Utilization review nurse jobs in San Mateo, CA - 261 jobs

Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI-powered platform was purpose-built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most-their patients. Our enterprise-grade technology transforms patient-clinician conversations into structured clinical notes in real-time, with deep EMR integrations. Powered by Linked Evidence and our purpose-built, auditable AI, we are the only company that maps AI-generated summaries to ground truth, helping providers quickly trust and verify the output. As pioneers in generative AI for healthcare, we are setting the industry standards for the responsible deployment of AI across health systems. We are a growing team of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care make more sense. We have offices located in the Mission District in San Francisco, the SoHo neighborhood of New York, and East Liberty in Pittsburgh. The Role Abridge is seeking a Nurse Scientist to drive the development of our AI-powered nursing documentation tools. The ideal candidate is a current/former Practicing Nurse with a strong background in Nursing Informatics and technical expertise, blending clinical knowledge with experience using informatics to drive the development of new technologies. In this role, you will help shape AI-driven documentation tools, ensuring our models generate accurate, high-quality nursing notes that enhance nurses' efficiency and patient care. You'll work closely with engineers, researchers, and other clinicians to refine AI models, validate outputs, and develop new capabilities that improve documentation workflows. This is a high-impact opportunity to be a part of developing the product that will help nurses concentrate on what matters most- connecting with patients and delivering exceptional care. What You'll Do * Develop and refine AI-driven nursing documentation tools using clinical expertise and collaborating with prompt engineers. * Design experiments to assess and validate the accuracy of AI-generated nursing documentation and provide structured feedback. * Build and refine evaluation tools to streamline nursing documentation quality assessment. * Collaborate with cross-functional teams (ML researchers, data scientists, clinicians) to integrate nursing insights into AI models. * Contribute to product development and broader business initiatives. What You'll Bring * RN, or PhD with direct experience working in nursing practice * Deep understanding of nursing documentation, nursing workflows, and nursing terminology * Ability to evaluate AI-generated clinical notes using a data-driven approach, provide structured feedback, and guide improvements * Hands-on experience in clinical data validation and quality assessment. * Strong knowledge of healthcare data standards (e.g., FHIR, HL7) and privacy regulations (e.g., HIPAA) * Experience collaborating with engineers and product teams to build AI-powered clinical tools * Strong analytical and problem-solving skills * Excellent written and verbal communication skills Bonus Points If... * Experience in software engineering, particularly in prompt engineering or AI model development * Previous experience in AI-powered clinical documentation tools or clinical decision support systems * Published research in AI, machine learning, or healthcare technology Must be willing to work from our SF or NYC office at least 3x per week This position requires a commitment to a hybrid work model, with the expectation of coming into the office a minimum of (3) three times per week. Relocation assistance is available for candidates willing to move to San Francisco. We value people who want to learn new things, and we know that great team members might not perfectly match a job description. If you're interested in the role but aren't sure whether or not you're a good fit, we'd still like to hear from you. Why Work at Abridge? At Abridge, we're transforming healthcare delivery experiences with generative AI, enabling clinicians and patients to connect in deeper, more meaningful ways. Our mission is clear: to power deeper understanding in healthcare. We're driving real, lasting change, with millions of medical conversations processed each month. Joining Abridge means stepping into a fast-paced, high-growth startup where your contributions truly make a difference. Our culture requires extreme ownership-every employee has the ability to (and is expected to) make an impact on our customers and our business. Beyond individual impact, you will have the opportunity to work alongside a team of curious, high-achieving people in a supportive environment where success is shared, growth is constant, and feedback fuels progress. At Abridge, it's not just what we do-it's how we do it. Every decision is rooted in empathy, always prioritizing the needs of clinicians and patients. We're committed to supporting your growth, both professionally and personally. Whether it's flexible work hours, an inclusive culture, or ongoing learning opportunities, we are here to help you thrive and do the best work of your life. If you are ready to make a meaningful impact alongside passionate people who care deeply about what they do, Abridge is the place for you. How we take care of Abridgers: * Generous Time Off: 14 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees * Comprehensive Health Plans: Medical, Dental, and Vision coverage for all full-time employees and their families. * Generous HSA Contribution: If you choose a High Deductible Health Plan, Abridge makes monthly contributions to your HSA. * Paid Parental Leave: Generous paid parental leave for all full-time employees. * Family Forming Benefits: Resources and financial support to help you build your family. * 401(k) Matching: Contribution matching to help invest in your future. * Personal Device Allowance: Tax free funds for personal device usage. * Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits. * Lifestyle Wallet: Monthly contributions for fitness, professional development, coworking, and more. * Mental Health Support: Dedicated access to therapy and coaching to help you reach your goals. * Sabbatical Leave: Paid Sabbatical Leave after 5 years of employment. * Compensation and Equity: Competitive compensation and equity grants for full time employees. * ... and much more! Equal Opportunity Employer Abridge is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability. Staying safe - Protect yourself from recruitment fraud We are aware of individuals and entities fraudulently representing themselves as Abridge recruiters and/or hiring managers. Abridge will never ask for financial information or payment, or for personal information such as bank account number or social security number during the job application or interview process. Any emails from the Abridge recruiting team will come from *************** email address. You can learn more about how to protect yourself from these types of fraud by referring to this article. Please exercise caution and cease communications if something feels suspicious about your interactions.

