Post job

Utilization review nurse jobs in Arden-Arcade, CA - 131 jobs

All
Utilization Review Nurse
Nurse
Consultant Nurse
Utilization Coordinator
Nurse Case Manager
Utilization Review Coordinator
Staff Nurse
  • RN-STAFF, Part Time (48 hr/pp), Night Shift, L&D (Internal only)

    Adventist Health 3.7company rating

    Utilization review nurse job in Marysville, CA

    Centered in the heart of Yuba-Sutter County, Adventist Health and Rideout has been one of the area's leading healthcare providers since 1907. We are comprised of a 221-bed hospital, 21 physician clinics, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout Marysville and the surrounding areas. The allure of Marysville's community is complimented by its proximity to major metropolitan cities in the Bay Area and Sacramento, as well as just a quick drive to Lake Tahoe. Job Summary: Registered professional nurse who assumes responsibility and accountability for a group of patients for a designated shift. Prescribes nursing care based on the nursing process that is consistent with the medical plan of care and is based on input from the patient and significant others. Collaborates with the physicians and other members of the health care team and coordinates the delivery of patient care to patients of any age (depending on assigned unit) including neonatal, infant, child, adolescent, adult and geriatric. Incorporates teaching and discharge planning needs in the overall plan of care. Delegates certain aspects of patient care delivery to other nursing staff based on their current clinical competence and legal scope of practice. This position is represented by CNA. Job Requirements: Education and Work Experience: * Bachelor's Degree in Nursing (BSN): Preferred * Acute care facility experience: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in the state of practice and Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Advanced Cardiac Life Support (ACLS OR HS-ACLS OR RQIACLS) certification at time of hire and Demonstrated competency in Dysrhythmia during Orientation for all depts except for Obstetrics and NICU: Required Critical Care Units: Completing of Critical Care Course within 1 year of hire and Demonstrated competency in IV Sedation within 6 months of hire: Required Perinatal: Neonatal Resuscitation within 6 months of hire and Intermediate Fetal Monitoring within 6 months of hire and Advanced Fetal Monitoring within 1 year of hire required for the Labor&Delivery dept: Required Perinatal: Neonatal Resuscitation within 6 months of hire required for the Obstetrics & NICU depts: Required PACU/SDS: PALS certification within 1 year of hire and IV Sedation within 6 months of hire: Required Emergency Dept: PALS certifcation required at time of hire and TNCC certifcation within 1 year of hire and Demonstrated compentency in IV Sedation within 6 months of hire: Required Procedures Nurse Interventional Radiology RN: IV Sedation within 6 months of hire: Required MICN and CEN certifcations for the Emergency Dept and PICC competence for Procedures Nurse Interventional Radiology RNs: Preferred Department Specific License/Certifications: * Fetal Heart Monitoring (FHM): Required Essential Functions: Utilizes the nursing process to assess patients, design and implement an individualized plan of care for assigned patients and to evaluate the effectiveness of the plan, patient's response to care and the patient's progress towards established goals. Modifies plan as necessary. Considers age specific, cultural and spiritual needs of patients. Collaborates with other disciplines to formulate the plan of care for assigned patients. Applies knowledge of illnesses, injuries, diseases, and developmental stages to the delivery of patient care. Utilizes knowledge of pharmacology (action, route of administration, side effects and contraindications) when preparing and administering medications and IV therapy. Provides patient / family education in all phases of care delivery to gain cooperation, allay apprehension and promote compliance. Assesses knowledge, plans appropriate learning activities, varies techniques and materials to patients' age and unique needs and evaluates effectiveness by seeking feedback from patients and families. Responds to emergency patient situations or internal / external disasters following established protocols, remaining calm and informing appropriate persons. Oversees the delivery of patient care and challenges or corrects errors of others to ensure patient safety and wellbeing. Reports observations, reactions and problems regarding patients to the appropriate persons in a timely manner. Demonstrates responsibility and accountability for problem solving and clinical decision-making on assigned shift. Ensures continuity of care by promptly processing and following through on physician's orders and all aspects of the treatment plan. Demonstrates an ability to set appropriate priorities in providing patient care and ability to respond to changes in workload. Acts as the patient's advocate, ensuring patient rights and intervening when necessary to assure those rights are preserved. Demonstrates knowledge of job descriptions and appropriately delegates to CNA's and student nurses based on their current clinical competence. Accepts responsibility for own actions and decisions. Practices registered nursing according to the California Nurse Practice Act. Maintains awareness of professional responsibilities and legal scope of practice. Utilizes communication skills and appropriate resources to assure effective communication with patients, families, staff, physicians and coworkers. Documents assessments, nursing interventions and care provided to all assigned patients. Performs technical aspects of patient care according to established policies / procedures; adapts techniques to patients' age and unique needs with attention to detail, accuracy and patient comfort. Prepares and administers medications and IV's to patients with consideration of age specific needs. Performs emergency procedures, such as CPR, and assesses patient response. Demonstrates safe use of equipment, including but not limited to electric beds, infusion pumps, mechanical lifts, suction devices, physiologic monitors, traction equipment and other patient care devices. Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
    $91k-154k yearly est. 1d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Utilization Review / Discharge Planning

    Plumas District Hospital 4.0company rating

    Utilization review nurse job in Sacramento, CA

    Nature and Scope This multifaceted role will focus on discharge planning, utilization review, and swing bed coordination within our healthcare facility. The Case Manager will play a pivotal role in ensuring the smooth transition of patients from the acute care setting to appropriate post-acute care options, while also managing utilization and assisting swing bed services. Location We are located at 1065 Bucks Lake Road Quincy, CA 95971 Compensation * Hourly Rate: $58.98 - $84.09 (based on clinical pay scale) Job Status / Shift Information * Full-time, benefited * Requried to be put on administration on call schedule Qualifications Experience: * A Minimum of three (3) years' experience in case management and utilization management. Education: * Bachelor's degree in a healthcare-related field (such as Nursing, or Healthcare Administration). * Current healthcare licensure or relevant certification (e.g., RN or related lic.). Knowledge, Skills, and Abilities: * Knowledge of insurance and Medicare/Medicaid regulations. * Excellent communication and interpersonal skills. * Strong organizational and time-management abilities. * Ability to work collaboratively in a multidisciplinary healthcare team. * Understanding of medical terminology and patient care. * Excellent skills in crucial conversations, and emotional intelligence. Responsibilities * Conduct comprehensive assessments of patients' medical, social, and financial needs to develop effective discharge plans. * Collaborate with physicians, nurses, social workers, and other healthcare professionals to ensure that patients receive the most suitable and seamless post-acute care. * Coordinate and facilitate family meetings to educate and involve patients and their families in the discharge planning process. * Monitor and update discharge plans to address evolving patient needs and conditions. * Review and assess the medical necessity and appropriateness of care provided to patients. Benefits / Perks * Pay & Recognition * Balanced Life * Well-Being * Professional Growth * Dependent Care * Child Care At PDH, we believe investing in our team matters. Our benefits and perks include medical, vision, dental, 401k, retirement, paid time off, discounted memberships with Flight/American Medical Care Network, housing stipend or paid housing for first 3 months of employment, shift differentials, and more! PDH Benefits to review more details on current options available Why Plumas District Hospital Work in a supportive, community-focused clinic environment surrounded by the beauty of the Sierra Nevada. Make a lasting impact on patient care while enjoying competitive pay and meaningful benefits. Contact Information Recruiter Name/Email: Nicholas Clawson Department Phone: ************
    $59-84.1 hourly Auto-Apply 10d ago
  • Utilization Review / Discharge Planning

