Registered nurse manager jobs in San Francisco, CA

$15,000k Sign On Bonus The Branch/Clinical Manager is responsible for the planning, coordination, and management of all financial, and clinical operation activities and programs for their Branch. The Branch/Clinical Manager establishes, implements and evaluates goals and objectives for home health services that meet and promote the standards of quality and contribute to the total organization and philosophy. Job Responsibilities: Planning and directing operations of their Branch to ensure the provision of adequate and appropriate care and services. Budgeting and management of allocated branch budget. Ensuring branch compliance with legal, regulatory and accreditation standards. Ensuring program personnel have current clinical information and current practices. Evaluating clinical services and programs. Ensuring personnel development including orientation, in-service education and continuing education for clinical staff. Ensuring that appropriate service policies are developed and implemented. Directing personnel in performance of their duties including admission, discharge and provision of service to patients. Assuring appropriate personnel supervision during all operating hours. Receiving case referrals, determining home care needs, and assigning appropriate clinicians to case as needed. Instructing and guiding clinicians to promote more effective performance and delivery of quality home care services Assisting clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing plan of care, coordinate clinical care within the office. Leading case conference meetings with organization personnel to facilitate coordination of care Assuring that care is in accordance with Federal and State guidelines Managing quality of care through case supervision and on-site evaluation of services in the home as appropriate Assisting with complaint resolution, risk management issues, and guidance procedures as needed Position Qualifications: Physical therapist, Occupational Therapist, or Registered Nurse with a valid and current license to practice in the state of California. Demonstrated ability to supervise and direct professional administrative personnel. At least three to five years of experience in health care management preferably in health care management and at least one year of supervisory experience in home health care or health related programs. Knowledge of business management, governmental regulations and standards. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Skills Required: Ability to market aggressively and deal tactfully with the community. Excellent observation, verbal and written communication skills. Compliance: Acknowledge my obligation and agreement to fulfill those duties and responsibilities as set forth in the Code of Conduct and Compliance Policies and to be bound by these standards. Certify that throughout my association with EH I will comply with the terms of the Code of Conduct and Compliance Policies. Understand that violations of the Code of Conduct and Compliance Policies may lead to disciplinary action, including termination of employment.

Part Time Nurse Practitioner/ Physician Assistant - Corporate Health Center. Location: San Francisco, CA 94105. Schedule: 2 days per week (Weekday 7:30am-4:30pm). Job Type: Part time, W2. Pay Range: Starting at $120,000 per annum (2 day/week). Employer: A California physician-owned professional corporation ("PC"). Administrative Agent: VitalCheck Wellness Inc. (non-clinical support only). VitalCheck Wellness, as administrative agent for the PC, is looking for a motivated Nurse Practitioner or Physician Assistant to work in an outpatient clinic at a global wealth‑management firm located in San Francisco, CA. The NP/PA will work together with the MD in leading the operations of the clinic and provide preventive care, primary care and urgent care services to the employees. This is a great opportunity for someone interested in working with a new model wellness clinic where you will have the ability to be part of the process. We are looking for a dynamic leader to help drive patient engagement and education. Responsibilities Lead Clinical Operations and the onsite nursing team. Develop and implement policies and procedures. Provide general wellness checkups. Consult with patients to understand their health concerns. Guide, educate and support patients on their preventative care needs. Perform blood draws for patients. Provide MSK assessments. Advise/refer patients for follow‑up care. Provide telemedicine services for lab review follow‑ups. Creation of engagement activities for patients and event planning. Supply management ordering & receiving. Establish relationships with local vendors when necessary. Requirements Valid and clean Nurse Practitioner/ Physician Assistant certified to work in California. Must hold active BLS/ ACLS certification. Family Nurse Practitioner (FNP) certified (FNP-C) (FNP-BC)/Acute Care Nurse Practitioner (ACNP) certified. Must have clean background & clean medical license history. At least three years of clinical experience as a NP/PA in an ambulatory care, occupational health, family practice or emergency department setting. Practice management experience preferred. Primary Care experience 1-2 years with knowledge of managing blood pressure, diabetes, high cholesterol. Urgent Care experience 1-2 years with ability to do COVID testing, Strep Testing, Flu testing if needed. Diabetes Prevention experience with knowledge of nutrition and diabetes medication. Must be able to perform phlebotomy. Must be proficient with computers, customer service‑oriented, and able to work independently. Ability to work independently with good bedside manner. Patient education driven. Must be able to reliably commute to San Francisco, CA 94105. Perks No Weekend clinical coverage No hassles dealing with insurance companies Support from nurse and MA Ability to create workflow Competitive salary and benefits Benefits Paid time off Sick leave allowance About VitalCheck Wellness VitalCheck Wellness partners with hospitals, medical practices and independent clinicians to bring preventive, primary and occupational health care directly to employers onsite at fixed or pop‑clinics or via telemedicine. VitalCheck itself is not licensed to practice medicine. All clinical care is provided by or under the direction and supervision of licensed physicians and other clinical providers, while VitalCheck Wellness handles the administration, technology and day‑to‑day clinic operations. The result: convenient, on‑the‑job access to healthcare that removes the need for employees to leave work for routine care or urgent visits. Equal Opportunity The P.C. is an equal‑opportunity employer. We value diversity and do not discriminate on the basis of race, color, religion, sex, gender identity, sexual orientation, national origin, age, disability or any other protected status. #J-18808-Ljbffr

