Registered nurse case manager jobs in San Jose, CA - 5,956 jobs

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.

Travel Stepdown RN Company: Fusion Medical Staffing Job Details Fusion Medical Staffing is seeking a skilled Stepdown RN for a 13-week travel assignment in Palo Alto, California. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team. Required Qualifications: One year of recent experience as a Stepdown RN Current Valid RN license in compliance with state regulations Current BLS Certification (AHA/ARC) Current ACLS Certification (AHA/ARC) Preferred Qualifications: Progressive Care Certified Nurse (PCCN) Certification NIHSS Certification Other certifications and licenses may be required for this position Summary: A Stepdown Registered Nurse provides care to patients who are transitioning from intensive care to medical-surgical or general inpatient units. These patients require frequent monitoring and specialized nursing interventions. They assess and manage complex patient needs, administer medications and treatments, and collaborate with multidisciplinary teams to ensure safe, patient-centered care. Essential Work Functions: Monitors and interprets cardiac rhythms, vital signs, and other telemetry data to detect abnormalities and respond appropriately Administers prescribed medications and treatments in accordance with approved nursing techniques, with a focus on cardiac care Prepares equipment and aids physician during cardiac-related procedures and examinations Maintains awareness of comfort and safety needs of telemetry patients Observes patient, records significant conditions and reactions, and notifies supervisor or physician of patient's cardiac status and response to interventions Responds to life-saving situations based upon nursing standards, policies, procedures, and protocols specific to cardiac emergencies Documents nursing history and physical assessment for assigned telemetry patients Initiates patient education plans according to individualized needs, focusing on cardiac health, risk factors, and lifestyle modifications Collaborates with the interdisciplinary team to ensure comprehensive care for telemetry patients Maintains confidentiality of patients and client Performs other duties as assigned within the scope of practice Adheres to hospital safety protocols, infection control guidelines, and regulatory standards Required Essential Skills: Critical thinking, service excellence, and good interpersonal communication skills The ability to read, write, and communicate in the English language Ability to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skills Physical Abilities - Must be able to remain in a stationary position, move about, move equipment (50-100lbs), push, pull, and bend Interpersonal Skills - Must be able to work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalism Technical/Motor Skills - Must have the ability to grasp, perform fine manipulation, push/pull, and move about when assisting with procedures and/or using department equipment Mental Requirements - Must be able to cope with frequent contact with the general public and customers while meeting deadlines under pressure. Must be able to work under close supervision occasionally, as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detail Sensory - Must possess visual acuity and ability to effectively communicate Benefits Include: Highly competitive pay for travel professionals Comprehensive medical, dental, and vision insurance with first day coverage Paid Time Off (PTO) after 1560 hours Life and Short-term disability offered 401(k) matching Aggressive Refer-a-friend Bonus Program 24/7 recruiter support Reimbursement for licensure and CEUs Why Choose Fusion? At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you - that's why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we're here to guide and celebrate you along your journey. You take care of others; we take care of you. Other Duties Disclaimer: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties, or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice. Start your rewarding career as a Stepdown RN with Fusion Medical Staffing and join our mission to improve lives. Apply now! *Fusion is an EOE/E-Verify Employer #pb12

Local BR differs! Admissions RN Needed: **GI moderate sedation experience** Weekday , 10 hour shift (630-1700) No Weekends Certification Requirements: CA RN License ACLS BLS No Weekends JOB DUTIES: Provides direct and indirect patient care to clinic patients and their families utilizing the nursing processes of comprehensive patient assessment, development and implementation of nursing care plans and patient education, and on-going evaluation. Delivers holistic and individualized care to all patients in assigned area. Develops, implements, coordinates an optimal interdisciplinary plan of care that incorporates psychological, sociocultural, spiritual, economic, and life-style factors. Fosters and maintains collaborative relationships between patients, their family/support group, physicians, and other healthcare providers through timely and effective communications. Adheres to polices, industry standards, best practices, and applicable laws/regulations and codes to promote a quality, highly reliable patient experience. Engages in continuous growth and development in professional nursing practice. JOB ACCOUNTABILITIESASSESSMENT AND PLANNING OF PATIENT CARE • Conducts patient assessment encompassing physiological, spiritual and emotional areas and determines level of needed services. • Collaborates and communicates with physicians and mid-level practitioners to interpret, adjust, and coordinate patient care services. • Partners with peers, other healthcare providers, and management to effectively streamline patient workflow, improve patient outcomes, and provide the highest care quality PROVISION OF PATIENT CARE • Provides competent, compassionate and cost-effective patient care in accordance with policies, scientific principles, evidence-based nursing practice/process, nursing objectives and standards of care. • Administers medications and therapeutic agents to implement a treatment, disease prevention or rehabilitation regimen as ordered by a physician or mid-level provider. • Delegates tasks appropriately/effectively to team members based on legal scopes of practice, licensure, educational preparation, appropriate guidelines and individual capability. • Communicates with and explains treatments/activities to patient and family in a clear, open- ended, collaborative manner showing care and concern, using teach back to ensure patient understanding of explanations, and integrating patient learning and educational needs. • Maintains mindfulness in delivery of individualized care and in communication with patients and families, with a safety focus • Upholds the confidentiality of all patients protected health information (PHI) and protects all PHI from accidental, intentional or inappropriate disclosure. Remains current in advancements, trends, and best practices related to acute care and area of specialty and in professional nursing practice. CLINIC SUPPORT • Provides services as needed to ensure efficient and effective clinical operations. • Provides orientation and training to new staff. • Orders and stocks supply. • Provides direction to others and assists with patient care activities. • Participates in improving the quality of patient care by identifying areas for improvement with the organization and /or department. • Works as a team member on an interdisciplinary team and as a leader in the clinical setting when appropriate.