Labor and Delivery travel nurse job in San Francisco, CA - earn $2,602/week on a 14 week, Nights shift at a travel-friendly hospital with Advantis Medical. Looking for Labor and Delivery travel nursing jobs near you? This contract follows a (3×12) schedule and offers high pay, clinical experience, and the full support of the #1 rated travel nurse agency. Whether you're planning your next assignment in California or searching for "Labor and Delivery travel RN jobs near me", this opportunity could be the perfect fit. This travel assignment is perfect for nurses looking to be near San Francisco, CA. Don't miss out-click "I'm Interested" to start your application and connect with an Advantis recruiter to explore more travel Labor and Delivery nurse jobs near you. Job Details Facility: UCSF Health Medical Center at Mission Bay Location: San Francisco, CA 94158 Explore the area! See our local guide and an interactive map further down this page. Contract Length: 14 Weeks Shift: Nights (3×12) Travel Nursing Requirements: 2+ years of recent Labor and Delivery nursing experience. Active California RN License or Compact License (if applicable) Benefits Day One Benefits - Medical, Dental, Vision & 401(k) Relocation and Travel Reimbursement Dedicated team to help with travel & housing accommodations Weekly Direct Deposit $500 Referral Bonuses Near San Francisco, CA San Francisco, CA In San Francisco, CA, dense districts link by Muni and BART, and Golden Gate Park offers green space between shifts. Waterfront promenades and hilltop overlooks make short resets simple. Many travelers base in Daly City, Oakland, and South San Francisco, within easy reach of central corridors. For clinicians weighing travel RN jobs near me, openings stay steady across inpatient and ambulatory settings while travel nursing jobs remain consistent. That mix keeps San Francisco, California a transit-rich home base for varied contracts. FAQs - Labor and Delivery Travel Nurse Jobs Near San Francisco, CA Expand All Are there Labor and Delivery travel nursing jobs near San Francisco, California? Yes! Advantis Medical frequently staffs Labor and Delivery travel RN jobs in San Francisco and nearby areas like Oakland (94612), Berkeley (94704) and San Jose (95112). This assignment offers $2,602 per week and is one of our top current opportunities. Is San Francisco a good location for Labor and Delivery travel nursing jobs? Yes. With competitive pay, career-boosting clinical environments, and great local lifestyle perks, San Francisco is a top destination for Labor and Delivery travel nurse jobs in California. What certifications are required for this L&D travel nurse job? Most L&D nurse jobs will require Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), and Neonatal Resuscitation Program (NRP) certifications. For high-risk OB roles, certifications like AWHONN Fetal Heart Monitoring are often preferred. Click "I'm Interested" to connect with a recruiter who can walk you through exactly what's needed for this role. Can I work as a travel nurse in California with a compact nursing license? California Board of Nursing Contact information Website: https://www.rn.ca.gov/ Phone: 916.322.3350 Fees License by Exam: $150 (+$200 exam fee) License by Endorsement: $150 Fingerprinting: $49 Temporary License: $50 Timing Processing Time: 3 - 6 months Valid for: 2 years Renewal Schedule: every 2 years, by your birthday General Information Nurse Licensure Compact: No Nursys: Yes CEU Requirements: CEU Requirements: 30 hours Helpful Links Apply Now Check Status Verify License License Renewal Travel Nursing Jobs With Advantis Medical - The Gold Standard At Advantis Medical Staffing, we take great pride in our commitment to caring for travel nurses. We are dedicated to connecting nurses with the best travel nursing jobs nationwide, while providing exceptional service that fosters a trusted partnership for life. Our mission is to deliver the "Gold Standard" in service -not only by securing your first assignment but by advocating for your long-term career goals and well-being. Experience our gold standard level of service as we create a stress-free and rewarding journey for you. View Similar L&D Jobs ⟶ Travel Nursing Job in San Francisco, CA Weekly Pay: $2,602 This pay combines taxable wages and tax-free stipends. For a full, transparent breakdown, submit the "I'm Interested" form, & a recruiter will send you the details. × Location: San Francisco, CA 94158 Explore the area! See our local guide and an interactive map further down this page. × Facility: UCSF Health Medical Center at Mission Bay Specialty: Labor and Delivery Duration: 14 weeks Shift: Nights (3x12) I'm Interested Have a question? Call us at 214-305-6445

**Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._ **Work schedule:** Monday - Friday 9:30am - 6pm local time, **with rotating weekends.** **(Saturday 8am-12pm CST, with a comp day during the week)** The **Nurse Reviewer I** will be responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. + Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member benefits. + Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners with more senior colleagues to complete non-routine reviews. + Through work experience and mentoring learns to conduct medical necessity clinical screenings of preauthorization request to assess assessing the medical necessity of diagnostic imaging procedures, out of network services, and appropriateness of treatment. **How you will make an impact:** + Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. + Conducts initial medical necessity review of exception preauthorization requests for services requested outside of the client health plan network. + Notifies ordering physician or rendering service provider office of the preauthorization determination decision. + Follows-up to obtain additional clinical information. + Ensures proper documentation, provider communication, and telephone service per department standards and performance metrics. **Minimum Requirements:** + Requires AS in nursing and minimum of 3 years of clinical nursing experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or any combination of education and experience, which would provide an equivalent background. + Current unrestricted RN license in applicable state(s) required. **Preferred Skills, Capabilities, and Experiences :** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PPO and POS plans strongly preferred. + BA/BS degree preferred. + Previous utilization and/or quality management and/or call center experience preferred. + RN Compact License is strongly preferred; CA RN License is also preferred. + Experience in cardiology/radiology is preferred but not required. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $36.27 to $56.77 Locations: California. In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

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

Benefits: Competitive salary Health insurance Opportunity for advancement Care Coordination Department Manager (Acute INPT Case Management) Contract Location: Greenbrae, CA 94904 Duration: 13 weeks (Extension Possible) Shift: 5x 8hrs day shift, no weekends Minimum Years of Experience: 5 years Compensation Details: Gross Hourly Pay Rate: $100/hr (Stipend Available) Airfare/Mileage Reimbursement: Upto $500 Specialty: Nursing Sub Specialty(s): Nursing Manager/Director Job Description: Located in Marin County, California, Medical Center is currently seeking an Care Coordination department Manager. Interested Candidates must have the following experience, Minimum of 5 years of previous Care Coordination management/operations experience. STRONG BACKGROUND IN CASE MANAGEMENT AND UTILIZATION REVIEW REQUIRED. This candidate must have previous experience working in a union environment. Expert knowledge of key perioperative standards and compliance specifications (AORN, ASPAN, AAMI, Title-22, OSCHA, etc.) Shift and Schedule: 5x 8hrs day shift, Monday - Friday. 40hrs guaranteed.

