Top 584 registered nurse Jobs in madera, ca

UM Coordinator
River Vista Behavioral Health —Madera, CA
- $50 - $55 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
RN, Cardiovascular ICU
Community Health System —Fresno, CA
- $45.29 - $64.30 an hour
- RN License
- BLS Certification
- Mid-level
- Free parking
- 403(b) matching
Registered Nurse (RN) - Home Health
Ardent Home Health and Hospice of Fresno —Fresno, CA
- $50 - $65 an hour
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Opportunities for advancement
Quick Apply
8d
RN Wound Treatment Nurse
Madera Care Center —Madera, CA
- $42 - $45 an hour
- Full-time
- Background check
- Skilled nursing facility
- RN License
- Disability insurance
- Health insurance
Quick Apply
Director of Patient Care Services (RN)- Hospice
VITAS Healthcare —Fresno, CA
- $112,000 - $150,000 a year
- Full-time
- Nursing
- Surgery
- RN License
- Disability insurance
- Health insurance
Quick Apply
Registered Nurse RN - Full-time Day or NOC Shifts
River Vista Behavioral Health —Madera, CA
- $50 - $55 an hour
- Weekends as needed
- Background check
- CPR Certification
- Nursing
- Health savings account
- Health insurance
Quick Apply
Registered Nurse - Heart Center Clinic - Part Time
Valley Children's Healthcare —Madera, CA
- $42.50 - $69.90 an hour
- Part-time
- Bilingual
- Nursing
- RN License
17h
Registered Nurse - Ambulatory Treatment Center - Part Time
Valley Children's Healthcare —Madera, CA
- $47.70 - $73.80 an hour
- Part-time
- Bilingual
- Nursing
- RN License
8d
RN Per Diem - Ambulatory Treatment Center
Valley Children's Healthcare —Madera, CA
- $48.90 - $80.10 an hour
- Email
- Nursing
- RN License
- BLS Certification
9d
RN PT
River Vista Behavioral Health —Madera, CA
- $50 - $55 an hour
- Overtime
- CPR Certification
- Nursing
- Psychiatry
4d
RN Case Manager
VITAS Healthcare —Fresno, CA
- $55 - $59 an hour
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
OR Circulating RN – Travel / Short-Term Contracts
Recruitment Alley LLC —Fresno, CA
- $60 - $70 an hour
- Temporary
- Background check
- Surgery
- Current TB test
- Flexible schedule
Quick Apply
3d
RN Case Manager
Seva Hospice —Fresno, CA
- $52 - $57 an hour
- Evening shift
- CPR Certification
- RN License
- BLS Certification
- 401(k) matching
Quick Apply
RN Case Manager
Seva Hospice —Madera, CA
- $52 - $57 an hour
- Evening shift
- CPR Certification
- RN License
- BLS Certification
- 401(k) matching
Quick Apply
RN Clinical Quality Coordinator
Community Health System —Fresno, CA
- $49.46 - $64.30 an hour
- 8 hour shift
- Nursing
- RN License
- 5 years
- Free parking
- 403(b) matching
Registered Nurse - Hospice
Seva Hospice —Madera, CA
- $52 - $57 an hour
- Per diem
- CPR Certification
- RN License
- BLS Certification
- 401(k) matching
- Flexible schedule
Quick Apply
RN, Oncology PRN
Community Health System —Fresno, CA
- $55.85 - $72.61 an hour
- PRN
- Float pool
- RN License
- BLS Certification
- Free parking
Registered Nurse - Home Health [Tulare, Kings & Kern County]
Kure Home Health —Fresno, CA
- $50 - $150 an hour
- Part-time
- Clean driving record
- RN License
- BLS Certification
- Travel reimbursement
- Free parking
Quick Apply
Registered Nurse (RN), Labor and Delivery
Community Health System —Fresno, CA
- $45.29 - $64.30 an hour
- Full-time
- RN License
- Hospital
- BLS Certification
- Free parking
- 403(b) matching
8d
RN Registered Nurse OB / Labor & Delivery Travel to Hanford, CA *$73/hour*
White Glove Placement, Inc. —Fresno, CA
- $73 an hour
- Full-time
- RN License
- BLS Certification
- Mid-level
Quick Apply
1d