    Certified Nurse Midwife, Full Time In Quincy, California

    Utilization review nurse job in Sacramento, CA

    Nature and Scope This multifaceted role will focus on discharge planning, utilization review, and swing bed coordination within our healthcare facility. The Case Manager will play a pivotal role in ensuring the smooth transition of patients from the acute care setting to appropriate post-acute care options, while also managing utilization and assisting swing bed services. Location We are located at 1065 Bucks Lake Road Quincy, CA 95971 Compensation Hourly Rate: $58.98 - $84.09 (based on clinical pay scale) Job Status / Shift Information Full-time, benefited Requried to be put on administration on call schedule Qualifications Experience: A Minimum of three (3) years' experience in case management and utilization management. Education: Bachelor's degree in a healthcare-related field (such as Nursing, or Healthcare Administration). Current healthcare licensure or relevant certification (e.g., RN or related lic.). Knowledge, Skills, and Abilities: Knowledge of insurance and Medicare/Medicaid regulations. Excellent communication and interpersonal skills. Strong organizational and time-management abilities. Ability to work collaboratively in a multidisciplinary healthcare team. Understanding of medical terminology and patient care. Excellent skills in crucial conversations, and emotional intelligence. Responsibilities Conduct comprehensive assessments of patients' medical, social, and financial needs to develop effective discharge plans. Collaborate with physicians, nurses, social workers, and other healthcare professionals to ensure that patients receive the most suitable and seamless post-acute care. Coordinate and facilitate family meetings to educate and involve patients and their families in the discharge planning process. Monitor and update discharge plans to address evolving patient needs and conditions. Review and assess the medical necessity and appropriateness of care provided to patients. Benefits / Perks Pay & Recognition Balanced Life Well-Being Professional Growth Dependent Care Child Care At PDH, we believe investing in our team matters. Our benefits and perks include medical, vision, dental, 401k, retirement, paid time off, discounted memberships with Flight/American Medical Care Network, housing stipend or paid housing for first 3 months of employment, shift differentials, and more! PDH Benefits to review more details on current options available Why Plumas District Hospital Work in a supportive, community-focused clinic environment surrounded by the beauty of the Sierra Nevada. Make a lasting impact on patient care while enjoying competitive pay and meaningful benefits. Contact Information Recruiter Name/Email: Nicholas Clawson Department Phone: ************
    $48k-84k yearly est. Auto-Apply 7d ago
  • Nurse Reviewer I

    Elevance Health

    Utilization review nurse job in Sacramento, CA

    **Virtual:** This role enables associates to work virtually full-time, with the exception of 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 location(s) will not be considered for employment, unless an accommodation is granted as required by law._ **Work schedule:** Monday - Friday 9:30am - 6pm local time, **with rotating weekends.** **(Saturday 8am-12pm CST, with a comp day during the week)** The **Nurse Reviewer I** will be responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. + Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member benefits. + Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners with more senior colleagues to complete non-routine reviews. + Through work experience and mentoring learns to conduct medical necessity clinical screenings of preauthorization request to assess assessing the medical necessity of diagnostic imaging procedures, out of network services, and appropriateness of treatment. **How you will make an impact:** + Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. + Conducts initial medical necessity review of exception preauthorization requests for services requested outside of the client health plan network. + Notifies ordering physician or rendering service provider office of the preauthorization determination decision. + Follows-up to obtain additional clinical information. + Ensures proper documentation, provider communication, and telephone service per department standards and performance metrics. **Minimum Requirements:** + Requires AS in nursing and minimum of 3 years of clinical nursing experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or any combination of education and experience, which would provide an equivalent background. + Current unrestricted RN license in applicable state(s) required. **Preferred Skills, Capabilities, and Experiences :** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PPO and POS plans strongly preferred. + BA/BS degree preferred. + Previous utilization and/or quality management and/or call center experience preferred. + RN Compact License is strongly preferred; CA RN License is also preferred. + Experience in cardiology/radiology is preferred but not required. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $36.27 to $56.77 Locations: 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 considered to be 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. 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.
    $36.3-56.8 hourly 12d ago
  • Utilization Review Nurse

    Guard Insurance Group

    Utilization review nurse job in Rancho Cordova, CA

    About us: Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! * Competitive compensation * Healthcare benefits package that begins on first day of employment * 401K retirement plan with company match * Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays * Up to 6 weeks of parental and bonding leave * Hybrid work schedule (3 days in the office, 2 days from home) * Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) * Tuition reimbursement after 6 months of employment * Numerous opportunities for continued training and career advancement * And much more! Responsibilities The Utilization Review Nurse's duties will include, but are not limited to: * Support internal claims adjusting staff in the review of workers' compensation claims * Review records and requests for UR, which may arrive via mail, e-mail, fax, or phone * Meet required decision-making timeframes * Clearly document all communication and decision-making within our insurance software system * Establish collaborative relationships and work as an intermediary between clients, patients, employers, providers, and attorneys * Utilize good clinical judgment, careful listening, and critical thinking and assessment skills * Track ongoing status of all UR activity so that appropriate turn-around times are met * Maintain organized files containing clinical documentation of interactions with all parties of every claim * Send appropriate letters on each completed UR Salary Range $65,000.00 - $100,000.00 USD The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required. The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training. Qualifications * Active Licensed Practical Nurse and/or Registered Nurse License * 1+ years of utilization review experience at a managed care plan or provider organization * 2 + years' clinical experience preferably in case management, rehabilitation, orthopedics, or utilization review * Excellent oral and written communication skills, including outstanding phone presence * Strong interpersonal and conflict resolution skills * Experience in a fast-paced, multi-faceted environment * The ability to set priorities and work both autonomously and as a team member * Well-developed time-management and organization skills * Excellent analytical skills * Working knowledge of: Microsoft Word, Excel, and Outlook
    $65k-100k yearly Auto-Apply 5d ago
  • Utilization Management Nurse

    Centerwell

    Utilization review nurse job in Sacramento, CA

    **Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Preferred Locations:** Daytona, FL, Louisville, KY, San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active Unrestricted RN license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Valid driver's license and/or dependable transportation necessary + Travel for offsite Orientation 2 to 8 weeks + Travel to offsite meetings up to 6 times a year as requested + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers + Available for On Call weekend/holiday rotation if needed **Role Desirables** + Education: BSN or bachelor's degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Additional Information** We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-18-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
    $71.1k-97.8k yearly 12d ago
  • Formulary Strategy & Utilization Review Pharmacist

    Pharmacy Careers 4.3company rating

    Utilization review nurse job in Stockton, CA

    Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective DUR and prepare stakeholder reports. Qualifications: PharmD with managed care, DUR, or pharmacy benefit experience. Strong Excel/data analytics background preferred. Understanding of clinical guidelines and P&T processes. Why Join Us? Join a top-tier managed care team Hybrid flexibility Strategic and data-driven focus
    $78k-95k yearly est. 60d+ ago
  • Utilization Review Nurse

