Utilization review nurse jobs in Sacramento, CA

Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical information provided by the facilities to determine medical necessity when our members admit. You will also be involved with discharge planning and transfers as needed for higher levels of care or out of network admissions. Your Knowledge and Experience Bachelors of Science in Nursing or advanced degree preferred. Requires a current California RN License Requires at least 5 years of prior relevant experience Requires strong communication and computer navigation skills Desires strong teamwork and collaboration skills Requires independent motivation and strong work ethic Requires strong critical thinking skills Your Work In this role, you will: Perform prospective, concurrent and retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare and FEP Conducts clinical review of claims for medical necessity, coding accuracy, medical policy compliance and contract compliance Ensure discharge (DC) planning at levels of care appropriate for the members needs and acuity and determine post-acute needs of member including levels of care, durable medical equipment, and post service needs to ensure quality and cost-appropriate DC planning Prepare and present cases to Medical Director (MD) for medical director oversight and necessity determination and communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirements Develop and review member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standards and identify potential quality of care issues, service or treatment delays and intervenes or as clinically appropriate Refer to Case Management when there are acute inpatient needs affecting discharge Attend staff meetings, clinical rounds and weekly huddles Maintain quality and productivity metrics for all casework Buddy or support new employees Maintaining HIPAA compliant workspace for telework environment

**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. Alternate locations may be considered if candidates reside within a commuting distance from an office. _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._ ****Must be located in the state of California**** **Schedule:** **9:30am-6:00pm local time,** **with rotating weekends.** **New Grads are encouraged to apply!** 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:** + 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. + Knowledge in Microsoft office For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $31.54/hr. - $56.77/hr. 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.

**Become a part of our caring community and help us put health first** 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. **Use your skills to make an impact** **Required Qualifications** + Active unrestricted RN license with the ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + 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 **Preferred Qualifications** + Education: BSN or bachelor's degree in a related field + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Interview Format - HireVue** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. **Work-At-Home Requirements** 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 recommended; 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. **Benefits** Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including: + Health benefits effective day 1 + Paid time off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer match + Tuition assistance + Scholarships for eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities 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: 12-25-2025 **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 *************************************************************

