - Social Work…

    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 (09/06/24)
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  • Case Manager ( RN ) - Case…

    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 (07/30/24)
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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: Mountain View, Palo Alto 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 (07/19/24)
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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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  • RN , Case Manager, MSW Relief ECT Program…

    Stanford Health Care (Palo Alto, CA)
    …and psychiatry staff for patient and ECT service issues. + Utilization and review- Reviews prospectively, concurrently, and retrospectively for ECT patient's ... physicians, and/or social workers to ensure compliance. + Case management - Intake, referral, treatment planning, resource allocation, monitoring with and… more
    Stanford Health Care (07/25/24)
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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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  • Nursing Director, Perioperative

    Sutter Health (Burlingame, CA)
    …school of nursing. **CERTIFICATION & LICENSURE:** BLS-Basic Life Support Healthcare Provider RN - Registered Nurse of California **TYPICAL EXPERIENCE:** 12 ... patient care. Establishes overall operating and capital budget with input from management team, ensuring financial targets are achieved and variances are addressed… more
    Sutter Health (08/13/24)
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  • Clinical Nurse Specialist - Hematology…

    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 (08/20/24)
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  • Quality Specialist

    Stanford Health Care (Palo Alto, CA)
    …effectively with individuals at all levels of the organization **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact State ... will do** + Attends ongoing education as required for clinical database management . + Conducts comprehensive quality and patient safety studies, assessments, and… more
    Stanford Health Care (07/11/24)
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