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Utilization review nurse jobs in San Rafael, CA

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  • Utilization Management Nurse

    North East Medical Services 4.0company rating

    Utilization review nurse job in Daly City, CA

    The Utilization Management (UM) Nurse is a licensed nursing professional responsible for reviewing UM cases and discharge planning activities. The UM Nurse may also assist with preparing files for audits and required reporting and ensuring UM cases are reviewed and processed within timeliness standards. The UM Nurse will work closely with the UM/QI Manager, MSO UM team, MSO Medical Director, and MSO Physician Reviewer on UM case reviews. The UM Nurse will also work with the MSO Case Management team on coordinating patient care to ensure patients can access the necessary medical care to manage their health condition. ESSENTIAL JOB FUNCTIONS: Applies clinical skills and expertise in the assessment, planning, and coordination of necessary healthcare services. Reviews Treatment Authorization Request (TAR) and patient treatment plans to ensure adherence to established criteria and standards. Responsible for the inpatient UM process, including initial and concurrent case reviews, review of inpatient skilled nursing and rehabilitation treatment requests, and facilitate repatriation efforts. Provides guidance to UM Coordinators on complex outpatient TARs that require clinical judgment and application of medical necessity criteria. Facilitates timely implementation of hospital discharge plans in collaboration with other interdisciplinary team members; arranges follow-up care as appropriate. Makes complex clinical decisions regarding medical care; involves Medical Directors and clinical providers to solve the complex issues. Collaborates with MSO Case Management team and PCPs to ensure resource utilization is appropriate; plans and implements strategies to reduce resource consumption and achieve positive patient outcomes. Identifies community and outpatient resources and coordinates with the interdisciplinary team to assist patients in obtaining the needed services. Participates in the development and implementation of effective and efficient standards, policies, protocols, reports and benchmarks that support the UM program requirements. Utilizes multiple systems to maintain documentation of case activities; collects, analyzes and reports on data for utilization, quality improvement, compliance, and other areas as assigned. Assists in training new UM Nurses and UM Coordinators and guides them in accurately completing their work. Provides cross coverage for MSO Nurse Case Managers and performs transition of care services, including post-discharge follow-up, medication reconciliation, home visit, and screening members for complex case management criteria. Home visits may be conducted at a public place if the patient does not have a home. Performs other job duties as required by manager/supervisor. QUALIFICATIONS: Active California Registered Nurse license. Current documentation of Basic Life Support is required. Valid Driver's License and ability to maintain license preferred. Demonstrate willingness to make decisions within RN's clinical scope of practice; exhibit sound, accurate, and ethical judgment. Ability to engage and work collaboratively with others, including patients, patient's families, clinical team members, clinical supervisors, and community resources. Ability to provide detailed, concise note/documentation of work within workflow turnaround timelines. Good communication and interpersonal skills; ability to work with people from diverse backgrounds and experiences. Able to spend 20-40 minutes at a time with patient in the community, including at clinics, specialist offices, hospitals, community-based organizations, or patient's home which may be in understaffed/remote areas, in the presence of pets or family members that are tobacco users. Time management and prioritization skills are vital. LANGUAGE: Must be able to fluently speak, read and write English. Fluent in Chinese (Cantonese and Mandarin) preferred. Fluent in other languages is an asset. STATUS: This is an FLSA Exempt position. This is not an OSHA high-risk position. This is a Full Time position. NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).
    $80k-92k yearly est. 20h ago
  • Nurse Case Manager

    University Health 4.6company rating

    Utilization review nurse job in Pleasanton, CA

    University Health is Bexar County and South Texas' first health system to earn Magnet status from the American Nurses Credentialing Center (ANCC). Magnet hospitals and health systems offer patients reassurance that they are being cared for by a team with a proven track record for providing excellent care and positive outcomes for their patients. Nurse Case Manager II: Discover your life-changing career at University Health. We are currently searching for RN's looking for a challenge in their career. Nurse Case Managers enjoy the gratification of patient care and also the rewarding challenges of a leadership role. Qualifications BSN highly preferred Two years' experience in any case management setting or Acute Care is required Current CPR card American Heart Association preferred Current Texas RN License National Certification in case management is highly preferred
    $94k-119k yearly est. 1d ago
  • Labor and Delivery Nurse-- NAWDC5663258

    Compunnel Inc. 4.4company rating

    Utilization review nurse job in Oakland, CA

    We're excited to share multiple Registered Nurse - Labor & Delivery opportunities across California. These are great chances to work with leading healthcare facilities and make a difference in patient care while advancing your career. Position Details Role: Registered Nurse - Labor & Delivery (L&D) Type: Full-time | Contract (36 hours/week) 📍 Available Locations San Jose Santa Clara Oakland Modesto Santa Rosa San Leandro Vacaville Qualifications Active California RN License Minimum 2 years of recent L&D experience BLS, ACLS, NRP, and AWHONN Fetal Monitoring certifications required If you're a dedicated L&D RN looking for your next travel or contract opportunity, we'd love to connect with you. 📩 Interested? Reply to this message indicating your preferred location and availability. Looking forward to helping you find your next great opportunity!
    $77k-104k yearly est. 1d ago
  • Quality Review Nurse