/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs. EDUCATION/EXPERIENCE Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred and must be achieved within two years of placement. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

Job Description: Based on John Muir Health Nursing's Vision of being the innovative leader for the professional role of the registered nurse. Through evidence-based practices and relevant patient care models, the nursing culture will create a compassionate healing environment, ensure interdisciplinary collaboration and foster professional growth and satisfaction. The staff registered nurse (RN) is a licensed professional caregiver who assumes responsibility and accountability for planning, delegating, and coordinating the nursing care of a group of patients during a designated time frame utilizing the John Muir Medical Center Standards of Care, ANA's Standards of Practice and Professional Performance, and the California Nurse Practice Act, Title 22, and Title 16. The RN coordinates and provides care through the therapeutic use of self, nursing process, and the environment and technology, in partnership and collaboration with interdisciplinary team members. Education: Graduate of an Accredited School of Nursing Required Experience: 2000 hours direct bedside care in a cardiovascular telemetry or cardiac telemetry unit as a Registered Nurse in the last 3 years - Core Requirement. Certifications/Licensures: RN Registered Nursing - California Board of Nursing Required BLS Basic Life Support - American Heart Association Required ACLS Advanced Cardiac Life Support - American Heart Association Core Requirement ACLS Advanced Cardiac Life Support - American Heart Association Required prior to completion of orientation to the assigned area Approved Cardiac Rhythm Test - Must Pass at time of hire (Required if hired after 11/15/2018) Required Approved Cardiac Rhythm Test - Internal Candidates Must Pass Prior to Applying for Position (must be proctored in Human Resources) - Required NIHSS National Institute of Health Stroke Scale - No Issuing Agency Certification Skills: Core: Demonstrates competency in the care and management of acute stroke patients and has completed all required stroke education and competency validation. Demonstrates competency in the management of selected vasoactive and antiarrhythmic agents. Demonstrates competency in the management and discharge of Observation patients. Work Shift: 12.0 - 19:00 - 08:00 No Waive (United States of America) Pay Range: $73.20 - $99.73 Hourly Offer amounts are based on demonstrated/relevant experience and/or licensure. Note: Positions at JMH which are exempt (not eligible for overtime) under the level of Manager are listed as hourly for compensation purposes on this posting. The work shift will contain the word 'exempt' on it. Scheduled Weekly Hours: 36

Join a Company That Puts People First! We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we're proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Pay Rate: $30-35/HR - Depending on specific case Must have minimium 1 year experience Not accepting new grads at this time Here's what sets us apart: Award-Winning Culture • Indeed's Work Wellbeing Top 100 Company in 2024 • Best Company for Work-Life Balance, Happiest Employees and Culture and Best CEO in 2024, as ranked by Comparably Why Join Us? • Health, Dental, Vision and Company-Paid Life Insurance • Paid Time Off Available • Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts- we will work with your availability! • 24/7 Local support from operators and clinicians • Aveanna has a tablet in each patient's home allowing for electronic documentation • Career Pathing with opportunities for skill advancement • Weekly and/or Daily Pay • Employee Stock Purchase Plan with 15% discount • Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and employment location We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Vocational Nurses (LVN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn't just a provider of compassionate homecare to children and adults. We are a national leader. Qualifications?? • Must have and maintain an active, unencumbered CA LVN license • Current CPR certification (with hands-on component) • TB skin test -2 step (current within last 12 months) • One year prior hands-on nursing experience • Must have reliable transportation?? • Demonstrated proficiency in clinical assessments, documentation and compliance with nursing care and policies and procedures • Continuing Education as required by state Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California