    Berkshire Hathaway 4.8company rating

    Utilization review nurse job in Rancho Cordova, CA

    About us: Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities The Utilization Review Nurse's duties will include, but are not limited to: Support internal claims adjusting staff in the review of workers' compensation claims Review records and requests for UR, which may arrive via mail, e-mail, fax, or phone Meet required decision-making timeframes Clearly document all communication and decision-making within our insurance software system Establish collaborative relationships and work as an intermediary between clients, patients, employers, providers, and attorneys Utilize good clinical judgment, careful listening, and critical thinking and assessment skills Track ongoing status of all UR activity so that appropriate turn-around times are met Maintain organized files containing clinical documentation of interactions with all parties of every claim Send appropriate letters on each completed UR Salary Range $65,000.00 - $100,000.00 USD The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required. The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training. Qualifications Active Licensed Practical Nurse and/or Registered Nurse License 1+ years of utilization review experience at a managed care plan or provider organization 2 + years' clinical experience preferably in case management, rehabilitation, orthopedics, or utilization review Excellent oral and written communication skills, including outstanding phone presence Strong interpersonal and conflict resolution skills Experience in a fast-paced, multi-faceted environment The ability to set priorities and work both autonomously and as a team member Well-developed time-management and organization skills Excellent analytical skills Working knowledge of: Microsoft Word, Excel, and Outlook
    $65k-100k yearly Auto-Apply 19d ago
  • NURSE CONSULTANT III (SPECIALIST)

    State of California 4.5company rating

    Utilization review nurse job in Sacramento, CA

    Please note this is an 'Until Filled' position. The application cut-off date is 01/16/2026, 11:59 PM (PST). Interested individuals must submit their application packages by the cut-off date to be considered. Under general direction of the Education Administrator I (EA I) of the Office of School-Based Health Programs (OSBHP), in the Student Success and Career Readiness Branch, the Nurse Consultant III (Specialist) is the technical specialist who provides complex and sensitive consultation and works collaboratively with staff in the OSBHP, other program units within the Branch, and the California Department of Education (CDE). The incumbent provides highly skilled nursing guidance and support to local educational agencies (LEAs) to promote statewide direction, guidance, and leadership in school nursing and school health services, supporting the physical, social, mental, and emotional health of K-12 students through program and resource development. The Specialist provides leadership and high-level consultation for LEAs and school nurses in developing, planning, implementing, and assessing school health services in accordance with approved standards and practices; serves as liaison and resource expert in school nursing and health program areas for local, regional, state, and national school health care providers and policy-setting groups. The incumbent provides technical assistance and coordinates school health program activities with public health, social services, and environmental education agencies, and other public and private entities; researches, develops, and disseminates policies and procedures to enhance coordinated school health as described in the Health Framework for California Public Schools. They stay current on research, educational trends, and policies pertaining to school nursing; act as the Division and CDE School Nurse lead; guide LEAs on coordinating school health programs; maintain program web pages; and disseminate best practices, resources, and guidance through newsletters, listservs, and social media. The position also builds collaborative partnerships with internal and external partners, including the Department of Health Care Services, Department of Public Health, California School Nurses Organization, and model LEAs, to support statewide implementation of school health programs. Note: The State of California implemented the Personal Leave Program (PLP) 2025 in July 2025. This position is subject to PLP 2025 and will have a monthly base pay reduction of 3% in exchange for 5 hours of leave credits through June 2027. The salary range shown on this job posting does not reflect the salary reduction. You will find additional information about the job in the Duty Statement. Working Conditions TELEWORK OPTION This position is headquartered in Sacramento and is eligible for a hybrid telework schedule for eligible applicants residing in California. A hybrid telework schedule includes working remotely and physically reporting two days in the office. Minimum Requirements You will find the Minimum Requirements in the Class Specification. * NURSE CONSULTANT III (SPECIALIST) * NURSE CONSULTANT II Additional Documents * Job Application Package Checklist * Duty Statement Position Details Job Code #: JC-497700 Position #(s): 174-400-8181-XXX Working Title: Nurse Consultant III (Specialist) Classification: NURSE CONSULTANT III (SPECIALIST) $8,567.00 - $11,329.00 A New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable. Shall Consider: NURSE CONSULTANT II $7,849.00 - $10,362.00 A # of Positions: 1 Work Location: Sacramento County Telework: Hybrid Job Type: Permanent, Full Time Department Information The California Department of Education (CDE) oversees the state's diverse and dynamic public school system, which is responsible for the education of more than six million children and young adults in more than 10,000 schools with 295,000 teachers. The CDE and the State Superintendent of Public Instruction are responsible for enforcing education law and regulations; and for continuing to reform and improve public elementary school programs, secondary school programs, adult education, some preschool programs, and childcare programs. The CDE's mission is to provide a world-class education for all students, from early childhood to adulthood. The CDE serves our state by innovating and collaborating with educators, schools, parents, and community partners, preparing students to live, work, and thrive in a highly connected world. ********************** Application Instructions Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application. Final Filing Date: Until Filled Who May Apply Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply. Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s). How To Apply Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at ********************** When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below: Address for Mailing Application Packages You may submit your application and any applicable or required documents to: Department of Education Human Resources Division-Mail In Attn: C&P PC 0092 /JC-497700 1430 N Street, Ste. 1802 Sacramento, CA 95814 Address for Drop-Off Application Packages You may drop off your application and any applicable or required documents at: Department of Education Department of Education Drop-Off Attn: C&P PC 0092 /JC-497700 1430 N Street (Lobby Drop-Off Box) Sacramento, CA 95814 Monday - Friday; Closed on Holidays 08:00 AM - 05:00 PM Required Application Package Documents The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job: * Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at ********************** All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position. * Resume is optional. It may be included, but is not required. * Degree and/or School Transcripts * Statement of Qualifications - Interested individuals MUST submit a Statement of Qualifications (SOQ) with their application. Resumes, letters, and other materials do not take the place of the SOQ. The SOQ should have a title of "Statement of Qualifications, Your Name," be no more than 1 page, no smaller than 12-point font, and address the following: * Provide a brief background of your experience working as a school nurse, and what qualifications you bring to the position to support the health and wellness of the school com munity. * Other - Cover Letter * Other - School Nurse Services Credential Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting. Desirable Qualifications In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate: Ability to provide content expertise in the area of school nursing, while ensuring current research and best practices are modeled and implemented. The ability to prioritize tasks based on essential needs, and pivot when necessary to meet the needs of a dynamic area. The ability to multi-task and provide detail oriented on task completion, while being an effective communicator. Benefits The State of California provides comprehensive benefits packages determined by the employee's bargaining unit. Some of these benefits include: * Medical benefits, including health, dental, and vision insurance * Paid holidays: 11 paid State holidays, 1 personal paid holiday, and 2 professional development days * 401(k) and 457(b) Plans (Savings Plus) * Employee Assistance Program * Commute Program More benefit information can be found on CalHR's website: Benefits Summary Contact Information The Hiring Unit Contact is available to answer questions regarding the position or application process. Hiring Unit Contact: Karrie R. Sequeira ************** ******************** Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office. EEO Contact: Randi Thompson, EEO Officer ************** ****************** California Relay Service: ************** (TTY), ************** (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device. Important Application Instructions * How to Apply for state jobs: ************************************************************* * Electronic applications submitted through your CalCareer account are highly recommended. * DO NOT include any confidential information on any documents you submit for this job vacancy. Confidential information that should be excluded or removed from these documents includes, but is not limited to, your Social Security Number (SSN), birthdate, age, student identification number, driver license (unless required), examination results, LEAP status, and marital status. * Incomplete or late application packages will NOT be considered. * For experience to be considered, your STD 678 (state application) must be complete and include dates, accurate hours per week, total time worked, duties and responsibilities, and contact names and phone numbers of supervisors. Applications that are submitted blank or with "see resume" in place of duties performed will be considered incomplete. * For civil service classifications, do not use working titles. * If you choose not to submit electronically and are mailing or dropping off your hard copy State Application (STD. 678), use the revised 06/2024 version. * If you are using education to meet the minimum qualifications, you must submit a copy of your transcripts or diploma. Foreign transcripts must be accompanied by an academic credential evaluation. List of approved agencies: Foreign Transcript Evaluation (CL-635) * Please note that the CalCareer system will not allow you to make changes to your application once it is submitted. * Candidates who reside outside of the State of California may be admitted to the job interview but must provide proof of residence in California prior to being eligible for appointment. * For general information about getting a job with the state, please view the job series videos here: Work4CA:How to Get a State Job Series. Examination Information To be considered for this job opportunity, applicants must be reachable on an employment list, have transfer eligibility, or have reinstatement eligibility. If you are new to California State service and you do not have list eligibility, you must take the exam for this classification. Please note: A separate application is required for the examination. Please read the examination bulletin for more information. The examination bulletin(s) may be viewed on the California Department of Education Web page at: Examinations Bulletins - Exams & Jobs (CDE Internet) or at the link below: Nurse Consultant III (Specialist) Examination - CA Department of Health Care Services: ******************************************************************************** Nurse Consultant II Examination - CA Department of Correctional Health Care Services: ******************************************************************************** Equal Opportunity Employer The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.
    $105k-151k yearly est. 34d ago
  • Utilization Management Coordinator

