Utilization review nurse jobs in Sunnyvale, CA - 286 jobs

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

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

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

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

Job Description 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.

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 ************

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

Come join an exciting and innovative company that puts the “care” back in healthcare! Why do Nursing Coordinators want to work here? The reason people love working for KabaFusion is because of the impact we have on our patients. Here, it doesn't matter what your role is, you will be part of a team that works collaboratively to change lives. You will go home knowing you've made a difference and improved someone's life. About us: What started as a single pharmacy in 2010 has grown into KabaFusion becoming the largest privately held home infusion company in the country. We have a national network of pharmacies and nursing offices strategically placed to service 40+ states. Couple that with over 30 years of combined experience and it's no wonder why KabaFusion is the industry leader in home infusion. About the role: Our Nursing Coordinators have direct interaction with our patients and are the first voice they hear from our nursing department. In this role you will coordinate and schedule patient visits, manage patient charts, gather important documentation, and interact with providers as needed. Essential Duties & Responsibilities: Obtains incoming outsourced agency nursing notes and invoices to match up dates and times, enters Patient Care Management System and forwards to QA Nurse for review. Enters all scheduling data into the computer system in a timely manner and ensures that data is accurate and complete. Assists with sending out physician plan of treatment and free form orders for signature and tracks for return, works with sales representatives to obtain timely signature as needed. As a Nursing Coordinator, you bring: High school diploma or equivalent 3+ years of scheduling/coordinator experience What we offer: Benefits start on your 1 st day of employment 401K w/ 4% Match - no waiting or vesting period PTO / Floating Holidays / Paid Holidays Company Paid Life Insurance, short term disability Employee Assistance Programs to help with mental health / wellness Learning & Development Programs Perks… includes discounts on travel, cell phone, clothing, and more… Generous employee Referral Program To learn more about KabaFusion, please visit our careers page: *********************************** KabaFusion is a mission driven company with a focus on innovation and patient care so, as a Nursing Coordinator, if that sounds like something you want to be a part of, then look no further.

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

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

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)

Wellness Nurse Hiring Now! Aegis of Fremont 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. Schedule: FT Sunday - Thursday 10:30am - 7:30pm 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 Min Salary USD $35.00/Hr. Max Salary USD $38.00/Hr.

. 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.

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

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

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

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

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)