20 Best Registered Nurse jobs in Napa, CA (Hiring Now!)

Manager of Utilization Management
Partnership HealthPlan of California —Fairfield, CA
Collaborates with the department trainer and other leaders to develop tools and/or training materials for clinical staff. Spent in front of a computer monitor.
$120,686.00 - $156,735.06 a year
Director of Nursing
Northgate PostAcute Care —San Rafael, CA
Unrestricted RN license in the state of California. We need you to plan, organize, develop and direct the overall operation of your Nursing Service Department…
Estimated: $122K - $155K a year
Quick Apply
9d
PACE Clinical Services RN Supervisor
AgeWell PACE —Rohnert Park, CA
Valid driver’s license and reliable transportation and proof of current vehicle insurance (if applicable). Must be able to triage clinical symptoms, apply care…
$120,000 - $135,000 a year
Quick Apply
Registered Nurse Case Manager: Home Health
21st Century Home Health Services Inc. —Fairfield, CA
Current and unrestricted CA RN license. Flexible work schedules: Create your own schedule and hours. You will accomplish this with oversight of the assistance…
$120,000 - $135,000 a year
Quick Apply
Clinical Nurse
MSK SOLUTIONS, INC. —Vallejo, CA
STRTP Nurse participates in program design, periodic evaluation of program and health services provided, development of each client's Individual Mental Health…
$80 an hour
Quick Apply
Intake Registered Nurse
AgeWell PACE —Rohnert Park, CA
Current, valid RN license in the state of California. Valid driver’s license and reliable transportation for home visits and assessments.
$58 - $62 an hour
Quick Apply
3d
Travel ER RN
Fusion Medical Staffing —Novato, CA
Must have a valid RN license in the state where they will be practicing, BLS certification, and Certified Emergency Nurse (CEN) is preferred.
$1,985 - $2,391 a week
2d
Triage Registered Nurse (RN)
OLE Health —Napa, CA
The RN will conduct telephone triage following established procedures and protocols, and document calls as required. 18 days of PTO (Vacation & Sick).
$50.66 - $61.94 an hour
Quick Apply
Travel ER (Emergency Room) RN (Registered Nurse) in Sonoma, CA - 729088
Medical Solutions —Sonoma, CA
Gather ’round, aspiring travel clinicians! Paid, private, pet-friendly housing. $500 unlimited referral bonus. $600 for 600 hours unlimited loyalty bonus.
$2,468.83 - $2,740.13 a week
Quick Apply
21h
School Nurse
ATX Learning —Sonoma, CA
Assess students’ physical condition and emotional state and their ability to learn and grow in this environment by using observation skills.
$35 - $47 an hour
Quick Apply
6d
Vocational Nursing Instructor
Blake Austin College —Vacaville, CA
Current RN License and Baccalaureate degree with _two_ (2) years' experience in the last _five_ (5) years. Current LVN License and Baccalaureate degree with …
$40 - $60 an hour
Quick Apply
Complex Care RN (Bilingual)
Marin Community Clinics —Novato, CA
Demonstrates leadership in the field of Complex Care. Knowledge of state regulations and legal/ethical standards related to patient rights, and client/patient…
From $104,000 a year
Hospice Registered Nurse
Prime Source —Petaluma, CA
CA State RN licensure and valid CA Driver's license required. The Hospice Case Manager requires substantial specialized knowledge, judgment, and skill based…
$60 - $68 an hour
Quick Apply
8d
Registered Nurse Consultant - Northern California
Redwood Family Care Network —Eldridge, CA
3 years experience as a Registered Nurse in a residential care facility or similar field. CPR/FA and CPI certification. Capable of in-person support.
$50 - $60 an hour
Quick Apply
Registered Nurse - Emergency Department
NorthBay Health —Fairfield, CA
Valid, current and unencumbered RN license by the State of California. Must have Telemetry certification within 3 months of employment.
$72.59 - $87.53 an hour
Quick Apply
6d
Travel OR (Operating Room) RN (Registered Nurse) in Novato, CA - 728331
Medical Solutions —Novato, CA
Paid, private, pet-friendly housing. This OR (Operating Room) in RN (Registered Nurse) job in Novato, CA could be the next chapter in your story of personal and…
$2,582.89 - $2,866.72 a week
Quick Apply
21h
Aestethics Nurse
Glow —Vacaville, CA
Must have a valid nursing license in the state of California. Ability to collaborate with other team members and client services.
From $60 an hour
Quick Apply
1d
RN-Corrections-Vacaville, CA
Hire Evolution Consulting —Vacaville, CA
Must hold a current Registered Nurse (RN) license in California. Develop and execute nursing care plans, including administering medications, therapeutic agents…
$73 - $75 an hour
Quick Apply
4d
Licensed Nurses (LNV/RN)
Heritage Nursing Agency —Napa, CA
\* Providing personal care and assistance with Activities of Daily Living. \*Assist Nurse with Admission, Transfer and Discharging Residents.
$47 - $50 an hour
Quick Apply
18h
RN - Med/Surg (36 hours per week)
Sonoma Valley Hospital —Sonoma, CA
Maintains personal responsibility for keeping all employment requirements in good standing, including but not limited to California license to practice, BLS…
Estimated: $124K - $157K a year

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Manager of Utilization Management

Partnership HealthPlan of California - Fairfield, CA

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Job Details

Full-time $120,686.00 - $156,735.06 a year

Qualifications

Management
Inpatient
Utilization review
Managed care
RN License
Computer literacy
Bachelor of Science
English
Outpatient
Driver's License
Bachelor's degree
Discharge planning
Organizational skills
Computer skills
Acute care
Leadership
2 years
Communication skills
Employee evaluation

Full Job Description

Overview:

The Manager of Utilization Management (UM) will provide leadership and clinical oversight for
operational aspects of UM, including the responsibility for providing daily oversight, leadership,
support and management of assigned staff. Collaborates with Supervisor(s) to oversee the
department activities and provides guidance to manage these functions to enhance cost
effectiveness, ensure compliance with applicable state and federal regulations, and to fulfill all
contractual requirements.

