- Sutter Health (San Francisco, CA)
- …Manages and provides overall operational and clinical nursing leadership to an inpatient department(s) or setting. Plans and organizes inpatient nursing ... of an accredited school of nursing. **CERTIFICATION & LICENSURE:** RN-Registered Nurse of California BLS-Basic Life Support Healthcare Provider **DEPARTMENT REQUIRED… more
- Sutter Health (San Mateo, CA)
- …and families. A Registered Nurse , who, under the supervision of the Nurse Manager / Director, has continual opportunity to exercise initiative and independent ... glad you are interested in joining Sutter Health! **Organization:** MPHS-Mills-Peninsula Medical Center **Position Overview:** The Registered Nurse , following… more
- Sutter Health (Vallejo, CA)
- …you are interested in joining Sutter Health! **Organization:** SSMC-Sutter Solano Medical Center **Position Overview:** Manages and provides overall operational and ... clinical nursing leadership to an inpatient department(s) or setting. Plans and organizes ...an accredited school of nursing. **CERTIFICATION & LICENSURE:** RN-Registered Nurse of California BLS-Basic Life Support Healthcare Provider **DEPARTMENT… more
- Elevance Health (Walnut Creek, CA)
- …PST** The ** Nurse Appeals** is responsible for investigating and processing medical necessity appeals requests from members and providers. **How you will make an ... ** Nurse Appeals (RN)** **Location** : This role requires...+ Conducts investigations and reviews of member and provider medical necessity appeals. + Reviews prospective, inpatient ,… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN, Full Time, Benefited, Days, 8hours, 1.0fteFeatured Job + San Leandro, CA + San Leandro Hospital + SLH Social Services + Full Time - Day + Care ... #:41613-30802 + FTE:1 + Posted:Yesterday **Summary** **Job Summary:** The SLH Case Manager RN is responsible for providing comprehensive case management services to… more
- Alameda Health System (Oakland, CA)
- …maintaining high- standards of patient care. This role involves evaluating medical necessity, assessing treatment plans, and collaborating with healthcare providers ... RN plays a critical role in optimizing care delivery, reducing avoidable inpatient denials, and improving overall healthcare. **DUTIES & ESSENTIAL JOB FUNCTIONS:**… more
- Elevance Health (Walnut Creek, CA)
- …The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
- US Tech Solutions (San Francisco, CA)
- **Job Summary** Under the supervision of the Patient Access Services Manager , the Senior Admitting Worker (SAW) is generally assigned a primary work unit but may ... escort upon arrival for services and/or after triage by the nurse . The registration process includes gathering demographic, financial information and entering… more
- Elevance Health (Walnut Creek, CA)
- …+ Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service ... given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +...and/or eligibility information. + May act as liaison between Medical Management and internal departments. + Responds to telephone… more
- Gentiva (Pleasanton, CA)
- …care for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join ... you will be eligible for:** + Competitive Pay + Medical , Dental, Vision Plans + Generous Paid Time Off...patients in emergency cases, as staffing indicates, and for inpatient hospice admissions + Provides accurate and timely information… more