THIS IS A STATEWIDE RECRUITMENT. THE INCUMBENT WILL BE HEADQUARTERED IN THE COUNTY NEAREST THE RESIDENCE OF THE SELECTED CANDIDATE. THE COUNTIES ARE: Butte, Contra Costa, Fresno, Kern, Orange, Riverside, Sonoma, Sacramento, San Joaquin, San Bernardino, San Diego, San Francisco, Santa Clara, Ventura, and Los Angeles. This job announcement is a re-posting. If you have already applied you do not need to re-apply, we have your application on file. This position supports the California Department of Public Health's (CDPH) mission and strategic plan by promoting quality of care and quality of life for residents, clients and patients in long-term health care facilities by assisting providers with questions to support compliance with all laws and regulations; responding to inquiries from licensed or certified healthcare providers to assist the facility in complying with all requirements for licensure and certification; and monitoring and analyzing data on facility performance and quality of care. The incumbent works under the general direction of the Health Program Manager II. Teleworking may be available for this position, in accordance with CDPH's Telework Policy and Procedures. Telework Information This position may be eligible for telework. The amount of telework permitted is at the discretion of the Department and is subject to change, consistent with CDPH's Telework Program. All employees who telework are required to be California residents in accordance with Government Code 14200. Candidates who reside outside of the state of California may be interviewed; however, the selected candidate must have a primary residency in the state of California prior to appointment (and continue to maintain California residency) as a condition of employment. Failure to meet this requirement may result in the job offer being rescinded. Travel may be required for this position. Reimbursement for travel takes into consideration an employee's designated headquarters, as reflected in the duty statement, and is subject to regulations and bargaining unit contract provisions. All commute expenses to the designated headquarters office will be the responsibility of the selected candidate. The headquarters office location for this position is identified in the attached duty statement. Please let us know how you heard about our position by taking this brief survey: ********************************************** In July 2025, the State of California implemented the Personal Leave Program (PLP) 2025. This program temporarily reduces employees' monthly base pay in exchange for paid leave credits. 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 ranges shown on this job posting do not reflect the salary reduction. You will find additional information about the job in the Duty Statement. Minimum Requirements You will find the Minimum Requirements in the Class Specification. * NURSE CONSULTANT I Additional Documents * Job Application Package Checklist * Duty Statement Position Details Job Code #: JC-486486 Position #(s): ************-001 Working Title: Nurse Consultant Classification: NURSE CONSULTANT I $7,190.00 - $9,486.00 A New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable. # of Positions: 1 Work Location: United States Telework: Hybrid Job Type: Permanent, Full Time Department Information At the California Department of Public Health (CDPH), equity, diversity, and inclusion are at the core of our mission to advance the health and well-being of California's diverse people and communities. We are genuinely and strongly committed to cultivating and preserving a culture of inclusion and connectedness where we can grow and learn together with a diverse team of employees. In recruiting for team members, we welcome the unique contributions that you can bring to us and the work we do. Health care facilities in California are licensed, regulated, inspected, and/or certified by a number of public and private agencies at the state and federal levels, including the CDPH Center for Health Care Quality (CHCQ) and the U.S. Department of Health and Human Services' Centers for Medicare and Medicaid Services (CMS). CHCQ is responsible for ensuring health care facilities comply with state laws and regulations. In addition, CHCQ cooperates with CMS to ensure that facilities accepting Medicare and Medi-Cal (in California, Medicaid is referred to as Medi-Cal) payments meet federal requirements. CHCQ also oversees the certification of nurse assistants, home health aides, hemodialysis technicians, and the licensing of nursing home administrators. * The salary information listed on this advertisement may not reflect recent salary increases from salary adjustments or changes in the fiscal year.* * CDPH is currently an E-Verify employer. * Department Website: *********************** Special Requirements For experience/education to qualify during the application screening process, and to ensure that minimum qualifications can be determined, applicants should include all employment history on the Employment Application (STD 678) and/or Resume, including detailed job descriptions, hours worked per week, and start/end dates (MM/DD/YYYY). Application packages without this information will experience delayed processing times and your eligibility for this position may be impacted. A completed State application (STD. 678) and any other relevant documents (e.g. unofficial transcript, copy of degree, resume, etc.) should be submitted electronically via your CalCareers Account. Please reference Job Control # (486486) and indicate the basis of your eligibility in the Examination(s) or Job Title(s) section. SROA and surplus candidates should submit a copy of their letter with their application. Please remove any confidential information (i.e. social security number, date of birth) from your documents prior to submission. 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 CalCareers Account at ********************** Submitting an electronic application through your CalCareers account is strongly recommended since electronic applications will be received/processed faster than other methods of filing. Please submit only one application. If you are unable to submit your application electronically through your CalCareers account, please email ***************** for assistance and a CDPH Human Resources Division staff member will contact you to assist with the online application process or, a hard copy application package may be submitted through an alternative method as explained in the How to Apply section below. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. * Will also consider Temporary Authorization Utilization (TAU) appointments- Candidates that meet the minimum qualifications for the classification but do not currently have eligibility on an employment certification list by having taken and passed an examination may apply as a TAU. TAU appointments are limited to a duration of 9 months within a 12 consecutive month period. In order for a TAU appointment to become permanent, individuals must take and pass the related examination, and thereby become eligible from a certification list, within 9 months of TAU appointment. Individuals who successfully obtain eligibility prior to the expiration of the TAU appointment will not be required to re-compete in a competitive process for permanent appointment to that position.* Application Instructions Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. 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: 12/18/2025 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. Individuals who are eligible for a Training and Development assignment may also be considered for this position(s). Temporary Appointments may be considered if conditions warrant. Temporary Appointments may be made to anyone regardless of eligibility. Temporary Appointments may not exceed 9 months and will require eligibility to be obtained through an examination process in order to transition to a permanent appointment. 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 Public Health CCAU Mailing Attn: Classification & Certification Unit P.O. Box 997378 MS 1700-1702 Sacramento, CA 95899-7378 Address for Drop-Off Application Packages You may drop off your application and any applicable or required documents at: Department of Public Health Exam Drop Off Examination Services Unit 1615 Capitol Avenue Suite 73.430 Sacramento, CA 95814 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. * Statement of Qualifications - Please see Statement of Qualifications instructions below at end of posting. Any applications received that do not provide a written response to the SOQ will not be scored/reviewed. 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. Benefits Benefit information can be found on the CalHR website and the CalPERS website. Contact Information The Human Resources Contact is available to answer questions regarding the application process. The Hiring Unit Contact is available to answer questions regarding the position. Department Website: *********************** Human Resources Contact: Human Resources Division ************** ***************** Hiring Unit Contact: Lorraine Martinez ************** ext: ***************************** 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: EEO Office ************** California Relay Service: ************** (TTY), ************** (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device. Statement of Qualifications (SOQ) Instructions PLEASE NOTE: Resumes, letters, Supplemental Questionnaire, transcripts, degrees, your state application, cover letters and other materials will not take the place of the Statement of Qualifications. Simply copying and pasting your resume will also not be accepted. Applications received without an SOQ may be rejected. Statement of Qualifications Question: Essay SOQ - A single essay question for the applicant to describe their knowledge, skills, and abilities related to the position. Arial font, 12 point, no more than 2 pages. 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.

