Utilization review nurse jobs in San Rafael, CA - 252 jobs

The Registered Nurse (RN) II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. The RN II provides care to patients via the therapeutic use of self, the nursing process, the environment and instrumentation, and other health care team members. Essential Responsibilities: Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy. Formulates a goal-directed plan of care when and where appropriate to do so. Implements care in a thorough, skillful, consistent, and continuous manner. Establishes priorities or patient care based on essential patient needs and available unit resources of time, personnel, equipment, and supplies. Identifies patient/family learning needs and acts to meet them. Demonstrates an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs. Provides/coordinates care for patients/patient populations. Establishes effective working relationships with members of the health care team, patients, and families. Acknowledges staff rights and cultural and ethical beliefs. Delegates appropriately and coordinates duties of health care team members. Evaluates effectiveness of care given by health care team members. Utilizes effective communication methods and skills, following lines of authority, as appropriate. Demonstrates knowledge of and applies safety principles as identified within the institution. Performs efficiently in emergency patient care situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Demonstrates responsibility and accountability for own professional practice. Participates regularly in staff development activities for unit and department personnel. Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning. Participates in unit and Department Performance Improvement activities as directed. Participates in nursing research activities as requested. Identifies and solves problems effectively. Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team. Provides data for staffing decisions and demonstrates flexibility in the resolution of staffing issues; demonstrates flexibility when floating to other units upon requests. Demonstrates proficiency in the use of computers and telecommunication modalities in documenting, tracking and conveying information. Ability to navigate in a windows environment, utilizing a mouse and the ability to learn electronic medical record system application. Perform other related duties as necessary. Formulates a goal-directed plan of care that is prioritized and based on determined nursing diagnosis and patient outcomes. Identifies patient/family learning needs and implements appropriate measures. Demonstrates sound knowledge base and actions in the care of a designated patient population. Participates regularly in staff development activities for unit and Department of Nursing personnel. Documents patient care and unit activities in a timely, accurate, and concise manner. If no qualified candidate, may be willing to train in the specialty areas listed below. Candidates in training are required to obtain appropriate certifications within 6 months of hire or transfer into unit.

**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.

The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal and/or state statutes, regulations and guidelines as well as facility policy. Minimum Requirements: + Current license for the state in which the nurse practices if nursing licensure is required by contract + A Bachelor's Degree in Nursing or at least two years' experience in Utilization Review preferred + Certification in Utilization Review or Utilization Management preferred + Experience with Microsoft Office Suite and the ability to learn new information systems and software programs + General knowledge of managed care delivery system + Current CPR if applicable + TB questionnaire, PPD or chest x-ray if applicable + Current Health certificate (per contract or state regulation) + Must meet all federal, state and local requirements + Must be at least 18 years of age 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.

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)

