Nurse manager jobs in San Francisco, CA - 2,689 jobs

A global law firm is seeking a Senior Manager, Practice Information & Communication, based in New York or San Francisco. The role involves improving business development strategies and communication efforts within the Financial Services Litigation team. Candidates should have 8+ years of relevant experience, strong project management skills, and a proficiency in communication strategies. The position offers a competitive salary range of $200,000 - $250,000 and a comprehensive benefits package including health and wellness programs. #J-18808-Ljbffr

Join Iconic Care: Exceptional Care for Exceptional Outcomes Who we are: Iconic Care is a physician-owned group of skilled providers (physicians, PAs, and NPs) offering care across ten states, with plans for expansion to all 50 states. For the past four years, we've partnered with top-tier nursing and skilled care facilities nationwide to manage pain and enhance therapy outcomes, helping thousands of patients regain independence and comfort. At Iconic Care, we are dedicated to improving the quality of life and therapeutic outcomes for patients in skilled nursing and long-term care facilities. By collaborating closely with the primary care teams in these facilities, we increase patients' ability to participate in physical therapy while reducing the need for pain medications. Location: Remote with resident city limitations. Candidates must be based in one of the following greater metropolitan areas: Salt Lake City, Seattle/Tacoma, Oakland/East Bay, Phoenix, Las Vegas, or Denver. Candidates living outside of these metropolitan cities CANNOT be considered. Compensation: $155,000-185,000 salary, with additional bonuses and commissions based on performance. This is a W2 Employee position. We're looking for an energetic, people-oriented Clinical Educator NP/PA & Travel Nurse to join our team. This position will be serving as a key representative of our organization while collaborating with primary care teams to improve patient outcomes. This role combines clinical practice and education with national travel. You will be responsible for: Providing interim clinical coverage at Skilled Nursing Facilities (SNFs) nationwide for providers on extended leave. Training and onboarding new Nurse Practitioners (NPs) and Physician Assistants, ensuring they are set up for success. Who you are: Description: A dynamic and experienced Nurse Practitioner (NP) or Physician Assistant (PA) who loves to travel, care for patients, and teach; possessing a passion for physiatry and a knack for building strong relationships with medical teams as well as mentoring new providers. Key Responsibilities As a Clinical Educator NP/PA & Travel Nurse you will: Provide Physiatry Services In Post Acute Facilities: Provide interim clinical coverage at Skilled Nursing Facilities (SNFs) nationwide for providers on extended leave. This will be ~50% of the job (decreasing as the company grows). Train and educate new NPs and PAs on the principles and procedures of physiatry, including joint and trigger point injections, spasticity treatments, and various pain management strategies. This will be ~50% of the job (increasing as the company grows). Facilitate successful integration by introducing new providers to facility administrators and primary care teams, helping them establish excellent working relationships. Provide guidance on developing efficient patient rounding schedules and streamlined charting processes as well as the skills needed to perform treatments, even to providers inexperienced in physiatry and new graduates. Travel extensively (48-50 weeks per year, Monday through Friday; longer only if the interim clinical coverage requires a longer stay - but rarely longer than 2 weeks at most) to various skilled nursing facilities nationwide. We currently operate in 10 states with ambitions to serve all 50 states within the next 5 years. You will be crucial in achieving this goal. Qualifications To be considered for this exciting role, you must have: A current Nurse Practitioner or Physician Assistant certification. A valid medical and DEA license. At least 3-5 years of clinical experience in Physiatry, PM&R, Skilled Nursing Facilities, or Post-Acute Care. This is a MUST. A passion for educating others and a people-first personality. Availability and willingness to travel frequently and for extended periods. We believe in rewarding our team members with a comprehensive package that supports their professional and personal lives. Your compensation will include: Annual Salary: $155,000-$185,000 depending on experience Bonus compensation: additional compensation for performance Travel: All travel expenses are paid. You'll see the cities all around the country with a generous travel per diem. Time Off: Generous PTO package. Full Benefits: Health, Dental, and Vision insurance. Retirement: 401k with a 6% company match. HSA: Eligibility for a Health Savings Account (with an eligible HDHP health plan). Malpractice Insurance: $1M/$3M policy, paid by IconicCare Professional Development: Licensure reimbursement and CME days with a reimbursement allowance. Tools: Work laptop provided if needed. How to Apply Ready to combine your love for patient care, education, and travel? Please send your CV to ***************************. We can't wait to hear from you! #J-18808-Ljbffr