San Mateo Medical Center is currently seeking one Full-Time Case Management Nurse to focus on Utilization Review and Discharge Planning. At San Mateo Medical Center, we are always seeking ways to enhance the already impressive services we offer. This dedication to excellence is reflected in the exceptional care we provide and the extraordinary professionals who provide it. Here, you will have the chance to develop your talents with a skilled team of people who actively support and encourage each other's success. If you are ready to open new doors for your career, join us today! Exciting news! Candidates have the opportunity to receive a sign-on bonus of up to $30,000. First-time external new hires, or current staff promoted internally or from other County departments into a regular Supervising Physician position in San Mateo Medical Center (SMMC) may be eligible to receive a sign-on bonus of up to $30,000 (subject to discontinuation at any time). The sign-on bonus will be in 3 phases and will be prorated for part-time. The Case Management Nurse will manage patient admission and ongoing stay reviews for patients with chronic or complicated medical conditions; work closely with patients and their loved ones and interdisciplinary team to evaluate patients' needs and come up with a comprehensive discharge plan that speaks to their preferences and goals; oversee appeals with third-party payors; and initiate and coordinate complex discharge plans. This position will focus on acute inpatient psychiatry, the Medical Surgical Unit and the Intensive Care unit. The incumbent will be responsible for retrospective and concurrent Utilization Review activities, discharge planning, and for monitoring documentation, accuracy, and clinical compliance, in accordance with State and Federal regulations. In conjunction with other members of the health care team, the Case Management Nurse is accountable for timely coordination of quality health care services to meet the patient's health care needs across the continuum of care. This position requires knowledge of the development stages, as services are provided to infants, children, adolescent, pediatric, adult, and geriatric populations. The ideal candidate will possess one or more of the following: * At least two years of recent, direct, and proven experience in Nurse Case Management in an acute care setting or at least two years of acute care hospital nursing experience. * At least two years of experience with industry published standards of level of care (i.e. InterQual or Milliman, etc.). * A Basic Life Support (BLS) certificate. * Experience working with diverse, underserved populations. NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies. NOTE: The extra-help, at-will assignment, is paid on an hourly basis. Some extra help positions are eligible for benefits under the Affordable Care Act. Extra help employees are not guaranteed permanent status at the end of the assignment. Duties may include, but are not limited to, the following: * Identify problem situations or patient care issues; analyze, interpret, advise and consult with staff and other health care professionals to ensure patient order status reflects the correct level of care. * Interpret and modify the system of patient care delivered by evaluating and reviewing standard practices and initiating new procedures. * Provide consultation and guidance to providers to understand and ensure appropriate care is provided based on patient level of care needs. * Advise the nursing staff in the establishment and maintenance of records of treatments given and the related progress of each patient for the purpose of analyzing patterns, synthesizing actions and evaluating patient care plans. * Resolve unusual or unique patient care problems or situations, which require analytical, interpretative and constructive thinking. * Formulate and develop plans, procedures and program content designed to meet specifically identified training/educational needs of nursing staff. * Conduct formal classroom instruction in the more difficult or complex areas of nursing technology requiring a knowledge and understanding of the scientific principles and theoretical concepts underlying specific nursing procedures or techniques. * Formulate, and/or collaborate with other health care practitioners to identify relevant clinical problems and conduct research to bring about their resolution. * Communicate research findings by publication and presentation at professional meetings. * Evaluate nursing research literature and own research findings for implementation and incorporation as appropriate, into patient care activities. * Prepare formal and informal descriptive articles in the specialty area for publication in national periodicals or for use in staff meetings. * Serve as role model and resource person for staff and members of the interdisciplinary team. * Perform related duties as assigned. Licensure/Certification: * Possession of a California license as a Registered Nurse. Additional Qualifications for Restricted Positions: * Specific qualifications are required beyond those specified above for the assignments listed below. Case Management Nurse - Must have knowledge of and verifiable experience in initiating and coordinating complex discharge plans, appeals for acute days and clinical denials and criteria for lower level license care. Must have experience with interpretation and application of health industry utilization review criteria. If designated for acute in-patient psychiatry, must have knowledge and verifiable experience in psychiatric patient treatment trajectory and the respective utilization review criteria. Knowledge of: * Advanced principles and practices in specialty areas. * Nurse Practice Act. * Current nursing and related medical theory and skills necessary to administer nursing care within assigned clinical setting. * Safety and infection control practices. * Clinical systems, supplies and equipment. * Modern principles, techniques, and procedures of nursing. * Medical terminology. * Use and maintenance of medical instruments and equipment. * Use and effects of medicines. * Public health principles. * Health promotion and disease prevention. * Medical research principles and practices. * Principles of training and education. * Lean principles and methodologies. * Data abstraction and utilization. * Basic statistics for reporting purposes. * Report writing. * Regulatory and accreditation requirements for assigned area. Skill/Ability to: * Provide leadership and direction to multi-disciplinary medical teams. * Give direction to staff. * Evaluate the work of others. * Develop and present training and continuing education programs. * Design, evaluate, construct and modify research models; carry out research and present findings. * Perform the full range of nursing duties and responsibilities. * Prepare clear and concise medical record documentation. * Write articles for publication on areas of specialty. * Identify problems or discrepancies and make suggestions for corrective actions. * Teach and orient staff. * Establish and maintain effective working relationship with patients and staff members. * Communicate effectively. Education and Experience: * Associate Degree in Nursing with two years clinical experience including one year in a clinical specialty area, or * Baccalaureate Degree in Nursing or a health related field with one year of clinical experience including six months in a clinical specialty area, or * Masters degree in Nursing. Departmental Promotional Only. Only current County of San Mateo employees in San Mateo County Health with at least six months (1040 hours) of continuous service in a classified regular, probationary, Confidential and Management extra-help/limited term, and SEIU or AFSCME represented extra help/limited term positions prior to the final filing date may apply. The examination will consist of an interview (weight: 100%). Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations, or a screening committee may select those applicants whose education and/or experience appear to best meet the needs of the position based solely on the information provided in the application materials. Because of this screening process, all applicants meeting the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in San Mateo County, California, and applicants must participate at their own expense. IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the "Apply" button. If you are not on the County's website, please go to *********************** to apply. A resume will not be accepted as a substitute for the required information and supplemental questions in the online application. Responses to the supplemental questions must be submitted to be considered for this position. Online applications must be received by the Human Resources Department before midnight on the final filing date. TENTATIVE RECRUITMENT SCHEDULE DEADLINE TO APPLY: February 4, 2026, BY 11:59 PM PST APPLICATION SCREENING: February 6, 2026 COMBINED PANEL/DEPARTMENTAL INTERVIEWS: February 18, 2026 About the County San Mateo County is centrally located between San Francisco, San Jose, and the East Bay. With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically, and linguistically diverse communities. The County of San Mateo, as an employer, is committed to advancing equity to ensure that all employees are welcomed in a safe and inclusive environment. The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply. Eighty percent of employees surveyed stated that they would recommend the County as a great place to work. The County of San Mateo is an equal opportunity employer committed to fostering diversity, equity, and inclusion at all levels. Analyst: Carolyn Burns (012126) (Clinical Nurse - F011)