Job Details Senior Tacoma, WA Hybrid Full Time 4 Year Degree $150000.00 - $210000.00 Salary/year Up to 50% Nursing Description Kalesta Healthcare Group, a California based senior living consultant company, is thrilled to be growing into the Pacific Northwest. Over the next 60-90 days, we will begin consulting services for 11 skilled nursing facilities throughout Washington and Oregon. In order to provide meaningful consulting services, we need to hire an inspired Washington based consultant team. These individuals will not only be experts in their respective disciplines, but will have hearts that are ready to uplift, nurture and heal all lives they impact as representatives of Kalesta Healthcare. If our approach is carried out in the right way, our facilities will be known as the provider and employer of choice in each market we serve. If you consider yourself an expert in your discipline and have a heart ready to uplift, nurture and heal thousands of lives in the PNW, we would love to meet you. Position Summary: We are seeking a highly motivated and experienced Clinical Services Director to lead and oversee the delivery of exceptional patient care within our organization. This role is pivotal in ensuring the quality, efficiency, and compliance of clinical services while fostering a collaborative and innovative environment for staff and stakeholders. Key Responsibilities: · Provide leadership and direction to clinical teams, including hiring, training, and performance evaluations. · Develop, implement, and monitor policies and procedures to ensure the highest standards of patient care. · Ensure compliance with all applicable healthcare laws, regulations, and accreditation standards. · Collaborate with other departments and external partners to enhance and coordinate clinical services. · Monitor and evaluate the quality of patient care through data-driven quality assurance programs. · Manage the department's financial performance, including budgeting, resource allocation, and cost optimization. · Stay informed about advancements in medical practices, technology, and healthcare trends to integrate improvements into clinical operations. · Address patient and staff concerns to resolve issues and improve service delivery. · Lead the development and implementation of new clinical programs and services to meet community and organizational needs. · Promote a culture of patient-centered care and continuous improvement within the organization. · Oversee clinical performance metrics and develop strategies to achieve organizational goals. · Facilitate staff education and professional development to ensure team competency and growth. · Act as the primary point of contact for external regulatory agencies and accreditation bodies. · Support emergency preparedness and response planning in collaboration with relevant departments. · Drive initiatives to improve patient satisfaction scores and overall care experiences. · Ensure adequate staffing levels through workforce planning and retention strategies. Qualifications Qualifications: · Bachelor's degree in nursing · 3 Years of experience in clinical management or leadership roles. · Strong understanding of healthcare regulations and compliance requirements. · Exceptional leadership, communication, and problem-solving skills. · Ability to work collaboratively with multidisciplinary teams. Work Environment: This position operates in a fast-paced healthcare setting, requiring a balance of strategic oversight and day-to-day management to ensure the delivery of outstanding patient care