LifeLong Medical Care has an exciting opportunity for an experienced Registered Nurse III - HIV Case Manager to join our multidisciplinary team to provide patient care at our Alameda Health Centers. The ideal candidate must have a commitment to providing high quality primary care for complex patients, dedicated to building a collaborative team model of care, an ability to work independently and an understanding of trauma informed care. Professional and empathetic communication is a key component of the position. Under the general supervision of the Center Director or Nurse Supervisor the Registered Nurse III - HIV Case Manager is responsible for independently providing patient triage in person and telephonically. The Registered Nurse III - HIV Case Manager will demonstrate that they are capable and competent in providing patient care, case management of complex patient needs and providing support for the providers, health centers, support staff and other site or program-based RNs. The Registered Nurse III will provide individualized case management, conduct patient triage, provide direct patient care, respond to patients concerns, provide education and consultation, review symptoms, provide vaccination counseling and education, review lab results, participating in the ongoing education of support staff and collaborating with medical providers to ensure optimal health of our patient populations. We offer ongoing education and collaboration with medical and behavioral health providers to ensure optimal health outcomes for our patient populations. If you are looking for an exciting and fulfilling career in a supportive and innovative work environment, this is the perfect opportunity for you. This position is represented by SEIU-UHW. Salaries and benefits are set by a collective bargaining agreement (CBA), and an employee in this position must remain a member in good standing of SEIU-UHW, as defined in the CBA. About us: As a Federally Qualified Health Center in Northern California with over 45 years of dedicated service to the community, LifeLong serves over 66,000 patients in the East Bay Area's socio-economically underserved regions. We provide medical, dental, behavioral health, and school-based services at more than 15 primary care sites across Oakland, Berkeley, and West Contra Costa County. From opening a residential respite program for homeless persons discharged from the hospital to offering free testing to the community, we are innovative and responsive to our times' social and medical needs. We provide an inclusive workplace that promotes and values diversity and with which our patients can identify. To this end, we seek candidates who reflect the diversity of the East Bay communities we serve. Benefits: Compensation: $56.00 - $65.00 per hour, depending on years licensed. Excellent benefits, including medical, dental, vision (including dependent and domestic partner coverage), generous leave benefits including nine paid holidays, Flexible Spending Accounts, 403(b) retirement savings plan, and commuter benefits. Responsibilities * Ability to work independently with high needs and high acuity patients. * · Will act as a preceptor for less experienced nurses, ensuring that they are competent and capable of providing care and performing nursing tasks. * · Ability to make quick decisions, multitask and handle stressful situations. * · Possess strong written and verbal communication skills; ability to work as part of a team. * · Has strong interpersonal skills, leads and provides patient care with compassion and empathy. * · Trains, supervises, and evaluates the performance of assigned personnel, monitors staff for compliance with departmental policies, procedures, and regulatory requirements and compliance. * · Provides direct professional nursing care to assigned patients. * · Records patients medical histories, performs various diagnostic tests per provider or standing orders, administers medications, and develops patient care plans in conjunction with the primary care team. * · Conducts co-visits and assists providers during examinations and procedures, operating and monitoring medical equipment as needed. * · Participate in the coordinated care for patients seeking care via telephone and MyChart messages. * · Follow up with patients and ensure communication with the primary care team. * · Promotes independence by teaching patients and families to understand medical conditions, medications and self-care skills. * · Coordinates with Care Transitions team for all hospitalized patients to ensures timely follow up and return to primary care. * · Uses clinician-approved standardized procedures to order labs and preventive screenings, and to refill routine medications. * · Coordinates care closely with other team members to identify patient self-care goals and to assure that medical and psychosocial needs are met. * · Acts as a resource for support staff. * · Facilitates follow up care as needed. * · Maintains absolute confidentiality of work-related issues, patient records, personnel records and County information; complies with the confidentiality standards of the Privacy Act of 1974, {U.S.C. § 552A} as amended, and HIPAA policies and procedures. Qualifications Qualifications * Current, unencumbered license to practice as a Registered Nurse in California. * Ability to effectively coordinate care with triage assistants and other support staff, encourage and nurture development and growth, to build a strong and productive team. * Strong organizational, administrative and problem-solving skills, and ability to be flexible and adaptive to change. * Ability to effectively present information to other team members. * Ability to seek direction/approval on essential matters, yet work independently with little onsite supervision, using professional judgment and diplomacy. * Work in a team-oriented environment with several professionals with different work styles and support needs. * Excellent interpersonal, verbal, and written skills. * Conduct oneself in internal and external settings in a way that reflects positively on LifeLong Medical Care as an organization of professional, confident and empathetic staff. Job Requirements * Associate or bachelor's degree in nursing. * Current and valid California Registered Nurse license. * Current BLS/CPR Certification. * Proficient in Microsoft office suite. * Electronic health records, EPIC preferred. Preferred * Bilingual in Spanish. * California Public Health Nurse certification. Physical Demands and Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, and sit; use hands to finger, handle, or feel and reach with hands and arms; talk and hear. The employee must occasionally lift and/or move up to 25 pounds. The employee frequently works with a video display terminal for prolonged periods; vision abilities include close vision and ability to adjust focus. While performing the duties of this job, the employee regularly works in inside environmental conditions. The employee may be required to attend evening meetings, travel and work evenings or weekends. The noise level is usually quiet to moderate. Individual is subject to frequent interruptions.

Benefits: Competitive salary Health insurance Opportunity for advancement Care Coordination Department Manager (Acute INPT Case Management) Contract Duration: 13 weeks (Extension Possible) Shift: 5x 8hrs day shift, no weekends Minimum Years of Experience: 5 years Compensation Details: Gross Hourly Pay Rate: $100/hr (Stipend Available) Airfare/Mileage Reimbursement: Upto $500 Specialty: Nursing Sub Specialty(s): Nursing Manager/Director Job Description: Located in Marin County, California, Medical Center is currently seeking an Care Coordination department Manager. Interested Candidates must have the following experience, Minimum of 5 years of previous Care Coordination management/operations experience. STRONG BACKGROUND IN CASE MANAGEMENT AND UTILIZATION REVIEW REQUIRED. This candidate must have previous experience working in a union environment. Expert knowledge of key perioperative standards and compliance specifications (AORN, ASPAN, AAMI, Title-22, OSCHA, etc.) Shift and Schedule: 5x 8hrs day shift, Monday - Friday. 40hrs guaranteed. Compensation: $100.00 per hour About Us Thinksoft Technologies LLC is a leading Global Consulting and IT services company, offering a wide array of solutions customized for a range of key verticals and horizontals. From strategy consulting right through to implementing IT solutions for customers, providing innovative business and technology services that deliver measurable results. As a diverse end-to-end IT solutions provider, Thinksoft offers a range of expertise aimed at helping customers re-engineer and re-invent their businesses to compete successfully in an ever-changing marketplace. We provide a seamless approach to business, technology & professional services by combining excellence in execution with continuous innovation to help our clients effectively compete in the Knowledge Era. Thinksoft Technologies Headquartered in Lutz, Florida and have been working with the clients in a wide range of industries to help them leverage on the strengths of IT to optimize their business performance and produce value-driven results. Our services deliver a total solution package designed to meet our clients complete business and technology needs. With recognized technology and industry expertise, our dedicated professionals focus on understanding clients competitive challenges and implementing the right solutions to achieve their strategic objectives. At Thinksoft Technologies, we strive to build long-term, committed partnerships with our clients, helping them every step of the way on their path to success. THINKSOFT approaches every engagement with one objective in mind - to help our client win and grow. Our Mission Our Mission is to help our clients with professional services of outstanding quality, competence and objectivity, delivering the best solutions to fully satisfy client objectives. Our Vision “Our Vision is to be the leader in providing the highest quality IT solutions and services to the IT sector. we aim to create demand to our services and as well be the first choice of our clients”. Our Values Thinksoft fosters long term and strong relationships with its clients. We show empathy towards our clients and we are committed to their total satisfaction in everything we do.