    SF Health Plan

    Utilization review nurse job in San Francisco, CA

    Reporting to the Nurse Manager, Quality Review, and as a member of the Population Health and Quality department, the Quality Review Nurse (QRN) will support key clinical quality initiatives at SFHP. The QRN is part of SFHP Health Services Programs department which includes Population Health and Quality activities of the Plan. The QRN supports and leads clinical review activities within SFHP s Quality department by providing clinical input and oversight for the following quality areas: Grievance and Appeals Potential Quality Issues, including Provider Preventable Conditions Clinical Quality Initiatives The QRN works closely with the Grievance and Appeals team and the SFHP Medical Director to ensure that clinical quality concerns are addressed in all grievances and appeals. As a member of SFHP s the Grievance Review Committee, the QRN supports the Grievance and Appeals team in ensuring that clinical concerns are addressed as part of grievance investigations. Under the guidance of SFHP Medical Director, the QRN will support and manage the review and resolution of Potential Quality Issues (PQIs) and other clinical quality related initiatives. In addition, the QRN will support initiatives within the Quality Improvement Plan including those related to Healthcare Effectiveness Data and Information Set (HEDIS), CAHPS (Consumer Assessment of Healthcare Providers and Systems) metrics and other California Department of Healthcare Services (DHCS) metric performance. This role is highly cross-functional and will partner closely with teams in both Health Services Operations and Health Services Programs departments as well as other areas of SFHP, especially Compliance and Customer Service. Salary range: $114,000 $134,000 Please note that while SFHP supports a hybrid work environment, you are required to be onsite and in-office a minimum of 4 days per month. This is a hybrid position, based in our Downtown San Francisco office. WHAT YOU WILL DO Supports Quality Process: Support process improvement activities, and compiling in relation to department and quality metrics Review clinical quality processes and identifies workflow enhancements. Participate in the Quality Improvement Committee and UM Committee as appropriate. Document clinical reviews in care management system/tracking system. Participate in DHCS, DMHC, and NCQA audits. Work collaboratively with other SFHP departments. Plan and organize work to ensure operational efficiency and effectiveness of the department. Demonstrate expertise in researching and trouble-shooting issues related to clinical quality and policy. Grievance and Appeals Review incoming grievance and appeals for clinical quality concerns and expedited status Document clinical reviews and provide clinical support and guidance to the Grievance and Appeals Team Provide clinical information and assessment of care during Grievance Review Committee (GRC). Potential Quality Issues Identify, investigate and document potential quality issues (PQIs) Initiate and complete PQI investigations, including development of necessary clinical quality follow up and corrective action plans Support identification and reporting of Provider Preventable Conditions (PPC) Clinical Quality Initiatives Provide clinical support to all quality activities. Assist with the operation of San Francisco Health Plan s quality improvement program. Assist in data collection and support the development of quality metric reporting. WHAT YOU WILL BRING A Bachelor s degree in Nursing Registered Nurse license in the State of California without restriction, or LVN with 3 or more years health plan experience A current license to practice without restriction. At least 2 years of managed care experience. Competency in building relationships with providers. Knowledge of state and federal insurance programs. Experience with Medi-Cal and/or Department of Health Care Services (DHCS) regulations and standards. Proven organizational skills and project management skills especially in handling multiple projects effectively. Knowledge/experience with San Francisco safety net programs and providers. Clinical quality experience with knowledge of NCQA standards and audits. WHAT WE OFFER Health Benefits Medical: You'll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP. Dental: You'll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage. Vision: Employee vision care coverage is available through Vision Service Plan (VSP). Retirement Employer-matched CalPERS Pension and 401(a) plans, 457 Plan. Time off 23 days of Paid Time Off (PTO) and 13 paid holidays. Professional development: Opportunities for tuition reimbursement, professional license/membership. ABOUT SFHP Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. San Francisco Health Plan is an E-Verify participating employer. Hiring priority will be given to candidates residing in the San Francisco Bay Area and California. #LI-Hybrid (Hybrid remote/in-office)
    $114k-134k yearly 57d ago
  • Nurse Case Management Manager

    Thinksoft Technologies LLC

    Utilization review nurse job in Mill Valley, CA

    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.
    $100 hourly 19d ago
  • Nurse Case Manager - North Bay Area, CA

    Paradigm 4.4company rating

    Utilization review nurse job in Vallejo, CA

    We are seeking a Field Nurse Case Manager to cover the North Bay Area in 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 California 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
    $97k-124k yearly est. 5d ago
  • Nursing - Case Manager

    Marinhealth Medical Center

    Utilization review nurse job in Mill Valley, CA

    Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details. Ventura MedStaff benefits represent the care and compassion we provide for our clients. • Health, dental, vision, life, disability benefits and 401k • Tax free stipends when applicable • Gym discounts • Weekly pay • $750.00 referral bonus Please apply or contract us at: *********************** or ************
    $89k-133k yearly est. 15d ago
  • Telephonic Nurse Case Manager II (CA)

    Elevance Health

    Utilization review nurse job in Walnut Creek, CA

    **Telephonic Nurse Case Manager II** **Sign on Bonus: $5000.** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.** **Must reside in California.** **_Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._** **Hours: Monday - Friday 9:00am to 5:30pm with 1-2 late evenings 11:30 am to 8:00 pm PST.** *******This position will service members in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. + Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. + Coordinates internal and external resources to meet identified needs. + Monitors and evaluates effectiveness of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. + Negotiates rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management policies and procedures. **Minimum Requirements:** + Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure is required if this individual is providing services in multiple states. **Preferred Capabilities, Skills and Experiences:** + Case Management experience is preferred. + Certification as a Case Manager is preferred. + Minimum 2 years' experience in acute care setting is preferred. + Managed Care experience is preferred. + Ability to talk and type at the same time is preferred. + Demonstrate critical thinking skills when interacting with members is preferred. + Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly is preferred. + Ability to manage, review and respond to emails/instant messages in a timely fashion is preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $38.75 to $63.42 Locations: California. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. 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.
    $38.8-63.4 hourly 47d ago
  • IVF Nurse Coordinator Lead