Job Description Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations. The building B.L.O.C.K.S. of our team's success! Bring the fun Leverage together for better Outperform yourself Care at every touchpoint Keep your word. Keep it real Stay curious & listen well Primary Purpose: WWe are proud of the quality care we provide members, and our team is rapidly expanding to meet the demands of our growing business; we are seeking a highly skilled and compassionate certified Nurse Practitioner to join our Advantmed provider network. In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare members and other at-risk populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. This role is 1099 (PRN) and offers tremendous flexibility and opportunity for those who are balancing competing priorities. Learn more about our primary purpose here Follow us on LinkedIn: ****************************************** NP Responsibilities: In-home Clinical Assessments Travel to members' homes and conduct comprehensive health evaluations Conduct Annual Wellness Visits and health assessments for members with chronic conditions. Perform: Medical history and physical examinations Review of systems Vital signs collection Medication review and reconciliation Possible preventive health screenings Hemoglobin A1C Spirometry KED (Kidney Health Evaluation) DRE (Diabetic Retinal Exam) FIT Patient Education & Engagement Deliver preventive health education and counseling opportunities. Educate patients on ongoing health monitoring, medication adherence, and chronic condition management. Support informed decision-making and ensure true, informed consent. Engage in goals of care discussions when appropriate. Care Coordination & Quality Support Identify clinically relevant diagnoses for care management and risk adjustment documentation. Communicate findings used to generate post visit summaries for the primary care provider. Identify and help close quality care gaps (e.g., screenings, labs, follow-ups). Collaborate enthusiastically with the broader care team to enhance clinical quality and patient experience. Compliance & Professional Standards Adhere to HIPAA regulations and safeguard protected health information (PHI). Maintain accurate, timely, and compliant EMR documentation. Perform additional duties as assigned in alignment with organizational goals. An enthusiastic collaborator contributing to the enhancement of care delivery Providers are expected to commit a minimum of 30 hours per month Locations: Marin County County, CA Requirements Travel Requirements Daily travel expectations remain within a 55-mile radius of the assigned home location. NP Qualifications: Must have a valid unencumbered NP License for the state you will be working in This role requires travel up to a maximum 55-mile radius originating in the assigned job posting county Preference is given to weekday schedules Preference is given to standard working hour schedules Previous in-home risk assessment experience preferred Previous 1099 (PRN) experience is preferred but not required 3 years patient care experience preferred (primary care/adult/geriatric, EMR) May be requested to obtain additional NP licensure supported by Advantmed Access to reliable transportation that will enable you to travel to members' homes within a designated area Strong ability to work within our EMR system Ability to work independently Bilingual is a plus Benefits Advantmed offers: Competitive compensation of ~$100 per completed in-home health assessment Paid mileage Flexible work schedule, choose your own schedule No on call Visits ready to be scheduled immediately Appointment confirmation support Dedicated coordinator support Advanced member scheduling coverage State of art technology

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

Who is Spring Fertility? We are a passionate, dedicated team of leading physicians and scientists who have trained at some of the world's top research hospitals and fertility centers. Together, we are building the fastest-growing fertility group in the country, grounded in clinical excellence and innovation. We deliver deeply patient-centric, individualized, and compassionate care, recognizing that every journey is unique. Our mission is to partner with patients to help them achieve their goals, whatever those may be. We believe everyone deserves the opportunity to build a family if they choose, and our team is committed to guiding and supporting patients every step of the way. Why should you join our team? We are a mission-driven organization seeking motivated, high-performing professionals who are eager to innovate and make an impact. As we build a first-class fertility practice, we balance excellence with a culture that values collaboration, positivity, and enjoyment in the work we do. We are growing rapidly and are deeply committed to the professional and personal development of our team. Guided by optimism, compassion, and teamwork, we are united by a shared dedication to putting patients first. Role Summary Our nursing team is essential to establishing an excellent experience for all our patients. Spring nurses are pillars of support, knowledge and empowerment for our patients, providing hands-on, compassionate care throughout their treatment journey. Our nurses are dependable, compassionate and provide a high level of care. They are detail-oriented and work effectively and efficiently in a fast-paced environment. We are proud to offer a comprehensive fertility RN training! Some day-to-day duties include: Establish confidence, trust and a positive rapport with all of our patients Case manage a large patient portfolio Coordinate treatment for patients undergoing Egg Freezing, IUI, IVF and Egg Donation Order time-sensitive medications Maintains safe and clean work environment Education, Licenses, Certifications and Other Requirements Bachelor's Degree Licensed Registered Nurse in California (RN)/(BSN) Current ACLS certifications Employment Type This is a full-time (40 hours a week/8 hours per day) non-exempt onsite position that requires early hours, rotational weekends and holidays. Compensation The salary range for this role is $55-60/hr. Salary is based on several factors including job related knowledge and skill set, depth of experience, certifications and/or degrees. #INDRN Benefits Investing in You Today and Tomorrow Supporting your well-being Competitive medical, dental, and vision plans Paid time off to recharge and enjoy personal time Access to BetterHelp therapy sessions for mental and emotional wellness Commuter benefits and discounted rates on home, auto, and pet insurance Investing in your future 401(k) with up to a 4% company match Comprehensive fertility and parental leave benefits Career development opportunities in a fast-growing organization Employer-paid life and disability insurance *Temporary and contract roles may not be eligible for all benefits listed above Don't have it all? We still welcome you to apply! At Spring Fertility, we believe that everyone who wants a family deserves to have one, regardless of gender, sexual orientation, race, ethnicity, or religion. Just as we acknowledge and value the diversity of goals, life experiences, and unique paths to parenthood among our patients, we also actively celebrate diversity within our organization. We are an equal opportunity employer, and we are committed to a safe and inclusive work environment for all. We recognize that diversity among our team allows us to not only more effectively serve our patients, but also to advance innovation and opportunity within our field. We encourage qualified applicants of every background, ability, and life experience to apply to our employment opportunities. We are scientists. We are humanists. We are passionate about fertility. The Human Resources Department will make reasonable efforts in the recruitment process to accommodate applicants with disabilities. If selected for an interview, and you require accommodation, please notify the recruiter who reached out to you. If you need assistance in navigating our website and the job application process, please give us a call! CCPA disclosure notice here.