Benefits: Competitive salary Flexible schedule Opportunity for advancement Live your best life by helping others live theirs. At ComForCare Home Care, we believe in making every moment count-for our clients and our care team. Our nurses aren't just clinicians; they're leaders, educators, and advocates. If you're looking to make a meaningful impact while enjoying flexibility and support, we'd love to meet you. What You'll Do As a Registered Nurse with ComForCare, you'll play a vital role in ensuring our clients receive high-quality, individualized care. You will: Conduct comprehensive in-home assessments of clients Develop and oversee personalized care plans Monitor and evaluate client outcomes and adjust plans. as needed Provide skills training to care staff, as necessary Offer direct care and administer medications when required Maintain detailed documentation and coordinate referrals, when appropriate Why Join ComForCare We're more than a home care agency-we're a supportive and compassionate team. Here's what makes working with us different: You are treated with respect and appreciation Flexible scheduling to match your availability Ongoing training and development to support your career growth Travel time reimbursement Paid training and access to PPE Team holiday gatherings and employee appreciation events Requirements Graduate of an accredited nursing program (RN) with at least three (3) years of nursing experience Active Registered Nurse license in the state of California Current BLS certification Knowledge of safety, infection control, and patient privacy regulations Able to pass state background check Make an Impact That Matters With over 20 years of experience in home care, we know how to support our nurses so they can support our clients. Join a team that values your clinical expertise and commitment to compassionate care. ComForCare is an Equal Opportunity Employer. Compensation: $50.00 - $65.00 per hour Live your best life possible while helping others live theirs. Our Caregivers are the heart and soul of what we do. For that reason, we put our CaregiversFirst each and every day. At ComForCare, it is our CaregiverFirst promise, that our caregivers will be: Treated with respect and dignity. Provided exceptional training on a regular and ongoing basis. Are never alone in the field - support is always available. Thoughtfully matched with clients that they are compatible with. Join our team and be a part of a certified Great Place To Work ! Thousands of ComForCare employees were surveyed and the response was overwhelmingly positive, with 90% agreeing that ComForCare is in fact a Great Place To Work . By selecting the positions below, you acknowledge that you are applying for employment with an independently owned and operated ComForCare franchisee, a separate company and employer from ComForCare and any of its affiliates or subsidiaries. You understand that each independent franchisee is solely responsible for all decisions relating to employment including (and without limitation to) hiring and termination, and ComForCare does not accept, review or store my application. Any questions about your application or the hiring process must be directed to the locally owned and operated ComForCare franchisee. Equal Opportunity Employer: Disability/Veteran.

San Leandro, California $145K-$175K $20,000 Sign-On Bonus Responsibilities: Assures great service, growth, development, and personnel management to ensure consistency in the Operating Room (OR) Department. Develops, implements, and evaluates the Operating Room (OR) program to ensure quality patient care consistent with the Hospital mission. Maintains complete and accurate records of assessments within the Operating Room (OR) Department. Promotes a collaborative, interdisciplinary approach towards patients, families and all members of the Operating Room team. Qualifications: • ADN is required, BSN preferred. • Valid State Licensure as a Registered Nurse / RN or eligible for reciprocity. • Association of Peri-Operative Registered Nurses (AORN) certification preferred, but not required. • Minimum of 3 years of Operating Room / OR experience as a Registered Nurse / RN required. Company Description: Leighton Partners and 100K Executive Search are international Executive Search & Talent Acquisition consultancy firms based in Calgary, AB, Canada with a reputation for providing industry leading results and best in class service to Canadian, US and International private and public companies.

Vivo HealthStaff is working with a non-profit organization providing healthcare services to the geriatric population of the Bay Area. We are looking for a Registered Nurse to work as a Care Management Supervisor. This role oversees and supervises care coordination and case management services, ensuring the integration of clinical services and adherence to program design. The supervisor ensures the completion of care plans, fosters a customer service-oriented environment, and trains staff in care coordination. They collaborate with the program manager and address any issues that arise. The supervisor also acts as a nursing consultant, provides education to individuals and families, and manages a caseload as needed. They are responsible for staff supervision, training, and performance evaluations, ensuring compliance with legal and regulatory requirements. The supervisor upholds nursing standards, and practices in accordance with HIPAA, and follows safety protocols. They actively participate in process improvement and maintain compliance with policies and procedures.

