- Elevance Health (Walnut Creek, CA)
- ** Nurse Reviewer I** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum ... integration, and ensures essential face-to-face onboarding and skill development. The ** Nurse Reviewer I** is responsible for conducting preauthorization, out… more
- Molina Healthcare (San Jose, CA)
- …**Required Education** Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical ... field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or medical clinic… more
- Vighter Medical Group (San Jose, CA)
- Nurse Practitioner (NP) Traveler, Advertised in San Jose, CA Job Details Job Location San Jose, CA - San Jose, CA Position Type Full Time Education Level ... to 100% Job Shift Any Job Category Health Care Description Title:Travel Nurse Practitioner (NP) Location: Travel Sites Throughout California Position Type:Full time… more
- Molina Healthcare (San Jose, CA)
- …contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM ... as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the… more
- San Jose State University (San Jose, CA)
- …Nurse Practitioner Instructor Apply now ... offers a Master's degree, in the concentration of Family Nurse Practitioner. This is one of two graduate programs...coach member in this position is subject to ongoing review for designation as a Campus Security Authority (CSA).… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …support, mental health counseling, community health education, and more. The Care Transitions Nurse , RN is part of a patient-centered team focused on coordination of ... and telephoning patients, immunization administration, and oversight. The Care Transitions Nurse , RN will promote and restore patient's health by providing,… more
- HCA Healthcare (San Jose, CA)
- …find this opportunity compelling, we encourage you to apply for our Clinical Nurse Coordinator CVICU opening. We promptly review all applications. Highly ... is recognized. Submit your application for the opportunity below:Clinical Nurse Coordinator CVICUGood Samaritan Hospital **Benefits** Good Samaritan Hospital, offers… more
- Alameda Health System (Oakland, CA)
- Nurse Anesthetist - Night Shift Sign-On Bonus - Highland Hospital + Oakland, CA + Highland General Hospital + Anesthesiology + Full Time - Night + Nursing + $125.55 ... our mission! We are currently recruiting for a Full Time Certified Registered Nurse Anesthetists (CRNA) to work 12-hour, night shifts at our Highland Hospital's… more
- ICW Group (Pleasanton, CA)
- …and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and ... standards. + Interfaces with external agencies in relation to the utilization review process including, Third-Party Payers, Insurance Companies and Providers. + May… more
- Alameda Health System (Oakland, CA)
- Nurse , Care Management + Oakland, CA + Highland General Hospital + HGH Care Coordination + Services As Needed / Per Diem - Varies + Care Management + $82.67-$124.24 ... by each individual in the classification. 1. Coordinates all utilization review functions, including response to payor requests for concurrent and retrospective… more
- Alameda Health System (Alameda, CA)
- AHD Registered Nurse - Park Bridge + Alameda, CA + Park Bridge + PB Nursing + Services As Needed / Per Diem - Varies + Nursing + $53.85- $67.13 + Req #:42111-31217 + ... FTE:0.01 + Posted:May 28, 2025 **Summary** **SUMMARY:** The AHD Registered Nurse - Park Bridge provides direct nursing care to residents and supervises the patient… more
- Alameda Health System (Alameda, CA)
- AHD Licensed Vocational Nurse - PB + Alameda, CA + Park Bridge + PB Nursing + Services As Needed / Per Diem - Night + Nursing + $43.08 - $46.40/HR + Req ... + FTE:0.01 + Posted:May 8, 2025 **Summary** **SUMMARY:** The AHD Licensed Vocation Nurse - Park Bridge is to provide direct nursing care to residents and… more
- HCA Healthcare (San Jose, CA)
- …step in your career path, we encourage you to apply for our Clinical Nurse Coordinator Acute Rehab opening. We review all applications. Qualified candidates will ... of the range. **Introduction** Do you have the career opportunities as a(an) Clinical Nurse Coordinator Acute Rehab you want in your current role? We invest in what… more
- Adecco US, Inc. (San Jose, CA)
- We are seeking a **Primary Care Registered Nurse ** to join our team and support our Health Center Physicians in delivering exceptional patient care in **San Jose, ... disease management. The RN will collaborate closely with physicians, nurse practitioners, medical assistants, and social workers to ensure...advice or seek guidance from a physician as needed. Review lab results, images and other test results, and… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …documents subjective data (ie "chief complaint, history of present illness, medication review , etc) and objective data (eg, vital signs/weight). Reviews basic health ... tests. + Performs the appropriate documentation of care delivered. Review and address patient needs identified from After Hours...Requirements + Valid license to practice as a Registered Nurse in the state of California. + Graduate of… more
- The Cigna Group (Walnut Creek, CA)
- …client growth and retention, and network performance. + **OVERVIEW:** + The Nurse Executive Sales Specialist, as trusted Clinical Leader, Educator and Advocate, is ... proposition. + Supports achievement of business growth targets including prospective review , request for proposal, finalist meeting and new client onboarding. +… more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + $61.76 - ... 15, 2025 **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN is responsible for ensuring the appropriate use of healthcare… more
- Molina Healthcare (San Jose, CA)
- **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 NIGHT SHIFT: 7:30PM - 08:30AM PACIFIC HOURS NON EXEMPT, 3 days a week will rotate._** **_TRAINING SCHEDULE ... experience in Hospital Acute Care, ER or ICU, Inpatient/ Concurrent Review , Utilization Review / Utilization Management and knowledge of InterQual / MCG… more
- Alameda Health System (Oakland, CA)
- …need for community resources. + Follows up with discharged stroke patients to review medication(s) list and physical therapy ability to obtain medications, review ... and data repository systems. Preferred Experience: Experience as a charge nurse or Case Management role or project-focused experience in leading cross-functional… more
- Alameda Health System (San Leandro, CA)
- …Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or experience in case ... management/community health preferred. Preferred Licenses/Certification: Public Health Nurse , Case Management, or Home Health. Required Licenses/Certifications: BLS… more