Utilization review nurse jobs in San Francisco, CaliforniaCreate job alerts

Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Oakland, California. Job Description & Requirements • Specialty: Case Management, • Discipline: RN, • Start Date: 05/11/2026, • Duration: 26 weeks, • 40 hours per week, • Shift: 8 hours, • Employment Type: Travel About the Position Specialty: RN Case Manager Experience: 1+ year of recent case management or discharge planning experience preferred License: Active State or Compact RN License Certifications: BLS – AHA Must-Have: Strong assessment, discharge planning, and utilization review skills \n Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external agencies to ensure timely, efficient, and effective discharge planning and transitions. Supports utilization management and ensures compliance with payer guidelines. Onboarding typically takes 2–4 weeks based on documentation and clearance processes. \n \n Requirements \n Required for Onboarding: \n\n • Active RN License\n We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.

GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oakland, California. Job Description & Requirements • Specialty: Utilization Review, • Discipline: RN, • Start Date: 04/13/2026, • Duration: 26 weeks, • 36 hours per week, • Shift: 12 hours, days Location: Oakland, California Start Date: April 13, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2662.06 - $2757.06 Duration:26 weeks Specialty:Case Management/Utilization Review Shift: Day Shift Details: null Day Job Type: Travel *Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment. Benefits: • Day 1 Insurance, • Cigna medical, MetLife dental and vision insurance, • License reimbursement for new licenses needed for each assignment, • Discounts with hotels and rental cars, • A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we’re here to help you move forward with confidence. GQR Job ID #788797. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse (RN) About GQR Healthcare GQR’s Healthcare team specializes in connecting experts within the industry to highly skilled healthcare professionals across the US market. In the competitive healthcare market, we recognize that the industry’s common goals of improved quality of care and patient outcomes are wholly reliant upon the professionals directly supporting these initiatives. Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality. Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.

Job Title : Care Transitions Nurse Employment Type : Full time / Direct Hire Location : San Francisco, CA, US Remote : No We are seeking an experienced Care Transition Nurse (RN) to join a collaborative Utilization Management and Care Coordination team within a community-based healthcare organization in San Francisco. This role focuses on safe and efficient inpatient care transitions, repatriation coordination, and utilization review-no bedside care and no direct patient interaction.

Immediate need for a talented Registered Nurse – Case Manager/ Utilization Manager. This is a 03+ months contract opportunity with long-term potential and is located in San Francisco, CA (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID: 26-01370 Pay Range: $80- $95/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: • Perform daily pre-admission, admission, and concurrent utilization reviews, • Determine appropriate levels of care using clinical guidelines and policies, • Coordinate inpatient discharge planning and transitions of care, • Participate in multidisciplinary rounds with physicians and care teams, • Communicate discharge plans with patients, families, and external providers, • Arrange transfers, post-acute services, and obtain authorizations as needed, • Ensure continuity of care through accurate documentation and follow-up, • Maintain compliance with federal, state, and institutional regulations, • Educate care teams on utilization and care coordination processes Key Requirements and Technology Experience: • Skills-Inpatient Case Management & Discharge Planning, • Utilization Management / Utilization Review (UM/UR), • Acute hospital experience (inpatient setting), • Knowledge of CMS, DMHC, NCQA, TJC, HIPAA, EMTALA, • Strong interdisciplinary communication and care coordination, • Ability to independently manage inpatient caseloads, • Healthcare benefit interpretation and authorization coordination, • Graduate of an accredited school of nursing, • Diploma or Associate Degree in Nursing (ADN) required, • Active California RN License (Required), • BLS Certification (Required), • Minimum 2 years of experience in:, • Utilization Management, • Case Management, • Discharge Planning, • Recent acute inpatient hospital experience, • Ability to work rotating schedules and every other weekend, • Comfortable working in a Labor/Management Partnership environment, • Bachelor’s degree in Nursing or healthcare-related field, • Master’s degree in Case Management Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy ___.