    CCRM Fertility

    Utilization review nurse job in Menlo Park, CA

    Job DescriptionIVF Lead Nurse Coordinator (RN) The Lead IVF Nurse Coordinator (RN) is responsible for providing individualized nursing care to CCRM's fertility patients. This position works closely with the physicians to coordinate patient care and treatment and consult with patients regarding treatment protocols, medications, and/or required testing procedures. This position is also responsible for leading the IVF Nurse Coordinator team, providing daily supervision, oversight, and guidance. The successful candidate must be a highly skilled and highly qualified RN with a passion and drive to deliver excellent patient care. The Lead IVF Nurse Coordinator is expected to function independently in the role as well as in a team environment, seeking assistance from the physicians, manager and team members as needed. Must be well organized, detailed oriented, self-motivated, possess great customer service skills, and excellent communication skills. CCRM is an industry leading pioneer in fertility science, research and advancement, offering access to national network of award-winning physicians, a full suite of fertility services, innovation technology and cutting edge labs. CCRM is currently comprised of eleven locations spanning the U.S. and Canada with growth planned for continued network development on a domestic and international basis. ESSENTIAL FUNCTIONS: Assist in the daily oversight and responsibility for all IVF Nurse Coordinators in assigned location. Assist with interviewing, hiring, mentoring, coaching, and terminating employees, as necessary. Assist with flex/budget staff in accordance with patient volume; assuring sufficient staff are available for patient care at all times. Review medical records of each patient and assure appropriate data is entered into the patient's EMR. Collaborate with physician in developing and implementing a treatment plan appropriate to individual patient. Provide initial patient consultation after consultation with physician. Coordinate all infertility diagnostic tests and treatment plans with patient at direction of physician. Answer patient questions regarding patient cycles and calendars. Follow up with patient after ultrasound scan. Assure accountability for infertility/IVF patients each day, including ultrasounds, lab tests, physician orders, and other related items. Communicate with patient in person or on the telephone regarding patient medication, treatment plans, and test results. Perform intrauterine inseminations, as directed. Document into EMR all patient plans and interactions with patient and physician. Place patient orders into EMR. Responsible for patient scheduling, and coordinates with surgery/front desk ART scheduling. Responsible to assure all consents are signed in a timely manner. Responsible to assure that communicable disease testing is complete, accurate, and appropriate. Responsible to see that all patient documents are reviewed, accurately placed in the EMR, and discussed with physician. Responsible to provide education to patient to prepare them to undergo procedures/testing related to infertility testing, insemination, in vitro (IVF) fertilization, FET, and egg vitrification, etc. Responsible for ongoing communication and documentation between the physician and the patient. Monitor established pregnancies via ultrasonography and lab tests, through the first 8-12 weeks of pregnancy and documents updates in the patient's EMR. Provide compassion and emotional support to patient throughout their infertility experience. Participate in educating and/or training nurses, as directed. Assist with quality improvement projects. Maintain professional standing by participating in continuing education and professional organization membership. Participate in research, as appropriate. Other duties as assigned. REQUIRED QUALIFICATIONS: Associate Degree, Diploma, and/or Bachelor of Science in Nursing degree from an accredited school of nursing required Current State Registered Nurse license without limitations. Current BCLS and ACLS certifications. 2+ years of previous experience in women's health, fertility, OB/GYN, strongly preferred. 3+ years of previous nursing experience in other RN roles. Must be well-organized with excellent interpersonal skills, proven multitasking skills, and a demonstrated self-directed work ethic. Must be able to multi-task, prioritize, and be detail oriented. Must have excellent customer service skills along with good communication skills. Must possess a high level of independent judgment and accuracy. Must communicate positively and professionally with all internal and external customers, physicians, and team members. Must have the ability to function independently, and seek assistance from the physicians and team members as needed. Demonstrate the ability to be a team player and possess a willingness to perform duties that are assigned or delegated to him/her as well as a willingness to perform duties of other employees as needed. Support CCRM's vision and mission. Maintain confidentiality of all work information. Demonstrate an ability to function successfully in a team environment. Exhibit courteous, compassionate and respectful treatment of internal and external customers. Displays a positive attitude and flexibility in changing situations. Participates in identifying problems and suggesting solutions. Maintains HIPAA and Confidentiality for all patient and clinic information, HIV confidentiality. Understands and asses for domestic violence and child abuse issues and reporting responsibilities. Will report concerns to Medical Director or Practice Administrator. Utilizes time efficiently. CCRM recognizes the value of benefits to employees and their families. We strive to support our employees by offering a competitive benefit package comprised of a variety of different plan options, all of which represent a hidden value of additional income to our employees. CCRM's group benefits are available to eligible full-time employees and their immediate families. Paid Time Off 401K Matching Medical, Vision, Dental Short Term Disability Basic and Supplement Life Insurance Employee Assistance Program WORK ENVIRONMENT This role routinely uses standard office equipment such as computers, including computer keyboards and mice; telephones; photocopiers; scanners; filing cabinets. The duties of this position involves an inherent potential for mucous membrane or skin contact with blood, body fluids or tissues or a potential for spills or splashes of them. Appropriate protective measures are required for every employee engaged in these tasks. The duties of this position also involves occasionally exerting 75 pounds of force, and/or up to 35 pounds of force frequently. While performing the duties of this job, the employee is regularly required to talk, see and hear. 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. Employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; operation of standard office machines and equipment. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. EQUAL EMPLOYMENT/ANTI-DISCRIMINATION CCRM is an equal opportunity employer and does not discriminate on the basis of Race, Color, Religion, Creed, National Origin, Ancestry, Sex, Pregnancy, Age, Sexual Orientation (including transgender status), Physical or Mental Disability, Marriage to a Co-Worker, or for anyone engaging in Protected Activity (opposing a discriminatory practice or participating in an employment discrimination proceeding). Additionally, this employer does not tolerate any employees engaging in discriminatory behavior based on any of the aforementioned protected classes. PRE-EMPLOYMENT REQUIREMENTS All offers of employment by this employer are conditional upon the incumbent's successful completion of pre-employment screenings, including a criminal background check, drug screen, educational and prior employment verification, professional reference checks, and verification of the incumbent's 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.
    $119k-164k yearly est. 7d ago
  • Flight Nurse