Provides case management services to a caseload of low- and medium-risk patients. Interviews patients and their caregivers to evaluate needs, goals, and current services. Proposes process improvements for determining initial eligibility, benefits, and education for all admissions, leveraging advanced knowledge to assess medical necessity and required level of care to inform physicians. Analyzes and ensures authorization data and escalates inaccuracies. Develops a client-focused case management plan in collaboration with healthcare team, patient, and caregivers that is consistent with regulatory, accreditation, and regional guidelines. Assists patients with gaining access to care based on their needs, making referrals as appropriate. Coordinates resources and services to assure continuity and quality of care. Attends case management rounds with clinician and updates authorizations and diagnoses as needed. Assesses patient progress toward treatment milestones and care plan goals. Identifies barriers to achieving goals and ensures that they are discussed with the patient and care team thoroughly. Verifies that all services remain consistent with established guidelines and standards. Documents the patients case in all medical files. Reviews benefits/services available to patients, caregivers, and other members of the community and addresses identified concerns. Connects patients and caregivers with the right entities to assist with benefits/coverage needs. Identifies patients ready for disposition planning activities. Develops and communicates a comprehensive disposition plan in collaboration with the patient, caregivers, physician, nurses, social services, and other healthcare providers and agencies. Obtains authorizations as needed for patient services. Recommends and attends professional seminars, workshops, and approved educational programs and workshops. Monitors and reviews operational team data and key metrics applied to own work. Makes suggestions for change or improvement as needed. Ensures adherence to regulatory requirements by implementing policy updates. Essential Responsibilities: Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome. Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions. Drives services related to the initial case assessment by: interviewing patients and their families to evaluate needs, goals, and current services independently; identifying and proposing process improvements for determining initial eligibility, benefits, and education for all admissions; analyzing and ensuring authorization data (e.g., authorization data regarding admitting/principle diagnoses, bed type(s), and disposition data for accuracy, after visit summary) and correcting and escalating inaccuracies; recommending and designing research plans that identify new and/or existing options to assure that quality, cost-efficient care is provided; and leveraging advanced knowledge to assess medical necessity for hospital admission and required level of care to inform physicians. Provides services related to monitoring and evaluating plan of care by: coordinating resources and services to assure continuity and quality of care, sharing advanced knowledge with others, and developing strategies; updating authorizations, attending case management rounds with clinicians, and updating diagnoses as needed; contacting own patients periodically to assess progress toward treatment milestones and care plan goals, and beginning to coordinate team members to do the same; identifying barriers to achieving goals and ensuring that they are discussed with the patient and care team thoroughly, and guiding team members doing the same; promoting best practices for verifying that all services remain consistent with established guidelines and standards; and documenting/updating the patients case in all medical files while sharing standards with the team. Drives services related to the case-planning process by: creating a client-focused case management plan with treatment goals based on the patients and familys/caregivers needs independently; collaborating independently with health-care team, patient, and caregivers to assure plan of care is safe, agreeable, and appropriate; and validating that the plan is consistent with regulatory, accreditation, and regional guidelines independently, and sharing feedback with team members as needed. Supports efforts to remain updated on current research, policies, and procedures by: researching, recommending, and attending pertinent seminars, workshops, and approved educational programs and workshops specific to professional needs; implementing systems, processes, and methods to maintain team knowledge of community resources; monitoring and/or reviewing operational team data and key metrics applied to own work; making suggestions for change or improvement as needed, and helping others to develop ideas as needed; and implementing policy updates to ensure that regulatory requirements are being met. Provides services related to patient disposition by: performing daily review for early identification of disposition planning activities; developing, evaluating, coordinating, and communicating a comprehensive disposition plan in collaboration with the patient, family, physician, nurses, social services, and other healthcare providers and agencies to meet each patients personal, psychosocial, economic, and cultural needs independently; and leveraging advanced knowledge to create, obtain, and approve authorizations/approvals as needed for services for the patient. Connects patients with existing services by: guiding others to assist patients with gaining access to care based on their needs, integrating or referring them into existing programs/services, and resolving moderately complex issues; referring patients independently to outside entities, ambulatory case managers, care managers, social workers, and/or internal/external resources as appropriate; utilization management for internal case management post acute care services; hospital level of care, post-acute care, skilled nursing facility (SNF), and durable medical equipment (DME), and transition and complex case management and making location-specific adaptations as necessary. Serves as liaison between internal and external care by: reviewing benefits/services available based on regulations or specific coverage to patients, families, and other members of the community, problem solving identified concerns, and connecting patients/families with the right entities to assist with benefits/coverage needs; providing case management to a caseload of low- and medium-risk patients referred to external facilities/agencies independently; applying strategies and concepts to independently propose recommendations in interdisciplinary team meetings with internal and/or external stakeholders; and leveraging advanced knowledge to act as a general resource for physicians, health plan administrators, and contracted vendors.Qualifications Minimum Qualifications: Bachelors degree in Nursing or related field AND minimum five (5) years of experience in nursing, case management, or a directly related field. Registered Nurse License (California) required at hire Additional Requirements: Knowledge, Skills, and Abilities (KSAs): Information Gathering; Written Communication; Confidentiality; Health Care Compliance; Maintain Files and Records; Acts with Compassion; Business Relationship Management; Company Representation; Managing Diverse Relationships; Relationship Building; Member Service; Patient Safety; Health Care Quality Standards; Quality Assurance and Effectiveness; Community Health