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UM Coordinator

River Vista Behavioral Health
Madera, CA

Quick Apply

Job Details

Full-time
$50 - $55 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off

Qualifications

Teamwork
Inpatient
RN License
DSM-5
Patient assessment
Master's degree
Bachelor's degree
Negotiation

Full Job Description

Position Summary:

Facilitates a continuum of service while promoting positive outcomes and optimal reimbursement through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting.

QUALIFICATIONS

Education: Bachelor’s Degree in Nursing, Psychology, or Social Work. Master's preferred.

Licensure: CA RN license required. License in Social Work, AMFT, Mental Health Counseling preferred

Experience:  A minimum of 3-5 years of experience working in an acute inpatient psychiatric setting as a treatment team member and/or utilization management, or years utilization management experience.

Shift time: Monday- Friday 8:00 am-4:30 pm

RN pay ranges- $50-$55

SW pay ranges- $37-$42

Knowledgeable in behavioral health managed care and clinical assessment skills to align patient acuity with level of care practice guidelines - Diagnostic and Statistical Manual of Mental Disorders (DSM-V).
Effective oral and written communication skills to support patient advocacy/negotiating skills to ensure quality reviews with payers
Solid understanding of acute inpatient psychiatric hospital operations, including both mental health and substance abuse treatment.

Essential Job Duties/Responsibilities

Performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid and commercial) to secure authorization for continued treatment (i.e. by fax, telephone or on-line) based on the payer’s criteria.
Functions as a key member of the multidisciplinary treatment team to educate and guide on level of care requirements and payer expectations for patient acuity and appropriate utilization.
Completes quality and timely appeal/denial letters. Participates in post claim recovery review and ongoing audit activity, supporting compliance with CMS and other regulators
Works collectively with hospital operations (social services, business office, Intake, Nursing) to ensure timely documentation is aligned with patient conditions.
Contributes to monthly utilization data trends using hospital data tools to report for the overall operation
Facilitates physician reviews with payers as required
Performs other duties as assigned/required by this position

Equal Employment Opportunity

It is the policy of the facility to provide equal opportunity in employment to all employees and applicants for employment. No person will be discriminated against in employment based on race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, or local laws.

Americans with Disabilities Act

Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

Service Excellence.

Service excellence is a part of all we do. Our standards include:

Treat everyone as a guest by making a good first impression, anticipating needs and displaying service recovery skills.
Demonstrate professionalism and excellence by looking professional, being accountable for actions and delivering excellence in our everyday work.
Practice teamwork by participating in decision making and process improvement, communicating effectively and focusing on the problem/issue, not the person.

Pay: $50.00 - $55.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off

Work Location: In person

Quick Apply

Refine Your Search

registered nurse jobs in madera, ca

UM Coordinator

RN, Cardiovascular ICU

Registered Nurse (RN) - Home Health

RN Wound Treatment Nurse

Director of Patient Care Services (RN)- Hospice

Registered Nurse RN - Full-time Day or NOC Shifts

Registered Nurse - Heart Center Clinic - Part Time

Registered Nurse - Ambulatory Treatment Center - Part Time

RN Per Diem - Ambulatory Treatment Center

RN PT

RN Case Manager

OR Circulating RN – Travel / Short-Term Contracts

RN Case Manager

RN Case Manager

RN Clinical Quality Coordinator

Registered Nurse - Hospice

RN, Oncology PRN

Registered Nurse - Home Health [Tulare, Kings & Kern County]

Registered Nurse (RN), Labor and Delivery

RN Registered Nurse OB / Labor & Delivery Travel to Hanford, CA $73/hour

I want to receive the latest job alert for registered nurse in madera, ca

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