Top 114 Nurse coordinator Jobs in Walnut Creek 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
11d
Aesthetic Registered Nurse
LaserAway —Oakland, CA
- $60 an hour
- 8 hour shift
- Surgery
- Mid-level
- Critical & Intensive Care
- Disability insurance
- Health insurance
Quick Apply
9d
AHD RN Care Coordinator
Alameda Health System —Alameda, CA
- $61.68 - $102.81 an hour
- Part-time
- Bilingual
- Nursing
- RN License
- Health insurance
Quick Apply
Registered Nurse – Aesthetic Training Provided
LaserAway —Walnut Creek, CA
- $50 an hour
- 8 hour shift
- Surgery
- Mid-level
- Critical & Intensive Care
- Disability insurance
- Health insurance
Quick Apply
RN, Registered Nurse (Primary Care Concierge Medicine, No Weekends)
Private Medical —San Francisco, CA
- $173,000 - $187,000 a year
- Weekends as needed
- Private practice
- Nursing
- RN License
- Paid holidays
- Health insurance
Quick Apply
4d
SMSHCC - Complex Care RN Coordinator
Sutter Health —Oakland, CA
- Weekends as needed
- Acute care
- Nursing
- Anatomy knowledge
RN - IV Wellness Clinic Full-Time
Hydration Room —Alamo, CA
- $60 - $70 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Paid parental leave
- Health insurance
Quick Apply
Clinical Nurse Educator
Sutter Health —Vallejo, CA
- $90.93 - $127.29 an hour
- 8 hour shift
- Nursing
- Microsoft Outlook
- RN License
Intake Coordinator - Registered Nurse
Asian Health Services —San Leandro, CA
- $125,000 - $1,350,000 a year
- Full-time
- Nursing
- RN License
- BLS Certification
- Commuter assistance
- Paid holidays
Quick Apply
20h
Oncology Nurse Navigator
Stanford Health Care —Castro Valley, CA
- $79.21 - $104.97 an hour
- Full-time
- Nursing
- RN License
- Bachelor of Science
RN, Clinical Nurse Educator III, Home Health
Sutter Health —Concord, CA
- $78.30 - $109.62 an hour
- 8 hour shift
- Nursing
- Microsoft Outlook
- RN License
Magnet Program Coordinator, Nurse
Sutter Health —San Francisco, CA
- $197,828.80 - $276,952.00 a year
- Weekends as needed
- Acute care
- Nursing
- Anatomy knowledge
RN - Nurse Navigator - WCMC Cancer Program - Full Time - 8 Hour - Days
John Muir Health —Walnut Creek, CA
- $87.18 - $117.68 an hour
- 8 hour shift
- Nursing
- Microsoft Outlook
- Writing skills
PRN RN/LVN/LPT Nurse (Weekends)
Sunol Hills LLC —Lafayette, CA
- $37 - $38 an hour
- Part-time
- LVN
- RN License
- Residential
- COVID-19 protective measures
- AD&D insurance
Quick Apply
Clinical Research Coordinator
University of California San Francisco —San Francisco, CA
- Full-time
- Microsoft Word
- Microsoft Excel
- Patient monitoring
9d
MDS Coordinator (RN/LVN)
Stratford Villa Post-Acute —Livermore, CA
- $45 - $60 an hour
- Full-time
- Nursing
- Skilled nursing facility
- LVN
- Paid training
- AD&D insurance
Quick Apply
Nursing Patient Care Coordinator, RN
CVHCare —San Ramon, CA
- From $70,000 a year
- Full-time
- Management
- RN License
- BLS Certification
Quick Apply
Clinical Procurement Coordinator (RRT's, PA's & RN's Preferred)
Donor Network West —San Ramon, CA
- $65.74 - $74.13 an hour
- Full-time
- Hybrid work
- Nursing
- Mid-level
- ACLS Certification
- On-the-job training
Quick Apply
AHD Minimum Data Set (MDS) Coordinator SS
Alameda Health System —Alameda, CA
- Per diem
- Nursing
- Skilled nursing facility
- RN License
Quick Apply
RN Clinical Coordinator
Health Link —Walnut Creek, CA
- $115,000 - $130,000 a year
- Urgently hiring
- Nursing
- Management
- RN License
- Health insurance
- Dental insurance
Quick Apply
11d

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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
11 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

nurse coordinator jobs in walnut creek ca

Utilization Management Nurse, RN

Aesthetic Registered Nurse

AHD RN Care Coordinator

Registered Nurse – Aesthetic Training Provided

RN, Registered Nurse (Primary Care Concierge Medicine, No Weekends)

SMSHCC - Complex Care RN Coordinator

RN - IV Wellness Clinic Full-Time

Clinical Nurse Educator

Intake Coordinator - Registered Nurse

Oncology Nurse Navigator

RN, Clinical Nurse Educator III, Home Health

Magnet Program Coordinator, Nurse

RN - Nurse Navigator - WCMC Cancer Program - Full Time - 8 Hour - Days

PRN RN/LVN/LPT Nurse (Weekends)

Clinical Research Coordinator

MDS Coordinator (RN/LVN)

Nursing Patient Care Coordinator, RN

Clinical Procurement Coordinator (RRT's, PA's & RN's Preferred)

AHD Minimum Data Set (MDS) Coordinator SS

RN Clinical Coordinator

I want to receive the latest job alert for nurse coordinator in walnut creek ca

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