• Utilization Mgmt ED 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 ... 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 (09/21/24)
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  • Case Manager ( RN ) - ED / 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 (09/25/24)
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  • Pediatric ED Complex Care Manager (LCSW)…

    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
    Stanford Health Care (08/30/24)
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  • Case Manager II, Registered Nurse

    Sutter Health (Burlingame, CA)
    …Medical Directors, and contracted providers and community resources. When assigned to the Emergency Department , the Care Management process is to address ... EDUCATION :** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire CCM certification… more
    Sutter Health (09/28/24)
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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 ... **_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
    HCA Healthcare (08/23/24)
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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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  • 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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  • Care Manager II, Acute

    Sutter Health (Castro Valley, CA)
    …field or equivalent education /experience **CERTIFICATION & LICENSURE** + Registered Nurse - State Licensure - RN Required + Basic Life Support ... experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN...contracted providers and community resources. If assigned to the Emergency Department , the Care Management more
    Sutter Health (10/02/24)
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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 ... Overview:** Primary coverage area: Mountain View, Palo Alto and surrounding An experienced RN who is responsible for the overall management of patients,… 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 ... and maintaining program(s)/project(s) endeavors that support the strategic goals of the department . Utilization of data analytics, lean six sigma project … more
    Stanford Health Care (09/10/24)
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  • Inpatient Review ( RN ) Case Manager…

    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
    Molina Healthcare (09/26/24)
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  • RN , Case Manager, MSW Relief ECT Program…

    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 (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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  • Manager, Care Management

    Sutter Health (Burlingame, CA)
    …Work Candidates Only or equivalent education /experience **CERTIFICATION & LICENSURE** RN - Registered Nurse of California CCM- Preferred LCSW-Licensed ... case management programs. 8 years experience in utilization management and discharge planning. 8 years...factors including but not limited to a candidate's experience, education , skills, licensure and certifications, department equity,… more
    Sutter Health (08/15/24)
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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 ... QUALIFICATIONS** **Required Education ** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) or… more
    Molina Healthcare (08/28/24)
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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 ... 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
    Stanford Health Care (09/06/24)
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  • Quality and Practice Advisor - Pediatric…

    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; ... patient rights and ethical treatment, safety and security of physical environments, emergency management , teamwork, respect for others, participation in ongoing … more
    Lucile Packard Children's Hospital Stanford (10/01/24)
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  • Clinical Nurse Specialist ( CNS )…

    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
    Lucile Packard Children's Hospital Stanford (08/20/24)
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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 ... account several factors including but not limited to a candidate's experience, education , skills, licensure and certifications, department equity, training and… more
    Sutter Health (08/13/24)
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  • Nurse Reviewer I

    Elevance Health (Palo Alto, CA)
    ** Nurse Reviewer I** **Location:** Within 50 miles of...hospital setting or minimum of 1 year of prior utilization management , medical management and/or ... state(s) required. **Preferred Skills, Capabilities, and Experiences:** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed… more
    Elevance Health (10/02/24)
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