TELECARE CORPORATION MENTAL HEALTH WORKER Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems. Gladman is licensed as a 40-bed Mental Health Rehabilitation Center (MHRC) providing sub-acute psychiatric treatment to adults 18 and older. Shifts Available: On Call; Shift Hours and Days vary as needed Expected starting wage range is $21 Hourly STATEMENT OF PURPOSE We exist to help people with mental impairments realize their full potential. MISSION STATEMENT Telecare will deliver and manage excellent services and systems of care for persons with serious mental illness. POSITION OBJECTIVE The Mental Health Worker is the treatment team member who is responsible for providing care to meet the physical and psychological needs of clients through providing direct and indirect services. QUALIFICATIONS One (1) year of experience with nursing an/or psychiatric clients in a clinic, hospital or a long-term care facility is preferred. Knowledge of basic psychiatric and nursing skills, including nursing interventions is essential. Certification as a CNA or its equivalent is acceptable documentation of nursing skills knowledge. A High School diploma or G.E.D. equivalent is required. Good communication skills and a desire to work with severely mentally impaired adults is crucial. Incumbents must be at least eighteen (18) years of age and be proficient in reading, speaking and writing English. Applicant must be finger printed, sign under penalty of perjury that there has been no conviction of any crime, other than minor traffic offenses, and receive clearance from the Department of Justice. KEY RESULT AREAS MISSION, VALUES AND BELIEFS • Provides safe, effective and efficient implementation of direct care in accordance with established policies, procedures and standards of care., • Establishes and maintains and co-facilitates a therapeutic relationship with clients and acts as a role model in maintaining a hopeful and positive attitude in problem solving and coping with t he disabilities associated with mental illness., • Attends and participates in community meetings and groups., • Documents client activities of daily living, response to interventions, and significant behavior changes as appropriate., • Admits and discharges patients as assigned, this includes completing associated documentation., • Collects stool, urine and other specimens, as requested, on assigned clients., • Obtains client vital signs and weights, as assigned., • Assists clients at mealtime by distributing meal trays, pouring beverages and/or feeding clients in need of assistance., • Provides client monitoring including but not limited to rounds, seclusion and restraint supervision and smoke breaks., • Commitment to teamwork via questions and cooperation., • Assist in client outings and/or driving., • Participates as a team member and provides input via reporting observations, concerns and asking appropriate questions., • Reviews and implements client treatment plans., • Actively participates in multidisciplinary team meetings and treatment planning meetings., • Demonstrates knowledge of PART principles and techniques., • Informs the charge nurse of client behavior and condition, particularly changes in mental and/or physical condition., • Observes, records and reports client social, psychiatric and physical behavior., • Completes the following assessment activities:, • Reviews admission documentation., • Assists in client reviews and assessment of client care plans., • Demonstrates knowledge and proper use of equipment and supplies., • Promotes and assists clients in developing selfhelp skills., • Explains policies and procedures to clients and their families., • Demonstrates a good rapport and cooperative working relationships with all members of the team; responds to coworkers with concern and promotes group morale., • Maintains an effective and courteous working relationship with clients and other staff members through the use of appropriate interpersonal skills., • Continually focuses on assigned tasks and seeks and implements improvements as necessary., • Understands and demonstrates the safety program in all activities., • Protects clients from behavior that could damage themselves or others., • Demonstrates a knowledge of Telecare's customers including clients/clients families and governmental agencies in all interactions and conduct., • Attends all assigned inservice education classes., • Role models excellent professional practice. Duties and responsibilities may be added, deleted and/or changed at the discretion of management. POSITION PHYSICAL REQUIREMENTS ACTIVITY (Hours per day) NEVER 0 hours OCCASIONALLY up to 3 hours FREQUENTLY 3 - 6 HOURS CONSTANTLY 6 - 8+ HOURS Sitting X Walking X Standing X Bending (neck) X Bending (waist) X Squatting X Climbing X Kneeling X Crawling X Twisting (neck) X Twisting (waist) X Repetitive Hand Use: Simple Grasping (right hand) X Simple Grasping (left hand) X Power Grasping (right hand) X Power Grasping (left hand) X Fine Manipulation (right hand) X Fine Manipulation (left hand) X Pushing & Pulling (right hand) X Pushing and Pulling (left hand) X Reaching (above shoulder level) X Reaching (below shoulder level) X LIFTING CARRYING Never 0 hrs. Occasionally up to 3 hrs. Frequently 3 - 6 hrs. Constantly 6 - 8+ hrs. Never 0 hrs. Occasionally up to 3 hrs. Frequently 3 -6 hrs. Constantly 6 - 8+ hrs. 0-10 lbs. X X 11-25 lbs. X X 26-50 lbs. X X X 51-75 lbs. X X 76-100 lbs. X X 100+ lbs. X X OTHER JOB REQUIREMENTS: YES NO a. Driving cars, trucks, forklifts, and other equipment? X b. Working around equipment and machinery? X c. Walking on uneven ground? X d. Exposure to excessive noise? X e. Exposure to extremes of temperature, humidity or wetness? X f. Exposure to dust, gas, fumes, or chemicals? X g. Working at heights? X h. Operation of foot controls or repetitive foot movement? X i. Use of special visual or auditory protective equipment? X j. Working with bio-hazards such as: blood borne pathogens, X sewage, hospital waste, etc. • Normal or corrected near and far vision, in addition to non-inhibiting color vision., • May read constantly for short durations throughout the day Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the ___ notice from the Department of Labor.