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

Sacramento Post-Acute is a 5-Star 94-bed skilled nursing facility. We provide a range of services that include trach care, ventilator management, wound care, short-term rehabilitation, and daily living care for long-term patients. We currently have an opening for a full-time Case Manager Nurse. The schedule is Monday - Friday with flexible hours. Pay from $40-$45/hr. You will join an experienced team that consists of a Case Manager Assistant (handling transportation and re-auth insurance documentation), Social Services, IP Nurse, Rehab Director, Business Office, MDS, and Medical Records. Responsibilities: Manage HMO patients (non-Kaiser) from admission thru discharge. * Monitor patients' case throughout stay to ensure utilization of services and discharge planning are in accordance with plan of care. * Communicate with patient and/or family members. * Submit documentation for reauthorizations (initial authorizations are provided by admissions) * Collaborate with IDT to identify opportunities or barriers to patient care progression or a safe discharge. As with all of our staff we highly value the Case Manager as part of our team. Our culture is one of teamwork, fun and trusting each other. With us, you will have more than a job. You will be joining a family that prides itself on providing high-quality care services, wonderfully enriching, improving, and enhancing the lives of our staff, residents, and their families! And we are proud to offer the following benefits to all full-time staff. * BC / BS HMO or PPO or Kaiser Permanente Health Insurance * Health Savings Accounts * Dental insurance * 401(k) * Employee Assistance Program * Free continuing education units * And much more! We invite you to come into our center for a tour and to discuss the opportunity. Please send your resume or apply in person at: Sacramento Post-Acute 5255 Hemlock Street Sacramento, CA 95841 This Company Describes Its Culture as: * Detail-oriented -- quality and precision-focused * Outcome-oriented -- results-focused with strong performance culture * People-oriented -- supportive and fairness-focused * Team-oriented -- cooperative and collaborative

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.

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.

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)

Medication Nurse, LVN / LPN Shifts, Time, and Days: Part Time, weekend availbility Pay Range: $28-33/hr Oakmont of East Sacramento is a premier senior living community situated on a beautifully landscaped campus. Managed by Oakmont Management Group, we provide exceptional quality, comfort, and care with five-star services and amenities. Residents enjoy a rewarding lifestyle with individualized comprehensive support that promotes continuing independence. We deliver meaningful lifestyles and relationships with residents, families, and team members by developing a winning culture and living these values: Authenticity * Teamwork * Compassion * Commitment * Resilience. With communities across California, Hawaii, and Nevada, opportunities for career growth, relocation, and travel are significant. In addition, eligible team members may enjoy the following benefits: Medical, Dental, and Vision benefits Vacation, Personal Day, Sick Pay, Holidays Complimentary Meals Bonus Opportunities Company Paid Life Insurance Team Member Discount Program (LifeMart) 401(k) Savings Plan with Company Match Recognition Programs Student Loan Refinancing Tuition Reimbursement Pet Insurance Employee Assistance Program Emergency Financial Assistance The Medication Nurse is responsible for supervising and assisting in the administration of medications to residents as ordered by the attending physician, under the direction of the attending physician, and in accordance with established nursing standards, policies, procedures, and practices of the company. The Medication Nurse provides complete supervision of the medications room and/or cart, maintains a current account of all medications residents are taking, and completes all documentation required of the company s Medication policy. Responsibilities: Perform nursing duties as directed and in accordance with the appropriate scope of the Nurse Practice Act, including administering medications and performing treatments as ordered by a physician. The Medication Nurse is responsible for administering injections, suppositories, enemas, and medications associated with wound care in addition to medications usually assigned to a Medication Technician. Perform nursing duties associated with the Wellness Nurse role as assigned. Coordinate medication services with the resident, pharmacy, and physician. Order and track all medication changes, refills, and deliveries with pharmacies. Prepare medication for distribution to residents as per company policy. Assist residents with taking their prescribed medications. Observe and verify that medication is ingested or applied as directed. Document any instance where prescribed medication is not administered, including reason(s) for refusal, and notify the supervisor. Maintain accurate, complete, and confidential resident medication and care records according to company policy. Ensure all medication documentation is current and correct, including medication administration forms, physician s orders, and dosage changes. Keep medicine rooms and carts orderly, clean, and appropriately stocked. Maintain an inventory of all department supplies and re-order as needed. Control medication room/cart access at all times. Monitor Psychotropic medication use is congruent with physician s orders and ensures resident behaviors warrant the use of medication. Participate in and complete narcotic count at the beginning and end of each shift. Report any and all discrepancies to the supervisor immediately. Communicate with physicians, family members, and vendors, as needed. Understand the meaning and usage of common medical abbreviations, symbols, and terms relative to the administration of medications as used by the company, pharmacists, and physicians. Qualifications: Must be a Licensed Vocational Nurse or Registered Nurse holding a valid California nursing license in good standing Prefer one (1) year of experience assisting with medications at a Residential Care Facility for the Elderly (RCFE) Knowledge of and/or ability to learn the theory and practice of assisted living and dementia care Able to work with seniors and patiently interact with cognitively impaired individuals Able to be flexible, adapt and respond to change, make decisions in stressful situations, and prioritize tasks and projects. Able to process information and apply common sense understanding to follow and carry out written or oral instructions. Able to analyze, solve and respond to problems or concerns. Able to count and perform moderately complex math problems Must pass a Criminal Background check and Health Screening tests, including physical and TB Tests. For the health and safety of our team members and residents, Oakmont Management Group may require team members to vaccinate, participate in daily screening, surveillance testing, and to wear face coverings and other personal protective equipment (PPE) to prevent the spread of the COVID-19 or other communicable diseases, per regulatory guidelines. Oakmont Management Group, based in Irvine, California, is a recognized leader in the senior living industry that manages a portfolio of communities under the Oakmont Senior Living and Ivy Living brands. OMG serves thousands of seniors across communities in California, Nevada, and Hawaii. At OMG, we strive to create an atmosphere of family and community among team members, residents, and resident family members. We know that caring and meaningful relationships are the foundation of a rewarding life, and our team is hand-selected for their skills, previous experience, and passion for working with the elderly. Our practice is to incorporate joy and laughter alongside our expectations of excellence. Walk into our communities and feel our pride of ownership and commitment to service. Oakmont Management Group is an Equal Opportunity Employer.