Basic Job Info: Geriatric Nursing Requirements: California Nursing License, BLS 5 Days x 8 Hours = 40 Hours/Week 1-Year Contract (with option to extend) Job description: Government VA Medical Center! KPG Healthcare is currently seeking 8 experienced Geriatric RNs for a year long assignment. This is an exciting opportunity to help the veterans who have served our country. The ideal candidate will possess an active California license with at least 1 year of very recent Geriatric experience. The Contractor shall provide services necessary to perform onsite in community living centers to eligible beneficiaries of the Department of Veterans Affairs, the range of nursing assistant care as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of the quality, meeting or exceeding currently recognized national standards as established by a state, territory, or commonwealth (i.e., Puerto Rico) of the US or in the District of Colombia. All RNs will have completed an accredited training course in nursing through the State of California and be currently certified in Basic Life Support (BLS). All RNs will have a current nursing license with no negative indicators. All RNs will have a minimum of 2 years' recent experience. As a member of our team, you will have the opportunity to work alongside experienced healthcare professionals, utilize cutting-edge technologies, and provide top-notch care to our deserving veterans. If you are a compassionate and dedicated Registered Nurse looking for a rewarding career opportunity, we want to hear from you! Don't miss out on this chance to join our team and make a difference. Please respond back to find out some more information regarding this opportunity. Requirements for a Psych RN: BSN degree required Active California RN license 1 or more years of recent Geriatric RN experience BLS Certification (American Heart Association) Must be local or willing to relocate What KPG Healthcare has to offer: 52 week assignments, with option to extend. Competitive compensation package Healthcare benefits Paid Holidays and accrued Sick pay Weekly pay with direct deposit Recruiter support 24/7 About KPG Healthcare: KPG Healthcare is a Staffing Firm that provides diverse Supplemental and Permanent Healthcare Staffing solutions to a wide range of Clients throughout the Nation. Our Services include Travel Nursing, Home Health, Allied Professionals, Locum Tenens Staffing, and Physician Placements. The primary factor differentiating KPG Healthcare from other recruitment firms is the quality of our experience, the breadth of our industry network, and the creativity that we apply to finding the perfect placement options. Throughout our partnership with you, we will excel at providing friendly personal attention and producing outstanding results. Job Types: Full-time, Contract, Temporary.

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.

Registered Nurse OR Operating Room Shift: 5x8 Evenings Setting:Hospital Apply online or contact us ASAP for more information on this great opportunity! Join Anders Group, a top-rated healthcare staffing agency, for an exciting Travel Registered Nurse OR Operating Room job to fill a current need in SAN FRANCISCO,CA. 2+ years of experience is preferred, but not always required. Ready to level-up your career? Apply Now or call ************ to speak with a recruiter! Job Requirements Graduate from an accredited school State License required/registration where applicable Additional requirements may also be provided during interview Why Choose Anders Group? Anders Group offers fulfilling assignments and rewarding compensation packages, nationwide! We offer the following benefits: Health Insurance Life Insurance 401(k) Employee Assistance Program The Purple Card (Patient Advocates) Licensure Reimbursement Premium Pay Packages CEU Reimbursements Daily Per Diems Travel Reimbursements Rental Car Allowances Continuing Education Resources Referral Bonus And Many More! Please call ************ for more information about this Travel Registered Nurse OR Operating Room job in SAN FRANCISCO, CA or apply at jobs.andersgroup.org Anders Group is a Joint Commission accredited travel nursing agency and stands out from other agencies by making sure our travelers are given the best customer service. We love to serve our clinicians, they are much more than just a number to us. Most of our travelers come from referrals, a testament to the strong relationships we build and the trust they place in us. Our team works hard to find the best travel nurse jobs with the highest pay rates. We are a boutique travel nurse staffing agency focused on relationships. With a human-first approach, your recruiter becomes a dedicated advocate for your career, while technology handles the administrative tasks, ensuring your success stays our priority. Our team of healthcare recruiters specialize in placing travel nursing professionals into 13-week contract assignments. Our healthcare providers are hired as employees and are eligible to receive our full benefits package. It`s the Anders way. Watch this short video to learn how the full process of getting your next travel nurse assignment, from working with your Anders recruiter, to interviewing, navigating offers, credentialing, to starting the first day on your new assignment, and more. ********************** Anders Group has travel nurse jobs in all 50 U.S states. Whether you are early in your career looking to build up your skills and experience different locations, mid-career seeking to maximize earnings or be near family members, or late-career wanting to work just a few months per year, we have the right job to meet your goals! Are you ready for you next adventure? Refer a friend and earn up to $500! Share your friend`s contact info with us, and after they complete 416 hours we will pay you $500. It`s that easy! ************************************************** *Please note, weekly pay rates are estimates based on the facility sharing their preferred rate. Actual offered rates may vary based on experience, urgency, etc. If the rate is not included, rate is negotiated upon submission and/or offer.