JOB DESCRIPTION Job SummaryProvides 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 through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. \n \n Must be licensed in CA. \n \n Essential Job Duties \n • Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. \n • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. \n • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. \n • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. \n • Processes requests within required timelines. \n • Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. \n • Requests additional information from members or providers as needed. \n • Makes appropriate referrals to other clinical programs. \n • Collaborates with multidisciplinary teams to promote the Molina care model. \n • Adheres to utilization management (UM) policies and procedures. \n Required Qualifications \n • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. \n • Registered Nurse (RN). License must be active and unrestricted in state of practice. \n • Ability to prioritize and manage multiple deadlines. \n • Excellent organizational, problem-solving and critical-thinking skills. \n • Strong written and verbal communication skills. \n • Microsoft Office suite/applicable software program(s) proficiency. \n Preferred Qualifications \n • Certified Professional in Healthcare Management (CPHM). \n • Recent hospital experience in an intensive care unit (ICU) or emergency room. \n To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. \n Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $30.37 - $59.21 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oakland, California.

Critical Connection, inc is seeking a travel nurse RN Case Management for a travel nursing job in Oakland, California. Case management or utilization review experience preferred. Posted job title: RN:Case Management,07:00:00-15:00:00.

A company is looking for a Utilization Review Nurse RN (Part-Time). Key Responsibilities Provide assessments and reviews for the medical necessity of treatment requests and plans Conduct first level reviews for outpatient and inpatient pre-certification requests, ensuring proper referrals as need

