- 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 (Palo Alto, CA)
- …of the care components, and their effective integration **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... America) This LCSW shall float within the inpatient and Emergency Department Psychiatry services. The 10-hr. day...+ Advocacy & Education : Patient/Family Self Care Management , Patient/Family Health Management Education ,… more
- 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
- Alameda Health System (San Leandro, CA)
- …**Additional Information** Note: Must have Hospital Case Management or Utilization Review experience. **Qualifications:** Education : Associates's degree in a ... - issued by AHA-American Heart Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… 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
- 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 (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 Palo Alto, Mountain View and surrounding An experienced RN who is responsible for the overall management of patients, including… 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 ... and maintaining program(s)/project(s) endeavors that support the strategic goals of the department . Utilization of data analytics, lean six sigma project … more
- 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 preferred ... ** EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_PERMANENT...or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current… 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 (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 ... QUALIFICATIONS** **Required Education ** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) or… more
- Sutter Health (Castro Valley, CA)
- …Masters of Social Work for Social Work Candidates Only **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire + OR LCSW-Licensed ... by implementing and following applicable policies and procedures. * Effectively communicates Utilization Management Program and action plan goals and objectives… more
- Molina Healthcare (San Jose, CA)
- …matrix, user training materials and other related documentations. **JOB QUALIFICATIONS** **Required Education ** + Registered Nurse or equivalent combination ... successful for this role. Training skills helpful. Knowledge of Utilization Management processes, EMR systems and Health...Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN… 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 ... 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
- 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 (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
- 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
- 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
- Elevance Health (Palo Alto, 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
- Elevance Health (Palo Alto, CA)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... expertise in specified areas of business needs to assist management with unit operations. + May act as lead...or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.… more