    Actalent

    Utilization review nurse job in Sacramento, CA

    As a Utilization Management Coordinator, you will coordinate and support activities related to authorization processing for outpatient, inpatient, and ambulatory services. Your role will involve compiling daily inpatient logs, reviewing specified utilization management reports, processing referrals, completing denial letters, and performing retro-review coordination. You will also coordinate quality management grievances, activities, quality of care concerns, and CCS-related activities. Acting as a liaison to providers' offices and UM/QM staff, you will provide clerical assistance and prepare reports for the UM/QM Supervisor, Manager, and/or Director of Medical Management. Responsibilities + Coordinate and support authorization processing for outpatient, inpatient, and ambulatory services. + Compile daily inpatient logs and review specified utilization management reports. + Process referrals and complete denial letters. + Perform retro-review coordination. + Coordinate quality management grievances, activities, quality of care concerns, and CCS-related activities. + Act as a liaison to providers' offices and UM/QM staff. + Provide clerical assistance and prepare reports for the UM/QM Supervisor, Manager, and/or Director of Medical Management. Essential Skills + Experience in healthcare and care coordination. + IPO/HMO experience. + Three years of customer service experience. + Two years of Medicare health plan knowledge. + HMO/IPA experience. Additional Skills & Qualifications + Experience in healthcare and care coordination. + IPO/HMO experience. + Medicare experience + Experience in referrals Work Environment The position offers a Monday to Friday day shift in an office setting at the corporate location. The work environment includes dual screens to aid in efficient task management. Job Type & Location This is a Contract to Hire position based out of Sacramento, CA. Pay and Benefits The pay range for this position is $22.00 - $23.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Sacramento,CA. Application Deadline This position is anticipated to close on Jan 30, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
    $22-23 hourly 1d ago
  • Utilization Management Coordinator

    Pacific Temporary Services

    Utilization review nurse job in Sacramento, CA

    Contract We are recruiting for a Utilization Management Coordinator (UMC) to join an established healthcare organization in Sacramento. The UM Coordinator supports activities related to authorization processing for outpatient, inpatient and ambulatory services. This is a contract to hire opportunity! The qualified candidate has three years' experience in the medical field with medical referrals, authorizations, health plans (particularly Medicare and Medi-Cal) and excellent patient customer service. Pay range: up to $22/hour DOE. PRIMARY RESPONSIBILITIES: Compile daily inpatient log; review specified UM reports. Process referrals, generate denial letters and perform retro-review coordination. Acts as liaison to the providers' offices and the UM/QM staff. Provide clerical assistance and prepare reports for the UM/QM Supervisor, Manager and/or Director of Medical Management. Answer telephone; screen and direct calls to appropriate staff member or department. Effectively works with providers, nurses, case managers, UM/QM Manager(s), and Medical Directors to ensure system inputs of manual referrals are processed, timely and accurately. Receive and enters appropriate information from referrals. Update, maintain, and notify health plans of inpatient census information on daily basis. Assist with examination of records, related documents, corresponds with providers and health plan personnel to obtain facts regarding member concerns/complaints. Verify member eligibility by systems inquiry or health plan contact. Request clinical records per procedure. SKILLS & QUALIFICATIONS: High School Diploma or GED is required. AA degree in related field is preferred. 2+ years utilization management coordination experience is required. Minimum of 3 years' experience in the medical field is required. Experience with medical insurances, especially Medicare and Medi-Cal is preferred. Type minimum of 45 WPM. Ability to multi-task, problem solve and analyze data in a fast-paced environment. Demonstrated ability to intervene and diffuse difficult calls. Proficiency with MS Office applications. Excellent communication skills, both oral and written. Ability to maintain confidentiality and appropriately share information on a need-to-know basis.
    $22 hourly 19d ago
  • Utilization Management Coordinator

    Pacific Staffing

    Utilization review nurse job in Sacramento, CA

    We are recruiting for a Utilization Management Coordinator (UMC) to join an established healthcare organization in Sacramento. The UM Coordinator supports activities related to authorization processing for outpatient, inpatient and ambulatory services. This is a contract to hire opportunity! The qualified candidate has three years' experience in the medical field with medical referrals, authorizations, health plans (particularly Medicare and Medi-Cal) and excellent patient customer service. Pay range: up to $22/hour DOE. PRIMARY RESPONSIBILITIES: Compile daily inpatient log; review specified UM reports. Process referrals, generate denial letters and perform retro-review coordination. Acts as liaison to the providers' offices and the UM/QM staff. Provide clerical assistance and prepare reports for the UM/QM Supervisor, Manager and/or Director of Medical Management. Answer telephone; screen and direct calls to appropriate staff member or department. Effectively works with providers, nurses, case managers, UM/QM Manager(s), and Medical Directors to ensure system inputs of manual referrals are processed, timely and accurately. Receive and enters appropriate information from referrals. Update, maintain, and notify health plans of inpatient census information on daily basis. Assist with examination of records, related documents, corresponds with providers and health plan personnel to obtain facts regarding member concerns/complaints. Verify member eligibility by systems inquiry or health plan contact. Request clinical records per procedure. SKILLS & QUALIFICATIONS: High School Diploma or GED is required. AA degree in related field is preferred. 2+ years utilization management coordination experience is required. Minimum of 3 years' experience in the medical field is required. Experience with medical insurances, especially Medicare and Medi-Cal is preferred. Type minimum of 45 WPM. Ability to multi-task, problem solve and analyze data in a fast-paced environment. Demonstrated ability to intervene and diffuse difficult calls. Proficiency with MS Office applications. Excellent communication skills, both oral and written. Ability to maintain confidentiality and appropriately share information on a need-to-know basis.
    $22 hourly 9d ago
  • Case Management - Nurse, Senior