    Air Methods 4.7company rating

    Utilization review nurse job in Antioch, CA

    Join us in the enchanting town of Antioch, for an extraordinary career as a Flight Nurse with Air Methods! Nestled amidst the majestic landscapes of Antioch, CA offers a perfect blend of natural beauty and cultural richness. As a pivotal member of our team, you'll play a crucial role in providing life-saving medical transport to the community. With a minimum of 36 months of experience in a busy ICU, ER, Flight, or Critical Care Transport setting within the last 5 years, your expertise will be invaluable. Operating on a schedule of two 24-hour shifts per week, you'll deliver top-notch critical care, adhering to the highest standards set by Air Methods Community Base Services (CBS) Medical Director(s). Your responsibilities will encompass assessment, triage, and treatment, ensuring the safe transport of critical patients to the appropriate medical facility. From the unique vantage point of a helicopter, you'll enjoy breathtaking views of the scenic California landscape, enhancing the experience of your daily work. Join us in Antioch, where every flight underscores our commitment to excellence and safety in medical transport. Experience the thrill of flight while making a significant impact on the well-being of those in need in this dynamic and culturally rich community. Responsibilities Job Summary Responsible for providing high-quality critical care, including assessment, triage, and treatment utilizing standards and guidelines established by Air Methods Community Base Services (CBS) Medical Director(s). You'll assess the nature and extent of illness or injury to establish and prioritize the care needed for the safe transport of the critical patient to the appropriate facility and are responsible for carrying out the mission and goals of Air Methods CBS, assuring that safety remains the highest priority throughout the transport continuum. Essential Functions and Responsibilities include the following: * Provides nursing care within his/her scope of practice from the initial contact until patient care is relinquished to the accepting medical facility; maintains thorough patient care documentation. * Maintains competency in knowledge and psychomotor skills by participating in ongoing laboratory and clinical experiences. Communicates educational needs to the Medical Base Supervisor and Medical Education Coordinator. Maintains documentation of required licensure, certifications, continuing education, aviation and safety training, OSHA and HIPAA training, clinical rotations, and advanced procedures and attends continuing education programs pertinent to his/her area of practice. * Knowledgeable in using and maintaining all equipment and supplies used by Air Methods CBS. Responsible for reporting medical equipment failures and taking initial steps to ensure equipment repair as directed. Maintains adequate supplies onboard aircraft to deliver patient care. Keeps aircraft clean and orderly to ensure rapid response to all transport requests. * Functions as a medical flight member by attending pre-mission briefings and mission debriefings and completing necessary documentation. Assists in pre-mission liftoff checklist and assists pilot as requested, i.e., radio, navigational, and visual observation activities. Complies with safety standards to assure the safety of self, medical personnel, patients, and equipment and conducts aircraft safety briefings as needed. * Serves as a flight resource to neonatal/pediatric personnel when transporting specialty patients by helicopter and performs advanced skills and procedures as approved by Air Methods CBS Medical Director(s). * Participates in patient and referring institution follow-up and in planned outreach marketing and education activities * Acts as a preceptor and/or participates in orientation of new employees and students as assigned and communicates program goals and objectives. * Participates regularly in Air Methods CBS meetings, activities, projects, and committees (to include research and publishing opportunities). * Other Duties as assigned. Additional Job Requirements * Regularly scheduled attendance * Indicate the percentage of time spent traveling: 5% * Subject to applicable laws and Air Method's policies, regular attendance is an essential function of the position. All employees must follow Air Methods' employment practices and policies. Supervisory Responsibilities * This position has no supervisory responsibilities. Qualifications Qualifications To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements below represent the required knowledge, skill, and/or ability. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the position's essential functions. Education & Experience * Graduate of an accredited School of Nursing * Bachelor's degree in a health-related field preferred but not required * Minimum three (3) years of recent critical care/emergency nursing experience within the last five years or as required by state/ local EMS regulations * Pre-hospital experience preferred * Flight experience is not required but is a plus! Operation and Safety Requirements: * As a member of the Clinical Flight Crew, any person employed in this position shall maintain a weight not to exceed 225 pounds, including an empty flight suit and boots. Skills Skills as required to practice nursing as defined by assigned state scope of practice and advanced practice skills as defined by Medical Director(s) and Medical Standards * Maintains positive interpersonal relationships with colleagues, EMS representatives, hospitals, and the public while executing strong interpersonal skills and a high degree of collaboration at all levels * Demonstrates high critical thinking and reasoning skills and strong attention to detail while working in a fast-paced environment that requires the ability to prioritize and multi-task * Ability to work a flexible schedule, including overtime and 24/7 on-call rotation * Dependable and self-motivated while working in a frequently changing environment * Excellent communication and presentation skills, both written and verbal Computer Skills * Proficient with Microsoft Suite, including Word, Excel, PowerPoint and Outlook Certificates, Licenses, Registrations * Current RN license(s) for states of practice * EMS or MICN certification/licensure as required by state regulations * Current certifications in Healthcare Provider BLS/CPR; ACLS; PALS or equivalent (AHA, ARC, or ASHI only courses if state or county required) and TPATC/TNCC/ITLS/PHTLS advanced provider (if state or county required) * If you do not have a current trauma certification, Air Methods will provide the TPATC online course to be completed prior to new hire orientation Other certification requirements: * Specialty certification (CFRN or CEN) are required within 24 months of hire * Advanced Trauma Course requirement: One (1) of the following certifications are acceptable: TPATC, TNCC, ATCN, TNATC, or CAMTS-approved advanced trauma course before completion of third-rider training * NRP certification before completion of the third-rider orientation * NIMS Training IS 100, 200, 700, 800, and HazMat before completion of third-rider training Benefits Air Methods is proud to offer a comprehensive benefits package created with the diverse needs of our teammates in mind: * Health, Dental and Vision * Competitive 401(k) Retirement Plan * Flexible Spending Account Benefit Plans * Tuition Reimbursement * Full Company-Paid Life Insurance * AD&D Insurance * Short-Term and Long-Term Disability Insurance * Business Travel Accident Insurance * Voluntary Legal * Relocation Assistance * Employee Assistance and Benefit Concierge Service Programs Minimum pay USD $77,750.40/Yr. Maximum Pay USD $95,022.72/Yr. Benefits For more information on our industry-leading benefits, please visit our benefits page here. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
    $77.8k-95k yearly 22d ago
  • Aesthetic Nurse (RN Injector)

    Berman Skin Institute

    Utilization review nurse job in San Francisco, CA

    Job DescriptionSalary: Berman Skin Institute (BSI) is a group of dermatology and cosmetic surgery centerswithten medical practice locations across Northern California (including Los Altos , Fremont,San Francisco, Walnut Creek, Pleasanton, Placerville, Cameron Park, Roseville, Tracy and Yuba City, and a business office in Santa Clara). Founded in 1993 by Dr. David Berman, a board-certified dermatologist, BSIs mission is to blend state-of-the-art medical technology and research with a dedication to patient welfare and healing to provide patients with the best possible dermatologic care. As one of the largest skin laser centers in the world, BSI has several dozen lasers, and many other non-laser devices for skin and hair conditions. Additionally, Dr. Berman was the first physician in the world to perform hair transplants using the ARTAS robotic hair transplant system, and remains the principal researcher for the manufacturer, Restoration Robotics. With a diverse patient population, BSI has a set of broad and comprehensive service offerings, including medical and surgical dermatology (including treatment for acne, moles, allergic skin reactions, autoimmune diseases, skin infections and more); cosmetic dermatology (including laser wrinkle treatment, laser hair removal, laser tattoo removal, laser brown spot removal, laser removal of varicose veins and more); skin care products and medi-spa/esthetician treatments (including chemical peels, microdermabrasion, facials, extractions for acne and more). We are currently seeking a Full TimeexperiencedAesthetic Nurse (RN Injector) for our San Francisco, CA location. This is a tremendous opportunity to work side by side with one of the most experienced cosmetic laser dermatologists in the country. Job Type: Fulltime Wage Range: $50.00 to 70.00 an hour DOE Responsibilities: Consult and treat patients on various cosmetic procedures including, but not limited to: Botox Juvaderm, Radiesse & Boletero Laser Hair Removal BBL/IPL Laser Tattoo removal Ultherapy Microneedling Excimer Laser Treatments Pulse Dye Laser Light box therapy Coolsculpting Additionally: Assist physicians andotherprovidersin clinic, withprescriptionrefills and pre-and post-operative patienteducation when necessary Provide meticulous charting in EMR system Provide stellar customer service and education to all patients Position requirements: Current and unblemished California RN license experience in cosmetic, aesthetic procedures 2-4 years aestheticinjection experience 2-year experience with cosmetic laser procedures EMR experience a must; Next Techfamiliarity preferred Meticulous attention to detail Be incredibly reliable and punctual Willing to help in other areas of practice when availableand a flexibleteam player. Outgoing & friendly personality with ability to put patients at ease Able totranslate and explaincomplex, scientific informationforpatients to easily understand Benefits: Health Insurance Dental Insurance Vision Insurance Paid time off Retirement plan Health Savings Account
    $50-70 hourly 11d ago
  • ICC - On Call NP/PA