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

Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Daly City, California. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours Employment Type: Travel About the Position Specialty: RN Case Manager Experience: 1+ year of recent case management or discharge planning experience preferred License: Active State or Compact RN License Certifications: BLS - AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external agencies to ensure timely, efficient, and effective discharge planning and transitions. Supports utilization management and ensures compliance with payer guidelines. Onboarding typically takes 2-4 weeks based on documentation and clearance processes. Requirements Required for Onboarding: Active RN License BLS Prime Staffing Job ID #35546341. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Case Manager,08:00:00-16:00:00 About Prime Staffing At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success. We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.

Registered Nurse (RN) | Case Manager Location: Oakland, CA Agency: Host Healthcare Pay: $2,567 to $2,746 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: 2/17/2026 TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Oakland, California, 94602! Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - Case Management in Oakland, CA. If you are interested in this position, please contact your recruiter and reference Job #2174354 About Host Healthcare At Host Healthcare, we are dedicated to empowering the life and healthcare career you deserve. As an nurse, you will be matched to one of our responsive recruiters who will have your back throughout your journey. You will also be connected with a full support team that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the country or stay close to home, our team can help you get there. With Host Healthcare, you'll get exclusive access to thousands of jobs in all 50 states. This means you get priority access to apply to travel and local assignments before other applicants. We know that you are so much more than a number and we work hard to ensure you have the best benefits for you and your loved ones. During your assignment, you'll be able to select premium benefits like Day-1 health coverage, 401K matching, travel reimbursements, housing support and more. Take control of your life and career with Host Healthcare. Benefits: · A dedicated and responsive recruiter who has your back · Priority access to jobs in all 50 states at every major healthcare system · Day-1 medical benefits that last up to 30 days between assignments · Day-1 401K with company matching after 6 months · 24/7 support · Clinical support throughout your assignment 29185618EXPPLAT