Job Description Come join CCRM Fertility, a global pioneer in fertility treatment, research, science, specializing in IVF, fertility testing, egg freezing, preimplantation genetic testing, third party reproduction and egg donation. As a member of CCRM Fertility's diverse team of professionals, you will be a part of helping families grow and changing lives. We take pride in providing our employees with meaningful employment, a supportive culture, and a well-balanced personal & work life alignment. For more information, visit *************** Work Location: Department: Clinical Your Schedule: Monday - Friday; 8:30am - 4:30pm; Possible evening, weekend, and holiday rotations. What We Offer Our Team Members: 401(k) Plan with Company Match (first of the month following 2 months of service) Professional Development, Job Training, and Cross Training Opportunities Potential for Over-time Pay (Time and a half) Holiday Differential Pay (Time and a half) Weekend Shift Differential Pay ($4.00 per hour) How You Will Make an Impact: The IVF Nurse Coordinator (RN) plays a crucial role in the fertility treatment process and will make a significant impact through patient care, support, assessment, education, and counseling. The IVF Nurse Coordinator (RN) provides comprehensive care, support, and coordination throughout the IVF journey. Their role is pivotal in helping patients navigate the complexities of fertility treatments while striving for the best possible outcomes. What You Will Do: The IVF Nurse Coordinator (RN) is responsible for providing individualized nursing care to CCRM's fertility patients through treatment coordination, medication management, patient advocacy, and outcome monitoring. This position collaborates closely with the physicians to coordinate patient care and treatment and consult with patients regarding treatment protocols, medications, and/or required testing procedures. The IVF Nurse Coordinator is expected to function independently in the role as well as in a team environment. The IVF Nurse Coordinator reports to the IVF Nurse Supervisor. Assess patients' medical histories, reproductive health, and any underlying conditions that may impact fertility and ensure appropriate data is entered in EMR. Collaborate with physicians to determine suitable treatment plans for individual patients. Educate patients on the IVF process (procedures, infertility testing, insemination, in vitro (IVF) fertilization, FET, and egg vitrification, etc.), medications, potential side effects, and lifestyle factors that may affect treatment success. Provide emotional support and counseling to each patient throughout their CCRM Journey. Guide patients on how to self-administer medications and monitor progress; adjust medication dosages based on patients' responses and communicate any concerns to the medical team. Coordinate and schedule surgery and ART appointments, diagnostic tests, and procedures, and ensure all consents are signed and patients adhere to the treatment timeline. Monitor established pregnancies via ultrasonography and lab tests, through the first 8-12 weeks of pregnancy (annotated in EMR). Serve as a liaison between patients and the medical team, relaying vital information, test results, and treatment instructions; answering any questions or concerns promptly. Advocate for patients, ensuring their needs and preferences are taken into consideration and help patients make informed decisions about their care. Maintain accurate and up-to-date patient records, documenting all aspects of the IVF treatment in the EMR (i.e., medication administration, test results, progress notes, physician orders, etc.). Ensure patients understand results, discuss potential reasons for failure, and explore alternative treatment options or modifications to the treatment plan. Perform intrauterine inseminations, as directed. Verify all communicable disease testing is complete, accurate, and appropriate. Other duties as assigned. What You Bring: Associate Degree or higher in Nursing, from an accredited school of nursing required. Current State Registered Nurse (RN) license (without limitations) required. Active BCLS/ACLS certification required. 3+ years RN experience preferred. 2+ years of previous experience in women's health, fertility, OB/GYN, preferred. Working Conditions: The physical demands described here are representative of those which should be met, with or without reasonable accommodation (IAW ADA Guidelines), by an employee to successfully perform the essential functions of this job. This job operates in a professional office and clinical setting. This role routinely uses standard office equipment such as computers, including computer keyboards and mice; telephones; photocopiers; scanners; filing cabinets. While performing the duties of this job, the employee is regularly required to communicate with others. The employee is frequently required to sit; will occasionally stand and/or walk; use hands and fingers to grasp, pick, pinch, type; and reach with hands and arms. Employees should have the visual acuity to perform an activity such as: preparing and analyzing data and figures, viewing a computer terminal, extensive reading, and operation of standard office machines and equipment. CCRM's Compensation: The salary range represents the national average compensation for this position. The base salary offered will vary based on location, experience, skills, and knowledge. The pay range does not reflect the total compensation package. Our rewards may include an annual bonus, flexible work arrangements, and many other region-specific benefits. Pre-Employment Requirements: All offers of employment are conditional upon the successful completion of the CCRM Fertility onboarding process, including verification of eligibility and authorization to work in the United States. This employer participates in the E-Verify Program in order to verify the identity and work authorization of all newly hired employees. Equal Employment/Anti-Discrimination: We are an equal-opportunity employer. In all aspects of employment, including the decision to hire, promote, discipline, or discharge, the choice will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