Join the fast growing hospice industry and be part of the future of patient care! ANX Home Healthcare and Hospice Care, named Best Place to Work by San Francisco Business Times and Silicon Valley Business Journal, urgently needs a Hospice RN Admission Manager to join our San Francisco Bay Area Hospice team. This position is Per Diem. About ANX Home Healthcare Awarded “Best to Place to Work” 2017-2025 by the San Francisco Business Times and Silicon Valley Business Journal Specialists in complex post-acute care programs: advanced wound care, cardiopulmonary care, diabetes, falls and vestibular rehab, orthopedic/neurological impairments, medically complex patients Founded and run by clinicians, serving more than 100,000 patients since 2009 with 4.5 Star Rating for Quality Patient Care Located in the beautiful SF Bay Area with headquarters in Daly City-just minutes from SFO International airport, amazing beaches, bustling city life, and peaceful mountains. Less than a couple of hours drive to wine country Amazing company culture where kindness and work-life balance are practiced, not just preached. Check out some behind the scenes photos on **************************** Benefits Of Joining ANX: Compensation and benefit package: $140k-145,600k DOE Strong market competitive compensation plans Medical, Dental and Vision Coverage Paid time off, sick time and holiday pay Options for FSA, Dependent Care, Commuter Benefits Company paid life insurance Employee Discount Program Position Summary: We are seeking an experienced and compassionate Admission Manager to lead our hospice admission team. The successful candidate will be responsible for managing the admission process, ensuring timely and accurate intake of patients, and providing exceptional customer service to patients, families, and referral sources. Key Responsibilities: 1. Manage the admission process, including initial screenings, assessments, and coordination with interdisciplinary teams and intake 2. Develop and maintain relationships with referral sources, including physicians, hospitals, and other healthcare providers. 3. Ensure compliance with regulatory requirements, including Medicare and Medicaid guidelines. 4. Collaborate with clinical teams to ensure seamless transitions and high-quality patient care. 5. Analyze admission data and trends to identify opportunities for improvement. 6. Develop and implement strategies to increase admissions and grow the hospice program. 7. Provide leadership and guidance to admission staff, including training, mentoring, and performance management. 8. Foster a culture of compassion, empathy, and respect within the admission team. 9. Participates n theon call rotation 10. Provide education/inservice to internal and external customers about hospice philosophy and admission criteria 11. Do ridealongs with Sales representatives 12. Shadow admission nurses on a regular basis 13.Visit facilities to do followup on how admission met and improve admission process as needed Requirements: Bachelor's degree in a related field (e.g., nursing, social work, business administration) Experience in hospice or healthcare admissions, preferably in a leadership role Strong communication and interpersonal skills Ability to analyze data and make informed decisions Knowledge of regulatory requirements and compliance standards Compassionate and empathetic approach to working with patients and families Preferred Qualifications: At least one year Experience as an admission manager or Admission nurse Hospice or palliative care experience Leadership or management experience Certification in hospice or palliative care (e.g.CHPN) Experience with electronic medical records (EMRs) and admission software Physical Requirements: Ability to sit and stand for extended periods Frequent movement between offices, departments, or external meetings Occasional travel may be required Ability to lift, carry, or move light objects (e.g., files, papers) Visual acuity to read and use computer screens Hearing ability to communicate effectively with staff, patients, and external partners Ability to type and use computer keyboard Specific Physical Demands: Sitting: Up to 60% of workday Standing: Up to 20% of workday Walking: Up to 20% of workday Lifting: Up to 10 pounds occasionally Bending, reaching, or stooping: Rarely

Registered Nurse (RN) - Nurse Manager TLC Nursing Associates, Inc. TLC Nursing Associates, Inc. is seeking a skilled and compassionate RN Nurse Manager to oversee nursing staff, coordinate patient care, and ensure operational excellence within healthcare units. Job Responsibilities Manage daily operations of nursing units, ensuring quality patient care and staff compliance with policies. Supervise, mentor, and evaluate nursing personnel to promote professional growth and high performance. Develop and implement nursing protocols, procedures, and best practices aligned with regulatory standards. Collaborate with interdisciplinary teams to optimize patient outcomes and coordinate care delivery. Manage staffing schedules, resource allocation, and budgeting to meet unit needs efficiently. Address patient concerns and resolve issues promptly to maintain satisfaction and safety. Ensure compliance with accreditation, licensing, and safety standards. Qualifications Active RN license in the practicing state. Minimum 3 years of clinical nursing experience with at least 1 year in a leadership or management role. Strong leadership, organizational, and communication skills. Knowledge of healthcare regulations, quality improvement, and patient safety initiatives. Ability to motivate and manage a diverse nursing team effectively. Benefits Competitive salary with weekly direct deposit. Comprehensive medical, dental, and vision insurance. 24/7 support from clinical and staffing teams. Professional development and leadership training opportunities. Collaborative and supportive work environment. If you are a proactive nursing leader ready to make a meaningful impact, apply today and join TLC Nursing Associates!