Job Description Schedule options (all options are benefits eligible): 8 hour shifts, Monday - Friday, or Tuesday - Friday. 10 or 12 hour shifts Fri/Sat/Sun. Highly desired bilingual (e/s) The Nurse Case Manager (NCM) is a member of the core interdisciplinary team responsible for the care and case management of patient/families admitted to Kid WISE service. The NCM in collaboration with pt/family, physician and interdisciplinary team, develops and coordinates an individualized Plan of Care (POC) that reflects pt/family goals related to safe and comfortable pediatric life limiting Illnesses, enhancing quality of life for child and family, promoting self-determined life closure and effective bereavement. The NCM demonstrates: sensitivity and compassion for the issues involved with serving patients and families facing a terminal illness, death and bereavement; clinical competence in pain and symptom management; and fiscal responsibility in the planning and delivery of services. The Nurse Case Manager provides direct supervision for Hospice Aides and LVNs, when utilized. The Nurse Case Manager will be cross-trained in adult hospice/palliative care, and provide adult hospice nursing care when reasonable and necessary. Essential Responsibilities Patient/family care Recognizes the patient and family as the "unit of care" and active members in the development of the POC Respects patient right to self-determination and acts as advocate within the context of the values and ethical standards of HSCC. Meets pt/family where they are Utilizes nursing process in providing primary care to pt/families Documents all care and care planning per agency policy Provides nursing interventions for pt/family as ordered by the physician and in accordance with the POC, safe nursing practice and the policies and procedures of HSCC Assesses and monitors management of pain and symptoms in collaboration with patient/family, IDG and physician to achieve maximum comfort Exercises good clinical judgment Administers medications and treatments as ordered prn Demonstrates the ability to articulate the parameters of Kid WISE services. Demonstrates the ability to work with pt/families under stress & in crisis Develops, manages, reviews & revises HA POC & supervises HA performance per HSCC policies & procedures Reviews and considers patient data gathered by LVN/HHA when developing and revising the plan of care. Instructs and supports pt/family unit re: symptom management, patient care, disease process & death/dying Participates in providing after-hours coverage to pt/family as needed Participates in coverage of adult hospice care when reasonable and necessary. Case Management Visit frequencies are appropriate to patient status Plans & provides care within the structure of the Conditions of Participation & the Hospice Medicare/Medi-Cal / Concurrent Care Benefit Collaborates with IDT & Attending Physician to develop, manage, review and revise a written POC that includes identified goals, interventions and outcomes that address pt/family physical, psychosocial and spiritual goals related to Safe & Comfortable Dying, Self-Determined Life Closure and Effective Grieving Opens, closes & revises POC per HSCC guidelines Documents all contacts/instructions/ interventions per HSCC policies & procedures Obtains medications, medical supplies and equipment per pt need/physician order Demonstrates understanding of pharmacy-related policies & procedures Assess patient's continued appropriateness for Kid WISE services per HSCC Recertification protocols Completes Recertification documentation in a timely and accurate manner Exercises professional management and coordinates care between and among involved parties in home, community providers and pediatric tertiary specialist. Information Visits and Admissions Conducts information visits and discusses Kid WISE services, explain benefits and eligibility, and answer questions Admit patients on to Kid WISE services, coordinate services, order DME and medications Develops and implements individualized POC based on patient and families goals Review consents with patient/family and obtain signatures Quality Improvement Meets all standards and requirements as indicated by licensing and accrediting agencies Submits verification of current employment related documents per HSCC policies, procedures and licensing agencies Completes and submits all documentation in accordance with policies and procedures Participates in activities that affirm, enhance and develop the highest quality standards for HSCC Participates in developing standards for quality patient care within HSCC Participates in Quality Assessment & Improvement activities as requested Verbal communication is concise, organized and timely per HSCC guidelines Completes and submits all documentation in accordance with policies and procedures Submits completed paperwork & time sheets within the timeframes per HSCC policies & procedures Submits verification of current RN License, TB status, passes OIG/GSA checks, proof of auto insurance/good driving record in a timely manner per HSCC policies, procedures and licensing agencies Special Projects Participates in special projects as requested Performs other related job duties as assigned by Supervisor Compliance Ensures all HIPAA Privacy and Security Regulations, Medicare Conditions of Participation, and all other regulatory/compliance requirements are understood and followed Submits verification of current RN license Submits proof of auto insurance annually; keeps driver's license current and maintains a good driving record Ensures TB checks are completed in a timely manner; at least annually Requirements Certifications, Licenses, Registrations Require current California RN license Valid state driver's license and liability auto insurance Pass OIG/GSA review and all required background checks Education/Experience Degree in Nursing from an accredited college 2 years of pediatric nursing experience or 2 years of hospice or home health nursing experience Previous experience working with electronic medical record charting is desirable End-of-life, pain management, complex care experience preferred Prefer technical experience with Ports, IV's, TPN, Trachs, Oncology, Medsurg, NICU/PICU or Homecare Requires ability to effectively manage self and stress related to pediatric life limiting illnesses /end-of-life /death and dying experiences. Experience in handling emotionally charged situations in calm, respectful manner. And has strong coping skills Skills Desired Previous experience working with end of life is desirable Bilingual in English/Spanish highly desired Physical Demands Sufficient dexterity to utilize electronic record keeping systems, computers/keyboards and or laptops and other related equipment Ability to travel to patient locations; includes ability to drive, negotiate stairs and walkways including uneven surfaces at private homes or facilities Vision ability to read manual and electronic documentation, medications, charts, office related equipment, and instructions Hearing ability within normal range to elicit and detect pertinent information while communicating with patients and health team Speech to verbally communicate to assess and impart information concerning patient status; to complete patient/family teaching and to interact with health care team Work Environment/Environmental Condition Performs services in private homes and will experience a variety of settings and situations Office work is performed in a typical office setting Job Posted by ApplicantPro

Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting locations will not be considered for employment, unless an accommodation is granted as required by law. The Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically for discharge planning. How you will make an impact: Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. Coordinates internal and external resources to meet identified needs. Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. Minimum Requirements Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state (CA) required. Preferred Skills, Capabilities and Experiences: Certification as a Case Manager is preferred. Pediatrics experience highly preferred. For candidates working in person or virtually in the below location, the hourly* range for this specific position is $36.28 to $56.77 Location: California In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Job DescriptionSalary: $55 Hourly / DOE CalAIM Nurse Case Manager Santa Cruz, California About the Organization Stepping Up Santa Cruzis a non-profit organization dedicated to supporting individuals with complex needsincluding mental health,substance use,developmental disabilities, medical vulnerability, and homelessness.We go beyond simply providing services; weempower individualsto reach their full potential by offeringhigh-quality, individualized advocacy.We firmly believe in tailoring our support to each person's unique needs and circumstances.Our passionate team builds rapport toconnect individuals with essential resources which they self-identify,ensuring they have everything they need to thrive. We believe staffs loyalty is earned through giving them the tools to be successful and fulfilled and to reward their hard work through great pay and benefits. About the Position You'll play a vital role as the Enhanced Care Management (ECM) Nurse, part of our integrated service delivery model that takes a whole-person, team-based approach to serving members. The Nurse Case Manager works with the team providing comprehensive care coordination and supportto members enrolled in CalAIMs ECM (Enhanced Care Management) and CS (Community Supports) programs. This dynamic role demands initiative,integrity, dedication,and agenuine desire to make a positive impact on people's lives.Prepare to work in a diverse environment,combining the satisfaction of fostering the growth of your team with community outreach and direct engagement with members. Youll maintain a small caseload while providing critical support and guidance to ECM Case Managers. This includes assisting with member medication reconciliation and offering expertise and advocacy on healthcare-related matters to ensure members receive comprehensive and effective case management. Responsibilities Manage a small caseload to ensure understanding of processes and see areas for improvement. Help members with complex needs get assistance by coordinating and helping to manage their care. Pull outside medical records, including CCAH and SCHIO the local health information exchange (HIE), provide updates to medical care team/PCP, etc. Act as the primary point of contact for other medical specialists who are involved in the members care. Attend specialist and medical appointments with members as needed to support member attendance and understanding of appointments. Utilize screening tools and evidence-based practices to support member-centered care and mutual goal development. Conductin-depth needs assessmentsand developpersonalized care plansin collaboration with members,ensuring Strengths-Based alignment with Trauma-Informed Care (TIC) principles and Harm Reduction philosophy. Provide risk assessment and crisis intervention services as needed. Coordinate care with various providers (doctors,therapists,social workers) through in-person consultations and remote communication,prioritizing culturally competent and member-centered approaches, including developing shared treatment plans, goals and interventions. For members currently hospitalized, in skilled nursing, or receiving other in-patient care, collaborate with provider staff on discharge planning and advocate for in-home services such as visiting nurses, physical and occupational therapy, IHSS, etc. Consult and coordinate with community systems to facilitate linkage, manage referrals and advocate for member needs, with a focus on supporting identified treatment goals. Conduct member meetings at their home or place of choiceto build rapport,assess living environment,and provide direct support to ensure safety and stability. Advocate for member needs,ensuring they receiveappropriate, individualized, and Trauma-Informed care regardless of location or service they are receiving. Monitor member progress andadapt care plans as needed based on member interactions, feedback, and observations,in alignment with best practices for case management and eligibility for billing. Document all member interactions and services accurately and daily,ensuringauthorizations, case notes, case plans, and assessments meet required standards for billing and quality service delivery. Using rapport, respect, and clear expectations and boundaries, de-escalate potentially volatile situationsusing effective communication techniques and understanding the impact of trauma and past experiences. Support the entire ECM/CS team with the varied complex medical needs of our members. Receive, assess, and incorporate feedback to personally and professionally grow. Assist in the development and planning of processes for the four goals of taking care of members, taking care of staff, financial sustainability, and high integrity/professional service delivery. Contribute to apositive and collaborative team environment,both in the office and during outreach activities,fostering inclusivity and respect for diverse experiences. Attend mandatory trainings on-site, online, and off-site at partner agencies for professional development to provide the highest level of service. Drive and manage van and shower trailer when doing outreach with other staff. Other duties as assigned. Minimum Qualifications LVN from an accredited school (RN preferred). Current California Drivers License and proof of auto insurance Eligible to work in the US. Must be 18 years of age or older. Minimum two years of experience working with individuals with complex needs. Minimum two years experience working in the nursing field. Experience in case management. Reliable transportation and ability to transport members occasionally. Must pass a relevant background check as a Medi-Cal provider upon provisional offer of employment and maintain eligibility. Desired Skills Excellent communication, interpersonal and problem-solving skills Strong Computer Literacy in Microsoft Office and Excel and Electronic Health Records (EHR) and willingness to learn other relevant software. Experience working in a CalAIM ECM/CS program desired. Demonstrated understanding and application of Trauma-Informed Care (TIC) principles and Harm Reduction philosophy. Strong soft skills,including assessment,planning,and intervention. Excellent communication and interpersonal skills to connect with members and staff from diverse backgrounds. Ability to work independently and collaboratively in both office and community settings. Strong organizational and time management skills to prioritize competing responsibilities and adapt to dynamic situations. Strong work ethic,self-motivation,and a genuine desire to help others. Must pass a relevant background check as a Medi-Cal provider upon provisional offer of employment and maintain eligibility. Ability to lift up to 35 lbs. occasionally. Bilingual (Spanish and Mixteco preferred) is a plus with hourly bonus of $1.00 per hour. Ability to drive a van and trailer is a plus. Compensation and Benefits Hourly rate of $55.00 per hour with potential for performance-based pay increase after 6 months. 32-hour work week, to support a healthy work-life balance. Generous Paid Time Off (PTO) four (4) weeks per year for relaxation and recharge, and Sick Leave of five (5) days per year. Comprehensive benefits package,including no-cost health coverage with optional dental and vision coverage. Company-sponsored 403(b) retirement savings plan with a generous employer match of 100% of your contributions for up to 5% of your salary. Extensive training,coaching,and tools to empower you to create positive change in members lives and support your professional growth. Opportunities for advancement. Opportunities to improve peoples lives. Pay bonus of $1.00 per hour for bilingual Spanish or Mixteco. Potential for pay bonuses for relevant certifications. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, creed, ancestry, color, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, weight, height or other physical characteristics, marital status, veteran status, disability status, genetic information, or any other protected characteristics. Additional Information CalAIM is a new program,offering an exciting opportunity to be at the forefront of this impactful work This challenging yet rewarding position allows you to directly impact members' lives through a dynamic mix of office work and community outreach. If you're a passionate,driven individual with a Nursing degree,a willingness to go the extra mile,a heart for helping others, and an acknowledgment of your own self-care, this may be your dream job. Stepping Up Santa Cruz will consider qualified applicants with a criminal history pursuant to the California Fair Chance Act . You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if Stepping Up Santa Cruz is concerned about a conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

