Top 696 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
13d
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
5d
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 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
Registered Nurse, 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
5d
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
Workers Compensation Nurse Case Manager
IW Care Connection, Inc. —Fresno, CA
- $94,000 - $140,000 a year
- Part-time
- Spanish
- Microsoft Excel
- RN License
- Health insurance
- Dental insurance
Quick Apply
Sub Acute RN Infection Prevention Practitioner
Clinical Management Consultants —Madera, CA
- $108,140 - $141,600 a year
- Full-time
- Nursing
- Hospital
- Mid-level
- Health insurance
- Retirement plan
RN Cath Lab Per Diem Days
Saint Agnes Medical Center —Fresno, CA
- $46.01 - $66.73 an hour
- 12 hour shift
- CPR Certification
- RN License
- BLS Certification
Quick Apply
LVN Wanted Full Time
Maxim Healthcare Services —Madera, CA
- $28 an hour
- Full-time
- LVN
- Ability to lift 50 pounds
- 1 year
- Commuter assistance
- Health savings account
Quick Apply
Licensed Vocational Nurse (LVN)
Aveanna Healthcare —Madera, CA
- $27 - $35 an hour
- Part-time
- CPR Certification
- Nursing
- LVN
- Paid training
- Employee stock purchase plan
Quick Apply
Registered Nurse
DAVITA —Fresno, CA
- $48 - $66 an hour
- 8 hour shift
- Microsoft Word
- Nursing
- Microsoft Outlook
- Paid training
- Health insurance
RN
Shiftkey, LLC —Madera, CA
- $66 an hour
- Weekends as needed
- Acute care
- RN License
- Hospital
- Health insurance
- Dental insurance
Registered Nurse
California Medical Imaging —Madera, CA
- $50 - $55 an hour
- Part-time
- Background check
- RN License
- Mid-level
Quick Apply
7d
RN PT
River Vista Behavioral Health —Madera, CA
- $50 - $55 an hour
- Overtime
- CPR Certification
- Nursing
- Psychiatry
1d
RN Per Diem - Ambulatory Treatment Center
Valley Children's Healthcare —Madera, CA
- $48.90 - $80.10 an hour
- Email
- Nursing
- RN License
- BLS Certification
7d
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
6d
RN Per Diem - Day Surgery
Valley Children's Healthcare —Madera, CA
- $48.90 - $80.10 an hour
- Email
- Bilingual
- Nursing
- Surgery
- Opportunities for advancement
RN Per Diem - Heart Center Clinic
Valley Children's Healthcare —Madera, CA
- $48.90 - $80.10 an hour
- Email
- Nursing
- RN License
- BLS Certification
Admitting-Registered Nurse
Madera Community Hospital —Madera, CA
- $46.00 - $59.57 an hour
- Full-time
- Acute care
- Nursing
- RN License
Quick Apply

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nurse jobs near madera ca

UM Coordinator

River Vista Behavioral Health
Madera, CA

Quick Apply

Job Details

Full-time
$50 - $55 an hour
13 days ago

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

nurse jobs in madera ca

UM Coordinator

Registered Nurse (RN), Labor and Delivery

RN Case Manager

RN Wound Treatment Nurse

Registered Nurse, Labor and Delivery

Registered Nurse - Hospice

Workers Compensation Nurse Case Manager

Sub Acute RN Infection Prevention Practitioner

RN Cath Lab Per Diem Days

LVN Wanted Full Time

Licensed Vocational Nurse (LVN)

Registered Nurse

RN

Registered Nurse

RN PT

RN Per Diem - Ambulatory Treatment Center

Registered Nurse - Ambulatory Treatment Center - Part Time

RN Per Diem - Day Surgery

RN Per Diem - Heart Center Clinic

Admitting-Registered Nurse

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