Job Description Guardian Angel Home Health is one of the fastest-growing home health agencies in the country. With over 22 locations nationwide, many of our branches proudly carry top-tier star ratings, establishing us as a leader in Home Health, Hospice, DME, and Outpatient Rehab. As part of our exceptional team, you'll enjoy industry-leading compensation and benefit packages, state-of-the-art technology, and career advancement opportunities with a dynamic and supportive team. We provide a collaborative environment with strong management support, utilizing the advanced HomeCare HomeBase (HCHB) charting system to help you succeed in delivering top-notch patient care. What We Offer Competitive Pay & Benefits: Enjoy leading industry compensation with flexible benefits tailored to your needs. Supportive Work Environment: Work alongside a passionate, experienced team, with access to management support and continuous professional development. State-of-the-Art Equipment & Technology: Use the latest tools, including HomeCare HomeBase (HCHB), to enhance patient care and improve workflow efficiency. Career Growth: We believe in promoting from within. Our rapidly expanding agency offers numerous opportunities for advancement. Position Overview We are seeking a dedicated and experienced Registered Nurse Clinical Manager to join our team in San Diego, CA. In this hybrid role, you will oversee clinical operations while providing hands-on patient care as needed. You will lead a team of healthcare professionals to ensure high-quality, compassionate care and compliance with regulatory standards. Key Responsibilities Supervise and manage clinical staff, ensuring adherence to CMS, CHAP, and state/national practice standards. Conduct initial and ongoing comprehensive patient assessments. Develop, implement, and revise care plans tailored to individual patient needs. Provide physical therapy services requiring advanced clinical expertise. Oversee compliance with clinical documentation standards using the HomeCare HomeBase (HCHB) system. Support and mentor team members, fostering professional development and a collaborative work environment. Coordinate care with physicians and interdisciplinary team members. Participate in on-call rotation, providing guidance and support during off-hours as needed. Conduct patient and family education on therapies and techniques to support recovery and independence. Ensure optimal resource utilization and maintain high levels of patient satisfaction. Qualifications Licensed Registered Nurse in the state of California. A minimum of two years of recent clinical experience, preferably in Home Health or Rehabilitation settings. Proven leadership or management experience is highly desirable. Proficiency in clinical documentation and electronic health record systems (HCHB experience preferred). Strong organizational, interpersonal, and communication skills. Licensed driver with a reliable, insured vehicle. Why Guardian Angel Home Health & Hospice? At Guardian Angel, we are committed to providing compassionate care, professional growth, and a supportive work environment. By joining our team, you'll have the opportunity to lead a high-performing clinical team while making a meaningful impact on patients' lives. Ready to Lead and Inspire? If you are an experienced Physical Therapist looking to advance your career and help shape the future of home health care, we'd love to hear from you. Apply today to join our San Diego team and help us deliver exceptional care to our community. Job Type: Full-time Benefits: 401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance Work Location: In person

Site: Mass General Brigham Community Physicians, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. The Opportunity The RN Case Manager serves as a core member of the care team by coordinating and supporting healthcare within the facility and coordinating referrals for services outside the clinic. The RN provides outreach and enrollment services to meet eligibility requirements of the program and surrounding counties, and ensures coordination and planning, including community and family support, by focusing on the development and coordination of community service plans and partnering with service providers, families, and patients to create a plan of healthcare. Job Summary Essential Functions * Conduct client assessments and planning. * Modify patient treatment plans as indicated by patients' responses and conditions. * Prepare patient/family for discharge. * Communicate with third party payers to obtain necessary authorization for reimbursement of services. * Define care goals of patients by providing education, information, and direction to each individual and family. * Review cases with medical directors on challenging cases as needed. * Maintain accurate, detailed reports and records. Qualifications What You'll Bring: * Associate's Degree Nursing required (Bachelor's Degree Nursing preferred). * Active and unrestricted Registered Nurse (RN) Licensure for the state of Massachusetts required. * 2+ years of case management and/or discharge planning required. * Experience working with complex dually eligible populations required. * Knowledge of Managed Care preferred. * Understanding of diagnostic criteria for dual conditions and the ability to conceptualize modalities and placement criteria within the continuum of care preferred. * Utilization Review experience preferred. Additional Skills and Abilities: * Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. * Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. * Ability to establish strong rapport and relationships with patients and staff. * Proficient in Microsoft Office and industry related software programs. * Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions. * Ability to maintain client and staff confidentiality. Additional Job Details (if applicable) Schedule and Working Model: * Full-time (40 hours) Monday through Friday, ~8:30am-5pm. * Hybrid: Approximately 2 days per week in the field and 3 days per week at home, with flexibility as needed. Remote Type Hybrid Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $58,656.00 - $142,448.80/Annual Grade 98TEMP At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Community Physicians, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details. Ventura MedStaff benefits represent the care and compassion we provide for our clients. •\tHealth, dental, vision, life, disability benefits and 401k •\tTax free stipends when applicable •\tGym discounts •\tWeekly pay •\t$750. 00 referral bonus Please apply or contract us at: www. venturamedstaff. com or ************