    BSC Group 4.4company rating

    Utilization review nurse job in Rancho Cordova, CA

    Your Role The Case Management team performs case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating MDs. The Case Management - Nurse, Senior will report to the Manager, Care Management. In this role you will determine, develop and implement the plan of care based on accurate assessment of the member and current or proposed treatment plan in cases of member inquiry, triage hub, chronic conditions, polypharmacy, pre-natal care, and voluntary member health assessment, in addition to indication of multiple monthly ER visits. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Requires a bachelor's degree or equivalent experience Requires a current California RN License Requires at least 5 years of prior experience in nursing, healthcare or related field Requires a Certified Case Manager (CCM) Certification or obtained within 18 months of hire Demonstrated ability to independently assess, evaluate, and interpret clinical information and care planning Extensive knowledge of evidence based clinical practice guidelines particularly for chronic conditions Professional judgment and critical thinking when determining medical necessity that promotes quality, cost-effective care Knowledge of Coordination of Care, Medicare regulations, prior authorization, level of care and length of stay criteria sets Proficiency in PC-based software programs including Microsoft Office 365 applications including Word, Excel, Outlook and Teams Your Work In this role, you will: Research and design treatment/care plans to promote quality of care, cost effective health care services based on medical necessity complying with contract for each appropriate plan type Provide Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD) Recognize the clients' right to self-determination as it relates to the ethical principle of autonomy, including the client/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare team Design an appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes Initiate and implement appropriate modifications in plan of care to adapt to changes occurring over time and through various settings Conduct member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental cases Assess members' health behaviors, cultural influences and clients belief/value system Evaluate all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriers Research opportunities for improvement in assessment methodology and actively promote continuous improvement Anticipate potential barriers while establishing realistic goals to ensure success for the members, providers and BSC Adjust plans or create contingency plans as necessary Assess and re-evaluate health and progress due to the dynamic nature of the plan of care required on an ongoing basis
    $87k-113k yearly est. Auto-Apply 15d ago
  • Nurse Consultant II or III

    Department of Health Care Svcs

    Utilization review nurse job in Sacramento, CA

    Are you interested in working in a dynamic, historic and evolving state government program? Do you have a passion for influencing population health for California's Medi-Cal members? Do you embrace daily challenges and a stimulating, professional work environment where you can apply your clinical experience and expertise? Do you enjoy working with a team of multidisciplinary colleagues? If you are a licensed RN with four years of professional RN experience and a Master's Degree in a health-related field, the State of California is looking for you. To find out more about the Nurse Consultant job with the Managed Care Quality and Monitoring Division (MCQMD) of the California Department of Health Care Services, see: ******************************************************** CD=0HABB (Before applying for this job, you must be on the NC II or NC III eligibility list. See info below.) Job Description NC II- Under general direction, provides complex nursing and program consultation and technical assistance to public and private agencies on the provision of health services; plans, develops, organizes, monitors, and evaluates programs and studies on the delivery of health services; may also serve in a lead capacity to Nurse Consultants and other health-related multidisciplinary staff; develops and evaluates program standards, policies, and procedures; and does other related work. NC III- Positions at this level function as nonsupervisory technical specialists in difficult and/or sensitive program and policy development or in a coordinating role where the level of expertise required is definitively greater than that for any other supervisory position at this level. Incumbents serve as highly skilled technical program consultants, or as recognized authorities in areas of extreme sensitivity or complexity, or in areas of high specialization. Typically, incumbents have statewide responsibility for the nursing and related components of a major statewide program with coordinating or lead responsibility for nursing and other professional/technical staff. Under general direction, incumbents provide the most complex, difficult, and sensitive consultation; develop, plan, organize, coordinate, implement, and evaluate the nursing and related components of a major statewide program; evaluate and ensure statewide program consistency; provide professional guidance to nursing and other health professional staff; and do other related work. Qualifications RN Degree and Masters- See link for more information ************************************************************** Additional Information The State of California offers regular business hour shifts and provides 11 paid holidays, paid sick and vacation leave, health benefits, pension and optional 401K and 457 savings plans. Nurses are entitled to another thirty-two hours of paid education leave (during a two year licensure period) for the purpose of earning the Continuing Education Units required for license renewal. Additionally, nurses are eligible for reimbursement of the $140 CA Board of Registered Nursing renewal fee. The salary range is $5,015 to $6,586 per month depending upon years of experience and education. Based on the current State retirement benefit package, with as little as 10 years of state service, you will receive a 50% employer contribution toward the cost of your monthly health premium during retirement, plus 5% for each whole year after the 10th year, up to 100% after 20 years or more. The first step to gaining list eligibility is to apply to take the Nurse Consultant (NC) exam. Depending on your level of experience, please go to the NC II job bulletin (four years' experience) at ************************************************ CD=0HABB or NC III job bulletin (five years' experience) at ************************************************************************ . Review the minimum qualifications as outlined in the exam bulletin, then go to *************** to create a new profile and access the online State Application (STD 678). Creating a profile allows you to save your state application in the database so that you can later update and print your State application as needed. Please print your application and mail it to the address listed on the NC II or NC III Exam Bulletin. The entire examination for this classification consists of an evaluation of your training and experience. This means that they will assess your eligibility based solely on a review of your experience and education. Candidates who meet the requirements for admittance to the examination (minimum qualifications) will be emailed a Training and Experience Questionnaire which must be completed and returned since the questionnaire is the exam. The examination will be sent to the email address listed on the application. Please ensure the email address on your application is correct. Candidates are responsible for regularly checking their emails, including SPAM/Junk folders, to ensure receipt of the examination, which will be sent via Survey Monkey. While the exam bulletin has an Exams mailing address, you are highly encouraged to send your applications directly to the following address. We will hand walk your application to the DHCS Exam unit and send you an email to verify they received it and will process your application in the next exam batch. Send your STD. 678 State Application (printed from your jobs.ca.gov profile) to: DHCS /MCOD Attn: MCQMD Personnel Liaison P.O. Box 997413, MS 4402 Sacramento, CA 95899-7419 If you have questions about the exam process, please contact the Department of Health Care Services Selection & Exams Unit at **************. If you are unable to get through to the Exams Unit and for questions about Nurse Consultant jobs available within the Department of Health Care Services, Managed Care Quality and Monitoring Division, please send an email. We look forward to hearing from you! Once you are successfully placed on the NC II or NC III eligibility list, you may apply for the MCQMD job advertised above. (You will also be eligible for other NC II or NC III jobs with the Department of Health Care Services.) ll your information will be kept confidential according to EEO guidelines.
    $5k-6.6k monthly 60d+ ago
  • Bilingual Nurse Case Manager

    Forthright Case Management LLC

    Utilization review nurse job in Sacramento, CA

    Job DescriptionWere Hiring! RN Case Manager (Bilingual Spanish) Northern California Type: Full-Time (Part-Time Options Available) Salary: $70,000$80,000/year + Bonus Potential About the Role Tired of hospital shifts and craving flexibility, autonomy, and a role where your work really makes an impact? Youre in the right place. Forthright Case Management is looking for a Registered Nurse (RN) to join our Reno-based team! You'll be helping injured workers navigate their recovery journeycoordinating care, attending appointments, and being their go-to support system. No nights, no weekends, no holidays. Just purposeful work and a balanced schedule. What You'll Be Doing Be the trusted advocate for injured workerssupporting them every step of the way. Coordinate care with doctors, therapists, employers, attorneys, and adjusters. Visit medical facilities, attend appointments, and manage treatment plans. Set up services like home health, therapy, DME, or even home modifications. Keep everyone in the loop with timely communication and documentation. Work from home with local travel throughout Reno and surrounding areas. Must-Haves Current CA. RN license Fluent in Spanish and English (Required) Valid drivers license and auto insurance Comfortable with Microsoft Word and Excel 1+ year of nursing experience (Required) Case management experience? Even better! Willing to travel locally (about 50% of the time) Perks & Benefits Competitive salary + bonus program Mileage reimbursement Company laptop + phone provided Flexible schedule no nights, weekends, or holidays! Dental, vision, and health insurance Life insurance Paid time off 401(k) + matching Schedule MondayFriday 8-hour shifts Enjoy your evenings and weekendsbecause we dont work them! Join a Nurse-Led Team That Gets It Were growing fast in the Reno area and looking for the right RN to join our mission. If you're ready to step into a flexible, meaningful role where your experience matters, apply today. Lets make a differencetogether.
    $70k-80k yearly 30d ago
  • Flight Nurse