Reports to: Vice President of Operations and New Stores Founded in 2014 by Dr. Brett Florie, Hydration Room is redefining proactive healthcare by blending holistic wellness with Western medicine. With 45+ clinics and rapid expansion underway, our mission is to deliver exceptional IV and injection therapies in a supportive, wellness-focused environment. We are a high-growth health and wellness company committed to raising the standard of clinical care and patient experience. Role Summary The District Clinic Manager will be supervising retail and non-medical operations within a multi-unit portfolio of clinics by planning strategies and consistent implementation to achieve results. We are seeking an experienced retail operator with extensive sales and customer service history. Territory & Scope of Responsibility: Geographic coverage: All of the San Francisco Peninsula, San Jose area, and the East Bay. Clinic count: The role will ultimately oversee 10 - 15 clinics as the region is fully built out, scaling responsibilities in tandem with new openings. Core Role Responsibilities: The District Clinic Manager must regularly exercise discretion and independent judgment to perform their essential job duties, which include: Developing and implementing operational goals to support local and company initiatives. Developing, implementing, and ensuring all non-medical staff receive onboarding orientations and training at clinic locations. Hiring, coaching, counseling, disciplining and assessing the job performance of all non-medical staff at clinic locations, including to ensure employee compliance and performance with company policies and standards, and coordinating with human resources where necessary. Arranging and overseeing the schedules of Wellness Coordinators and other staff within their assigned area. Collaborating with medical operations and leading Shift Lead Wellness Coordinators to assess and resolve customer needs. Collaborating with medical operations to address all cross-functional responsibilities. Assessing productivity of multiple clinic locations including but not limited to NPS (Net Promoter Score), membership sales, customer volume and implementing strategies to increase productivity. Overseeing and managing financial metrics of all assigned clinics including assessing and distributing employee tips and ensuring proper cash handling practices are followed. Collaborating with the marketing department to execute local clinic marketing, B2B partnerships, special events, and outreach projects. Coordinating with the Facilities Manager to assess and resolve facilities/maintenance issues throughout assigned district clinics. Managing non-medical inventory for all assigned district clinics. Performing Wellness Coordinator or other staff duties at assigned clinics only when necessary. What We Offer: A fun, growing workplace where you can promote health and wellness in your community. Direct impact on Hydration Room's ability to grow and deliver accessible wellness care. Opportunity to shape the recruiting function and eventually build/lead a high-performing hiring team. Competitive pay and benefits, plus high visibility to executive leadership in a rapidly expanding wellness brand. Career development opportunities. Free IV/Injection perks program. Vacation time. Participation in a 401k program. Employee Assistance Program Flexible scheduling. Medical, dental, vision, paid life insurance, and voluntary benefits are available for all full time employees. The salary range for this role is $100,000 - $110,000 per year. Bonus eligible. Required Skills: Integrity and ability to maintain confidentiality and exercise sound discretion and judgment. Excellent team management skills. Excellent verbal and written communication skills. Ability to drive and travel to clinics within the assigned district. Proficient in scheduling systems, Microsoft Office, or related software. Excellent organizational skills and problem-solving skills. Education and Experience: Multi-unit management experience - 3 years required; 5 years preferred. Bachelor's degree in business management preferred. Physical Requirements: Prolonged periods sitting at a desk and working on a computer. Must be able to stand and walk to traverse the entire facility. Must be able to lift up to 15 pounds at times. Must be able to operate a motor vehicle to drive between assigned district clinics. This indicates in general terms, the type and level of work performed as well as the typical responsibilities of employees in this classification. The duties described are not to be interpreted as being all inclusive or specific to any employee. The use of a particular expression or illustration describing duties shall not be held to exclude other duties not mentioned. This description is not intended to limit or in any way modify the right of any manager or supervisor to assign, direct, and control the work of employees. An ability to competently perform all the essential functions of the position (the combination of all essential duties and all essential skills and abilities listed above), with or without reasonable accommodation, is a basic requirement of all positions at the Hydration Room. The Hydration Room is an equal opportunity employer and will make reasonable accommodations in accordance with applicable law so that qualified employees can perform the essential functions of the job. Nothing in this changes the at-will employment relationship existing between the Hydration Room and its employees. The Hydration Room reserves the right to amend this job description at any time.