Job DescriptionBenefits: Employee discounts Flexible schedule Paid time off We are a Wellness and Rejuvenation Practice seeking a highly motivated Aesthetic Nurse to join our team, perform Laser Hair Removal, Botox and Filler Injections, Eurothreads, CoolSculpting and Laser Rejuvenation to delay aging, and rejuvenate skin. This is an incredible opportunity for someone with a passion for aesthetics and a commitment to helping people look and feel their best at any age. We take great pride in our customer service and our patient's experience and require someone that shares our commitment to providing outstanding results. Must be highly motivated, well organized, and responsible, with outstanding patient care. Join our team and work in a supportive environment creating the most beautiful outcomes. Our work environment includes: Modern office setting Friendly, supportive staff Safe work environment Lively atmosphere Company perks Qualifications Required License: RN Excellent communication and interpersonal skills Attention to detail and strong problem-solving skills Ability to prioritize tasks and manage time effectively Required Clinical Skills 1 year experience preferred in: Injectable neurotoxins (Botox, Dysport, etc.) Fillers (Restylane, Juvederm, RHA, etc) Aesthetic laser experience preferred Responsibilities Performing injections of neurotoxins (Botox, Dysport) and dermal fillers (Juvederm, Restylane, and others) Using established medical protocols to treat lines, wrinkles and facial volume loss, and non-surgical cosmetic rejuvenation Nonsurgical body treatments including CoolSculpting Conduct consultations to identify client goals and determine/recommend services to achieve optimal results Formulate and execute treatment plans that include packages for optimal face, and body rejuvenation Answer pre-treatment and post-treatment questions Review client history for possible contraindications and report any adverse reactions to supervising physician Ensure a high level of client satisfaction Proper Documentation of treatments and additional notes as necessary in EMR/patient files Practice as a team player Provide direct patient care, including administering medications, vital signs, and assisting with procedures Document patient information accurately and in compliance with medical records and HIPAA regulations Maintain a clean and organized work environment Job Type: Hours vary, Clinic Setting, Office currently open M-F 9-6 and Sat 9-4 Salary: commission Benefits: Paid sick time Employee discount Flexible hours

