We have other current jobs related to this field that you can find below
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Rancho Cordova, United States Blue Shield Of California Full timeThe Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and nationally recognized clinal Management, Manager, Behavioral Health, Nurse, Insurance, Program, Support
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Rancho Cordova, United States Blue Shield of California Full timeYour Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The Senior Manager Utilization Management —Behavioral...
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Rancho Cordova, United States Blue Shield of California Full timeYour Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The Senior Manager Utilization Management —Behavioral...
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Senior Nurse for Utilization Management
4 days ago
Rancho Cordova, California, United States Blue Shield of California Full timePosition OverviewThe Utilization Management department is responsible for evaluating inpatient admissions for our members, adhering to established standards of care. The Senior Utilization Management Nurse will report directly to the Nurse Manager of Utilization Management. In this capacity, you will be assigned specific inpatient facilities and will assess...
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Rancho Cordova, United States Blue Shield of California Full timeYour Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Utilization Management Nurse Management (CalPERS) is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in...
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Rancho Cordova, United States Blue Shield of California Full timeYour Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Utilization Management Nurse Management (CalPERS) is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in...
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Senior Nurse for Utilization Management
4 days ago
Rancho Cordova, California, United States Blue Shield of California Full timePosition OverviewThe Utilization Management division is responsible for evaluating inpatient admissions for our members, adhering to established standards of care. The Senior Utilization Management Nurse will work under the supervision of the Utilization Management Nurse Manager. In this capacity, you will be tasked with reviewing clinical data from various...
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Senior Nurse for Utilization Management
5 days ago
Rancho Cordova, California, United States Blue Shield of California Full timePosition OverviewThe Utilization Management department is dedicated to evaluating inpatient admissions for our members, adhering to established standards of care. The Senior Utilization Management Nurse will report directly to the Nurse Manager of Utilization Management. In this capacity, you will be tasked with reviewing clinical data from assigned...
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Case Management
1 day ago
Rancho Cordova, United States Blue Shield of California Full timeYour RoleThe Case Management team performs and case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members care including clinical nurses and treating MDs. The Case Management Nurse, Senior will report to the Manager, Care Management. In this role you will determine,...
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Case Management
7 days ago
Rancho Cordova, United States Blue Shield of California Full timeYour Role The Case Management team performs and case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members care including clinical nurses and treating MDs. The Case Management Nurse, Senior will report to the Manager, Care Management. In this role you will determine,...
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Case Management
1 week ago
Rancho Cordova, United States Blue Shield of California Full timeYour Role The Case Management team performs and case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members care including clinical nurses and treating MDs. The Case Management Nurse, Senior will report to the Manager, Care Management. In this role you will determine,...
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Case Management
1 week ago
Rancho Cordova, United States Blue Shield of California Full timeYour Role The Case Management team performs and case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members care including clinical nurses and treating MDs. The Case Management Nurse, Senior will report to the Manager, Care Management. In this role you will determine,...
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Case Management
2 months ago
Rancho Cordova, United States Blue Shield of California Full timeYour Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
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Case Management
1 month ago
Rancho Cordova, United States Blue Shield of California Full timeYour Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
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Case Management
7 days ago
Rancho Cordova, United States Blue Shield of California Full timeYour Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
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Case Management
7 days ago
Rancho Cordova, United States Blue Shield of California Full timeYour Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
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Case Management
2 months ago
Rancho Cordova, United States Blue Shield of California Full timeYour Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
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Case Management
1 week ago
Rancho Cordova, United States Blue Shield of California Full timeYour Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
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Case Management
1 month ago
Rancho Cordova, United States Blue Shield of California Full timeYour Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
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Case Management
2 months ago
Rancho Cordova, United States Blue Shield of California Full timeYour Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
Nurse Manager-PICC
2 months ago
Manages 24-hour departments providing patient care services. Ensures staff provide high quality, accessible, cost effective care, and patient focused services to members across the continuum, which comply with local, state, and federal requirements. Develops and maintains clinical standards of care and practice; responsible for all resource budgeting, selection and development. Essential Responsibilities:
- Manages the operations of 24-hour departments that may be at multiple locations. Ensures Assistants and staff provide the highest quality of care and are in compliance with the Nursing Practice Act, The Joint Commission, federal, state, and local requirements.
- Establishes, implements, and maintains patient care and service standards to meet members and internal clients expectations.
- Designs and evaluates processes to improve systems and patient care results across the continuum of care.
- Develops and monitors budgets for the appropriate use of human and material resources. Monitors financial performance and identifies and implements strategies to reduce costs and improve quality of care/service.
- Determines the appropriate staff mix for department and develops processes to screen, interview, hire, train, and maintain the competency of all department staff. Ensures on going staff development. Manages and resolves human resource, employee and department safety, and risk management issues.
- Develops, implements, and monitors departmental policy and procedures which support the organizations goals and business objectives and ensures they are met.
- Oversees and develops standards of care and standards of practice, directs fiscal management, and quality improvement activities.
- Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
- Minimum four (4) years of clinical nursing experience related to clinical area of specialization as required by department, including four (4) years of management, supervisory or leadership* experience.
- Graduate of accredited school of nursing. Bachelors Degree in Nursing, or Masters Degree in Nursing earned through a direct entry MSN program.
- Registered Nurse License (California) required at hire
- Basic Life Support
- *Leadership Experience will be permissible for Kaiser Permanente internal applicants only and is defined by the following criteria: demonstrated clinical nursing leadership as a Charge/Senior RN, participation on professional committees inclusive of UBTs, National Certification in Specialty, demonstrated completion of RN Leadership Development Program and/or demonstrated experiential exposure to Nursing Leadership.
- Knowledge of Nurse Practice Act, The Joint Commission, and other local, state, federal regulations.
- Demonstrated strong interpersonal communication skills.
- ACLS or PALS certification may be required for positions in specific department.
- National Certification preferred within 1 year of hire
- Must be able to work in a Labor/Management Partnership environment.
- Two (2) years of management experience preferred
- One (1) year of Magnet/shared governance experience preferred
- One (1) year of managing in a bargaining environment preferred
- Masters degree preferred.
PrimaryLocation : California,Sacramento,Sacramento Hospital
HoursPerWeek : 40
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri
WorkingHoursStart : 08:00 AM
WorkingHoursEnd : 05:00 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : NUE-NCAL-09|NUE|Non Union Employee
Job Level : Manager with Direct Reports
Job Category : Nursing Licensed & Nurse Practitioners
Department : Sacramento Hospital - Nursing Administration - 0201
Travel : No
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