2025 & 2024 - Best of the East Bay - Best Home Health Services, Diablo Magazine 2025 - Best of Oakland - Best Home Care Services for Seniors, Oakland Magazine 2025 - Top Home Care Agency, CommunityVotes Santa Rosa 2025 - Best of the Bay Area - Best Senior Living Provider, SFGATE Come join the Hillendale Home Care team! We are a home care agency working with senior care clients in Contra Costa and Alameda counties and we're looking for a dynamic Client Care Manager to join the team. Our Client Care Managers work with existing senior care clients and their families to review and renew care contracts, adjust care plans with new services and products as caregiving support changes, and develop new business leads and opportunities through senior care referral networks and conducting new client assessments. What You'll Be Doing: Generate regular streams of revenue and new business by providing exemplary customer service by building partnerships with clients and families, working with referral networks within local senior care communities, and leading and participating in community outreach events to spread brand awareness. Call on and develop new referral accounts in the local healthcare and senior care community with elder care industry professionals, organizations and establishments. Communicate with family members and our internal Staffing Management team to refine and improve client's lives by ensuring a high client satisfaction from assigned home care aides. Work with our Staffing Management team regarding new clients, renewal of current clients, and any new products or services added as part of the care plan. Speak to prospective clients to educate them on products and services including conducting in-home assessments with seniors and/or their families to sign them on for services. Perform ongoing care management and communication with clients to ensure high quality services and customer feedback. Represent Hillendale at community events, upholding company values and high standards of care. What Hillendale Provides: Highly competitive salary with incentive comp Full-time opportunity with a growing company and innovative team Healthcare benefits 401(k) plan Paid time off Company holidays Fun, collaborative work environment Experience, Skills, and Education: Bachelor's Degree in business management, marketing management or related field; or equivalent work-related experience 5+ years prior experience in healthcare or senior care industry 2+ years' client management experience in home care industry preferred Excellent communication skills and the ability to anticipate the needs of customers Strong attention to detail and excellent time management skills Innovative business development skills with proven track record of new client acquisition and retention of existing clients Ability to interrupt care plans, analyze data, and present metrics reports to leadership Strong proficiency with Google Suite apps (Google Docs, Sheets, Slides, Gmail) Experience working in customer service programs and databases (CRM)

Community hospital part of a system looking to bring on Director Maternal Child! Sign On Bonus and Full Relocation! Responsible for establishing best practice models; performing strategic planning and designing patient care delivery systems and practice standards in several locations; leading the investigation of patient/family/member concerns regarding patient care and services. Births per year - 2,000 Rooms: L&D - 7 Triage -2 OR - 2 PP - 13 NICU - 12 Average Daily Census - Post Partum Days 16/Evenings 13/Nights 14 L&D - 6.5 NICU - 2 Qualifications: Minimum seven (7) years of experience in patient care delivery. Bachelors degree in Nursing (BSN) AND minimum seven (7) years of experience in business operations, clinical health care, or a directly related field. Master's degree required. Minimum two (2) years of experience managing operational or project budgets. Minimum two (2) years of experience in a leadership role with direct reports. Registered Nurse License (California) required at hire. Basic Life Support required at hire.

Reporting to the Director of Clinical Operations, the Nurse Manager, Prior Authorizations, provides clinical and operational leadership to the Prior Authorizations (PA) team within the Utilization Management (UM) function. You will manage a team of registered nurses and clinical staff responsible for prior authorization reviews, ensuring determinations are on time, clinically appropriate, and compliant with Medi-Cal, DHCS, and SFHP standards. Please note that while SFHP supports a hybrid work environment, the Nurse Manager, Prior Authorization is not required to meet the minimum in-office requirement of 4x/month but is required to attend company meetings and other in-person events at Senior Manager's discretion. Salary: $150,000 to $170,000 annual WHAT YOU WILL DO: Manage a team of nurses and clinical staff responsible for prior authorization reviews, ensuring accurate application of UM criteria and timely completion of determinations. Define, communicate, and track individual and team goals aligned with departmental goals; ensure deliverables are met. Provide hands-on coaching and mentorship to staff. Monitor performance metrics, workload balance, and service quality; identify opportunities for development and process improvement. Conduct regular check-ins, providing meaningful feedback and recognition. Oversee daily operations of the PA team, including triage, documentation, and compliance with turnaround time standards. Ensure consistent application of evidence-based criteria (e.g., InterQual, MCG, SFHP policies, Medi-Cal and Medicare guidelines). Collaborate with UM leadership and Medical Directors to design and implement UM protocols, workflows, and staff training. Analyze authorization trends and performance data; develop action plans to address efficiency, accuracy, or quality gaps. Manage clinically related authorization and claims issues, escalating appropriately and ensuring timely resolution. WHAT YOU WILL BRING: Valid, unrestricted Registered Nurse (RN) or Nurse Practitioner (NP) license in the State of California. Bachelor's degree in Nursing or related field required. Minimum of 4+ years of clinical experience in a healthcare setting required; experience in managed care, case management, resource management, or utilization review, preferred. 2 to 4 years of supervisory or management experience required Experience with Medi-Cal, Medicare, DHCS, DMHC, and NCQA regulations preferred. WHAT WE OFFER: Health Benefits Medical: You'll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP. Dental: You'll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage. Vision: Employee vision care coverage is available through Vision Service Plan (VSP). Retirement - Employer-matched CalPERS Pension and 401(a) plans, 457 Plan. Time off - 23 days of Paid Time Off (PTO) and 13 paid holidays. Professional development: Opportunities for tuition reimbursement, professional license/membership. ABOUT SFHP: Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. San Francisco Health Plan is an E-Verify participating employer. Hiring priority will be given to candidates residing in the San Francisco Bay Area and California. #LI-Hybrid (Hybrid remote/in-office) Please see job description PI281032581 Job distributed by JobTarget.