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

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

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

Job DescriptionAesthetic Nurse Nurse Practitioner, Physician Assistant, or Register Nurse Compensation: $55+ per hour (DOE) + Performance Bonus Schedule: Full-Time or Part-Time Why Join Evergreen Med Spa & Wellness Opportunity to grow with a new, modern, high-end medical spa in one of San Jose's most desirable communities. Supportive environment with flexibility and long-term leadership pathways. Competitive pay with performance bonuses. Access to premium technology, curated treatments, and an elevated patient experience model. Be part of a team known for its friendly, refined, and luxurious approach to aesthetics. What Makes This Opportunity Unique Work with thoughtfully selected, high-performance aesthetic devices and injectables. A collaborative, integrity-driven clinical culture centered on client safety and natural, beautiful results. Part of building a brand that blends high-end luxury with approachability-attracting loyal, discerning clientele. About the RoleEvergreen Med Spa & Wellness is seeking an exceptional Aesthetic Injector (NP, PA, or RN) to join our high-end medical spa in the heart of Evergreen. This position is perfect for a provider who values precision, artistry, patient safety, and long-term client relationships. You will perform advanced injections, guide clients through customized aesthetic journeys, and help create a premium, elevated experience that reflects our luxury brand. Key ResponsibilitiesClinical Excellence Conduct thorough consultations including Good Faith Exams, medical history review, facial assessment, and aesthetic goal evaluation. Educate clients clearly on treatment options, risks, benefits, and pre/post-treatment expectations. Perform neuromodulator injections, dermal fillers, biostimulators, microneedling, and other aesthetic procedures with advanced technique and safety standards. Develop personalized treatment plans tailored to client goals and clinical best practices. Monitor adverse reactions, manage post-care concerns, and ensure exceptional follow-up. Maintain high-quality medical charting, treatment notes, and before/after photography. Professional Standards Stay current with the latest injection techniques, safety protocols, aesthetic devices, and medical-grade skincare. Uphold all California scope-of-practice requirements, medical regulations, and infection-control standards. Maintain a clean, organized, fully stocked treatment environment. Collaborate closely with fellow providers and front-office staff to ensure seamless client experience. Client Experience & Business Growth Deliver warm, confident, concierge-level service to every patient. Build lasting client relationships through professionalism, empathy, and expertise. Educate clients on treatment plans, memberships, skincare routines, and product recommendations. Support clinic operations, inventory coordination, and overall client retention strategies. Actively contributes to a high-satisfaction, referral-driven aesthetic practice. Qualifications Active California NP, PA, or RN license. Minimum 2+ years of experience administering injectables (neuromodulators, fillers, and related treatments). Advanced aesthetic training and strong understanding of facial anatomy. Excellent communication skills and a passion for patient-centered care. Ability to work weekends as required. Highly detail-oriented, safety-focused, and committed to ongoing learning and professional growth As an Equal Opportunity Employer, we welcome applicants of all backgrounds regardless of gender identity or expression, sexual orientation, national origin, religion, marital status, veteran status, age, disability, or race.