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

. It is the responsibility of the On Call Physician Assistant/Nurse Practitioner (PA/NP) to act as a clinical leader by providing quality primary care and addiction care services to HealthRIGHT360 (HR360) patients in a integrated care delivery model. On-Call staff can be available for coverage either at the ICC (1563 Mission Street) or our San Mateo MAT Clinic (117 San Mateo Drive). Clinical Care Responsibilities: Provides comprehensive primary care and addiction care, within the scope of credentialed privileges and standardized procedures, to HR360 patients in a team based delivery model Documents care promptly and following charting protocols and applicable CA state licensing requirements; Completes patient sessions in a timely manner; Ensures appropriate follow-up for all aspects of ordered care (e.g., specialty referrals, laboratory results, radiology reports, etc.); Responds to patient requests for information and assistance (e.g., form completion, prescription refills, etc.) in a timely manner; Works collaboratively with mental health staff to facilitate integration between primary care and mental health in order to improve patient outcomes; Provides on-call after-hours availability on a rotating basis; Obtains and maintains licensure, DEA registration and BCLS/CPR certification; Attends continuing professional education programs as required for certification/licensure Performance and Quality Improvement Responsibilities: Meets benchmarks for applicable quality indicators as noted in the annual quality management plan including the development of an appropriately sized continuity panel of patients and the maintenance of current productivity standards; Along with colleagues, assists in continuous quality improvement through on-going problem/needs identification and problem solving; Acts as change champion or lead in improvement activities. Organizational Responsibilities: Completes all mandatory trainings as required. And, other duties as assigned. EDUCATION AND KNOWLEDGE, SKILLS AND ABILITIES QUALIFICATIONS Education and Experience Required: Graduation from a United States accredited program for Nurse Practitioners or Physician Assistants. Possession of a California Nurse Practitioner Certificate; OR Possession of a current, valid California License to practice as a Physician Assistant issued by the California Board of Medical Quality Assurance Possession of a current, valid California Registered Nurse License, Possession of DEA Controlled Substances Registration Certificate Possession of BCLS/CPR certification Familiarity with medication assisted treatment Desired: Experience working in ambulatory care and/or a community health center Experience working with populations with varying lifestyles, ages, sexual orientations, ethnic and culture backgrounds and economic status Experience working successfully with issues of homelessness, substance abuse, mental health, criminal background, and other potential barriers to economic self sufficient Knowledge Required: Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications Experience with electronic medical records Knowledge of co-occurring disorders and trauma informed treatment Desired: Bilingual Spanish/English Experience with electronic medical records LGBT Cultural competence and able to work with a diverse population Comfort working on teams and with safety net populations