Job DescriptionCompany Description The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. • Application Opening – Friday February 6, 2026, • Application Deadline – Application filing will close on or after Friday March 13, 2026, • Salary: $93,002-$113,100 Annually, • Appointment Type: Permanent Civil Service The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services. Job Description Under supervision of a Registered Nurse and/or Physician, the 2310 Surgical Procedures Technician acts as a technically trained assistant to a physician in the Operating Room. Essential duties include: 1. Creates a sterile field for surgical procedures; scrubs, dons gowns and gloves for self and physicians in a manner that adheres to sterile technique; sets up sterile back tables, drapes patient and anticipates needs of and assists physician by selecting and receiving instruments and supplies; holds retractors if requested; maintains vigilance over the sterile fields; recognizes and rectifies breaks in sterility with the assistance of the circulator and other team members, 2. Assists with breaking down the sterile field; safely disposing of sharps; removing all instruments and reusable items and begins decontamination process for instruments on the back table preparing operating room for room turnover by removing linens from the operating room table; removes suction liners or docks high volume suction machines for cleaning, 3. As the surgical procedures technician, under the direction of a registered Nurse, sets up for procedures and adjusts setup depending on procedure needs and surgeon's requests; assists in the cleaning and preparation of the physical setting, placing furniture and equipment in correct position; assists with patient transfer from bed or gurney to the operating room table or mobilizer; assists with skin preparation, and positioning of patient; assists with dressing and transfer of the patient, 4. Maintains cleanliness and order of supplies and equipment; keeps environment clean; opens sterile packs and dispenses supplies, arranges sterile instruments and supplies in specific fashion; cleans, checks for instrument and powered equipment functionality, decontaminates, and replenishes supplies and equipment; practices financial stewardship with the opening and use of sterile supplies, 5. Restocks, assembles and sets up supplies, instruments, and other equipment; cleans and stores instruments as prescribed; selects instrument sets for surgery; reports broken equipment to supervisor, 6. Maintains working knowledge of unit’s Policies and Procedures and Standard Work, may explain hospital rules, regulations, and procedures to patients; assists nurses in orienting other personnel in procedures and equipment used, 7. May take vital signs and routine swab wound cultures; may measure and record urine output The 2310 Surgical Procedures Technician may perform other duties as assigned/required. Please note that incumbents in this classification may be required to perform duties as listed in the class specification, which can be found on DHR’s website: Qualifications Education: Possession of a certificate of graduation/diploma from a school of surgical technology accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or equivalent accrediting agency OR Completion of comparable surgical technology training in an accredited community college, the military service, or an accredited nursing education program. OR Experience: Two (2) years of experience performing scrub duties in an acute care hospital providing elective and emergency surgery within the last five (5) years may be substituted for the required education. Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted. NOTES: Please include an attachment in your application of your program certificate; certificate of graduation; and/ or diploma. CONDITION OF EMPLOYMENT: Basic Life Support (BLS) Certificate Requirement/Provision: Possession of a valid Basic Life Support (BLS) Certificate issued by the American Heart Association is required as a provision to employment for all positions. Candidates who do not possess such a certification may participate in this examination process and be appointed to a position(s) but will be required to obtain the certificate within two (2) weeks of hire date and maintain validity throughout length of employment. Desirable Qualifications: The stated desirable qualifications may be considered at the end of the selection process when candidates are referred to for hiring. • Completion of or working towards completion of clinical rotation requirements to be completed within one month of application closing. Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at . Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco. Additional Information Selection Procedures: After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following. TRAINING AND EXPERIENCE EXAMINATION: (WEIGHT: 100%) The Training and Experience Evaluation is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to: Skill in utilization and maintenance of various instruments and equipment used in operating room or other procedures; and/or organizing skills as related to surgical procedures; nursing skills and practices. Ability to: follow oral and written instructions; cope with surgical problems; carry out hospital rules, policies and procedures as related in operating room; work closely and effectively with interdisciplinary team members; assist nurses in orienting other personnel to unit, techniques, procedures and equipment; explain procedures to patients; and/or assemble equipment. Candidates must achieve a passing score on the Training and Experience Examination to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions. Certification The certification rule for the eligible list resulting from this examination will be the Rule of The List. Eligible List/Score Report: A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals are resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission. The duration of the eligible list resulting from this examination process will be of Six (6) months and may be extended with the approval of the Human Resources Director. To find Departments which use this classification, please see the city’s Position Counts by Job Codes and Departments. Terms of Announcement and Appeal Rights: Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. Information concerning other Civil Service Commission Rules involving announcements, applications and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at Additional information regarding Employment with the City and County of San Francisco: • Information About the Hiring Process, • Conviction History, • Employee Benefits Overview, • Equal Employment Opportunity, • Disaster Service Worker, • ADA Accommodation, • Veterans Preference, • Right to Work, • Copies of Application Documents All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit to begin your application process. Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account. Computers are available for the public (9:00 a.m. to 4:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor and at the City Career Center at City Hall, 1 Dr. Carlton B. Goodlett Place, Room 110. Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues. Applicants will receive a confirmation email from that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received. If you have any questions regarding this recruitment or application process, please contact the exam analyst, Katrina Navarro at or (628) 271-6717 We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.” The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.