Amergis Healthcare Staffing is seeking an PICU RN to be part of the Pediatric Critical Care Department and manages patients with multi-system failure and a variety of life threatening illnesses. The ICU/CCU nurse assumes responsibility and accountability for assigned patients and is responsible to the Clinical Manager of client facility designee. Minimum Requirements: Shows evidence of having graduated from an accredited school of nursing. Current, legal license in good standing in state of practice. Shows evidence of one year recent experience in ICU, CCU, PICU, NICU or emergency medicine Prefers evidence of ACLS, PALS, NRP certification. Shows evidence of CEU requirements for the state of practice. Must be able to work with frequent interruptions. 1-3 years complex job related experience, PALS, BLS, and ACLS, as required. Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. "Pursuant to the San Francisco Fair Chance Initiative, Amergis will consider for employment qualified applicants with arrest and conviction records"

Immediate need for a talented Registered Nurse - Case Manager/ Utilization Manager. This is a 03+ Months Contract opportunity with long-term potential and is located in Santa Clara, CA (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID:25-96149 Pay Range: $60 - $65/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Perform daily pre-admission, admission, and concurrent utilization reviews Determine appropriate levels of care using clinical guidelines and policies Coordinate inpatient discharge planning and transitions of care Participate in multidisciplinary rounds with physicians and care teams Communicate discharge plans with patients, families, and external providers Arrange transfers, post-acute services, and obtain authorizations as needed Ensure continuity of care through accurate documentation and follow-up Maintain compliance with federal, state, and institutional regulations Educate care teams on utilization and care coordination processes Key Requirements and Technology Experience: Skills-Inpatient Case Management & Discharge Planning Utilization Management / Utilization Review (UM/UR) Acute hospital experience (inpatient setting) Knowledge of CMS, DMHC, NCQA, TJC, HIPAA, EMTALA Strong interdisciplinary communication and care coordination Ability to independently manage inpatient caseloads Healthcare benefit interpretation and authorization coordination Graduate of an accredited school of nursing Diploma or Associate Degree in Nursing (ADN) required Active California RN License (Required) BLS Certification (Required) Minimum 2 years of experience in: Utilization Management Case Management Discharge Planning Recent acute inpatient hospital experience Ability to work rotating schedules and every other weekend Comfortable working in a Labor/Management Partnership environment Bachelor's degree in Nursing or healthcare-related field Master's degree in Case Management Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

A healthcare technology firm is looking for a Travel Clinical Educator RN in San Francisco to provide education on medical device technologies. This per-diem role requires flexibility for travel, with an average of 1-2 assignments per month. Ideal candidates will have RN expertise, experience with IV catheter technologies, and a desire to expand their skills in clinical education. Competitive hourly pay ranges from $40-$42, plus benefits. #J-18808-Ljbffr

