Top 183 Outpatient nurse Jobs in Concord, Ca

Utilization Management Nurse, RN
Altais Health Solutions —Oakland, CA
- $44.63 - $53.55 an hour
- Full-time
- Background check
- RN License
- Pass drug screening
- Paid holidays
- Health insurance
Quick Apply
10d
Staff Nurse II, Outpatient Infusion
Sutter Health —Antioch, CA
- $80.52 - $108.95 an hour
- 8 hour shift
- Nursing
- Anatomy knowledge
- Microsoft Outlook
2d
Registered Nurse (Public Health, Behav Health, CC Health Plan, Ambulatory, & Detention Assignments)
County of Contra Costa, California —Contra Costa County, CA
- $155,796.49 - $194,568.47 a year
- Online Application
- CPR Certification
- Nursing
- RN License
- Health insurance
Registered Nurse - Bay Area, CA
PLANNED PARENTHOOD NORTHERN CALIFORNIA —Walnut Creek, CA
- $53.00 - $65.24 an hour
- Part-time
- Spanish
- Nursing
- Management
- Paid holidays
- Disability insurance
Quick Apply
Outpatient Registered Nurse - RN - Dialysis
Fresenius Medical Care —Pleasant Hill, CA
- $34.50 - $63.00 an hour
- Full-time
- CPR Certification
- Nursing
- Heavy lifting
- Health insurance
- Dental insurance
Outpatient Registered Nurse - RN - Dialysis - Per Diem
Fresenius Medical Care —Antioch, CA
- $34.50 - $63.00 an hour
- Part-time
- CPR Certification
- Nursing
- Heavy lifting
- Health insurance
- Dental insurance
LVN - OB/GYN and Urology
University of California San Francisco —Berkeley, CA
- Full-time
- LVN
- Customer service
- BLS Certification
Clinical Nurse II -Endoscopy (Part Time, Day)
Northbay Healthcare —Fairfield, CA
- $77.39 an hour
- Full-time
- Hybrid work
- Acute care
- Nursing
- RN License
- 403(b) matching
- Health insurance
CA INFUSION NURSE
Healix Infusion Therapy, LLC —Walnut Creek, CA
- $55 - $68 an hour
- Full-time
- Nursing
- RN License
- Bachelor of Science
Quick Apply
Registered Nurse I/II
La Clinica de La Raza —Oakland, CA
- $41.11 - $56.58 an hour
- Call employer
- Urgent Care
- Ob/Gyn
- Pediatrics
- Loan repayment program
- Flexible schedule
Quick Apply
Registered Nurse (Operating Room Assignment)
County of Contra Costa, California —Contra Costa County, CA
- $155,796.49 - $194,568.47 a year
- Online Application
- Acute care
- CPR Certification
- Nursing
RN Recovery per diem rotate
San Ramon Regional Medical Center —San Ramon, CA
- Per diem
- Acute care
- Nursing
- Surgery
- Health savings account
- Health insurance
Registered Nurse ( Inpatient Psych, Psych Emergency Assignments)
County of Contra Costa, California —Contra Costa County, CA
- $155,796.49 - $194,568.47 a year
- Online Application
- Acute care
- CPR Certification
- Nursing
OAK Pre-Op/PACU RN - Per Diem
MEDBRIDGE VENTURES LLC —Oakland, CA
- $75 - $87 an hour
- Overtime
- Nursing
- Surgery
- RN License
Quick Apply
Nurse Practitioner (Per Diem)
California State University —East Bay, CA
- Part-time
- Background check
- Nursing
- Vital signs
Registered Nurse Spectrum Skilled Nursing
EVN Dialysis Center LLC —Pleasant Hill, CA
- $60 - $65 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Nurse Practitioner (10/12 Pay Plan)
California State University —East Bay, CA
- Full-time
- Background check
- Nursing
- Vital signs
- Paid holidays
- Health insurance
RN OR Circulator FT
Webster Outpatient Surgery Center (11656) —San Ramon, CA
- $55 - $80 an hour
- Full-time
- Nursing
- Surgery
- RN License
- Health savings account
- AD&D insurance
CarT Nurse
Epic Care —Emeryville, CA
- $65 - $89 an hour
- Weekends as needed
- Nursing
- Patient monitoring
- RN License
Operating Room Registered Nurse (OR RN)
Ansible Government Solutions —Martinez, CA
- $69 - $72 an hour
- 8 hour shift
- CPR Certification
- Surgery
- RN License
Quick Apply

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Utilization Management Nurse, RN

Altais Health Solutions -
Oakland, CA

Quick Apply

Job Details

Full-time
$44.63 - $53.55 an hour
10 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
Vision insurance
401(k) matching

Qualifications

RN License
Nursing

Full Job Description

About Altais:

At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks. Through smarter technology, purpose-built tools, and a team-based model of care, we help doctors do what they do best: care for people.

Altais includes a network of physician-led organizations across California, including Brown & Toland Physicians, Altais Medical Group Riverside, and Family Care Specialists. Together, we’re building a stronger, more connected healthcare system.