Job Description About ANX: Founded in 2007 by nurses whose visions for the company are built on client-focused quality care for patients and their families first– ANX is committed to providing expert, reliable care utilizing best practices with an emphasis on community health. Home Healthcare: We provide physician-ordered skilled nursing and health care services to homebound patients recovering from illness or injury. We have worked with physicians and families in developing custom home care solutions for patients requiring specialists in wound care, diabetes management, cardiac rehabilitation, physical therapy, occupational therapy, speech therapy, nutritional assessments and dietary counseling. ANX Hospice Care: ANX also provides 24/7 hospice care for individuals with limited life expectancies or for patients no longer willing to seek aggressive medical treatment. Hospice care is provided by our specially-trained team of health care professionals, including a medical director/physician, medical social worker, skilled nurse, home health aide, spiritual counselor and hospice volunteer. With these strong values, we are able to partner with multiple insurances, offer an array of services, and have been awarded with: • Best Places to Work (2017 to 2025) - SF Business Times/Silicon Valley Business Journal, • Gold Seal of Approval from The Joint Commission for meeting rigorous performance standards in delivering quality, safe care, • CMS - Center for Medicare & Medicaid Services Certified, • Health Plan of San Mateo Preferred Partner, • Kaiser Permanente Preferred Partner, • Dignity Health Preferred Post-Acute Care Partner, • 5.0 Star Reviews on Indeed, • Earn $31-$33/hr, • Strong market competitive compensation plans, • Medical, Dental and Vision Coverage, • Paid time off, sick time and holiday pay, • Options for FSA, Dependent Care, Commuter Benefits, • Company paid life insurance, • Directs all daily patient referral and intake operations including implementation of intake policies., • Ensures compliance with all state, federal, and Joint Commission referral/intake regulatory requirements., • Screens all referred patients to meet home health eligibility criteria or admission criteria. Directs the implementation of improved work methods and procedures to ensure patients are admitted in accordance with policy., • Establishes and maintains positive working relationships with current and potential referral sources., • Ensures seamless transition of patients to home care by providing patient education and preparation for home care, plan of care initiation, and coordination of care with multiple service providers., • Ensures maximum third party reimbursement through insurance verification and authorization processes., • Plans & organizes work assignments and sets priorities. Identifies opportunities for additional or improved services to meet customer needs., • Maintains comprehensive working knowledge of ANX Home Healthcare contractual relationships and ensures that patients are admitted according to contract provisions., • Maintains comprehensive working knowledge of community resources and assists referral sources in accessing community resources should services not be provided by ANX Home Healthcare. Redirects or refers patients to other resources when agency is unable to meet care needs., • Communicates and coordinates with the home health staff in providing the most accurate information to initiate first home health visit., • Behaves in a courteous, professional manner with patients, staff and health care professionals and maintains patient confidentiality., • Participates in Departmental Quality Assurance Activities and Utilization Review activities as requested., • Minimum experience of one (1) year as a home health LVN, • Has current professional license as an LVN in California., • Ability to access electronic databases to obtain or enter pertinent patient information., • Ability to work in a fast-paced environment with multiple interruptions., • Knowledge of governmental regulations, Joint Commission standards, and private payer practices., • Demonstrates good written and verbal communication skills. Demonstrates good negotiation and public relations skills., • Demonstrates autonomy, organization, assertiveness, flexibility and cooperation in performing job responsibilities