Come join the nursing team at San Jose Behavioral Health and Make A Difference every day! We are seeking a dedicated and compassionate Registered Nurse (RN) to join our admissions team at San Jose Behavioral Health. As an Admissions RN, you will play a crucial role in ensuring a smooth and efficient admissions process for our patients. Your clinical expertise, attention to detail, and ability to collaborate with various stakeholders will contribute to delivering high-quality care. San Jose Behavioral Health is a renowned healthcare facility committed to providing exceptional mental health services to our community and in Intake and Admissions, you can make a real difference in the lives of our patients. Conveniently located in the heart of San Jose the hospital is easily accessible to residents in Santa Clara County, San Mateo County, and Alameda County. The Hospital campus is situated amid gently rolling hills and features serene views of beautiful natural surroundings. AVAILABLE SHIFT/SCHEDULE: Full Time * Tuesday - Saturday * Evening shift: 5:00pm - 1:30am Part Time * Friday - Monday * 8:00am - 4:30pm * Friday & Saturday * 9:00am - 5:30pm To Note: All positions include at least one regularly scheduled weekend day. Candidates must be available to work their assigned weekend shift as part of their standard schedule. Weekend availability does not require additional or unscheduled weekend shifts beyond the posted schedule. SJBH hourly range = $60.00 - $69.97 / hour Current benefits include: Referral Bonus Major Group Health Insurance (Medical, Dental, Vision) 401(k) plan Excellent training program Free Parking Key Responsibilities: Review medical documentation for all admissions, complete medication reconciliation, and obtain admission orders from physicians. Facilitate emergency transfers for patients with medical conditions beyond our facility's capabilities. Review referrals from hospitals, facilities, and community agencies, assessing medical and behavioral acuity and responding within designated timeframes. Respond to inquiries about our facility, providing appropriate recommendations and information. Conduct assessments to determine the appropriate level of care within our facility. Collaborate with medical and psychiatric personnel to ensure appropriate recommendations and admissions. Facilitate the admissions process, including assessment, consent, and inventory of patient belongings. Perform insurance benefit verifications and secure initial pre-authorization for treatment and admission. Monitor patient status throughout the admissions process, following facility policies and physician orders. Utilize web-based programs to track and review referrals. Communicate projected admissions promptly to designated internal representatives. Ensure timely receipt of all clinical information, including medical comorbidity, from referral sources or patients. Schedule and complete pre-admission assessments, consult with admitting physicians, and communicate disposition recommendations to patients or their families. Prepare and maintain accurate medical record documentation to facilitate payor authorization at the requested level of care. Complete initial pre-authorization for treatment and admission within payor timeframe guidelines. Admit patients to the registration and accounting system, completing all necessary admission and consent forms. Demonstrate a positive, empathetic, and professional attitude towards patients, prioritizing their safety and promptly addressing concerns or complaints. Coordinate care for patients who are not being admitted, ensuring they receive appropriate follow-up care and referrals. Conduct safety checks and provide supervision as required by special precautions and individualized guidelines. Coordinate care for patients who are not being admitted, ensuring they receive appropriate follow-up care and referrals. Conduct safety checks and ensure proper supervision according to special precautions and individualized guidelines. We are seeking a motivated and detail-oriented individual who is passionate about providing exceptional patient care and ensuring smooth admissions processes. If you meet the qualifications and are committed to delivering high-quality services, we encourage you to apply. Qualifications: * Minimum of an Associate's degree in Nursing. * Minimum of one year of experience working with individuals in a clinical or observational capacity, preferably within the relevant area of specialty for the hiring facility. Licenses/Designations/Certifications: Clear and active nursing license in the state. CPR and de-escalation/restraint certification required (training available upon hire and offered by the facility). First aid certification may be required based on state or facility requirements. We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. #LI-SJBH #LI-KB2

**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $85,600.00 - $141,200.00 **Target Openings** 2 **What Is the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews as applicable to claim handling laws and regulations. Responsible for helping to ensure injured parties receive appropriate treatment directly related to the compensable injury or assist claim handlers in managing medical treatment to an appropriate resolution. **What Will You Do?** + Contact customer, medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appropriate medical care and return to work. + Develop strategies to facilitate an injured employee's return to work and achieve maximum medical improvement. Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim. + Coordinate with medical providers to ensure the injured employee is actively participating in a viable treatment plan. + Evaluate medical treatment requests to ensure that they are reasonable and necessary based upon jurisdictional guidelines. + Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor, peer reviews, MCU). + Partner with Claim Professional to provide medical information and disability status necessary to create an overall strategy to achieve an optimal outcome. + Utilize internal Claim Platform Systems to manage all claim activities on a timely basis. + Utilize Preferred Provider Network per jurisdictional guidelines. + Partner with Claim Professional to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves. + Submit accurate billing documentation on all activities as outlined in established guidelines. + Customer Engagement. + Participate in Telephonic and/or onsite File Reviews. + Respond to inquiries - oral and written. + Keep injured worker apprised of claim status. + In-person medical case management may be required to support Concierge locations, where a Nurse Case Manager meets with injured employees face to face following office visits at a provider's medical facility. + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) and/or certifications may be required to comply with state and Travelers requirements. Generally, License(s) are required to be obtained within three months. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Disability case management experience. + Prior clinical experience. + Familiarity with URAC standards. + Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making. + Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology. + Ability to effectively present file resolution to internal and/or external stakeholders. + Negotiation: Intermediate ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise. + General Insurance Contract Knowledge: Ability to understand policies and contracts, as they apply to policy conditions. + Principles of Investigation: Intermediate investigative skills. + Follows a logical sequence of inquiry with a goal of securing information about the work accident, resulting injury, anticipated treatment, job duties and any material factors that may impact recovery and return to work. + Value Determination: Basic ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves. + Legal Knowledge: Basic knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. + Medical knowledge: Thorough knowledge of the nature and extent of injuries, periods of disability, and treatment needed. + WC Technical: intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to manage treatment plans and assist with claim resolution. + Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state. + Customer Service: Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes. + Teamwork: Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result. + Planning & Organizing: Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals. + Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN). **What is a Must Have?** + Registered Nurse; Licensed Practical Nurse or Licensed Vocational Nurse. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .

. Reporting directly to the Director of Nursing, the Case Manager, Medical (Medical Case Manager, MCM) primary focus is to address the specialized medication case management and treatment authorization needs of participants in a social model substance use detoxification program. The MCM works in coordination with internal and external stakeholders to address the broad array of client needs through coordinating funding, and in obtaining critical medications required for safe Withdrawal Management (WM). The MCM acts primarily as a care coordinator and treatment case manager, and may perform duties that include crisis intervention, health education, referral to providers of necessary services, and benefits counseling. The MCM works with an interdisciplinary team, ensures accurate and timely flow of documentation to support appropriate treatment length episodes and maintains quality assurance of files. As part of the MCM routine duties they will interact with other governmental, non-profit service agencies, and local businesses for client services. KEY RESPONSIBILITIES Case Management: Prepares extended treatment episode authorization requests and routes to medical leadership for review. Forwards finalized document to Department of Public Health for authorization and, if received, ensures the authorization information is relayed to internal stakeholders. Facilitates the confidential exchange of client's protected health information (PHI) between Admissions and WM to adequately evaluate unit appropriateness for client's needs. Monitors, coordinates, and resolves obstacles between prescribing providers, payors, and retail pharmacies to make certain that clients receive critical Medication Assisted Therapies (MAT) with few to no lapses in treatment days. Outreach and Relationship Management: Collaboratively work and communicate with other agencies and local pharmacies to provide information regarding resources and service opportunities. Leadership Responsibilities: Works collaboratively with all invested staff. Provides administrative leadership for client medication support, and within the quality improvement infrastructure of the healthcare and residential program. Participates in matters related to performance and quality improvement, planning, protocols, and goal setting. Comfortable in changing systems, and champions change. Organizational Responsibilities: Accurately and consistently documents required information on records and reports. Keeps up to date with operational and procedural requirements. In conjunction with WM Nurse Manager, Behavioral Health Nurse Director, and/or Director of Addiction Medicine, assures organizational readiness for accreditation surveys and ongoing monitoring and reporting of conformance to quality within the program. Provides direct care coordination support for clients to access all aspects of HR360 healthcare services. And perform other duties as assigned. QUALIFICATIONS Education, Certification, and Experience Required: Possess a minimum of an AA degree in a related field; or 3-5 years related experience. BLS and First Aid Certification must be obtained within 30 days of hire. Experience and interest in working with safety-net populations and in treating substance use disorders. Experience working successfully with issues of mental health, criminal background, and other potential barriers to economic self-sufficiency.

LanceSoft is seeking a travel nurse RN Care Manager for a travel nursing job in Oakland, California. Job Description & Requirements Specialty: Care Manager Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Required: CA RN License AHA BLS 2 Years Pediatric Case Management exp Must be able to float to other UCSF Facilities. Preferred: Master's in Nursing or Healthcare related field. #HCRR About LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Benefits Weekly pay Medical benefits