About the Role

Are you looking to join a fast-growing, dynamic team?

We’re a collaborative, purpose-driven group that’s passionate about transforming healthcare from the inside out. At Altais, we support one another, adapt quickly, and work with integrity as we build a better experience for physicians and their patients.

As a Utilization Management RN, you'll work closely with our Ambulatory and Concurrent Care, Network Management, Quality Improvement, and Practice Success teams. Your responsibilities include driving efficient authorization processes, navigating insurance requirements with precision and advocacy. We seek individuals with a strong commitment to patient-centered care and a passion for promoting health and wellness.

You will focus on:

Interface with external agencies and representatives relative to the utilization management process, including health plans, medical providers, vendors and CMS.

Perform Utilization Review activities prospectively or post-service (retrospective) for elective/urgent hospital admissions and outpatient services as specified on the Prior Authorization List with complete and timely reports to members, providers and health plans as requested.

Assist medical directors with benefit interpretation, obtain additional medical necessity information and research issues. Be available for case discussion as needed.

Works closely with physicians, other healthcare and service providers, health plan representatives, care management staff and partners with UM Coordinators to provide medical management for incoming authorization requests and specialist referrals using nationally recognized guidelines to determine medical necessity.

Review the authorization request and medical information provided by the requesting provider for medical necessity and appropriateness, comparing information to current medical care criteria by health plan and as specified by BTP, CMS, CDC, NCQA and DMHC requirements.

Review all cases against the division of financial responsibility (DOFR), Health Plan Ancillary Grids and BTP Ancillary lists to ensure appropriate vendors are utilized for payment of services.

Formulate appropriate denial letter language in accordance with Industry Collaboration effort (ICE)and health plan requirements

Ensure accuracy of case data in Tapestry including ICD-10, CPT and HCPC codes
Participate in the annual inter-rater review to evaluate consistency of decision making with in the nursing staff Support Inpatient Care Management, Network Management, Claims, Customer Service, Quality Improvement and Physician Services staff by offering benefit interpretation, understanding of UM policies and procedures and the application of guidelines in the process of decision making.

The Skills, Experience & Education You Bring

RN-Registered Nurse of California Licensure required.

Awareness of healthcare reimbursement systems: HMO, PPO, PPS, CMA, all value-based reimbursement models, and alternative payment systems preferred.

Prior MSO experience preferred.

2 years recent relevant experience.

Recent MCG or InterQual experience highly desired.

Experience with ICD-9, CPT and HCPCS codes preferred

The Base Salary for this position is $44.63 - $53.55/hr

In addition, we provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

Excellent medical, vision, and dental coverage
401k savings plan with a company match
Flexible time off and 9 Paid Holidays

You Share Our Mission & Values:

Compassion

We act with empathy and a deep respect for the challenges faced by physicians and their patients. Our work is driven by a genuine commitment to improving lives and ensuring that care is delivered with dignity, understanding, and humanity.

Community

We foster a culture of collaboration-with physicians, patients across the healthcare ecosystem, and among our teams. By building strong, trusted relationships, we create a unified community focused on advancing patient care and physician well-being.

Leadership

We lead with integrity and vision, setting the standard for excellence in physician support and healthcare innovation. Through collaboration and expertise, we empower others to lead, drive change, and shape the future of care.

Excellence

We are relentlessly focused, results-driven, and accountable for delivering measurable value to physicians and the patients they serve. Our high standards reflect our commitment to excellence, operational discipline, and continuous improvement.

Agility

We embrace change as a constant and respond swiftly to the evolving needs of the healthcare industry. With flexibility and forward-thinking, we adapt, innovate, and act decisively to keep physicians at the forefront.

Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate’s qualifications, skills, and experience. This position will also be eligible to participate in our annual bonus program.

Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our ‘CPRA Privacy Notice for California Employees and Applicants’ to learn how we collect and process your personal information when you apply for a role with us.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Quick Apply

Refine Your Search

outpatient nurse jobs in concord, ca

Utilization Management Nurse, RN

Staff Nurse II, Outpatient Infusion

Registered Nurse (Public Health, Behav Health, CC Health Plan, Ambulatory, & Detention Assignments)

Registered Nurse - Bay Area, CA

Outpatient Registered Nurse - RN - Dialysis

Outpatient Registered Nurse - RN - Dialysis - Per Diem

LVN - OB/GYN and Urology

Clinical Nurse II -Endoscopy (Part Time, Day)

CA INFUSION NURSE

Registered Nurse I/II

Registered Nurse (Operating Room Assignment)

RN Recovery per diem rotate

Registered Nurse ( Inpatient Psych, Psych Emergency Assignments)

OAK Pre-Op/PACU RN - Per Diem

Nurse Practitioner (Per Diem)

Registered Nurse Spectrum Skilled Nursing

Nurse Practitioner (10/12 Pay Plan)

RN OR Circulator FT

CarT Nurse

Operating Room Registered Nurse (OR RN)

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