Job Description About the Organization Stepping Up Santa Cruz is a non-profit organization dedicated to supporting individuals with complex needs including mental health, substance use, developmental disabilities, medical vulnerability, and homelessness. We go beyond simply providing services; we empower individuals to reach their full potential by offering high-quality, individualized advocacy. We firmly believe in tailoring our support to each person's unique needs and circumstances. Our passionate team builds rapport to connect individuals with essential resources which they self-identify, ensuring they have everything they need to thrive. We believe staff's loyalty is earned through giving them the tools to be successful and fulfilled and to reward their hard work through great pay and benefits. About the Position You'll play a vital role as the Enhanced Care Management (ECM) Nurse, part of our integrated service delivery model that takes a whole-person, team-based approach to serving members. Nurse Case Managers work with a team providing comprehensive care coordination and support to members enrolled in CalAIM's ECM (Enhanced Care Management) and CS (Community Supports) programs. This dynamic role demands initiative, integrity, dedication, and a genuine desire to make a positive impact on people's lives. Prepare to work in a diverse environment, combining the satisfaction of fostering the growth of your team with community outreach and direct engagement with members. You'll maintain a small caseload while providing critical support and guidance to ECM Case Managers. This includes assisting with member medication reconciliation and offering expertise and advocacy on healthcare-related matters to ensure members receive comprehensive and effective case management. Responsibilities: Manage a small caseload to ensure understanding of processes and see areas for improvement. Help members with complex needs get assistance by coordinating and helping to manage their care. Pull outside medical records, including CCAH and SCHIO the local health information exchange (HIE), provide updates to medical care team/PCP, etc. Act as the primary point of contact for other medical specialists who are involved in the member's care. Attend specialist and medical appointments with member as needed to support member attendance and understanding of appointment Utilize screening tools and evidence-based practices to support member-centered care and mutual goal development. Conduct in-depth needs assessments and develop personalized care plans in collaboration with members, ensuring Strengths-Based alignment with Trauma-Informed Care (TIC) principles and Harm Reduction philosophy. Provide risk assessment and crisis intervention services as needed. Coordinate care with various providers (doctors, therapists, social workers) through in-person consultations and remote communication, prioritizing culturally competent and member-centered approaches, including developing shared treatment plans, goals and interventions. For members currently hospitalized, in skilled nursing, or receiving other in-patient care, collaborate with provider staff on discharge planning and advocate for in-home services such as visiting nurses, physical and occupational therapy, IHSS, etc. Consult and coordinate with community systems to facilitate linkage, manage referrals and advocate for member needs, with a focus on supporting identified treatment goals. Conduct member meetings at their home or place of choice to build rapport, assess living environment, and provide direct support to ensure safety and stability. Advocate for member needs, ensuring they receive appropriate, individualized, and Trauma-Informed care regardless of location or service they are receiving. Monitor member progress and adapt care plans as needed based on member interactions, feedback, and observations, in alignment with best practices for case management and eligibility for billing. Document all member interactions and services accurately and daily, ensuring case notes, case plans, and assessments meet required standards for billing and quality service delivery. Using rapport, respect, and clear expectations and boundaries, de-escalate potentially volatile situations using effective communication techniques and understanding the impact of trauma and past experiences. Support the entire ECM/CS team with the varied complex medical needs of our members. Receive, assess, and incorporate feedback to personally and professionally grow. As a potential part of the management team of a new and vibrant nonprofit, assist in the development and planning of processes for the four goals of taking care of members, taking care of staff, financial sustainability, and high integrity/professional service delivery. Contribute to a positive and collaborative team environment, both in the office and during outreach activities, fostering inclusivity and respect for diverse experiences. Attend mandatory trainings on-site, online, and off-site at partner agencies for professional development to provide the highest level of service. Other duties as assigned. Minimum Qualifications LVN from an accredited school (RN preferred). Experience in case management. Valid California Driver's License and ability to operate both personal and company vehicles. Eligible to work in the US. Must be 18 years of age or older. Minimum two years of experience working with individuals with complex needs. Reliable transportation and ability to travel within a 50-mile radius for meetings, trainings and member appointments (mileage reimbursement is provided for use of your own vehicle). Skills & Abilities Excellent communication, interpersonal and problem-solving skills Ability to complete all documentation in accordance with organizational and Medi-Cal requirements. Strong Computer Literacy in Microsoft Office and Excel and Electronic Health Records (EHR) and willingness to learn other relevant software. Experience working in a CalAIM ECM/CS program desired. Demonstrated understanding and application of Trauma-Informed Care (TIC) principles and Harm Reduction philosophy. Strong soft skills, including assessment, planning, and intervention. Excellent communication and interpersonal skills to connect with members and staff from diverse backgrounds. Ability to work independently and collaboratively in both office and community settings. Strong organizational and time management skills to prioritize competing responsibilities and adapt to dynamic situations. Strong work ethic, self-motivation, and a genuine desire to help others. Must pass a relevant background check as a Medi-Cal provider upon provisional offer of employment and maintain eligibility. Ability to lift up to 35 lbs occasionally. Bilingual (Spanish/English and Mixteco preferred) is a plus with hourly bonus of $1.00 per hour. Ability to drive a van and trailer is a plus. Compensation and Benefits Hourly rate of $48.08 per hour with potential for performance-based pay increase after 6 months. Full time 32-hour work week, to support a healthy work-life balance. Generous Paid Time Off (PTO) and Sick Leave of 4 weeks per year for relaxation and recharge. An employee accrues 1 hour of PTO for every 10.4 hours worked, which is a potential 160 PTO hours per year. This works out to 20 days off for a staff member normally working a 32 hour work week. Comprehensive benefits package, including no-cost health coverage with optional dental and vision coverage. Company-sponsored 403(b) retirement savings plan with a generous employer match of 100% of your contributions for up to 5% of your salary. Extensive training, coaching, and tools to empower you to create positive change in members' lives and support your professional growth. Opportunities for advancement. Pay bonus of $1.00 per hour for bilingual English/Spanish or Mixteco. Potential for pay bonuses for relevant certifications. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, creed, ancestry, color, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, weight, height or other physical characteristics, marital status, veteran status, disability status, genetic information, or any other protected characteristics. Additional Information CalAIM is a new program, offering an exciting opportunity to be at the forefront of this impactful work This challenging yet rewarding position allows you to directly impact members' lives through a dynamic mix of office work and community outreach. If you're a passionate, driven individual with a Nursing degree, a willingness to go the extra mile, a heart for helping others, and an acknowledgment of your own self-care, this may be your dream job. Powered by JazzHR gPXpMoIHE1