Job Description POSITION SUMMARY: The Lead Endoscopic Technician’s primary functions include the present GI Technician job description (involving preparation and care of endoscopic equipment, supply acquisition, and direct patient care within the scope of practice) as well as a leadership role in the clinical environment. Starting at $32/hr., commensurate with experience. QUALIFICATIONS: -High school Diploma or equivalent -BLS certification -Computer knowledge -Two (2) years experience as a GI Technician (required) ESSENTIAL DUTIES AND RESPONSIBILITIES: -Provides input for recruiting, hiring, training, and disciplining GI Technicians -Orientation and training of staff to include but not limited to: • Function and testing of scope reprocessor and steam sterilizer, • Processing and maintenance of scopes to include pre-cleaning, cleaning and disinfection, • Handling of specimens, • Procedure room and processing room set up and take down Materials Management -Communicates the need for and orders all clinical materials needed for the Center -Maintains inventory based on Par levels for the Center -Maintains vendor purchase files / packing slips -Negotiates with vendors for goods and services, negotiating the best possible price and service -Assists with receiving orders to ensure proper supplies arrived, and price and quantities are correct -Coordinate annual inventory activities -Manages all scope repairs – assuring they are sent out within 24 hours Infection Control • Wears appropriate attire according to facility policy / monitors other staff members to assure that the entire staff is educated in infection control policies and properly trained and adheres to utilization of Protective Equipment, • Practices recognized principles of cleanliness and sanitation, • Assists the Infection Control Nurse and Center Director in monitoring and reporting quality initiatives for practice improvement Safety Precautions • Provides for patient safety in the waiting and clinical areas Administrative Functions -Practices unfamiliar skills -Uses proper resource personnel -Demonstrates cost-effectiveness by using supplies appropriately and replacing used supplies in a timely manner -Enters appropriate documentation in the medical record or center logs -Provides patient care appropriate to age specific need -Reviews policies and procedures specific to equipment utilization based on manufacturer’s recommendations/maintains ongoing review -Reviews the practice of staff members based on the above -Actively participates with clinical staff education (including documentation) to enhance safe clinical practice Provides Equipment and Supplies Based on Patient Needs -Anticipates the need for clinical equipment and supplies -Operates equipment according to manufacturer’s instructions -Removes malfunctioning equipment from use and communicated to Center Leader -Uses supplies judiciously and in a cost-effective manner -Communicates/documents provision of equipment and supplies -Assures procedure rooms are stocked adequately -Provides input to Center Leader capital budget items Monitors and Controls Environment -Regulates temperature as indicated -Monitors sensory environment -Maintains traffic patterns in both the procedure rooms and scope reprocessing room -Adheres to sanitation policies and procedures properly disposing of contaminated waste following Universal Precautions and OSHA regulations -Communicates/documents environmental controls Respects the Patient's Rights -Demonstrates awareness of the individual rights of the patient -Provides for privacy through maintaining confidentiality -Communicates/documents provisions for patient’s rights Performs Actions that Demonstrates Accountability • Exercises safe judgment in decision making, • Demonstrates flexibility and adaptability to change, • Responds in a positive manner to constructive criticism, • Demonstrates tact and understanding when dealing with patients, team members, members of other disciplines, and the public, • Practices within ethical and legal guidelines, • Seeks opportunity for continued learning, • Communicates/documents actions Teamwork • Works collaboratively with healthcare team, • Communicates effectively with staff, management and physicians, • Communicates with Center Leader frequently providing regular updated and significant events, • Participates as a team member, • Participates in QAPI activities, • Exhibits high level of integrity, • Maintains flexibility and performs other duties as required, • Participates in staff meetings, in-services, and continuing education as required MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, decimals, and percentages. LANGUAGE SKILLS: Ability to understand, read, write, and speak English, if bilingual Center, bilingual language is required. Ability to read, analyze, and interpret manufacturer's instructions or instructions for use. Ability to effectively present information, respond to questions, and professionally interact with managers, employees, clients, vendors, and the general public. LANGUAGE SKILLS: Ability to understand, read, write, and speak English, if bilingual Center, bilingual language is required. Ability to read, analyze, and interpret manufacturer's instructions or instructions for use. Ability to effectively present information, respond to questions, and professionally interact with managers, employees, clients, vendors, and the general public. REASONING ABILITY: -Exhibits mental alertness for quality decision making and exercising good judgment -Ability to multi-task effectively, efficiently, accurately, and with attention to details -Ability to use initiative, insight, and judgment in decision-making -Ability to effectively present information, respond to questions, and professionally interact with managers,co-workers, patients, and the general public -Ability to interpret a variety of instructions in a variety of forms -Ability to recognize issues and communicate to Registered Nurse/Center Leader PHYSICAL DEMANDS: -Ability to sit, stand and walk for long periods of time, i.e., 6-8 hours per day -Ability to exert maximum muscle force to lift, push, pull, or carry objects up to 50 pounds in weight -Ability to use abdominal and lower back muscles to support part of the body repeatedly or continuously without "giving out" or fatiguing -Ability to perform physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials, lift or transport patients, prepare medical procedure rooms, or set up patient care equipment -Ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position -Ability to keep or regain your body balance or stay upright -Ability to exert yourself physically over long periods of time without getting winded or out of breath -Ability to quickly respond (with the hand, finger, or foot) to a signal (sound, light, picture) when it appears -Specific vision abilities for close and distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus WORK ENVIRONMENT: -Days and hours of work may vary to meet patient and center needs -The Center is a well-lit, ventilated and climate controlled environment. The Center may require decreased lighting to meet patient care needs or procedure requirements, such as laser rooms and some OR/Procedure rooms • Ability to work with medical and office equipment, some of which will have moving parts, • Noise level is usually quiet to moderate, • May have exposure to blood and other potentially infectious body fluids and materials or toxic chemicals and cleaning solutions, • Work in close proximity to patients and co-workers