Responsibilities:

Provides day-to-day direction to Supervisors and licensed clinical staff regarding utilization review, care coordination, discharge planning and other services across the continuum of care.
Ensures compliance with regulatory/accreditation (NCQA, DHCS, CMS, DMHC, etc.) requirements related to UM by partnering with other departments and maintaining survey readiness; participating in audits upon request
Identifies and incorporates evidence-based best practices (ex. Transitional Care Services, discharge planning, case management models, etc.) into department programs and activities to improve the quality of care and reduce costs.
Monitors trends in daily inpatient census and mobilizes supports and/or tools to address length of stay (LOS) in acute care settings.
Collaborates with the department trainer and other leaders to develop tools and/or training materials for clinical staff.
Supports and/or leads interdisciplinary team rounds with other Partnership staff (ex: Medical Director, CC staff, etc.) to address best practices of care across the continuum, discharge planning, out-of-area placements, and/or guidance for complex discharges for Partnership members.
Monitors work assignments to ensure appropriate staff assignment in accordance with job descriptions, practice level, and business needs.
Works closely with Health Services leadership to develop meaningful performance measures to determine the quality, effectiveness, and efficiency of department operations in achieving desired outcomes.
Provides administrative, technical, and clinical management of assigned staff including the responsibility for hiring, timecard management, performance evaluation, education, staff development, work allocation and/or problem resolution.
Works with other departments to resolve claims, grievance, CC, PR, QI, RAC and member issues as necessary.
Develops structures, relationships, and processes to promote active partnerships with providers, community stakeholders, and/or other healthcare professionals to meet and support key organizational initiatives (ex: Hospitals, DME vendors, MOU requirements, CalAIM, etc.)
Leads meetings and/or presentations related to UM activities, operations and/or programs.
Optimizes use of technology to enhance work productivity, quality, cost and/or outcomes
Collaborates with contracted Partnership vendors in the delivery of medically necessary services and/or support tools.
Develops and participates in annual organizational and departmental goals that support Partnership’s strategic plan, goals and mission.
Reviews and participates in operationalizing newly released All Plan Letters (APL)
Serves as a role model and resource to colleagues, staff, members, and others across assigned regional offices.
Reviews and routes Letters of Agreement (LOA) as appropriate
Assists in the development and implementation of departmental policies and procedures.
Surfaces issues or suggestions to the appropriate team members or leaders.
Other duties as assigned.

Qualifications:

Education and Experience

Bachelors of Science in Nursing preferred; minimum five (5) years
acute care experience, two (2) years managed care experience; or
equivalent combination of education and experience. Minimum one (1)
year prior experience in a leadership or management role.

Special Skills, Licenses and Certifications

Current California Registered Nurse License. Certifications in chosen
field such as advance practice nursing or case management highly
desired. Valid California Driver's License and proof of current
automobile insurance compliant with Partnership’s policies are
required to operate a vehicle and travel for company business.

Performance Based Competencies

Knowledge of DHCS, Medi-Cal, DMHC, and/or NCQA regulations.
Strong working knowledge of nursing standards in both inpatient and
outpatient settings. Thorough knowledge of Utilization Review
processes and principles (concurrent, retrospective, discharge planning,
care coordination, etc.). Familiarity of business practices and protocols
accessing data sets and information using automated systems. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and
deadlines. Strong organizational skills required. Computer literacy and
proficiency. Excellent written and verbal communication skills in
English. Demonstrated experience and ability to build effective
working relationships and to represent the department effectively in
order to accomplish goals. Ability to manage multiple concurrent
projects and maintain a work pace appropriate to the workload. Ability
to assist individuals in recognizing and solving problems. Ability to
supervise, train, motivate, provide guidance to staff

Work Environment And Physical Demands

Ability to use a computer keyboard. Ability to prioritize workload and
initiate action to acquire needed information from professionals by
phone. Ability to function effectively with frequent interruptions and
direction from multiple team members. More than 50% of work time is
spent in front of a computer monitor. Must be able to lift, move, or carry objects of varying size, weighing up to 10 lbs. Some travel required (up to 25%) including occasional overnight.

All HealthPlan employees are expected to:

Provide the highest possible level of service to clients;
Promote teamwork and cooperative effort among employees;
Maintain safe practices; and
Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$ 120,686.00 - $ 156,735.06

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

Apply Now

Registered Nurse jobs in Napa, CA

Manager of Utilization Management

Director of Nursing

PACE Clinical Services RN Supervisor

Registered Nurse Case Manager: Home Health

Clinical Nurse

Intake Registered Nurse

Travel ER RN

Triage Registered Nurse (RN)

Travel ER (Emergency Room) RN (Registered Nurse) in Sonoma, CA - 729088

School Nurse

Vocational Nursing Instructor

Complex Care RN (Bilingual)

Hospice Registered Nurse

Registered Nurse Consultant - Northern California

Registered Nurse - Emergency Department

Travel OR (Operating Room) RN (Registered Nurse) in Novato, CA - 728331

Aestethics Nurse

RN-Corrections-Vacaville, CA

Licensed Nurses (LNV/RN)

RN - Med/Surg (36 hours per week)

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