    Healthright 360 4.5company rating

    Utilization review nurse job in San Francisco, CA

    . 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
    $84k-122k yearly est. 60d+ ago
  • Infusion Nurse

    Soleo Health 3.9company rating

    Utilization review nurse job in San Francisco, CA

    Full-time Description Soleo Health is seeking a Full-time Infusion Nurse to support our infusion patients in the San Francisco, CA and surrounding areas. Join us in Simplifying Complex Care! Soleo Health Perks: Competitive Wages Mileage Reimbursement & Paid Drive Time 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program The Position: The Infusion Nurse provides primary patient care for specifically assigned patients to include assessments, care planning, evaluation and education of patients receiving infusion therapy and/or other nursing services in accordance with the care matrices and best practices in the home or alternate site setting. Responsibilities include: Provide the direct care for all assigned patients including initiation and maintenance of all communications with appropriate care team members including pharmacists, prescribers, dietitians, home patient representatives/care partner and any appropriate community resource staff members. Evaluate and education patient/care partner to safely administer the home infusion therapy and provide additional instruction as indicated. Evaluate the home environment where the care is to be provided and identify interventions that may be required to render the home care environment safe and appropriate for the prescribed care. Develop in conjunction with other team members the plan of care and evaluate response to therapy with each encounter. Develop and maintain caseload scheduling via company approved platform per company policy. Communicate any scheduling changes on an as needed basis to appropriate team members. Coordinate care via approved company platform Takes part in the nurse on-call rotation to ensure continuous nursing support services to our customers. Document all communications at time of service as appropriate per Soleo policy. Strong knowledge of therapies provided by Soleo. Work in conjunction with appropriate departments to ensure all required patient documents are completed and returned to the branch office within acceptable timeframe. Ensures timely submission of plan of treatments as required by states guideline. Schedule: Must be able to work Full time, Monday-Friday, variable schedule to include evenings/weekends as needed- 40 hours per week Must be able to participate in an on-call rotation (2 days per month with 1 weekend day) Must be able to drive up to 60 miles to see patients in their homes (we offer mileage reimbursement and hourly rate of pay) Must be knowledgeable of IV access devices to include: IV lines, ports, and administration of infusion medications Must be able to provide infusions to patients in their homes as well as the infusion suite Must be licensed in the state of California as an RN Requirements RN Degree, BSN Preferred Advanced certification in specialty areas of practice (e.g., CRNI, ONS, IgRN) preferred but not required. On-Call Requirement: This position requires participation in an on-call rotation, nights and weekends included, providing as-needed support outside of regular business hours to address urgent issues and ensure continuous operations. Administrative Oversight: Responsible for providing administrative oversight, including monitoring of workflows, ensuring compliance with policies, and managing resources efficiently to meet organizational objectives. Emergency Availability: Must be available to respond promptly to emergencies, ensuring rapid and effective resolution of issues to minimize impact on operations. Availability during non-standard hours, including nights, weekends, and holidays, as required by the nature of the emergency. Minimum 3 years nursing experience with background in infusion therapy preferred. Current nursing license for applicable home state Experience in ICU and/or Cardiac Care preferred. Proficient with Microsoft Outlook and Microsoft Office Suite. Valid state issued driver's license with no significant restrictions on that license. About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Nursing, clinic, clinical, IV, patient care, CPR, Acute, outpatient, pharmacy, Emergency room, ICU, home care, internal medicine, GI, neuro, rheumatology, adult, registered nurse, PACU, chronic, home health, Hospice, Acute Care, Critical Care, CRNI, ER, blood products, IVIG, Biologics, TPN, step down, now hiring, hiring now, immediately hiring, hiring immediately, Vascular Access Nurse, Infusion, Specialty Infusion Pharmacy, IV Therapy, IV Infusion, Home Infusion, IV Therapy Administration, Home Infusion Therapy, Specialty Infusion Nursing, Specialty Infusion, RN Clinical Liaison, Infusion Nurse Liaison, CPR+, Alayacare Salary Description $52.00-$58.00 per hour
    $52-58 hourly 23h ago
  • Advice Nurse