    Air Methods 4.7company rating

    Utilization review nurse job in Antioch, CA

    Join us in the enchanting town of Antioch, for an extraordinary career as a Flight Nurse with Air Methods! Nestled amidst the majestic landscapes of Antioch, CA offers a perfect blend of natural beauty and cultural richness. As a pivotal member of our team, you'll play a crucial role in providing life-saving medical transport to the community. With a minimum of 36 months of experience in a busy ICU, ER, Flight, or Critical Care Transport setting within the last 5 years, your expertise will be invaluable. Operating on a schedule of two 24-hour shifts per week, you'll deliver top-notch critical care, adhering to the highest standards set by Air Methods Community Base Services (CBS) Medical Director(s). Your responsibilities will encompass assessment, triage, and treatment, ensuring the safe transport of critical patients to the appropriate medical facility. From the unique vantage point of a helicopter, you'll enjoy breathtaking views of the scenic California landscape, enhancing the experience of your daily work. Join us in Antioch, where every flight underscores our commitment to excellence and safety in medical transport. Experience the thrill of flight while making a significant impact on the well-being of those in need in this dynamic and culturally rich community. Responsibilities Job Summary Responsible for providing high-quality critical care, including assessment, triage, and treatment utilizing standards and guidelines established by Air Methods Community Base Services (CBS) Medical Director(s). You'll assess the nature and extent of illness or injury to establish and prioritize the care needed for the safe transport of the critical patient to the appropriate facility and are responsible for carrying out the mission and goals of Air Methods CBS, assuring that safety remains the highest priority throughout the transport continuum. Essential Functions and Responsibilities include the following: • Provides nursing care within his/her scope of practice from the initial contact until patient care is relinquished to the accepting medical facility; maintains thorough patient care documentation. • Maintains competency in knowledge and psychomotor skills by participating in ongoing laboratory and clinical experiences. Communicates educational needs to the Medical Base Supervisor and Medical Education Coordinator. Maintains documentation of required licensure, certifications, continuing education, aviation and safety training, OSHA and HIPAA training, clinical rotations, and advanced procedures and attends continuing education programs pertinent to his/her area of practice. • Knowledgeable in using and maintaining all equipment and supplies used by Air Methods CBS. Responsible for reporting medical equipment failures and taking initial steps to ensure equipment repair as directed. Maintains adequate supplies onboard aircraft to deliver patient care. Keeps aircraft clean and orderly to ensure rapid response to all transport requests. • Functions as a medical flight member by attending pre-mission briefings and mission debriefings and completing necessary documentation. Assists in pre-mission liftoff checklist and assists pilot as requested, i.e., radio, navigational, and visual observation activities. Complies with safety standards to assure the safety of self, medical personnel, patients, and equipment and conducts aircraft safety briefings as needed. • Serves as a flight resource to neonatal/pediatric personnel when transporting specialty patients by helicopter and performs advanced skills and procedures as approved by Air Methods CBS Medical Director(s). • Participates in patient and referring institution follow-up and in planned outreach marketing and education activities • Acts as a preceptor and/or participates in orientation of new employees and students as assigned and communicates program goals and objectives. • Participates regularly in Air Methods CBS meetings, activities, projects, and committees (to include research and publishing opportunities). • Other Duties as assigned. Additional Job Requirements • Regularly scheduled attendance • Indicate the percentage of time spent traveling: 5% •Subject to applicable laws and Air Method's policies, regular attendance is an essential function of the position. All employees must follow Air Methods' employment practices and policies. Supervisory Responsibilities •This position has no supervisory responsibilities. Qualifications Qualifications To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements below represent the required knowledge, skill, and/or ability. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the position's essential functions. Education & Experience • Graduate of an accredited School of Nursing • Bachelor's degree in a health-related field preferred but not required • Minimum three (3) years of recent critical care/emergency nursing experience within the last five years or as required by state/ local EMS regulations • Pre-hospital experience preferred • Flight experience is not required but is a plus! Operation and Safety Requirements: · As a member of the Clinical Flight Crew, any person employed in this position shall maintain a weight not to exceed 225 pounds, including an empty flight suit and boots. Skills Skills as required to practice nursing as defined by assigned state scope of practice and advanced practice skills as defined by Medical Director(s) and Medical Standards • Maintains positive interpersonal relationships with colleagues, EMS representatives, hospitals, and the public while executing strong interpersonal skills and a high degree of collaboration at all levels • Demonstrates high critical thinking and reasoning skills and strong attention to detail while working in a fast-paced environment that requires the ability to prioritize and multi-task • Ability to work a flexible schedule, including overtime and 24/7 on-call rotation • Dependable and self-motivated while working in a frequently changing environment • Excellent communication and presentation skills, both written and verbal Computer Skills • Proficient with Microsoft Suite, including Word, Excel, PowerPoint and Outlook Certificates, Licenses, Registrations • Current RN license(s) for states of practice • EMS or MICN certification/licensure as required by state regulations • Current certifications in Healthcare Provider BLS/CPR; ACLS; PALS or equivalent (AHA, ARC, or ASHI only courses if state or county required) and TPATC/TNCC/ITLS/PHTLS advanced provider (if state or county required) • If you do not have a current trauma certification, Air Methods will provide the TPATC online course to be completed prior to new hire orientation Other certification requirements: • Specialty certification (CFRN or CEN) are required within 24 months of hire • Advanced Trauma Course requirement: One (1) of the following certifications are acceptable: TPATC, TNCC, ATCN, TNATC, or CAMTS-approved advanced trauma course before completion of third-rider training • NRP certification before completion of the third-rider orientation • NIMS Training IS 100, 200, 700, 800, and HazMat before completion of third-rider training Benefits Air Methods is proud to offer a comprehensive benefits package created with the diverse needs of our teammates in mind: · Health, Dental and Vision · Competitive 401(k) Retirement Plan · Flexible Spending Account Benefit Plans · Tuition Reimbursement · Full Company-Paid Life Insurance · AD&D Insurance · Short-Term and Long-Term Disability Insurance · Business Travel Accident Insurance · Voluntary Legal · Relocation Assistance · Employee Assistance and Benefit Concierge Service Programs Minimum pay USD $77,750.40/Yr. Maximum Pay USD $95,022.72/Yr. Benefits For more information on our industry-leading benefits, please visit our benefits page here. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
    $77.8k-95k yearly Auto-Apply 60d+ ago
  • Labor and Delivery Nurse