Amergis Healthcare is actively looking for 2 Labor and Delivery RN's that would be interested in a 13 Week, Full-Time Contract in Martinez, CA. Additional details of the contract are below: RN Labor and Delivery Total Travel Package: $3363 / week (Net) *Must reside over 50 miles away to qualify for the travel package* • Taxable wages: $1732.50.00 • Weekly lodging allowance: $1029.00 • Weekly meals / incidentals: $602.00 o Estimated weekly take home after taxes: $2930.38 (Gross) Schedule: 7 days per week: 3x12's 7p-7:30a or 7a-7:30p No on call! Duration : 13 weeks Requirements: • 2+ years experience • CA RN license • BLS, ACLS, PALS, AWHONN, and NRP Start Date: 2/2/2026 Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Labor and Delivery travel nurse job in SAN JOSE, CA - earn $2,607/week on a 27 week, Nights shift at a travel-friendly hospital with Advantis Medical. Looking for Labor and Delivery travel nursing jobs near you? This contract follows a (3×12) schedule and offers high pay, clinical experience, and the full support of the #1 rated travel nurse agency. Whether you're planning your next assignment in California or searching for "Labor and Delivery travel RN jobs near me", this opportunity could be the perfect fit. This travel assignment is perfect for nurses looking to be near SAN JOSE, CA. Don't miss out-click "I'm Interested" to start your application and connect with an Advantis recruiter to explore more travel Labor and Delivery nurse jobs near you. Job Details Facility: Good Samaritan Hospital Location: SAN JOSE, CA 95124 Explore the area! See our local guide and an interactive map further down this page. Contract Length: 27 Weeks Shift: Nights (3×12) Travel Nursing Requirements: 2+ years of recent Labor and Delivery nursing experience. Active California RN License or Compact License (if applicable) Benefits Day One Benefits - Medical, Dental, Vision & 401(k) Relocation and Travel Reimbursement Dedicated team to help with travel & housing accommodations Weekly Direct Deposit $500 Referral Bonuses Near San Jose, CA San Jose, CA 95112 is an excellent choice for nurses searching for travel nurse jobs near me in California . San Jose is known as the "Capital of Silicon Valley" and boasts attractions like the vibrant Santana Row and the unique Winchester Mystery House. Travel nursing jobs near me in San Jose offer a dynamic urban environment with innovative technology. You'll be near Santa Clara (95050), Sunnyvale (94087), Cupertino (95014), Fremont (94538), and Milpitas (95035), expanding your options for entertainment and exploration. Travel nurse jobs in San Jose, CA, provide access to world-class healthcare facilities and a thriving cultural scene. FAQs - Labor and Delivery Travel Nurse Jobs Near San Jose, CA Expand All Are there Labor and Delivery travel nursing jobs near San Jose, California? Yes! Advantis Medical frequently staffs Labor and Delivery travel RN jobs in San Jose and nearby areas like Santa Clara, Sunnyvale, Cupertino and Mansfield. This assignment offers $2,607 per week and is one of our top current opportunities. Is San Jose a good location for Labor and Delivery travel nursing jobs? Yes. With competitive pay, career-boosting clinical environments, and great local lifestyle perks, San Jose is a top destination for Labor and Delivery travel nurse jobs in California. What certifications are required for this L&D travel nurse job? Most L&D nurse jobs will require Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), and Neonatal Resuscitation Program (NRP) certifications. For high-risk OB roles, certifications like AWHONN Fetal Heart Monitoring are often preferred. Click "I'm Interested" to connect with a recruiter who can walk you through exactly what's needed for this role. Can I work as a travel nurse in California with a compact nursing license? California Board of Nursing Contact information Website: https://www.rn.ca.gov/ Phone: 916.322.3350 Fees License by Exam: $150 (+$200 exam fee) License by Endorsement: $150 Fingerprinting: $49 Temporary License: $50 Timing Processing Time: 3 - 6 months Valid for: 2 years Renewal Schedule: every 2 years, by your birthday General Information Nurse Licensure Compact: No Nursys: Yes CEU Requirements: CEU Requirements: 30 hours Helpful Links Apply Now Check Status Verify License License Renewal Travel Nursing Jobs With Advantis Medical - The Gold Standard At Advantis Medical Staffing, we take great pride in our commitment to caring for travel nurses. We are dedicated to connecting nurses with the best travel nursing jobs nationwide, while providing exceptional service that fosters a trusted partnership for life. Our mission is to deliver the "Gold Standard" in service -not only by securing your first assignment but by advocating for your long-term career goals and well-being. Experience our gold standard level of service as we create a stress-free and rewarding journey for you. View Similar L&D Jobs ⟶ Travel Nursing Job in San Jose, CA Weekly Pay: $2,607 This pay combines taxable wages and tax-free stipends. For a full, transparent breakdown, submit the "I'm Interested" form, & a recruiter will send you the details. × Location: San Jose, CA 95124 Explore the area! See our local guide and an interactive map further down this page. × Facility: Good Samaritan Hospital Specialty: Labor and Delivery Duration: 27 weeks Shift: Nights (3x12) I'm Interested Have a question? Call us at 214-305-6445

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work schedule: Monday - Friday 9:30am - 6pm local time, with rotating weekends. (Saturday 8am-12pm CST, with a comp day during the week) The Nurse Reviewer I will be responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. * Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member benefits. * Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. * Partners with more senior colleagues to complete non-routine reviews. * Through work experience and mentoring learns to conduct medical necessity clinical screenings of preauthorization request to assess assessing the medical necessity of diagnostic imaging procedures, out of network services, and appropriateness of treatment. How you will make an impact: * Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. * Conducts initial medical necessity review of exception preauthorization requests for services requested outside of the client health plan network. * Notifies ordering physician or rendering service provider office of the preauthorization determination decision. * Follows-up to obtain additional clinical information. * Ensures proper documentation, provider communication, and telephone service per department standards and performance metrics. Minimum Requirements: * Requires AS in nursing and minimum of 3 years of clinical nursing experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or any combination of education and experience, which would provide an equivalent background. * Current unrestricted RN license in applicable state(s) required. Preferred Skills, Capabilities, and Experiences: * Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PPO and POS plans strongly preferred. * BA/BS degree preferred. * Previous utilization and/or quality management and/or call center experience preferred. * RN Compact License is strongly preferred; CA RN License is also preferred. * Experience in cardiology/radiology is preferred but not required. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $36.27 to $56.77 Locations: California. In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Non-Exempt Workshift: 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.

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

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

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

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