Wellness Nurse Hiring Now! Aegis of Napa is looking for a Nurse to provide quality care to our residents. Are you looking for consistent hours that are not in acute care? The Wellness Nurse is an integral member of our nursing team, contributing health care expertise to promote an environment of optimal living for our residents. What We Offer: * Defined Growth Opportunities in Nursing Leadership * 401k * Flexible Schedules * PTO (paid time off) + Sick Pay +Appreciation Days * Tuition Assistance Program * Medical/ Dental/ Vision Responsibilities What You Will Do: * Provide nursing services to residents * Participate in training of care staff * Coordinate resident care with residents, families, and physicians * Communicate care plan changes to staff * Communication with families and physicians * Documentation and Investigation Reporting * Conduct fall risk assessments, skin assessments, pain assessments, Fast Scale assessments * Wound care * Audit eMARS, medication cart * Maintain accurate resident health records * Medication Management Qualifications Who You Are: * RN License that is active and in good standing * A passion to work with our amazing seniors! * Outstanding communication skills * Ability to work hard, support your team and build fun into the job * Must be willing to take TB test Who We Are: * Aegis Living is a national leader in retirement, assisted living and memory care; providing the finest in senior lifestyle emphasizing health, quality of life, well-being, and community. What Next? * Apply ONLINE OR Come visit us today #AegisCareers Min Salary USD $36.00/Hr. Max Salary USD $38.00/Hr.

Job Description With two decades of excellence, Kalologie Medspa stands as a premier destination for aesthetic and wellness treatments. Our team of highly trained experts is renowned for their personalized approach, providing safe, effective, and medically-proven treatments that achieve exceptional results. We are proud of our team based culture, with a genuine focus on well-being. As we continue to expand, we remain committed to our core values and a passionate pursuit of excellence. Position Overview: We are seeking experienced Registered Nurses(RN) to perform IV Infusion Therapy at our new location at Club Studio Citrus Heights. You thrive working in a fast-paced environment and are always willing to learn more and strengthen your skills to deliver the best service and results. The ideal candidate would have specialized training in infusion therapy. Key Responsibilities: Prepare and set up the IV infusion. Foster a calming atmosphere and closely monitor the IV administration process. Conduct client consultations to create customized treatment plans and deliver services that meet individual needs and goals. Educate clients on treatment processes, including detailed pre- and post-care instructions. Address client inquiries, respond to their needs, and manage expectations effectively. Ensure client safety and satisfaction throughout all treatments. Promote and suggest relevant retail products and additional services offered by the company. Maintain and sanitize equipment and manage inventory of products. Adhere to established treatment protocols. Keep detailed records, including client charts. Build and maintain a strong client base. Participate in training sessions and meetings as needed. Perform other assigned duties as required. Occasionally travel to other locations for training purposes. Qualifications: Active license as a Registered Nurse (RN), Nurse Practitioner (NP), Physician Assistant (PA) in the state of employment. Minimum of 2 years of relevant experience preferred. Experience in a clinical setting is a plus. Exceptional interpersonal and communication skills, with the ability to effectively interact with clients, colleagues, and managers. Ability to multitask, stay attentive to client needs, and adapt to business requirements. Strong team player with the ability to take initiative and work independently. Availability to work evenings and weekends is required. Kalologie offers a competitive salary with flexible schedules, generous service discounts, and ongoing training opportunities on new techniques, equipment and products. We promote continued growth and development through our rapidly expanding medical aesthetic clinics.