    Commonspirit Health

    Utilization review nurse job in Sacramento, CA

    Where You'll Work Built in 1973, Dignity Health Methodist Hospital of Sacramento is committed to providing daily excellence in health care for residents of Sacramento's southern suburbs, including the Elk Grove, Wilton, and Galt communities. Methodist Hospital is home to a 158-bed acute care facility with 1,120 employees, 283 medical staff, and 29 Emergency Department beds. Methodist Hospital also owns and operates Bruceville Terrace-a 171-bed skilled nursing and long-term care facility adjacent to the hospital that provides care for the elderly as well as those requiring extended recovery. The hospital is home to the Family Medicine Residency Program, an accredited and nationally recognized program providing resident physicians with specialty training in primary care family medicine. Together, the hospital and residency program developed a pioneering curriculum addressing the identification, treatment, and support of human trafficking victims, establishing the unique Human Trafficking Medical Home clinic. Methodist Hospital's commitment to quality, safety, and clinical excellence has earned numerous recognitions, including: Best Performing Tier 3 Facility for the VTE NPOA FY2025 goal Hospital Level Quality and Patient Safety Award (FY2025) as part of the Clinical Excellence Vision Awards, recognizing the team's dedication to improving outcomes across the ministry American Heart Association's Get With The Guidelines -Stroke Gold Plus Award with Target: Stroke Honor Roll Elite and Target: Type 2 Diabetes Honor Roll distinctions Blue Distinction Center for Orthopedics, highlighting excellence in orthopedic care and patient outcomes Together, these achievements reflect Methodist Hospital's unwavering dedication to compassionate care, innovation, and the highest standards of clinical quality. One Community. One Mission. One California Job Summary and Responsibilities $15,000 sign-on Bonus offered for fully qualified new hires. Per policy, current employees are not eligible. At the Family Birth Center at Methodist Hospital of Sacramento, we welcome 140-165 new babies each month in our modern 22-bed unit, featuring 10 Labor & Delivery rooms, 12 Postpartum rooms, plus Pre/Post-Op and OBED beds. Our team is proud to be recognized by U.S. News & World Report as a High Performing Hospital in Maternity Care and celebrated for our commitment to advancing Black maternal health and health equity. We're passionate about providing safe, compassionate, and family-centered care-making every birth a special beginning. The Labor & Delivery Nurse provides, coordinates, and directs care to individuals and families using a holistic approach. The nursing process is used as a structured mechanism for critical thinking and problem solving in providing effective and appropriate care within a safe and confidential environment from admission to discharge. Each RN is responsible for collaborating with members of the healthcare team, providing leadership, personal/professional development, and conducting him/herself professionally. Responsibilities: Triage walk-ins to determine if a patient is in labor, water is broken, false alarm, etc Support pregnant patients in labor, including induction, epidural assistance (if needed), general pain management and fetal monitoring Assist and circulate in the operating room for cesarean sections, tubal ligation, cerclage and emergency procedures Educate patients on various interventions or procedures - medications (name and purpose), exams, and labor stages Assess newborn and provide care. Communicate with the care management team, including anesthesiologist, physician or midwife, lactation nurse, charge nurse, postpartum unit, the patient, and the family Job Requirements Minimum: One (1) year of labor and delivery experience as an RN required in an acute care setting. Associate's Degree, Nursing (ADN) Current California RN license Current BLS certification required (American Heart Association) Current ACLS and NRP certifications required within 3 months of hire (American Heart Association) Basic AWHONN fetal monitoring is acceptable at hire, but must complete the Intermediate AWHONN course within 6 months of hire AWHONN Intermediate or Advanced Fetal Monitoring course every two years thereafter, or obtain NCC Fetal Monitoring Certification and maintain as specified Preferred: One (1) year Labor and delivery C/Section/PACU, OBED, Postpartum/Newborn Nursery Unit experience
    $64k-100k yearly est. Auto-Apply 11d ago
  • College Nurse

    Los Rios Community College District 3.9company rating

    Utilization review nurse job in Sacramento, CA

    The faculty member shall be responsible for the following: providing direct patient care under the supervision of the area Dean; helping students fulfill their maximum potential; assessing student learning outcomes; maintaining a thorough and up-to-date knowledge in their regular field; continuing professional development; utilizing current technology in the performance of job duties; maintaining standards of professional conduct and ethics appropriate to the professional position; assisting with articulation and curriculum development and review; serving on college committees and participating in faculty governance, including accreditation and student co-curricular activities; assuming other responsibilities as assigned by the area dean; and fulfilling other duties and responsibilities of a faculty member. American River College seeks faculty members who: * Have demonstrated work or professional experience related to equity and inclusion * Engage in self-reflection and continuous improvement in cultural competence * Fulfill the professional responsibilities of their position * Regard all students as equally capable and worthy of our care, time, and energy Position Salary Information: Initial maximum salary placement is based on academic degree, upper/graduate level units earned, and/or related professional occupational experience per the Los Rios College Federation of Teachers Contract(the initial maximum placement is Class V, Step 8). For more information on the step placement process, pleaseclick here. Typical Duties Under the supervision of the Dean, this non-instructional assignment may include, but is not limited to: * Assessing and evaluating the general health status of students and staff focusing on prevention, recognition, and early treatment of illness. * Working with other college departments to meet the health needs of the campus community, including but not limited to such services as emergency response, crisis management, mandated providing immunizations, health education, sexual health services and education and educational program requirements. * Providing confidential health counseling for students and college personnel with referral to appropriate resources within the college or community as appropriate. * Working collaboratively with the Health & Wellness Center staff, inclusive of a range of professional staff, to promote and support the wellbeing and health of students * Maintaining liaison with community health agencies and using these health resources for referral. * Protecting the well-being of students' children attending the campus children's centers, and college personnel through prevention and control of communicable diseases. * Establishing standards and procedures for medical care, including first aid care; providing appropriate first aid care as necessary on campus. * Conducting an on-going program of health education for the college community through classroom presentations, bulletins, newsletters, seminars, workshops, and other activities. * Serving as a health consultant to students, faculty, and staff. * Assisting in and maintaining a safe and healthy college environment by identifying hazards and recommending safety improvements. * Reviewing and evaluating the Health Services program and participating in planning to respond to identified needs. * Developing and implementing new programs responsive to the identified needs of our students * Monitoring existing programs and services for equity, applicability, safety, and effectiveness. * Completing duties as assigned by the supervisor include preparing reports, attending meetings, managing health center budget, working with advisory committees, and other related duties. * Assuming special responsibilities as assigned by supervisor. * Performing committee work and attending meetings relating to college health or related programs. * Preparing reports as required. * Assisting with and attending sessions relating to staff development. * Documenting patient records within the established electronic health record system in accordance with district policies and procedures. * Having knowledge and/or training in the use of computers and demonstrating skill in the use of software technology supportive of office programs and services. Performing other duties as assigned. Minimum Qualifications * Have a Master's degree in nursing and a California Public Health Nurse certificate; ORBachelor's degree in nursing, a California Public Health Nurse certificate, ANDa Master's degree in health education, sociology, psychology, counseling, health care administration, public health or community health. All degrees must be from an accredited institution completed by July 1, 2026. * Have a valid California Registered Nurse (RN) license. * Have an equity-minded focus, responsiveness, and sensitivity to and understanding of the diverse academic, socioeconomic, cultural, disability, gender identity, sexual orientation, and ethnic backgrounds of community college students, including those with physical or learning disabilities as it relates to differences in learning styles; and successfully foster and support an inclusive educational and employment environment. Application Instructions Before You Apply: Follow the steps below to ensure your application is complete and ready for review. Applicants not following the guidelines below may be disqualified. Do not submit additional materials not requestedor you may be disqualified. Required Application Documents Applicants must attach the following: * A Los Rios Community College District Application * Letter of Interest * Resume or Curriculum Vitae * Unofficial Transcripts and/or Foreign Transcript Evaluation (see Transcript Requirements) * Current California Public Health Nurse Certificate * Current California Registered Nurse (RN) License Transcript Requirements: * Transcripts mustbe from an accredited U.S. institutions or approved foreign evaluation agency. * Foreign transcript evaluations mustbe issued by an AICE (Association of International Credential Evaluation, Inc.) or NACES (National Association of Credential Evaluation Services) member agency. See the Foreign Transcript Evaluation webpage for details. * Transcripts mustclearly identify the degree(s) being used to meet the Minimum Qualifications. * If more than one degree is required to meet the Minimum Qualifications (e.g., a bachelor's and a master's), transcripts for eachdegree mustbe included. * Transcripts mustshow the degree title and indicate whether each degree is completedor in progress. * If the degree is in progress the application muststate, the month and year the degree is expected to be attained. Additional Instructions: * Only information listed on the applicationand transcriptswill be used to verify Minimum Qualifications. * Applications stating "see resume"will be disqualified. * Applications missing any required documentation will be disqualified.
    $68k-88k yearly est. 22d ago
  • Nurse Injector