LanceSoft is seeking a local contract nurse RN Telemetry for a local contract nursing job in Oakland, California. Job Description & Requirements Specialty: Telemetry Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Local Contract Telemetry RN - Critical Need opportunity with Kaiser Permanente - Oakland Hospital Position Details: Facility: Kaiser Permanente - Oakland Hospital Location: Oakland, CA 94611 Start Date: 02/23/2026 Duration: 13 weeks (through 05/23/2026) Schedule: 3x12s | Day Shift Shift Time: 07:00 AM - 07:30 PM Requirements: Active California RN license BLS & ACLS (AHA) Basic Arrhythmia course NIH Stroke Scale Minimum 1 year recent Telemetry experience 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

To be eligible to enlist in the U.S. Navy, candidates must be between the ages of 18-34 The greatest reward for nearly every nurse is the joy of serving others. But in the Navy Nurse Corps, when you work to improve the lives of others, you can vastly improve your ownboth professionally and personally. As a Navy Nurse, you will serve your country by helping not only those in the military who defend it but also their families and people in need around the globe. Excellent scholarship opportunities mean you may graduate from nursing school potentially debt-free, and specialty training opportunities can give you a competitive edge in your field. NURSING CAREERS IN THE NAVY NURSE ANESTHETISTS Administer general and regional anesthesia, monitor patients receiving anesthesia and assist in instructing medical trainees and other Officers. PRIMARY CARE NURSE PRACTITIONERS Provide comprehensive health care and health maintenance for service members and their families. MEDICAL-SURGICAL NURSES Assess, plan and implement direct nursing care of patients on an assigned unit and assume charge nurse responsibilities. PERIOPERATIVE NURSES Plan, implement and evaluate nursing care of surgery patients. CRITICAL CARE NURSES Provide highly skilled, specialized nursing care to critical patientsincluding en route careand train personnel in critical care nursing procedures. MENTAL HEALTH NURSES AND NURSE PRACTITIONERS Provide direct patient care in mental health services, and lead and train other military and civilian personnel. MILITARY-SPECIFIC SPECIALIZATIONS Focus on education and training, manpower systems analysis and nursing research. PAY AND BENEFITS Attend the medical school of your choice and graduate debt-free through our scholarship and loan repayment programs, up to 100% tuition coverage. Competitive salary Free health insurance Free housing A retirement plan 30 days paid vacation per year EDUCATION OPPORTUNITIES Wherever you are in your nursing career, the Navy can help ease your financial burdens and advance your career with generous financial assistance and continuing education programs. Available offers could consist of anything from scholarships to sign-on bonuses to loan repayment assistance. And help could potentially be available whether youre in graduate school or already in practice. High School Students Through a Naval Reserve Officers Training Corps (NROTC) Nurse Option scholarship, the Navy can cover the full costup to $180,000of your nursing education at some of the best colleges and universities in the country. Nursing Students If youre a nursing student opting to serve full-time in the Navy, you could get up to $34,000 to help pay your way through nursing school through the Nurse Candidate Program (NCP). Graduate Students If youre a graduate student enrolled in a postgraduate nursing program in certain nursing specialties and opting to serve part-time as a Reserve Officer, you may qualify for up to $50,000 in nursing school loan repayment assistance. Practicing Nurses If youre a practicing nurse opting to serve part-time as a Reserve Officer, you may qualify for an immediate, one-time sign-on bonus of up to $30,000. And depending on your specialty, you may have the option of choosing between a sign-on bonus, nursing school loan repayment assistance or specialty pay. Speak to a recruiter to learn what you qualify to receive. WORK ENVIRONMENT Nurse Corps Officers may serve at any one of more than 250 Navy and medical facilities around the globe, from Hawaii to Japan, Germany to Guam and Washington, D.C., to Washington state. As a Navy Nurse, you could work at one of the highly acclaimed