    Contra Costa County (Ca 3.4company rating

    Utilization review nurse job in Martinez, CA

    REANNOUNCEMENT Bargaining Unit: CNA - Registered Nurses Unit Why Join Contra Costa Health Services? Contra Costa Health Services is recruiting to fill one (1) permanent part-time (24 hour per week) Advice Nurse position in the Contra Costa Health Plan (CCHP) division located in Martinez, CA. This part-time position is eligible to receive County benefits (medical, dental, vision, paid time off, etc.) Advice Nurses assess the needs of over 200,000 patients, including members of the Contra Costa Health Plan, patients from contracting counties, and all users of the County ambulatory care services. Advice Nurses document telephone calls and make referrals, apply clinical judgement within established nursing standards and protocols, interview patients and callers to learn more about the issue, contact the Health Plan authorization office to determine benefit limitations and consider patient care, and instruct patients for home care for themselves or for family members. Candidates must be available to work evening, night, and weekend shifts on a rotating schedule. Eligible candidates who successfully pass the County language fluency examination may receive a monthly bilingual differential depending upon assignment. Contra Costa Health Plan (CCHP) provides managed care health insurance with its safety net community and county provider partners at an affordable price for diverse populations. They offer patient-centered medical homes to assure coordinated, comprehensive, compassionate, and quality care. Contra Costa Health Plan (CCHP) is the County's federally qualified Health Maintenance Organization (HMO). We are looking for someone who is: * Action-oriented and results-focused. You will need to take initiative and ensure tasks are completed in a timely and efficient manner * Organized. You will handle confidential information and ensure information is accurately noted and logged * Able to remain calm and think fast. You will encounter and need to respond to emergencies or crisis situations, calmly and effectively * Respectful and understands diversity. You will work with a culturally and linguistically diverse population * Patient. You will encounter callers who are agitated, stressed, confused, or difficult to describe what help they need What you will typically be responsible for: * Utilizing nursing processes to establish priorities and to refer patients to the proper level of care * Making appointments, providing home care advice, or referring out to other services * Informing doctors of issues needing attention that are outside the scope of advice nurse protocols * Updating computer entries to reflect current patient registration data A few reasons you might love this job: * We offer fantastic health benefits, paid vacation, and a great retirement plan! * We offer a flexible work schedule! * You will work with a very supportive team * You will gain knowledge of other county resources for patients A few challenges you might face in this job: * You are required to work night shifts, weekends, and holidays as part of the core schedule * The Advice Nurse Unit is part of the Emergency Disaster Operations Team and becomes the resource unit for all of the County during a natural disaster and pandemic * This is a 24/7 unit Competencies Required: * Critical Thinking: Analytically and logically evaluating information, propositions, and claims * Reading Comprehension: Understanding and using written information * Legal & Regulatory Navigation: Understanding, interpreting, and ensuring compliance with laws and regulations * Adaptability: Responding positively to change and modifying behavior as the situation requires * Attention to Detail: Focusing on the details of work content, work steps, and final work products * Handling Stress: Maintaining emotional stability and self-control under pressure, challenge, or adversity * Professional Integrity & Ethics: Displaying honesty, adherence to principles, and personal accountability * Listening: Fully comprehending spoken communication * Oral Communication: Engaging effectively in dialogue * Writing: Communicating effectively in writing * Customer Focus: Attending to the needs and expectations of customers * Valuing Diversity: Appreciating the benefits of varied backgrounds and cultures in the workplace To read the complete job description, please visit the website: ******************* The eligible list established from this recruitment may remain in effect for six (6) months.License Required: Possession of a Valid License as a Registered Nurse in the State of California. Experience: Two (2) years of full-time or its equivalent experience as a telephone triage Registered Nurse; Or a Registered Nurse in one of the following areas of an acute care hospital: medical surgical unit, labor and delivery unit, post partum unit, pediatric unit, intensive or critical care unit, emergency department; Or a Registered Nurse in a surgery center or urgent care facility; Or a Registered Nurse in a maternal child health, home health, public health setting, or in nursing case management. Typing: Ability to accurately type at a speed of not less than 30 words per minute. Certificate: Possession of a Pharmacology certificate administered by the Contra Costa Health Services Department. Desirable Qualifications: Certification or experience as an Advice Nurse PLEASE BE SURE TO ATTACHE PROOF OF YOUR VALID LICENSE AS A REGISTERED NURSE IN THE STATE OF CALIFORNIA TO YOUR APPLICATION AS WELL AS ALL CERTIFICATES 1. Application Filing and Evaluation: All applicants must apply online at ****************** and submit the information as indicated on the job announcement by the final filing date. Applicants will be required to complete a supplemental questionnaire at the time of filing. Applications will be evaluated to determine which candidates will move forward in the next phase of the recruitment process. 2. Online Typing Test: Applicants must complete a timed typing test validating the ability to type at least 30 words per minute. 3. Training and Experience Evaluation: Candidates who clearly demonstrate that they possess the minimum qualifications will have their training and experience evaluated. The responses to the supplemental questions, at the time of filing, will be evaluated to determine each candidate's relevant education, training, and/or experience as presented on the application and supplemental questionnaire. (Weighted 100%) The Human Resources Department may change the examination steps noted above in accordance with the Personnel Management Regulations and accepted selection practices. For recruitment questions, please contact Health Services Personnel, Recruitment Team at ******************. For any technical issues, please contact the Government Jobs' applicant support team for assistance at ***************. CONVICTION HISTORY After you receive a conditional job offer, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction conflicts with the specific duties and responsibilities of the job for which you have received a conditional job offer. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances. Having a conviction history does not automatically preclude you from a job with Contra Costa County. If you accept a conditional job offer, the Human Resources department will contact you to schedule a fingerprinting appointment. DISASTER SERVICE WORKER All Contra Costa County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency. EQUAL EMPLOYMENT OPPORTUNITY It is the policy of Contra Costa County to consider all applicants for employment without regard to race, color, religion, sex, national origin, ethnicity, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition, genetic information, military or veteran status, or other protected category under the law.
    $67k-83k yearly est. Easy Apply 1d ago
  • Wellness Nurse

    Aegis Living 3.8company rating

    Utilization review nurse job in Napa, CA

    Wellness Nurse Hiring Now! Aegis of Napa is looking for a Nurse to provide quality care to our residents. Are you looking for consistent hours that are not in acute care? The Wellness Nurse is an integral member of our nursing team, contributing health care expertise to promote an environment of optimal living for our residents. What We Offer: * Defined Growth Opportunities in Nursing Leadership * 401k * Flexible Schedules * PTO (paid time off) + Sick Pay +Appreciation Days * Tuition Assistance Program * Medical/ Dental/ Vision Responsibilities What You Will Do: * Provide nursing services to residents * Participate in training of care staff * Coordinate resident care with residents, families, and physicians * Communicate care plan changes to staff * Communication with families and physicians * Documentation and Investigation Reporting * Conduct fall risk assessments, skin assessments, pain assessments, Fast Scale assessments * Wound care * Audit eMARS, medication cart * Maintain accurate resident health records * Medication Management Qualifications Who You Are: * RN License that is active and in good standing * A passion to work with our amazing seniors! * Outstanding communication skills * Ability to work hard, support your team and build fun into the job * Must be willing to take TB test Who We Are: * Aegis Living is a national leader in retirement, assisted living and memory care; providing the finest in senior lifestyle emphasizing health, quality of life, well-being, and community. What Next? * Apply ONLINE OR Come visit us today #AegisCareers Min Salary USD $36.00/Hr. Max Salary USD $38.00/Hr.
    $36-38 hourly Auto-Apply 13d ago
  • CN II - Ambulatory Procedural Nurse

