- Alameda Health System (Oakland, CA)
- …of the required experience.) Required License/Certifications:CCRN - Critical Care Registered Nurse is desirable. Required Licenses/Certifications:ACLS - Advanced ... Services As Needed / Per Diem - Varies + Management + $76.03-$106.89 + Req #:42315-31381 + FTE:0.01 +...Emergency department). Required Licenses/Certifications:Valid license to practice as a Registered Nurse in the State of California… more
- Alameda Health System (Oakland, CA)
- …in Nursing preferred. Required License/Certifications: CCRN - Critical Care Registered Nurse is desirable. Required Licenses/CertificationsTPM: ACLS, TNCC, ... MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + FTE:1...department). Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
- Alameda Health System (Oakland, CA)
- … Management provides Care Coordination, Compliance, Transition Coordination, and Utilization Management . **DUTIES & ESSENTIAL JOB FUNCTIONS** NOTE:The ... background. Within the last 3 years, experience in Case Management in an acute setting or utilization ...or health plan. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California,… more
- Alameda Health System (San Leandro, CA)
- …AHA-American Heart Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. **PAY RANGE** ... FTE:0.7 + Posted:August 6, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case management services to… more
- Alameda Health System (Oakland, CA)
- …or related fields. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State ofCalifornia RequiredExperience:Seven years of ... MCH/OB Clinic (K6) + Full Time - Day + Management + $85.55 - $142.40/ Hour + Req #:42908-31868...development, revenue generation, and expenditure control to optimize the utilization of resource at greatest value. + Represents the… more
- Elevance Health (Walnut Creek, CA)
- RN Utilization Management Nurse (NICU / Peds) - California (JR169694) **Virtual:** This role enables associates to work virtually full-time, with the ... - 6pm PST. Rotating Weekends and holidays. The **Medical Management Nurse ** is responsible for review of...clinical experience in NICU / Peds strongly preferred. + Utilization management /review within managed care or hospital… more
- Fresenius Medical Center (Oakland, CA)
- …and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... This is a per diem RN opportunity for our Oakland, CA surgery center....adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other… more
- Sutter Health (San Francisco, CA)
- …in nursing, case management or related field. **CERTIFICATION & LICENSURE** + RN - Registered Nurse of California (required) + CCM-Certified Case Manager ... Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The … more
- Providence (Napa, CA)
- …in an inpatient or outpatient case management setting + Upon hire: California Registered Nurse License + 2 years Case management , discharge planning, or ... and their families throughout the continuum of care. The RN Case Manager assists patients in the utilization... of appropriate health care services. Position may require Utilization Management and Discharge Planning, Chronic Disease… more
- Alameda Health System (Oakland, CA)
- Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
- Sutter Health (Oakland, CA)
- …an accredited school of nursing Required + BSN Preferred **CERTIFICATION & LICENSURE** + RN - Registered Nurse of California Required + Certified Case Manager ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the… more
- Sutter Health (San Francisco, CA)
- …+ Other: Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + CCM - Certified Case Manager ... Pacific Med Center - Mission Bernal **Position Overview:** Coordinates the utilization management , resource management , discharge planning, post-acute… more
- Molina Healthcare (San Francisco, CA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 NIGHT SHIFT 7:30PM - 08:30AM PACIFIC...to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. **Required… more
- Sutter Health (Novato, CA)
- …+ Other: Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... at Home - Outer Bay **Position Overview:** An experienced RN who is responsible for the overall management...the established plan of patient care and ensuring effective management of visit utilization and control of… more
- Alameda Health System (Oakland, CA)
- …of the required experience.) Required License/Certifications:CCRN - Critical Care Registered Nurse is desirable. Required Licenses/Certifications:ACLS - Advanced ... Clinical Nurse IV - (Assistant Nurse Manager) -...Labor and Delivery + Full Time - Night + Management + $73.81 to $103.78 per hour + Req #:40380-29783… more
- Sutter Health (Berkeley, CA)
- …accredited school of nursing Required. + BSN Preferred **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid… more
- Elevance Health (Walnut Creek, CA)
- …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Sign on Bonus: $5000.**...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Alameda Health System (Oakland, CA)
- …is required. + Preferred Experience: N/A Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California or valid license as ... of financial analyses including cost of care to reimbursement, denials management , and non-reimbursed services, promoting effective resource utilization ,… more
- Sutter Health (San Francisco, CA)
- …Other: Graduate of an accredited school of nursing. **CERTIFICATION & LICENSURE** RN - Registered Nurse of California BLS-Basic Life Support Healthcare ... manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid… more
- Sutter Health (San Francisco, CA)
- …+ Other: Graduate of an accredited school of nursing. **CERTIFICATION & LICENSURE** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid… more