L&D Nurse Needed in Roseville, CA (Travel Assignment) 12hr days 36 hrs/wk 13 weeks Start Date ASAP Pay: $3,420wk $49.11/hr taxed $1,652/wk per diem eligibility For immediate consideration, email Resume, Certification, and Covid Status to yolanda.ramirez@expresspros.com or call/text 818-507-8579. If you're interested in other opportunities you don't see, give us a call! We have hundreds of openings in multiple locations and facilities!

Why Join DHCS? The Department of Health Care Services (DHCS) is the backbone of California's health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members and through collaboration with the federal government and other state agencies, counties, and partners for the care of low-income families, children, pregnant women, older adults, and persons with disabilities. This is an exciting opportunity to join our diverse team in the following role. If you are interested in joining our team, apply today! About this Role: DHCS is seeking qualified candidates who are passionate about enhancing the quality of care and reducing health disparities. The Nurse Consultant III (Specialist) serves as a clinical expert supporting Medi-Cal managed care plans in improving healthcare quality and advancing health equity. Quality Population Health Management is particularly interested in candidates with expertise in behavioral health, child health, or maternal health. This role provides technical guidance, interprets complex clinical data, and assists in designing and refining quality improvement initiatives. The incumbent collaborates with internal DHCS divisions and external stakeholders to align strategies, share best practices, and promote system-wide improvements. They also contribute to key departmental policies and publications and lead the planning and facilitation of quality improvement training sessions and statewide meetings with health plans. Have questions and/or need assistance? Contact *******************, we are here to help walk you through the state hiring process! This position is subject to the Department's Conflict of Interest Code and filing a Statement of Economic Interests (Form 700) when assuming office, annually while in office, and upon leaving office. This is a statewide recruitment, and the position may be located in the following locations: Sacramento, San Francisco, Richmond, Fresno, Los Angeles, Santa Ana, Rancho Cucamonga, Burbank or San Diego. This advertisement is posted as until filled. Applications will be reviewed on the first and third Monday of each month. If that day falls on a holiday, reviews will occur on the next business day. Reviews will continue monthly until selections are made. Results from the Nurse Consultant III (Specialist) examination with a final file date of 12/30/2025 is currently in progress and will be utilized for filling this position. You will find additional information about the job in the Duty Statement. Working Conditions Please see the Telework and Salary Information section below for telework, reporting location, and temporary statewide salary reduction details. Minimum Requirements You will find the Minimum Requirements in the Class Specification. * NURSE CONSULTANT III (SPECIALIST) Additional Documents * Job Application Package Checklist * Duty Statement Position Details Job Code #: JC-498264 Position #(s): 803-097-8181-005 Working Title: Clinical Quality & Health Equity Performance Improvement Consultant 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. # of Positions: Multiple Work Location: United States Telework: Hybrid Job Type: Permanent, Full Time Department Information DHCS' purpose is to provide equitable access to quality health care leading to a healthy California for all. DHCS is a dynamic organization with ambitious goals and talented, committed employees. We work hard every day to fulfill our vital responsibility to support the delivery of quality health care to Californians. DHCS is committed to addressing disparities within our organization and in our communities through efforts toward greater diversity, equity, and inclusion. This is accomplished, in part, by a commitment toward employing a diverse workforce that reflects the many communities we serve, and by promoting and enforcing equal employment opportunity. Take a look at some of DHCS' recent projects and happenings that our Department has accomplished in the DHCS Newsroom. Special Requirements Simple Application Steps If you are interested in this position, complete the following simple steps: * Review the education and experience minimum qualifications (MQ's) of the Nurse Consultant Series Minimum Qualifications. See the Minimum Requirements section above. * Complete the statement of qualifications and the state application by clicking "Apply Now" above. See below for detailed application instructions. * Submit your application package with all required documents, which include the statement of qualifications - see the "Required Application Package Documents" section below. * Once you have applied, take the Nurse Consultant III (Specialist) CalCareers Examination. If using education to meet classification MQ pattern: Education: If you are meeting minimum qualifications with education, you must include a copy of your diploma/degree and/or unofficial/informal transcripts for verification. Official transcripts may be required upon appointment. Statement of Qualifications Requirement Section Applicants must include a Statement of Qualifications (SOQ) for this recruitment. The SOQ is a narrative discussion, not a cover letter, prepared by the applicant describing how their skills, knowledge, abilities, education, training, and experience, qualify them for the position. The SOQ serves as documentation of the applicant's ability to present information clearly and provide DHCS additional information about their experience and qualifications concisely in writing. The DHCS may not consider applicants who fail to provide an SOQ with their application. Resumes do not take the place of the SOQ. The SOQ must be no more than two pages in length, single-spaced and using 12-point font. You must indicate your Full Name and Job Control Number at the top right corner. Candidates who do not complete and submit an SOQ may not be considered for this position. Explain your experience related to quality improvement work, including examples of skills and understanding of QI tools such as fishbone diagrams, SWOT analysis, Pareto charts, PDSA, etc. Provide examples of how you've applied this knowledge in real-world settings to drive positive change through quality improvement. Position requires employee to have and maintain a valid California Nursing License. 