National Naval Medical Centers in Bethesda, MD, Portsmouth, VA or San Diego, CA. Or you could provide medical support aboard one of two dedicated hospital shipsthe USNS Comfort and USNS Mercy. Additional opportunities are available on surface ships, with aircraft squadrons or even with the Fleet Marine Force. QUALIFICATIONS AND REQUIREMENTS To become a Commissioned Officer in the Nurse Corps, qualifications include: U.S. Citizen between the ages of 18 and 41 Currently licensed and practicing nursing in the U.S. (new graduates must obtain a license within one year of beginning Active Duty service) In good standing (as a student or graduate) with a CCNE-accredited U.S. education program granting a Bachelor of Science degree General qualifications may vary depending upon whether youre currently serving, whether youve served before or whether youve never served before. PART-TIME OPPORTUNITIES There are part-time opportunities as a Reserve Navy Nurse. Serving part-time as a Navy Reserve Nurse, your duties will be carried out during your scheduled drilling and training periods. During monthly drilling, Nurse Corps Officers in the Navy Reserve typically work at a location close to their homes. Take a moment to learn more about the general roles and responsibilities of Navy Reserve Sailors. RequiredPreferredJob Industries Government & Military

Anchor Health - Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. Anchor Health is a unique organization that offers enhanced hospice services throughout San Mateo County. We are currently seeking an experienced hospice RN Case Manager to join our team. Duties of Hospice Registered Nurse Include: Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness. Conducts home visits and assesses/evaluates patient's status. Initiates the plan of care and makes necessary revisions as patient status and needs change. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. Administers medications and treatments as prescribed by the physician. Attends and participates in Interdisciplinary Group Meetings. Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given. Supervises ancillary personnel and delegates responsibilities when required. Qualifications: Graduate of accredited school of nursing Current RN license in California Current CPR Certificate Registered nurses shall have a minimum of (a) one year of experience as a professional nurse within the last three years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and current RN license. Minimum of two years experience, at least one of which is in the area of public, home care, or hospice nursing. Must have a valid CA driver license and an automobile that is insured in accordance with the requirements of state of California and is in good working order. Excellent observation, verbal and written communication skills and nursing skills per competency checklist. Job Types: Full-time, Part-time, Per diem

Job Opportunity: Registered Nurse - MS/Tele Float Facility: Sutter Health CPMC Van Ness Campus Employment Type: Travel/Contract Shift: Night (3x12 Hours) 19:00 7:00 Job Duration: 13 weeks Compensation: Rate Type: Hourly Over Time: 60 total hours in 1 week: 1.25% Double Time: None On-Call: 7$ Call Back: 1.35% Holiday Pay: 1.25% Additional Information: Job Description: Primary role will be caring for Med/Surg Tele patients that are "boarding" in the ED awaiting bed assignments. Boarding refers to the patients being officially admitted to the hospital and awaiting placement with one of our 3 locations at CPMC. Responsible for providing direct patient care to specific patient populations effectively using the nursing process - Assessment, Planning, Implementation & Continual Reassessment - as the foundation for care delivery. Serves as a patient advocate; effectively coordinates care and continually promotes safety and clinical / service quality in daily practice. Requirements: - California RN License - BLS (AHA) - ACLS - NIHSS - 2 years of experience required in MS Tele *TRUE FLOAT POSITION* travelers will be a TRUE FULL FLOAT this can be floor or campus and they will not know where they are working until up to 2 hrs before shift **CPMC RN will be a true full float position- CPMC Van Ness, CPMC Mission Bernal, CPMC Davies.*

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.

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.