Medication Nurse, LVN / LPN Shifts, Time, and Days: Friday and Saturday Pay Range: $36-$38 Ivy Park at Hayward is a premier senior living community situated on a beautifully landscaped campus. Managed by Oakmont Management Group, we provide exceptional quality, comfort, and care with five-star services and amenities. Residents enjoy a rewarding lifestyle with individualized comprehensive support that promotes continuing independence. We deliver meaningful lifestyles and relationships with residents, families, and team members by developing a winning culture and living these values: Authenticity * Teamwork * Compassion * Commitment * Resilience. With communities across California, Hawaii, and Nevada, opportunities for career growth, relocation, and travel are significant. In addition, eligible team members may enjoy the following benefits: Medical, Dental, and Vision benefits Vacation, Personal Day, Sick Pay, Holidays Complimentary Meals Bonus Opportunities Company Paid Life Insurance Team Member Discount Program (LifeMart) 401(k) Savings Plan with Company Match Recognition Programs Student Loan Refinancing Tuition Reimbursement Pet Insurance Employee Assistance Program Emergency Financial Assistance The Medication Nurse is responsible for supervising and assisting in the administration of medications to residents as ordered by the attending physician, under the direction of the attending physician, and in accordance with established nursing standards, policies, procedures, and practices of the company. The Medication Nurse provides complete supervision of the medications room and/or cart, maintains a current account of all medications residents are taking, and completes all documentation required of the company s Medication policy. Responsibilities: Perform nursing duties as directed and in accordance with the appropriate scope of the Nurse Practice Act, including administering medications and performing treatments as ordered by a physician. The Medication Nurse is responsible for administering injections, suppositories, enemas, and medications associated with wound care in addition to medications usually assigned to a Medication Technician. Perform nursing duties associated with the Wellness Nurse role as assigned. Coordinate medication services with the resident, pharmacy, and physician. Order and track all medication changes, refills, and deliveries with pharmacies. Prepare medication for distribution to residents as per company policy. Assist residents with taking their prescribed medications. Observe and verify that medication is ingested or applied as directed. Document any instance where prescribed medication is not administered, including reason(s) for refusal, and notify the supervisor. Maintain accurate, complete, and confidential resident medication and care records according to company policy. Ensure all medication documentation is current and correct, including medication administration forms, physician s orders, and dosage changes. Keep medicine rooms and carts orderly, clean, and appropriately stocked. Maintain an inventory of all department supplies and re-order as needed. Control medication room/cart access at all times. Monitor Psychotropic medication use is congruent with physician s orders and ensures resident behaviors warrant the use of medication. Participate in and complete narcotic count at the beginning and end of each shift. Report any and all discrepancies to the supervisor immediately. Communicate with physicians, family members, and vendors, as needed. Understand the meaning and usage of common medical abbreviations, symbols, and terms relative to the administration of medications as used by the company, pharmacists, and physicians. Qualifications: Must be a Licensed Vocational Nurse or Registered Nurse holding a valid California nursing license in good standing Prefer one (1) year of experience assisting with medications at a Residential Care Facility for the Elderly (RCFE) Knowledge of and/or ability to learn the theory and practice of assisted living and dementia care Able to work with seniors and patiently interact with cognitively impaired individuals Able to be flexible, adapt and respond to change, make decisions in stressful situations, and prioritize tasks and projects. Able to process information and apply common sense understanding to follow and carry out written or oral instructions. Able to analyze, solve and respond to problems or concerns. Able to count and perform moderately complex math problems Must pass a Criminal Background check and Health Screening tests, including physical and TB Tests. For the health and safety of our team members and residents, Oakmont Management Group may require team members to vaccinate, participate in daily screening, surveillance testing, and to wear face coverings and other personal protective equipment (PPE) to prevent the spread of the COVID-19 or other communicable diseases, per regulatory guidelines. Oakmont Management Group, based in Irvine, California, is a recognized leader in the senior living industry that manages a portfolio of communities under the Oakmont Senior Living and Ivy Living brands. OMG serves thousands of seniors across communities in California, Nevada, and Hawaii. At OMG, we strive to create an atmosphere of family and community among team members, residents, and resident family members. We know that caring and meaningful relationships are the foundation of a rewarding life, and our team is hand-selected for their skills, previous experience, and passion for working with the elderly. Our practice is to incorporate joy and laughter alongside our expectations of excellence. Walk into our communities and feel our pride of ownership and commitment to service. Oakmont Management Group is an Equal Opportunity Employer.

