Authorization Nurse, RN - 26-71 Hill Physicians Medical Group IncAuthorization Nurse, RN - 26-71Sacramento, CA$100,000–$123,000 / yearAt Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members. Job Responsibilities: Review and process urgent and non-urgent authorization requests (received via phone, fax and electronic submission) for medical necessity (according to established criteria) and authorize, pend or modify as appropriate.
Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88 Hill Physicians Medical GroupAuthorization Nurse, RN - Hybrid (Remote Considered) - 26-88Sacramento, CARemote$100,000–$123,000 / yearAt Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members. Job Responsibilities: Review and process urgent and non-urgent authorization requests (received via phone, fax and electronic submission) for medical necessity (according to established criteria) and authorize, pend or modify as appropriate.
NewChief Nursing Officer Ernest HealthChief Nursing OfficerSacramento, CaliforniaFull timePosted Total Compensation: The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs. Responsible for the overall operations of the nursing department, including high-quality, cost-effective delivery of patient care, managing nursing personnel, and developing and implementing approved department projects and goals.
RN, Care Manager, Utilization Management (Full-time, Remote) Adventist Health SystemRN, Care Manager, Utilization Management (Full-time, Remote)Roseville, CARemoteEssential Functions: Completes clinical reviews of acute medical patients using the Optum/Inter Qual tool to determine if the patient is in the right acute setting, receiving the right acute services, during the appropriate length of stay. Reviews patient medical records, assessing the appropriateness and necessity of proposed treatments, and collaborating with healthcare providers and insurance companies to ensure a seamless care experience and the practicing of financial stewardship and denial prevention.
NewIn-Home Services Manager InnovAgeIn-Home Services ManagerSacramento, California$110,600–$143,800 / yearFull timeA BSN or higher prepared RN with 3 yrs experience in the last 5 yrs in home health, primary care, or health facility with at least 1 year of supervisory or administrative experience OR an RN with 4 yrs experience in the last 5 yrs in a home health, primary care, or health facility with at least 1 year of supervisory or administrative experience. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; recognizing and rewarding employees; corrective disciplinary procedures and practices (under direction of supervisor and in partnership with Human Resources), addressing complaints and resolving problems.
Clinical & Regulatory Manager (RN) - Dialysis Operations American Renal Associates Holdings IncClinical & Regulatory Manager (RN) - Dialysis OperationsSacramento, CARemote$130,000–$150,000 / yearThis data‑driven role serves as the regional clinical subject matter expert by proactively identifying gaps in clinical practice and opportunities to improve patient outcomes, and escalating findings to appropriate corporate clinical and operational leaders to drive aligned, actionable improvements. Summary: The Clinical & Regulatory Manager (CRM) is an RN with dialysis expertise who leads clinical quality, regulatory compliance, and outcome improvement across dialysis clinics spanning Northern and Central California (Yuba City to Bakersfield) and Roseburg, OR.
RN - Employee Health 3B Healthcare, IncRN - Employee HealthRoseville, CAManages and evaluates annual medical surveillance programs, including organizing, interpreting, and reviewing diagnostic tests to ensure employees are medically fit to perform essential job functions. Collaborates with treating providers, supervisors, workers? compensation carriers, and internal stakeholders to facilitate timely return-to-work plans and prevent recurrence of injury.
Clinical Coordinator Wollborg Michelson RecruitingClinical CoordinatorRancho Cordova, CAThis role ensures accurate data entry, timely follow-up, and adherence to departmental turnaround goals while supporting clinical review processes and continuous process improvement. The Medical Records Coordinator is responsible for requesting, receiving, reviewing, and managing medical records and related provider responses.
Home Health Manager (RN) Hr JournalsHome Health Manager (RN)Elk Grove, CaliforniaThe manager oversees the delivery of home-based nursing, physical therapy, and occupational therapy services, as well as care provided in nursing homes and board-and-care facilities. This position is responsible for setting the operational framework for the home health team to ensure participants receive exceptional, compassionate care within their homes and community settings.
NewRemote Clinical Review RN Actalent IncRemote Clinical Review RNRancho Cordova, CARemote$50–$65 / hourEnsure discharge planning at levels of care appropriate for member needs and acuity, including determining post-acute needs such as levels of care, durable medical equipment, and post-service needs to support quality and cost-appropriate discharge plans. Perform prospective, concurrent, and retrospective utilization reviews and first-level determination approvals for members using evidence-based guidelines, including BSC and CMS guidelines and nationally recognized clinical criteria for Medicare lines of business.
Hospice RN - PRN UnitedHealth Group Inc.Hospice RN - PRNSacramento, CA$44–$66 / hourAs members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Explore opportunities with Blossom Ridge Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide.
Skilled Nursing Supervisor RN CommonSpirit HealthSkilled Nursing Supervisor RNSacramento, CAAs our Skilled Nursing Supervisor (RN), you will help the healthcare team at Bruceville Terrace foster a supportive, collaborative environment so they can meet the needs of residents, families, and physicians while delivering high-quality nursing services in a cost-effective manner. Over half of the facility is dedicated to skilled nursing/convalescent care, while the remaining beds are committed to meet the medical and rehabilitative needs of the short-term patient after a stay at the acute care hospital.
Skilled Nursing Manager RN CommonSpirit HealthSkilled Nursing Manager RNSacramento, CAAs our Skilled Nursing Manager (RN), you will help the healthcare team at Bruceville Terrace foster a supportive, collaborative environment so they can meet the needs of residents, families, and physicians while delivering high-quality nursing services in a cost-effective manner. Over half of the facility is dedicated to skilled nursing/convalescent care, while the remaining beds are committed to meet the medical and rehabilitative needs of the short-term patient after a stay at the acute care hospital.
Nurse Manager Family Birth Center CommonSpirit HealthNurse Manager Family Birth CenterCarmichael, CAServing over 100,000 patients annually, the hospital offers a full complement of services including a Level II Trauma Center, Level III NICU, heart care, cancer care, women's health, and neurology. Our Family Birth Center has 28 beds consisting of 12 labor beds, 2 Operating Rooms, a 2 patient PACU, 2 triage bays, and a 14 bed private Mother-Baby unit.
Assistant Health Services Administrator - ((RN License Required)) CHP HealthAssistant Health Services Administrator - ((RN License Required))Auburn, CA$130,000–$170,000 / yearThe Assistant Health Services Administrator (AHSA) supports the Health Services Administrator (HSA) in the daily oversight and administration of the healthcare program within an assigned correctional facility. We exist because the people inside county jails still deserve real healthcare — and the counties that serve them deserve a partner who shows up, owns the outcome, and gets the work right.
Registered Nurse (RN) Pure Heart StaffingRegistered Nurse (RN)Roseville, CaliforniaPure Heart Staffing places healthcare professionals with mission-driven employers across Northern California. Coordinate discharge planning, utilization review, and transitions of care for health system and community partners in Roseville and Sacramento.
RN, Case Manager, Home Health - Amador County Sutter HealthRN, Case Manager, Home Health - Amador CountySacramento, CA$68.09–$90.56 / hourEmployees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs.
RN, Travel Direct (ICU/Critical Care) Adventist Health SystemRN, Travel Direct (ICU/Critical Care)Roseville, CASupervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God''s love by inspiring health, wholeness and hope.
RN, Float Pool (Onsite, Roseville CA) Adventist Health SystemRN, Float Pool (Onsite, Roseville CA)Roseville, CASupervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God''s love by inspiring health, wholeness and hope.
RN Case Manager, Home Health Sutter HealthRN Case Manager, Home HealthRoseville, CA$68.09–$90.56 / hourEmployees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs.