- 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
- 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 (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
- 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
- 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
- Molina Healthcare (San Francisco, 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
- 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
- Molina Healthcare (San Francisco, 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
- 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 ... manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid… 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 ... manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid… more
- Elevance Health (Walnut Creek, CA)
- …experience preferred + Bilingual preferred. + Discharged planning experience preferred. + Utilization Management experience preferred. + Case Management ... ** Nurse Case Manager II** **Location** : Woodland Hills,...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… 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