Orrick currently has an excellent opportunity on our Financial Services Litigation team for a Senior Manager, Practice Information & Communication, based in our New York or San Francisco office. In this role, you will use your understanding of complex litigation and financial services/private funds ecosystem to help one of the firm's leading practices accelerate its growth. This role presents an opportunity to deploy your strong written advocacy, project management, and analytical skills to make a business impact. Be part of a diverse team of recognized leaders in their field, with a strong passion for delivering the best for our clients and competing at the highest level. Responsibilities Carefully monitor the group's matters to identify opportunities to promote results for its first chairs and team. Optimize opportunities for collaboration. Collaborate with media relations resources (internal and external) to ensure optimal media and social media coverage of our results and our team, including AmLaw Litigators of the Week recognition. Support partners in sharing content via LinkedIn. Maintain a current database of coverage to leverage for marketing collateral. Draft and maintain all marketing collateral, including partner bios - ensuring they are up to date on our story, our results and feature media coverage. Draft and maintain website content about the practice. Develop and execute a thought leadership plan, publishing the minimum effective amount to support SEO and GEO results and give partners occasional opportunities to reach out to interested clients. Support the directory submission process, ensuring we submit our best results for all appropriate rankings and taking a strategic approach to advocating for the most important upward moves. Collaborate with the communications team to submit the group and its partners for media-driven awards. Collaborate with the events team to execute on all aspects of client entertainment and events in which the group participates. Develop content to share internally as appropriate to promote collaboration. Develop a plan of action and drive weekly meetings with the Chief Practice Officer and/or Practice Leader to refresh priorities and discuss progress. The role will collaborate with the firm's Communications, Events, Business Development, Talent, Research and Practice Management teams and all of the firm's other resources to deliver all of the above in a way that is tailored to the needs of the team and the clients and markets it serves. Qualifications Bachelor's degree or equivalent experience. 8+ years of experience in business development, marketing, or communications within legal, financial services, or private funds sectors. Strong understanding of complex litigation and the financial services/private funds ecosystem. Excellent written and verbal communication skills, with experience drafting marketing materials, thought leadership, and digital content. Ability to analyze matters and identify business development opportunities to promote results, optimize collaboration, and support business growth. Proven project management abilities, including managing multiple priorities and stakeholders. Demonstrated success in building collaborative relationships across teams and with firm leadership. Experience with media relations, event planning, and supporting directory submissions and awards. Client-focused approach with a commitment to delivering results. Proficiency with social media (especially LinkedIn) and familiarity with SEO and digital marketing. High level of professionalism, discretion, and adaptability in a fast-paced environment. Who is Orrick? Orrick is a global law firm focused on delivering innovative solutions for four sectors: Technology & Innovation, Energy & Infrastructure, Finance and Life Sciences & HealthTech. Founded more than 150 years ago in San Francisco, Orrick today has offices in 25+ markets. We are recognized globally for delivering the highest-quality legal advice and for our culture of innovation and collaboration. Compensation and Benefits The expected salary range for this position is: New York City and San Francisco $200,000 - $250,000 Orrick is committed to providing a comprehensive, competitive, and thoughtful total compensation package to our attorneys and staff, wherever they work. This compensation and benefits information is based on the Orrick's estimate as of the date of publication and may be modified in the future. The level of pay within the range will depend on a variety of job-related factors that may include, but not limited to, qualifications, relevant experience or education, particular skills or expertise, geography. Other compensation may include an annual discretionary merit bonus, which would be determined by Firm and individual performance. We offer a full range of elective health benefits including medical, dental, vision and life; robust mental well-being programs; child, family, elder, and pet care benefits; short- and long-term disability and industry leading parental leave benefits, health savings account contributions (w/applicable medical plan), flexible spending accounts, and a 401K program. This role will receive compensated time off through our Flexible Time Off program, and paid holidays. Please visit ************** for more information about the firm. How to Apply If you are searching for a chance to create an impact, you have a little grit and you love working with a team, we want to talk with you. To submit your resume and cover letter for this position, please visit our Staff and Paralegal Opportunities Listings at **************/Careers. Orrick accepts applications for this position on an ongoing basis, until filled. We are an Equal Opportunity Employer. Consistent with the SF Fair Chance Ordinance, an arrest and conviction record will not automatically disqualify a qualified applicant from consideration. #J-18808-Ljbffr

At 450 Aesthetics, we believe exceptional dentistry starts long before a patient sits in the chair. It begins with leadership that creates structure, warmth, and accountability. A practice that runs smoothly because the people within it feel seen, supported, and empowered. We're seeking a Practice Manager who thrives at the intersection of operations, leadership, and hospitality. This role is equal parts coach and conductor - ensuring systems hum, culture stays strong, and every patient and team member feels the care and excellence that defines 450! What You'll Do - Lead and support a high-performing team, building an environment of accountability, collaboration, and compassion. - Oversee daily operations. Scheduling, billing, reporting, patient flow, and system efficiency. - Act as the cultural anchor for the practice, maintaining alignment with our Core Values and Service Commitments. - Partner with the doctors to manage HR and team development, including hiring, onboarding, coaching, and performance conversations. - Ensure financial, compliance, and operational systems are executed consistently and refined proactively. - Cultivate memorable patient experiences by leading with empathy, clear communication, and hospitality. - Identify opportunities for growth and improvement - not just in processes, but in people and the patient journey. Who You Are - A confident, service-minded leader who balances structure with empathy. - Skilled in communication and follow-through; comfortable leading feedback and growth conversations. - Adaptable, detail-oriented, and energized by system-building and accountability. - A lifelong learner who believes leadership means empowering others. - Passionate about 450's Core Values: We Educate, They Decide • Football, Not Golf • Beautiful Smiles AND Service • Fun But Not Fake • Paint By Numbers • Embrace Change