We are seeking a Field Nurse Case Manager to cover San Francisco, CA, and surrounding areas. A Field Case Manager role is a home-based position with travel, up to 2 hours one-way (4 hours round trip per appointment). These appointments would be to doctors' offices, hospitals, and various other locations. There may be multiple appointments in 1 day. This individual is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals. The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers. At Paradigm, People Come FirstIt's more than a job. It's a passion. Work at Paradigm, and you'll find deep satisfaction knowing you're making a profound difference in people's lives. Meaningful work: better outcomes for all isn't just our tagline. It's what guides us to do our best-every day. At Paradigm, you'll find an authentic connection between the work you do and your passion for making a difference in the world. Exceptional people: You'll work alongside smart people who share a commitment to excellence and a dedication to service. We're not here just for a "job." We're here to transform lives. Collaborative culture: At Paradigm, a spirit of collaboration and care is evident in everything we do. We promote a culture of inclusivity and value diversity of all kinds including thought, knowledge, and experience. No matter the team, everyone works together toward a common goal to deliver exceptional outcomes. Qualifications: Current, unencumbered Registered Nurse (RN) license in Nevada Experience in case management of workers comp cases, preferred Recommended certifications (CCM, CRRN, CDMS, CRC) strongly preferred; will need to obtain within two years of hire date Skills required for success: organization and timeline adherence skills, PC and technology skills, communication skills (written, verbal, and interpersonal) Ability to operate autonomously with minimal oversight Skilled at patient education Valid driver's license, and good driving history

The Registered Nurse (RN) II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. The RN II provides care to patients via the therapeutic use of self, the nursing process, the environment and instrumentation, and other health care team members. Essential Responsibilities: + Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy. + Formulates a goal-directed plan of care when and where appropriate to do so. + Implements care in a thorough, skillful, consistent, and continuous manner. + Establishes priorities or patient care based on essential patient needs and available unit resources of time, personnel, equipment, and supplies. + Identifies patient/family learning needs and acts to meet them. + Demonstrates an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs. + Provides/coordinates care for patients/patient populations. + Establishes effective working relationships with members of the health care team, patients, and families. + Acknowledges staff rights and cultural and ethical beliefs. + Delegates appropriately and coordinates duties of health care team members. + Evaluates effectiveness of care given by health care team members. + Utilizes effective communication methods and skills, following lines of authority, as appropriate. + Demonstrates knowledge of and applies safety principles as identified within the institution. + Performs efficiently in emergency patient care situations following established protocols, remaining calm, informing appropriate persons, and documenting events. + Demonstrates responsibility and accountability for own professional practice. + Participates regularly in staff development activities for unit and department personnel. + Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning. + Participates in unit and Department Performance Improvement activities as directed. + Participates in nursing research activities as requested. + Identifies and solves problems effectively. + Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team. + Provides data for staffing decisions and demonstrates flexibility in the resolution of staffing issues; demonstrates flexibility when floating to other units upon requests. + Demonstrates proficiency in the use of computers and telecommunication modalities in documenting, tracking and conveying information. Ability to navigate in a windows environment, utilizing a mouse and the ability to learn electronic medical record system application. + Perform other related duties as necessary. + Formulates a goal-directed plan of care that is prioritized and based on determined nursing diagnosis and patient outcomes. + Identifies patient/family learning needs and implements appropriate measures. + Demonstrates sound knowledge base and actions in the care of a designated patient population. + Participates regularly in staff development activities for unit and Department of Nursing personnel. + Documents patient care and unit activities in a timely, accurate, and concise manner. + If no qualified candidate, may be willing to train in the specialty areas listed below. Candidates in training are required to obtain appropriate certifications within 6 months of hire or transfer into unit. Basic Qualifications: Experience 1 year (within the last 3 years) of experience as a Wound Care RN in an acute care setting, active in the care of wound care patients, Education + High School Diploma/GED + Graduate of an accredited registered nursing program and completion of the current hours required by the BRN of RN student clinical experience; OR Graduate of registered nursing program and either: 1) 2000 hours of RN experience in clinical area of specialty from a licensed acute care facility within three (3) years of graduation; or 2) graduate of an accredited licensed vocational nursing program that includes clinical student experience in acute care and has worked 2000 hours as a licensed vocational nurse within the clinical area of specialty within three (3) years before graduation + or (3) currently enrolled in an accredited entry level MSN program and has completed pre-licensure requirements to practice nursing. License, Certification, Registration + Registered Nurse License (California) + Basic Life Support Additional Requirements: + Demonstrated knowledge of the RN scope of practice + Demonstrated commitment to service orientation (members, staff, providers) + Demonstrated effective written and oral communication skills (in English) + Good interpersonal skills + Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Preferred Qualifications: + CWOCN or CWCN certification preferred. COMPANY: KAISER TITLE: Staff Nurse II SH (CWOCN RN) LOCATION: Vallejo, California REQNUMBER: 1376574 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