Job Description Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San Francisco. It is a hybrid position with 1-2 days per week on-site required. Collaborates with the physician, nurse case manager, social worker, and other members of the health care team to meet individualized patient outcomes. Performs concurrent, and retrospective medical record reviews based on approved screening criteria, knowledge of insurance coverage, and communication with the third-party payers. Ensures medical necessity determinations, service authorization and concurrent denials are managed effectively and financially responsibly. Education * • Valid RN license in State of California, • Clinical experience in acute care setting Required, • CPR - Cardiac Pulmonary Resuscitation CPR/BLS Preferred and, • CCM - Certified Case Manager CCM Preferred and, • Verbal and written communication skills., • Basic computer skills., • Diagnostic and problem-solving skills., • Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations., • Actively participates in ongoing professional enrichment and educational opportunities. Collaborates with and assists the nurse case manager and social worker to meet the patients' continuing health needs in a high quality, cost effective manner. Participates in planning rounds as needed to address and communicate issues related to acuity level of patient, LOS insurance and discharge needs., • Collects quality improvement data in accordance with approved indicators. Recognizes potential problems and makes referrals to quality improvement, risk management, safety, infection control, and other departments as appropriate., • Confers and collaborates routinely with the physician advisor, division chiefs, and attending physicians to resolve problems regarding acuity and level of care., • Evaluates concurrent and retrospective denials for appeal opportunities. May generate appeal letters based on knowledge of clinical severity and intensity., • Identifies insurance information, obtains authorization, communicates with financial counseling and assigns appropriate length of stay for admission., • Implements strategies to avoid denials including potential denial notification to attending physician. Issues letter of non-coverage for Medicare or third party payers according to policies and procedures. Communicates utilization plans to case management team., • Performs admission reviews and subsequent concurrent reviews to determine the necessity for acute care by application of accepted criteria based on age specific needs. Interacts with and assists third party payer reviewers to facilitate appropriate care and ensure payment for services. Performs concurrent and retrospective reviews telephonically as required. Completes all forms and documentation necessary to support appropriate utilization of resources., • Serves as a resource to all staff in areas of utilization review/management. Educates members of health care team through in-services, staff meetings, orientation and formal educational offerings., • Demonstrates knowledge of the dynamics of abuse/neglect, including identification and reporting laws. Coordinates with investigating law enforcement, protection agencies, hospital security, risk management, and healthcare team. Demonstrates knowledge of community resources serving the high social risk populations., • Performs other duties as assigned.