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 Health Care Services Mailing Attn: Certification Technician JC 498264 M.S. 1300 P.O. Box 997411 Sacramento, CA 95899-7411 Address for Drop-Off Application Packages You may drop off your application and any applicable or required documents at: Department of Health Care Services Drop-Off Certification Section JC 498264 1501 Capitol Avenue, Suite 71.1501 Sacramento, CA 95814 Monday - Friday (excluding holidays) 08:00 AM - 04:00 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. * Statement of Qualifications - Refer to the Statement of Qualifications Requirement Section for instructions. 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: * Experience with quality improvement and health equity programs. * Ability to work collaboratively with both clinical and non-clinical staff. Benefits DHCS is dedicated to creating an innovative workplace for its team members that is inclusive, diverse, and interactive! Here are a few of the ways we stay engaged with our team: * Continuous and ongoing training * Diversity, Equity, and Inclusion program activities * Employee Assistance Program (EAP) Additionally, as a team member of the State of California, you may be eligible for many benefits, such as: * Medical, including health, dental, and vision insurance. * Paid Holidays and vacation/leave * Defined retirement program * Savings Plus Program (401(k), 457) * Medical/Dependent Care Reimbursement Accounts Full benefits information can be found on CalHR's California State Civil Service Employee Benefits Summary DHCS 2023-2027 Strategic Plan provides more information about our commitment to serving Californians and organizational excellence. We need your help! Please let us know how you heard about our position by taking this brief optional survey: SurveyMonkey link. This survey is not required to be considered for this position. Contact Information The Hiring Unit Contact is available to answer questions regarding the position or application process. Hiring Unit Contact: Peter Min ************** ********************* 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: 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. Telework and Salary Information This position is currently eligible for telework up to three days per week and is required to report in person a minimum of two days per week. This position may be eligible for telework up to five days a week, contingent on operational business needs. The amount of telework is at the discretion of the Department and is subject to change consistent with DHCS' Telework Program and Government Code sections 14200 - 14203. Telework is available to California residents, and proof of residency may be required. The selected candidate will be assigned an available DHCS office closest to their residence prior to their start date. The selected candidate will be required to report to their assigned DHCS office and other DHCS locations as needed. Business travel may be required, and reimbursement considers an employee's designated office and residence, subject to regulations and bargaining unit contract provisions. All commute expenses to the reporting location will be the responsibility of the selected candidate. For a list of possible DHCS office assignment locations, please reference the reporting location document attached to the duty statement on this job advertisement. Personal Leave Program (PLP) 2025 agreement Effective July 1, 2025, the California Department of Human Resources (CalHR) implemented the temporary Personal Leave Program 2025 (PLP 2025). PLP 2025 directs that each employee receive a temporary reduction in pay in exchange for PLP 2025 leave credits. The temporary salary reduction percentage and the number of PLP 2025 leave credits are based on the position's associated bargaining unit. The salary range(s) included in this job advertisement do not include the temporary salary reduction. Please reach out to the hiring unit contact listed on this job advertisement for details. Additional Information Using the online application system as specified in the announcement is the preferred method of applying for civil service job opportunities; however, applicants may instead apply by way of U.S. mail, parcel delivery or courier service, or in person, as set forth in this announcement. Paper applications must include a signature. Dates printed on envelopes by mobile barcodes or equivalent mobile print technology are not acceptable proof of the date the application and any other required documents or materials were filed. Applicants must state their basis of eligibility (List Eligibility, Lateral Transfer, Reinstatement, T&D, or Surplus/SROA), and the Job Control (JC) number and/or position number in the "Examination(s) or Job Title(s), For Which You Are Applying" section on the STD. 678. Surplus/SROA candidates should submit a copy of their letter with their application. Please remove any confidential information (i.e., social security number, date of birth, etc.) as well as any information regarding your LEAP eligibility and/or exam scores from your documents prior to submission. All information on the Employment Application (STD 678) must be completed. Applicants should include all employment history on the Employment Application (STD 678), including detailed job descriptions, hours worked per week, and start/end dates (MM/DD/YYYY). Resumes or other documents may not be substituted for the Employment Application (STD 678). If applying electronically, please note that CalCareers no longer allows applicants to withdraw their applications. If you need assistance to withdraw your application, please contact the Recruitment Section at *******************. For all other questions regarding your CalCareer account, please contact CalHR's CalCareers Unit at ************** or ********************** 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.