    Diamond Accelerator

    Utilization review nurse job in Roseville, CA

    We are a well-established and highly regarded aesthetic and wellness practice in Roseville, CA, dedicated to delivering exceptional non-surgical cosmetic treatments. Our team is passionate about providing natural, beautiful results using the latest techniques in injectables and advanced aesthetics. We are seeking an experienced injector to join our team and help grow our patient base while providing top-tier care. Position Overview We are looking for an experienced Registered Nurse (RN), Nurse Practitioner (NP), or Physician Assistant (PA) with a strong background in aesthetic injections. The ideal candidate has expertise in administering neuromodulators (Botox, Dysport, Xeomin), dermal fillers, Sculptra, and PRP, and is confident in providing customized treatment plans for patients. This role requires a highly skilled and personable provider with a deep understanding of facial anatomy, a keen artistic eye, and a strong focus on patient education and safety. Responsibilities Perform consultations and develop customized treatment plans based on patient goals. Administer neuromodulators, dermal fillers, biostimulators, and other injectable treatments with precision and care. Educate patients on treatment options, post-care instructions, and long-term aesthetic planning. Maintain accurate patient records and charting within the EMR system. Stay updated on industry trends, new products, and advanced injection techniques. Collaborate with the team to enhance patient experience
    $64k-99k yearly est. Auto-Apply 60d+ ago
  • Experienced Nurse Injector

    Advanced Medaesthetic Partners

    Utilization review nurse job in Folsom, CA

    Location: Folsom | Full-Time Compensation: | AMP Rewards & Beauty Budget About Us Destination Aesthetics Medical Spa, a partner of Advanced MedAesthetic Partners (AMP), is a leading provider of aesthetic and wellness services. We deliver exceptional patient care in a supportive, rejuvenating environment and stay at the forefront of innovative treatments while maintaining the highest standards of safety and satisfaction. We are committed to creating a supportive and inclusive culture where people are empowered to do their best work and grow both personally and professionally. We've built a culture where talent is nurtured, ideas are executed, and impact is measured Position Overview We're seeking a skilled Aesthetic Injector to join our growing team at Destination Aesthetics Medical Spa. The ideal candidate is passionate about delivering safe, personalized treatments while upholding the highest standards of patient care, compliance, and professionalism. This role offers competitive pay, full benefits, and ongoing training opportunities-all within a collaborative, growth-focused culture. What You'll Do Perform injectable treatments such as Botox/Dysport, dermal fillers, and Sculptra with safety and precision. Guide patients through thoughtful consultations, creating personalized treatment plans that reflect their goals. Deliver natural, confidence-boosting results while ensuring patients feel comfortable and informed every step of the way. Document treatments accurately and provide supportive follow-up care to ensure satisfaction and safety. Build lasting relationships by combining expertise with compassionate communication. Stay engaged in ongoing learning to keep skills sharp and bring the latest best practices to patients. Collaborate with the team to create a seamless, luxury experience from start to finish. What We're Looking For Active RN, NP or PA license (state-specific; injector certification required) 2+ years of hands-on aesthetic injecting experience preferred Confident performing a variety of injectable treatments; advanced modalities a plus Strong knowledge of facial anatomy, aesthetic judgment, and advanced techniques Excellent communication, organizational, and patient education skills Professional, patient-first mindset with a passion for continuous learning and growth Collaborative spirit and ability to contribute positively to a team environment Bonus if you're trained in advanced aesthetic modalities such as PRP, PDO threads, lasers, or biostimulators (as permitted by license and state regulations) Qualifications Compensation & Perks At Destination Aesthetics, we go beyond competitive pay by offering benefits and perks designed to support you both inside and outside of work: Health & Wellness - comprehensive medical, dental, and vision coverage to keep you feeling your best Future Security - retirement savings with employer contributions, plus life insurance and disability coverage Beauty Budget - enjoy exclusive employee perks on treatments, products, and services, with allowances that grow each year Career Growth - continuing education allowances, national training opportunities, and mentorship from industry leaders Community & Recognition - access to AMP's network of injectors and KOLs, plus recognition programs that celebrate your achievements Recharge Time - flexible PTO and holiday closures to support balance and well-being Shared Success - profit-sharing opportunities for eligible management and support staff Our Culture Culture isn't just the way we work, connect, and succeed together. We've built an environment where: Teamwork comes first. You'll be surrounded by supportive, motivated teammates who want to see you succeed. Growth is constant. Whether it's career advancement, new skills, or personal development, we'll give you the tools to keep evolving. Community matters. Inside our clinics and beyond, we're committed to creating a space that's inclusive, welcoming, and built on trust. Celebrations are part of the journey. From AMP Rewards to team wins, we take time to recognize and cheer each other on. Driven by Values Leadership - Lead the Way Excellence - Be the Wow Growth - Pursue Growth Integrity - Be Honest Community - Cultivate Community Here, you're not just part of a workplace, you're a part of a family that's passionate about patient care, innovation, and making each day meaningful. Work Environment This role is based in a medical spa/clinical environment focused on safety, confidentiality, and superior service. Evening or weekend shifts may be required based on patient demand. Occasional travel for training or professional development may also be required. Equal Employment Opportunity Statement Advanced MedAesthetic Partners (AMP) is an equal opportunity employer and prohibits discrimination and harassment of any kind. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, marital status, pregnancy, veteran status, or other status protected by law.
    $63k-99k yearly est. 17d ago

Learn more about utilization review nurse jobs

How much does a utilization review nurse earn in Arden-Arcade, CA?

The average utilization review nurse in Arden-Arcade, CA earns between $66,000 and $127,000 annually. This compares to the national average utilization review nurse range of $47,000 to $89,000.

Average utilization review nurse salary in Arden-Arcade, CA

$92,000

What are the biggest employers of Utilization Review Nurses in Arden-Arcade, CA?

The biggest employers of Utilization Review Nurses in Arden-Arcade, CA are:
  1. Berkshire Hathaway
  2. Berkshire Hathaway GUARD Insurance Companies
  3. Humana
  4. Centerwell
  5. Elevance Health
  6. Guard Insurance Group
Job type you want
Full Time
Part Time
Internship
Temporary