- Alameda Health System (Oakland, CA)
- Clinical Nurse V + Oakland, CA + Highland General Hospital + FQ MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + ... Minimum Experience: Either (1) Three years full time continuous experience as a Clinical Nurse III with AHS. (2) Two years of full-time continuous experience as… more
- Molina Healthcare (San Mateo, CA)
- …primary care and medical care services to members - primarily in non- clinical settings where members feel most comfortable, including in-home, community and nursing ... state based on business need. * Collaborates with fellow nurse practitioners to develop best practices to perform work...package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/ V \#PJNurse \#HTF Pay Range: $101,721 - $198,356 /… more
- Molina Healthcare (San Francisco, CA)
- …must be current and in good standing. **Preferred Qualifications** * LVN (Licensed vocational nurse ) or RN (Registered Nurse ) . License must be current, active ... managed care UM processes. * Medicaid/Medicare population experience. * Clinical experience. * Supervisory/leadership experience. **Work Schedule: Pacific daytime… more
- Molina Healthcare (San Francisco, CA)
- …and federal regulatory and accrediting standards and implementation of the Molina clinical model. * Manages and evaluates team member performance, provides coaching, ... * At least 1 year of health care management leadership experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice. *… more
- Fresenius Medical Center (Walnut Creek, CA)
- …direct patient care staff on appropriate programs under the supervision of a nurse . + Collaborates with the Clinical Manager and Education Coordinator in ... dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance… more
- Molina Healthcare (San Francisco, CA)
- …**Required Education** Licensed Vocational Nurse / Licensed Practical Nurse . **Required Experience** Minimum three years clinical nursing experience. ... in accordance with cost control standards. **Knowledge/Skills/Abilities** * Performs clinical /medical reviews of retrospective medical claim reviews, medical claims… more
- Molina Healthcare (San Francisco, CA)
- California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 NIGHT SHIFT 7:30PM - 08:30AM PACIFIC HOURS NON EXEMPT, 3 days a week will ... hours as posted._** **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that… more
- Molina Healthcare (San Francisco, CA)
- …daytime hours.** **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that ... services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes… more
- Stanford Health Care (Redwood City, CA)
- …discovered. Day - 08 Hour (United States of America) Are you a Nurse Practitioner (NP) or Physician Assistant (PA) passionate about improving outcomes in ... fractures (eg, hip, spine, wrist). You'll lead care delivery through clinical assessments, medication management (including injectables and infusions), and care… more
- Molina Healthcare (San Francisco, CA)
- …and consultation for NCQA standards/guidelines for the plan including compliant clinical quality improvement activity (QIA) in collaboration with clinical ... chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial… more