The department will initiate the application review process on/after April 16, 2026. Prepares and approves design/construction cost estimates, functional studies, project schedule and budget and reviews with clients. Reviews, manages and oversees construction activities, including contractor's sched

Collaborate with nurses and the interdisciplinary care team.

The First Review Date for this job is: 03/06/2026. Performs comprehensive review of technical documents. Berkeley does hire people with conviction histories and reviews information received in the context of the job responsibilities.

Be a guiding light in new hire setup and training, injecting energy into curriculum review and hands-on shadowing.

The First Review Date for this job is: 03/25/2026. Performs comprehensive review of technical documents. Berkeley does hire people with conviction histories and reviews information received in the context of the job responsibilities.

The First Review Date for this job is March 30, 2026. Berkeley does hire people with conviction histories and reviews information received in the context of the job responsibilities.

Primary Skills: Client Coordination-Expert, Communication-Advanced, Administrative-Proficient, Scheduling-Intermediate, Customer Service-Advanced.Location: San Francisco, CA ( 4 days onsite).Pay Range: $25 - $28 per hour on W2.We are looking for a pro-active Administrative Coordinator to support o

Establishes project milestones and schedules, evaluates GC's schedule for overall efficiency, coordinates with owner-directed work, and reviews look-ahead schedules to ensure alignment and timely execution. Reviews bid packages to optimize outcomes and mitigate change orders. Expert at creating and

Work closely with nurses, operations, and administrative staff to ensure seamless patient handoffs. Coordinate appointments, scheduling, and communication between patients, nurses, and providers.

Berkeley does hire people with conviction histories and reviews information received in the context of the job responsibilities. The First Review Date for this job is: Tuesday, March 26, 2024.

Current Registered Nurse (RN) licensure in the state. Are you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at The Manor of Novi, you have the opportunity to use your nursing skills and become a lead

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We are looking for a Patient Care Coordinator to join the team!.The Patient Care Coordinator (PCC) serves as the key liaison for our patients and ensures a seamless and welcoming experience.In this role, the PCC will greet patients warmly, introduce them to our office, coordinate treatment services,

This person is responsible for supporting their manager and/or team as designated.This person represents the manager/team to both external and internal clients consistent with the CNB culture of relationship management.They assist in keeping their manager/team informed, with scheduling, and other ad

You will supervise nursing care provided by registered nurses, licensed vocational/practical nurses and STNA/CNAs. Participate in the budget process of the facility and maintains the nursing supply, equipment and nurse staffing budgets. A Registered Nurse, RN who is currently licensed to practice by

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Ensure contract compliance, constructability review, and quality standards.

Assistant Project Manager – Mechanical Construction.Some subcontractors install systems.Others build environments people remember.We're looking for an Assistant Project Manager who wants to grow into the kind of leader who does the latter.You'll support the planning, coordination, and execution of

Growing Food manufacturing company seeks an experienced Production Supervisor to join the team.This Jobot Job is hosted by: Hunter Prater.Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume.Salary: $80,000 - $95,000 per year.Our client is a growing food

Empower students with visual impairments and multiple disabilities to achieve independence: Join a supportive K–12 special education team as a School-Based Occupational Therapist.This Jobot Job is hosted by: Parker Huguley.Are you a fit? Easy Apply now by clicking the Apply button and sending us y

Are you ready to become an expert in Project Management? This is the role for you!.MIGSO-PCUBED is looking for a passionate and communicative IT Project Management Consultant to join our team and support our engagements in San Francisco.This position is onsite and will require you to commute to our

Empower students with visual impairments and multiple disabilities to achieve independence: Join a supportive K–12 special education team as a School-Based Occupational Therapist.This Jobot Job is hosted by: Parker Huguley.Are you a fit? Easy Apply now by clicking the "Apply" button and

Assistant Project Manager – Public Works / K-12 Construction.Our client is seeking an Assistant Project Manager to join their Bay Area-based team specializing in public works and K-12 school construction.This role is ideal for a detail-oriented, proactive leader who can manage multiple projects, m