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.

Telephonic Nurse Case Manager II Sign on Bonus: $5000. Location: 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. Must reside in California. 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. Hours: Monday - Friday 9:00am to 5:30pm with 1-2 late evenings 11:30 am to 8:00 pm PST. * This position will service members in different states; therefore, Multi-State Licensure will be required. The Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. How you will make an impact: * Ensures member access to services appropriate to their health needs. * Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. * Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. * Coordinates internal and external resources to meet identified needs. * Monitors and evaluates effectiveness of the care management plan and modifies as necessary. * Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. * Negotiates rates of reimbursement, as applicable. * Assists in problem solving with providers, claims or service issues. * Assists with development of utilization/care management policies and procedures. Minimum Requirements: * Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * Current, unrestricted RN license in applicable state(s) required. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred Capabilities, Skills and Experiences: * Case Management experience is preferred. * Certification as a Case Manager is preferred. * Minimum 2 years' experience in acute care setting is preferred. * Managed Care experience is preferred. * Ability to talk and type at the same time is preferred. * Demonstrate critical thinking skills when interacting with members is preferred. * Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly is preferred. * Ability to manage, review and respond to emails/instant messages in a timely fashion is preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $38.75 to $63.42 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. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Your Role Work Schedule: Monday - Thursday 10:30am-7pm; Friday 9:30am-6pm The Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive assessment of the member's needs. The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians. Your Knowledge and Experience Requires a current CA RN License Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements Requires at least 5 years of prior experience in nursing, healthcare or related field Bachelor of Science in Nursing or advanced degree preferred. Requires relevant behavioral health experience. Comprehensive knowledge of case management, discharge planning, utilization management, disease management and community resources. Able to operate PC-based software programs including proficiency in Word and Excel. Strong clinical documentation skills, independent problem identification and resolution skills. Strong supervisory, communication, abstracting skills with strong verbal and written communication skills and negotiation skills. Competent understanding of NCQA and federal regulatory requirements. Knowledge of coordination of care, prior authorization, level of care and length of stay criteria sets desirable. Demonstrates professional judgment, and critical thinking, to promote the delivery of quality, cost-effective care. This judgment is based on medical necessity including intensity of service and severity of illness within contracted benefits and appropriate level of care. Demonstrate leadership, project management and program evaluation skills and ability to interact with all levels including senior management and influence decision-making. Your Work In this role, you will: Coordinates care for Lower Level of Care such as Residential Treatment, Partial Hospitalization Program, Intensive Outpatient Program, other outpatient services, and community programs as appropriate. 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 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 Applies detailed knowledge of FEP PPO and Blue Shield of California's (BSC) established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each case. Performs effective discharge planning and collaborates with member support system and health care professionals involved in the continuum of care. Provides disease management education on core chronic conditions (Diabetes, Heart Failure, COPD, Asthma and Coronary Artery Disease). Determines, develops and implements a plan of care based on accurate and comprehensive assessment of the member's needs related to behavioral health. Must be able to sit for extended periods of time and read information on one computer screen and apply that information on a second computer screen to complete documentation.

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)