    Alameda Health System 4.4company rating

    Utilization review nurse job in Oakland, CA

    Job Summary: Under direction, Ambulatory Care Nurses perform professional nursing duties for outpatient clinical areas; monitor, treat and educate patients, their families and the public regarding various medical conditions; record medical histories and symptoms; perform diagnostic tests and analyze results; operate medical equipment; administer treatment and medications; make assessments and create a plan of care; perform care coordination; provide lead direction to other nursing and paraprofessional personnel and perform other duties as assigned and required by the assigned clinical setting. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 1. Organizes, supervises, makes adjustments and accepts responsibility for the quality of care provided patients and families by co-workers for a given work period; responsibility as a team leader when assigned. 2. Participates in the implementation of patient care standards, infection control standards and quality assurance criteria; assist with conducting studies; participates in unit and other meetings. 3. Provides patient-centered care that is respectful of, and responsive to, individual patient preferences, needs and values. Provides and promotes excellence in customer service for both internal and external customers. 4. Collaborates with patients and other healthcare providers to deliver coordinated, high quality care 5. Performs nursing care following prescribed roles, policies, protocols and procedures. 6. Prepares, educates and monitors patients undergoing procedural sedation. 7. Critically evaluates and uses good judgment in unusual or emergent situations. 8. Complete patient assessments and triage, record patient histories, symptoms and observations. 9. Clinical skills include but are not limited to: vital signs, procedural sedation management, cleaning and use of medical equipment, Point of Care Testing and phlebotomy. 10. Provides clinical support and direct case management including patient education, goal setting, self-management teaching and coaching. 11. Effectively utilizes population health methodologies such as patient registry, in reach, outreach, care protocols and team-based care to improve patient and population outcomes 12. Provides care coordination of patient-centered care, based on evidence-based guidelines; coordination based on patients' health care needs and treatment recommendations to establish and maintain a plan of care jointly created and managed by patient, family and care team. 13. Administers medications, immunizations, performs medication reconciliation. Titrates medications/manages refills per clinical guidelines. 14. Performs accurate assessment of patient conditions (face to face or through telehealth) and utilizes guidelines or standardized procedures to create an effective plan of care. 15. Participates in Performance Improvement/Quality Control activities. 16. Ability to empathize with vulnerable populations and underserved patients. Minimum Qualifications: Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Required Education: Graduate of an accredited Registered Nursing Program Preferred Education: Bachelor's degree in Nursing or higher. Required Experience: Six months experience as a Clinical Nurse I with AHS or the equivalent of one year full time recent experience at a comparable level in an acute care hospital or in the area of specialty; (if experience is not recent, completion of an approved refresher course may be acceptable). Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Required Licenses/Certifications: Advanced Cardiac Life Support Certification issued by the American Heart Association; Completion of moderate sedation competency. Required Licenses/Certifications: Provider existing (or obtain new, if needed) NPI number Preferred: Moderate Sedation Certification FT/PT: Pay Range $74.07- $108.57 The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate's experience, education, skills, licensure and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program.
    $79k-98k yearly est. 19d ago
  • Nursing - OR

    CPMC Van Ness Campus

    Utilization review nurse job in San Francisco, CA

    Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details. Ventura MedStaff benefits represent the care and compassion we provide for our clients. •\tHealth, dental, vision, life, disability benefits and 401k •\tTax free stipends when applicable •\tGym discounts •\tWeekly pay •\t$750. 00 referral bonus Please apply or contract us at: www. venturamedstaff. com or ************
    $64k-101k yearly est. 33d ago
  • Individual Placements - NPS Structural Fire Protection

    Scacareers

    Utilization review nurse job in Oakland, CA

    National Park Service Structural Fire Protection Individual Placement The National Park Service (NPS) Structural Fire Protection program provides students enrolled in fire protection engineering, fire administration, or fire investigation degree programs an opportunity to gain practical work experience that will augment academic training related to the duties of a fire protection technician. Participants will support efforts to establish and maintain an effective park structural fire prevention and protection program, reducing the risks of death, injury, property loss, and damage to historic collections from the effects of structure fires. Positions are located at NPS sites across the United States. Schedule May 17, 2026 - July 25, 2026 Key Duties and Responsibilities Participants will not be performing wildland or structural firefighting activities. As a NPS Structural Fire Protection Individual Placement, you may be responsible for the following duties, which can vary by park location: Perform annual fire and life safety building inspections. Develop or update evacuation plans for park buildings. Assist with the development of inspection, testing, and maintenance plans for fire protection systems. Conduct training classes on portable fire extinguishers. Perform monthly portable fire extinguisher checks and establish a tracking program for extinguishers throughout parks. Establish a fire hydrant inspection and flow test program. Establish a hot work permit program. Revise a park's structural fire management plan (SFMP). Assess the fire protection of a historic building and make recommendations for protecting the building from structure fire better in the future. Review plans for new construction and provide feedback to the Regional Structural Fire Marshal (RSFM). Additional tasks will be specific to each work site. More information about this internship opportunity can be found here: https://www.nps.gov/articles/structural-fire-protection-internships.htm More information about the NPS Structural Fire Program can be found here: https://www.nps.gov/orgs/1231/index.htm Required Qualifications Applicants are U.S. citizens seeking a four-year degree in the following degree programs: fire protection engineering, fire protection administration, fire services administration, or fire investigation degree programs. A driver's license is required to drive government vehicles. A background investigation will be required to gain access to government computer systems. A personal vehicle is needed to travel to and from work and travel to town for amenities, such as groceries. Most parks do not have public transportation available. Applicants should have good communication skills (oral and written) and be able to work as a member of a team. Marginal Duties As determined by Position Supervisor On site Preferred Qualifications Preferred applicants have completed their junior year of college and have obtained knowledge of fire protection systems, building construction, and fire codes and standards. Hours 40 per week Living Accommodations Depending on the National Park Service site, housing may be provided in a shared apartment, shared house, dormitory, or remote cabin. Compensation $650 - Roundtrip travel allowance $467 - weekly living allowance Housing provided by the site. Depending on the National Park Service site, housing may be provided in a shared apartment, shared house, dormitory, or remote cabin. *All allowances are subject to applicable federal, state, and local taxes. Personal Vehicle Information A personal vehicle is needed to travel to and from work and travel to town for amenities, such as groceries. Most parks do not have public transportation available. Additional Benefits AmeriCorps: May be eligible, but subject to award availability Equal Opportunity Statement The Student Conservation Association, Inc., is an Equal Opportunity Employer. The SCA strives to cultivate a work environment that encourages fairness, teamwork, and respect among all staff members and is committed to maintaining a work atmosphere where lifestyles may grow personally and professionally. Physical requirements and working conditions specific to the position are available in the full job description.
    $64k-101k yearly est. 17h ago
  • Temporary, Part-Time College Nurse