Benefits: Dental insurance Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development Vision insurance Full job description One Health and One Hospice we are committed to providing the highest quality home-based patient care in an atmosphere of respect for human dignity. We have been serving the community for over 10 years. Our highly trained clinicians and therapists strive to exceed the expectations of our patients, families, caregivers and physicians, delivering compassionate and personalized care. As the Registered Nurse Case Manager, you will partner with our Director of Patient Care Services and Interdisciplinary Teams to further that mission. These passionate teams will depend on you to care for and support our patients during their hospice journey. Responsibilities and Duties To plan, coordinate and provide hospice care in accordance with the patient's plan of care. Coordinates hospice care by working with other team members as well as with the patients/family members to ensure needs are met. Evaluate the effectiveness of hospice services to the patient and family on an ongoing basis. Submit complete, accurate and relevant clinical notes in a timely manner Participate in IDG and case conferences Perform on-call duties including nights, weekends, and holidays if needed. (we will ask in advance before scheduling you to be on-call) Continually strive to improve his/her/their nursing care skills by attending in-service education, through formal education, attendance at workshops, conferences, active participation in professional and related organizations and/or individual research and reading. Provide education to patients/family members regarding the dying process, plan of care and offers guidance with healthcare decisions. Perform death visit per agency's policy. Participate in the patient's discharge planning process. Adhere to Federal, state and accreditation requirements including Medicare and Medicaid regulations. May be requested by a supervisor to fill in for the other nurses. Conduct in initial as well as ongoing comprehensive assessments of the patients. Obtain a medical history from the patient and/or a family member particularly as it relates to the present condition. Conduct a physical examination of the patient, including vital signs, physical assessment, mental status, appetite and type of diet, etc. Evaluate the patient, family members and home situation to determine what health teaching will be required. Evaluate the patients' environment to determine what assistance will be available from family members in caring for the patient and what services may be needed. Be competent in knowledge about different levels of care and when it's appropriate to offer them. Adhere to HIPAA regulations and maintain patient confidentiality at all times Nursing services, treatments and preventative procedures requiring substantial specialized skill and ordered by the physician. Supervise and evaluate the care given by the Home Health Aide at a minimum of once every 14 days and as needed. Chart those services rendered to the patient by the staff nurse and changes that have been noted in the patient's condition and/or family and home situation, makes revisions in the nursing care plan as needed, records supervisory visits conducted with the Home Health Aide, evaluates patient care and progress and closes charts of discharged patients. Discuss with the supervisor problems concerning the patients and possible resolution. Provide guidance and supervision to the LVN and supervise the LVN once monthly Prepare the care plan for Home Health Aide. Wellsky/ Kinnser knowledge is a plus (but not a determining factor) Qualifications: A Registered Nurse license in good standing 2year of experience in hospice or home health A valid drivers license Current CPR certification Excellent observation, verbal, and written communication skills And additional related duties as needed Ability to work independently and as part of a team Compassionate and empathetic demeanor

American Hospice and Home Health Services is currently seeking a Part Time RN to service either one or combination of these counties: Solano County, Contra Costa County *Negotiable to salary, hourly, and per visit pay rates depending on experience. The Registered Nurse is a professional nurse who coordinates and directs the home care patient's care based on individual patient needs. The RN is responsible for independent management of the Home Health/Hospice patient population requiring the use of advanced assessment, teaching and decision-making skills. The nurse is responsible for ensuring that appropriate referrals to other services are made, interdisciplinary conferencing takes place regularly, and appropriate documentation is completed. Relevant knowledge and experience is consistently applied to new patient populations Our hospice care mission is to provide compassionate and quality end of life care and grief support to patients and their families. We provide emotional comfort to patients, families and caregivers during the last phase of one's life Our home health care mission is to provide professional and paraprofessional services to patients in their homes, assisting them to achieve the highest level of potential in their day-to-day activities Essential Job Functions/Responsibilities: Provides comprehensive assessment, planning, implementation and evaluation for a caseload of home care clients as the primary nurse. A. Assessment 1. Assesses physical, functional, psychosocial, and cognitive status of the home care patient utilizing interview observations and physical exam techniques. 2. Assesses the home environment for safety, infection control, and community resource needs. 3. Collects information for assessment with the patient, family, physician and other health care team members. 4. Incorporates multidisciplinary data into the nursing assessment of the home care patient. 5. Provides ongoing nursing assessment with the patient, family and home environment to determine physiologic or psychosocial risk. Applies previous nursing experience and base of knowledge and adapts with the patient and family in a home setting. 6. Assesses for the presence of advanced directives and facilitates further action in obtaining information about or implementing advanced directives if indicated. B. Planning 1. Plans with the patient, family and physician for care which is feasible within the physical, financial and emotional resources of the family. 2. Establishes individualized, measurable goals in consultation with the patient, family and other health care providers. 3. Anticipates home care needs and seeks a wide range of community resources to facilitate problem solving. 4. Develops standards of care for patients in the home setting. 5. Utilizes home care standards and regulatory guidelines in developing an individualized care plan with each patient and family. 6. Maintains a working knowledge of community resources and refers patients and families appropriately. C. Implementation 1. Provides skilled nursing care, preventative rehabilitative procedures, and prescribed treatments with a variety of patient populations within various potentially complex home situations. 2. Maintains technical skills according to agency standards, as measured by competency assessments during orientation and annually. 3. Implements safe, competent care with home care patients and families within the Home Health Agency's The Home Health Primary Nurse must possess excellent communication skills, both written and verbal. 1. Maintains a complete record for the care that is given with the patient. Documents in the clinical record per home health agency policy and procedure. 2. Maintains an updated clinical record on each patient at all times, meeting required deadlines for documentation of certification, re-certification, aide supervision reports, aide care plan updates, routine recording of case coordination, care plan updates, addressing progress toward goals, and verbal orders. 3. Accurately completes admission and revisit documentation, documentation of completed communications, billing and employee statistical information, and payroll documentation. 4. Documents regular contacts with payers. 5. Documents patient, family and caregiver teaching. Patient Care 1. Completes an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Regularly re-evaluates patient nursing needs. 3. Initiates the plan of care and makes necessary revisions as patient status and needs change. 4. Uses health assessment data to determine nursing diagnosis. 5. Develops a care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process. 6. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician. 7. Counsels the patient and family in meeting nursing and related needs. 8. Provides health care instructions to the patient as appropriate per assessment and plan of care. 9. Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient. 10. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Prepares clinical notes and updates the primary physician when necessary and at least every 60 days. 2. Communicates with the physician regarding the patient's needs and reports any changes in the patient's condition; obtains/receives physician's orders as required. 3. Communicates with community health-related persons to coordinate the care plan. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Instructs, supervises and evaluates home health aide care provided every two (2) weeks. Licenses Required 1. Current RN License in State of California 2. Minimum 1 year experience as a professional nurse within the last three years. Experience must be at least in the area of public health, home care or hospice nursing. 3. Current CPR 4. Licensed driver with an automobile that is insured in accordance with state/or organization requirements.' Requirements 1. Current RN License in the State of California 2. Minimum 1 year experience as a professional Nurse within the last three years. Experience must be at least in the area of public health, Home Care, or Hospice setting. 3. Current CPR Salary Description $100 - $200 Per Visit