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.

. It is the responsibility of the On Call Physician Assistant/Nurse Practitioner (PA/NP) to act as a clinical leader by providing quality primary care and addiction care services to HealthRIGHT360 (HR360) patients in a integrated care delivery model. On-Call staff can be available for coverage either at the ICC (1563 Mission Street) or our San Mateo MAT Clinic (117 San Mateo Drive). Clinical Care Responsibilities: Provides comprehensive primary care and addiction care, within the scope of credentialed privileges and standardized procedures, to HR360 patients in a team based delivery model Documents care promptly and following charting protocols and applicable CA state licensing requirements; Completes patient sessions in a timely manner; Ensures appropriate follow-up for all aspects of ordered care (e.g., specialty referrals, laboratory results, radiology reports, etc.); Responds to patient requests for information and assistance (e.g., form completion, prescription refills, etc.) in a timely manner; Works collaboratively with mental health staff to facilitate integration between primary care and mental health in order to improve patient outcomes; Provides on-call after-hours availability on a rotating basis; Obtains and maintains licensure, DEA registration and BCLS/CPR certification; Attends continuing professional education programs as required for certification/licensure Performance and Quality Improvement Responsibilities: Meets benchmarks for applicable quality indicators as noted in the annual quality management plan including the development of an appropriately sized continuity panel of patients and the maintenance of current productivity standards; Along with colleagues, assists in continuous quality improvement through on-going problem/needs identification and problem solving; Acts as change champion or lead in improvement activities. Organizational Responsibilities: Completes all mandatory trainings as required. And, other duties as assigned. EDUCATION AND KNOWLEDGE, SKILLS AND ABILITIES QUALIFICATIONS Education and Experience Required: Graduation from a United States accredited program for Nurse Practitioners or Physician Assistants. Possession of a California Nurse Practitioner Certificate; OR Possession of a current, valid California License to practice as a Physician Assistant issued by the California Board of Medical Quality Assurance Possession of a current, valid California Registered Nurse License, Possession of DEA Controlled Substances Registration Certificate Possession of BCLS/CPR certification Familiarity with medication assisted treatment Desired: Experience working in ambulatory care and/or a community health center Experience working with populations with varying lifestyles, ages, sexual orientations, ethnic and culture backgrounds and economic status Experience working successfully with issues of homelessness, substance abuse, mental health, criminal background, and other potential barriers to economic self sufficient Knowledge Required: Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications Experience with electronic medical records Knowledge of co-occurring disorders and trauma informed treatment Desired: Bilingual Spanish/English Experience with electronic medical records LGBT Cultural competence and able to work with a diverse population Comfort working on teams and with safety net populations