    Peralta Community College District Careers

    Utilization review nurse job in Oakland, CA

    Minimum Qualifications The minimum qualifications for a health services professional with overall responsibility for developing and directing student health services shall be a valid, current California license as a registered nurse, AND either of the following: 1. A Master's Degree in Nursing and a California Public Health Nurse certificate and a minimum of two (2) years experience in nursing; OR 2. A Bachelor's Degree in Nursing, a California Public Health Nurse certificate, AND a Master's Degree in Health Education, Sociology, Psychology, Counseling, Health Care Administration, Public health, or Community Health and a minimum of two (2) years experience in nursing. 3. Other health services personnel shall not be subject to statewide minimum qualifications; however, all personnel shall possess appropriate valid, current licensure or certification to practice in California when required by law. Ancillary personnel shall work under appropriate supervision when required by their license laws. (California credentials were no longer issued after July 1, 1990). OR 5. The equivalent qualifications. (Candidates who claim equivalency must provide conclusive evidence, as clear and reliable on the college transcripts as required on the District Equivalency Application Form. Refer to the Equivalency Procedures below. This is not a process to waive the minimum qualifications.) AND 6. Understanding of, sensitivity to, and respect for the diverse academic, socioeconomic, cultural, disability and ethnic backgrounds of community college students.
    $64k-101k yearly est. 60d+ ago
  • Quality Assurance Nurse

    Self-Help for The Elderly 4.2company rating

    Utilization review nurse job in San Francisco, CA

    Title: Quality Assurance Nurse Department: Home Care & Hospice FLSA Status: Non-Exempt Reports To: Director of Patient Care Services/Administrator Summary: The Quality Assurance Nurse is responsible for evaluating clinical practices within Self-Help Home Care & Hospice and implementing changes for improvement. The Quality Assurance Nurse shall possess Home Health and Hospice Care patient assessment skills, analyzes data integrity and consistency of OASIS documentation and assessment processes, and provides case management, as needed. Essential Functions: ⦁ Prospectively reviews all OASIS assessments, Plan of Care, Progress Notes, and Physician Orders to ensure appropriateness, completeness, and compliance with Federal and State regulations and organization policy. Utilizes OASIS variation or alert reports when reviewing OASIS data. ⦁ Works with the coding personnel to ensure appropriate ICD-10 coding and sequencing as it relates to the patient's medical condition, including any co-morbidities, and works with clinical staff to clarify documentation and data integrity issues. ⦁ Consults with appropriate clinical staff to clarify any data integrity issues and works with clinicians to make appropriate corrections per organization policy. ⦁ Notifies department leadership of problematic trends as a result of the OASIS review and works with leadership to address trends that affect the agency's outcome and processes measures noted during the OASIS review. ⦁ Coordinates and conducts patient care conferences and in-service programs, including identifying the learning needs of clinicians and developing clinical resources for patient care. ⦁ Assists the management team to ensure the maintenance of patient clinical records, statistics, reports and records for purposes of evaluation and reporting of department and organization activities. ⦁ Conducts quarterly record reviews and communicates findings and recommendations in Quality Assurance and Performance Improvement meetings and Professional Advisory Board meetings as assigned. ⦁ Provides clinical review support to the intake process and acts as the backup intake. Completes referral information that includes intake data, essential background information, hospital courses, and the plan of care. ⦁ Acts as a resource to the team and compiles to report quality data in the following areas: patient care, safety, risk management, infection control, outcomes, and customer satisfaction. ⦁ Assists the Hospice Medical Director and Director of Patient Care Services in the planning, implementation, and evaluation of in-service and continuing education programs for the Hospice personnel. ⦁ Completes an initial, comprehensive and ongoing comprehensive assessment of the patient and family to determine hospice/home care needs. Provides a complete physical assessment and history of current and previous illness(es). ⦁ Initiates the plan of care and makes necessary revisions as patient status and needs change. ⦁ Provides medical care, palliates and manages terminal illness in compliance with the State Nurse Practice Act under the supervision of a collaborating physician. ⦁ Assures patient receives appropriate measures to control symptoms, through collaboration with interdisciplinary team members. ⦁ Performs health screening at Residential Care Facilities for the Elderly (RCFEs) to determine home health or hospice care eligibilities and make appropriate referrals. ⦁ Maintains comprehensive working knowledge of Self-Help for the Elderly's resources and markets to address patient needs. ⦁ Maintains comprehensive working knowledge and assists the management team with monitoring, implementing, and evaluating the process, programs, and clinical policies to meet regulatory, accreditation, and community standards of Home Health and Hospice Care practice. ⦁ Performs other duties and activities as assigned. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Qualifications: ⦁ Registered Nurse with current licensure to practice professional nursing in the state. ⦁ Previous experience in hospice/home health setting. Proven ability to work within an interdisciplinary setting. ⦁ Working knowledge of OASIS and ICD-10 coding and OASIS Home Health ICD-10 coding certification preferred. ⦁ Has excellent observation, good nursing judgment and communication skills. Ability to recognize the needs of patients, family members, and patients with both limited and terminal illnesses and to maintain good relationships in dealing with them. ⦁ Knowledge of federal regulations and state licensure requirements and understanding of the home health/hospice philosophy and related issues. ⦁ Possess and maintain current CPR certification. ⦁ Must be available for on-call administration duty outside of office hours per arranged schedule. ⦁ Must pass health screening for TB clearance and background check. ⦁ Must be able to travel via public transportation or personal/department vehicle for the performance of job duties. If driving, must have and maintain a valid CA driver license, satisfactory driving record, and auto insurance coverage as specified in Self-Help for the Elderly's policy. Self-Help for the Elderly is an Equal Employment Opportunity/Affirmation Action Employer and we welcome diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, age, national origin, sexual orientation, disability, protected veteran status or any other characteristics protected by law. We participate in E-Verify. Qualified applicants with criminal history will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. We may provide reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please call ************** for special assistance. .
    $73k-92k yearly est. Auto-Apply 60d+ ago

Learn more about utilization review nurse jobs

How much does a utilization review nurse earn in San Rafael, CA?

The average utilization review nurse in San Rafael, CA earns between $67,000 and $133,000 annually. This compares to the national average utilization review nurse range of $47,000 to $89,000.

Average utilization review nurse salary in San Rafael, CA

$94,000

What are the biggest employers of Utilization Review Nurses in San Rafael, CA?

The biggest employers of Utilization Review Nurses in San Rafael, CA are:
  1. Marin General Hospital: Foley Pamela MD
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