- Sutter Health (Burlingame, CA)
- … preferred. Working knowledge of laws, regulations, and professional standards affecting case management practice in an integrated delivery system : including but ... of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN-Registered Nurse of California Upon Hire CCM certification preferred **TYPICAL EXPERIENCE:** 5… more
- Highmark Health (Sacramento, CA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...of healthcare costs and the broader healthcare service delivery system + Proficiency in MS Excel and strong analytic… more
- The County of Los Angeles (Los Angeles, CA)
- …Considerable ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management experience whose ... our community's health. As the second largest municipal health system in the nation, DHS operates an integrated network...In the County of Los Angeles, a Utilization Review Nurse is an RN that has Case … more
- Sutter Health (San Francisco, CA)
- …Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may ... status. + Working knowledge of laws, regulations and professional standards affecting case management practice in an integrated delivery system : including but… more
- ICW Group (Pleasanton, CA)
- …and receives support from dedicated in-house counsel for litigation strategy and nurse case managers for medical management. **ESSENTIAL DUTIES AND ... claims. + Utilizes data analytics to track performance metrics, analyzes operations/ system issues, and drive decision-making. **Team Leadership** + Coaches and… more
- Dignity Health (Santa Maria, CA)
- …Position** In keeping with the Marian Medical philosophy, the Pre-Admission Planning nurse provides Case Management, and an individual pre-admission plan for ... (5) years recent clinical experience preferred. + Utilization Review, or Case Management experience desirable, not required. **Overview** Marian Regional Medical… more
- Alameda Health System (Alameda, CA)
- AHD Wound Care Center Case Manager, RN + Alameda, CA + Alameda Hospital + AHD Wound Care Center + Full Time - Day + Nursing + $58.74/hr - $97.91/hr + Req ... supervision of the Clinical Manager,the AHD Wound Care Center Case Manager (RN) is responsible for providing comprehensive ...Recognize and assess initial alterations in the patient's body systems and verbalize this to other members of the… more
- Alameda Health System (Oakland, CA)
- Physician Assistant/ Nurse Practitioner (PA/NP) - Eastmont Wellness Center - Oakland, CA. + Oakland, CA + Eastmont Wellness Center + Eastmont Wellness Center + ... Services As Needed / Per Diem - Day + Nurse Practitioner/Physician Assistant + $121.15 - $134.60/HR + Req...+ FTE:0.01 + Posted:August 6, 2025 **Summary** Alameda Health System 's Eastmont Wellness Center in Oakland, CA is currently… more
- Alameda Health System (Newark, CA)
- Physician Assistant/ Nurse Practitioner (PA/NP) - Newark Wellness Center + Newark, CA + Newark Wellness Center + Newark Wellness Center + Services As Needed / Per ... Diem - Day + Nurse Practitioner/Physician Assistant + Req #:40006-29474 + FTE:0.01 +...2024 **Summary** Newark Wellness Center, part of Alameda Health System , is an outpatient center that serves a diverse… more
- Alameda Health System (Oakland, CA)
- Nurse , Care Management + Oakland, CA + Highland General Hospital + HGH Care Coordination + Full Time - Day + Care Management + $77.67 to $113.98 per hour + Req ... the Care Management physician advisor of any concurrent denials. + Prepares case reports; documents treatment plan, progress notes and discharge summary related… more