Reporting to the Sr Medical Director, the Appeals & Quality Review Nurse Manager, provides leadership and oversight of SFHP's quality review functions, ensuring timely and compliant resolution of clinical grievances, appeals, potential quality issues (PQIs), provider dispute resolutions, corrective action plans, and member reimbursement reviews. The Nurse Manager applies clinical judgment to complex and high-value cases, guiding resolution strategies that balance regulatory requirements, organizational standards, and member needs. Serving as a mission-driven leader, you will promote a culture of accountability, high-quality performance, and customer service while supporting the team in achieving departmental priorities and organizational goals. Please note that while SFHP supports a hybrid work environment, the Quality Review Nurse Manager is not required to meet the minimum in-office requirement of 4x/month but is required to attend company meetings and other in-person events at our Chief Medical Officer's discretion. Salary: $140,000 to $152,000 annual WHAT YOU WILL DO: Provide subject matter expertise and high-level oversight of clinical grievances and appeals, PQIs, provider dispute resolutions, corrective action plans, and member reimbursement reviews. Apply clinical judgment to complex and high-value cases, ensuring appropriate resolution strategies and compliance with regulatory standards. Review and approve medical necessity determinations for member reimbursement requests. Lead investigations of PQIs, ensuring timely resolution and regulatory compliance. Prepare reports and documentation for monthly, quarterly, and annual requirements. Develop, implement, and update departmental policies and procedures to align with state and federal regulations. Coordinate audit readiness activities and provide data and documentation for external audits conducted by NCQA, DMHC, DHCS, CMS, and other agencies. Manage a team of Qualtiy Review Nurses and a Quality Review Navigation Specialist, providing coaching, mentorship, and performance management. WHAT YOU WILL BRING: 2 to 4 years of related experience in acute care, case management, utilization management, or quality improvement. 3+ years in managed care/health plan environment, required. 2+ years supervisory/management experience, required. An active, unrestricted Registered Nurse (RN) license in California, required. BSN required WHAT WE OFFER: Health Benefits Medical: You'll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP. Dental: You'll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage. Vision: Employee vision care coverage is available through Vision Service Plan (VSP). Retirement - Employer-matched CalPERS Pension and 401(a) plans, 457 Plan. Time off - 23 days of Paid Time Off (PTO) and 13 paid holidays. Professional development: Opportunities for tuition reimbursement, professional license/membership. ABOUT SFHP: Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. San Francisco Health Plan is an E-Verify participating employer. Hiring priority will be given to candidates residing in the San Francisco Bay Area and California. #LI-Hybrid (Hybrid remote/in-office) Please see job description PI281430205 Job distributed by JobTarget.

Amergis Healthcare Staffing is seeking an PICU RN to be part of the Pediatric Critical Care Department and manages patients with multi-system failure and a variety of life threatening illnesses. The ICU/CCU nurse assumes responsibility and accountability for assigned patients and is responsible to the Clinical Manager of client facility designee. .Responsibilities: Performs specific treatments as ordered by the physician and under the supervision of the RN, ARNP, or MD. Initiates an accurate individualized patient assessment based on presenting problems or needs and the medical diagnosis within the time frame specified by the client facility policy, procedures and protocols. Completes ongoing assessments as determined by patient condition and/or unit policy Provides for individualized patient/family education, discharge planning with special consideration to the growth and developmental needs of the patient. Performs therapeutic nursing interventions as directed by client facility policy, procedure and protocols. Documents patient physical/psychological responses to nursing intervention and progress toward problem resolution. Documents patient status upon transfer or discharge. Practices according to client facility safety and infection control policy, procedures and protocols. Initiates and follows established standards in emergency situations. Maintains confidentiality in matters relating to patient, family and staff. Reports patient condition to appropriate personnel during each shift. Participates in a multi-disciplinary approach to patient care. Remains competent and current in nursing practice and engages in educational activities. Minimum Requirements: Shows evidence of having graduated from an accredited school of nursing. Current, legal license in good standing in state of practice. Shows evidence of one year recent experience in ICU, CCU, PICU, NICU or emergency medicine Successful completion of Amergis Staffing Solutions testing process. Prefers evidence of ACLS, PALS, NRP certification. Shows evidence of CEU requirements for the state of practice. Demonstrates the ability to assume a leadership role in a crisis situation. Demonstrates clinical competence specific to intensive care. Demonstrates the ability to work with patient growth and development needs across the specific unit to assignments. Demonstrates ability to work in a team environment. Demonstrates a full range of body motion in a regular performance of duties on a daily basis. Must be able to work with frequent interruptions. 5 years complex job related experience, PALS, BLS, and ACLS, as required. Educational requirements contained in this field supersede any educational requirements Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. "Pursuant to the San Francisco Fair Chance Initiative, Amergis will consider for employment qualified applicants with arrest and conviction records"

Immediate need for a talented Hospital RN - Care Coordination & Utilization Review. This is a 06+months contract opportunity with long-term potential and is located in Santa Clara, CA (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-80861 Pay Range: $60 - $65/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Conduct utilization reviews using InterQual / MCG Support discharge planning and post-acute coordination Communicate with physicians, social work, and external providers Manage authorizations and payer-related workflows Maintain compliance with regulatory standards Key Requirements and Technology Experience: Key Skills; CA RN License (Active) Acute inpatient hospital experience UM / Case Management / Discharge Planning background Our client is a leading healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

LanceSoft is seeking a travel nurse RN Care Manager for a travel nursing job in Novato, California. Job Description & Requirements Specialty: Care Manager Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel About LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Benefits Weekly pay Medical benefits