The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. Application Opening -November 16, 2021 Application Deadline - Continuous Compensation: $101.02-$135.26 Hourly Appointment Type: Temporary Exempt Recruitment ID: TEX-P103-EXEMPT Employment Type: Part-time; As-Needed Work Hours: Varied schedules, hours as directed. Location: SFDPH Facilities, determined by position. Please note: Applications that were submitted more than 6 months ago will be expired. The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services. Job Description Under general supervision, performs professional nursing duties in hospitals, emergency hospitals, clinics, sanitariums and other institutions. EXAMPLES OF DUTIES: Provides nursing care to patients within an assigned hospital Unit, Clinic, or any SFDPH setting that requires Registered Nursing care; Observes and reports symptoms and conditions of patients; Takes and records vital signs or other diagnostics including temperatures, respiration and pulse; Reports unusual occurrences and unusual results of treatments; Sets up treatment trays, prepares instruments and other equipment; Implements medical and nursing care plans; Directs and supervises the patient care provided by nursing personnel; Maintains standard unit or clinic activities; Assists in administering highly specialized therapy; Maintains records reflecting patients' condition, medication, treatment and reactions; Follows regulations, policies, and procedures for nursing care; May direct the work of auxiliary sub-professional personnel in performing various tasks in assisting with the care and comfort of patients and the cleanliness and sanitation of ward, hospital beds, and appurtenant equipment; AND Performs other related duties as assigned/required. Qualifications LICENSE: Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License ⚠️IMPORTANT: License status must be "Current" according to search.dca.ca.gov. Be sure to include your license number in your application as failure to do so may result in application rejection. Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted. Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities. Additional Information What else should I know? Please click here for additional details. Selection Procedures: You will be asked to complete a questionnaire regarding your experience and licensure as part of the application. This is a consolidated recruitment process. By applying to this position, applicants will be considered for all nursing specialties. *As of JULY 1, 2024, in order to place you at the appropriate salary step, please include your complete and verifiable registered nursing employment history (up to 21 years) on our application. The information that you provide on the application will be used to determine your salary step. For additional information please see paragraph 423 of the collective bargaining agreement ********************************************************************************************* How to apply: Applications for City and County of San Francisco jobs are only accepted through an online process. Visit careers.sf.gov and begin the application process. Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link. Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received. If you have any questions regarding this recruitment or application process, please contact the analyst, Katrina Navarro at [email protected] or *************. We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging. The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.

Skyline Med Staff Home Health is seeking a travel nurse RN Home Health for a travel nursing job in Santa Rosa, California. Job Description & Requirements Specialty: Home Health Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Weekly amount stated in the job postings is estimated based on estimated hourly wages and potential stipends available for the location of the assignment. Pay package is calculated on bill rate at the time job was posted, but can change or vary without notice. Exact pay packages might vary as this is an estimate. Our recruiter would be happy to build an exact pay package for you for each job. Skyline Med Staff Home Health Job ID #35315495. 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:Home Health,07:00:00-15:00:00 About Skyline Med Staff Home Health Join the Top- Rated Travel Healthcare Team! Skyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals. Our recruiters are consistently praised on Google for their responsiveness, dedication, accessibility, and industry knowledge. Ready to experience the difference? Apply for a job today and see why healthcare professionals choose Skyline! Certified Women Owned Business We believe that travel is good for the soul. We want to be on your journey with you and find the right job that fits you Skyline Med Staff is committed to one vision..... treating others the way that THEY want to be treated. The executive team at Skyline Med Staff focuses on a commitment to quality, consistency, and the highest level of service. Our team members continually strive to build long term relationships that center on you and helping you achieve your goals. Some of the Benefits you will receive with Skyline Med Staff: Over 30 years of combined experience in the staffing industry Higher Take-Home Pay Rates Dedicated Personal Recruiter We are available to you 24/7 Health Insurance Plan Options Tax Free Per Diems, Housing Stipends and Travel Reimbursements Joint Commission Certified Contracts in all 50 states Referral and Loyalty Bonuses Benefits Medical benefits Referral bonus