Top 195 Outpatient nurse Jobs in Novato Ca

UM Licensed Vocational Nurse (REMOTE)
Medica Talent Group —California
- $33 - $46 an hour
- Temporary
- Remote
- Microsoft Excel
- Microsoft Outlook
- LVN
Quick Apply
6d
Clinical RN II, Outpatient Infusion, Full-Time, 8/12 Hour Combination Day Shift
MarinHealth Medical Center —Greenbrae, CA
- $86.13 - $110.25 an hour
- 12 hour shift
- Nursing
- RN License
- Hospital
Quick Apply
Nurse (RN), Cardiology, (Larkspur/Novato), Per Diem, Days
MarinHealth Medical Network —Novato, CA
- $62.78 - $94.16 an hour
- 8 hour shift
- Nursing
- Anatomy knowledge
- RN License
Quick Apply
7d
Part-Time Infusion RN Integrative Medical Practice — Mill Valley, California
Dunphy, PA, Nunley, MD —Mill Valley, CA
- $60 - $80 an hour
- Per diem
- Anatomy knowledge
- Patient monitoring
- RN License
- Flexible schedule
Quick Apply
Care Manager RN Per Diem Day
Providence —Petaluma, CA
- $68.96 - $107.05 an hour
- 8 hour shift
- Nursing
- RN License
- Hospital
- Paid parental leave
- Paid holidays
13d
Registered Nurse- GI Clinic
University of California San Francisco —San Francisco, CA
- Full-time
- CPR Certification
- Nursing
- RN License
1d
Ambulatory Services Nurse II, PreOp & PACU
Sutter Health —San Francisco, CA
- $86.08 - $120.51 an hour
- 8 hour shift
- Nursing
- Anatomy knowledge
- Microsoft Outlook
14d
RN
National Home Health Services —Marin County, CA
- $80,000 - $140,000 a year
- Weekends as needed
- Blood sampling
- Patient monitoring
- RN License
- Travel reimbursement
- Health insurance
Quick Apply
7d
Nurse (RN) - Cardiology, Cardiovascular Medicine, (Larkspur), Full-Time, Days
MarinHealth Medical Network —Larkspur, CA
- $62.78 - $94.16 an hour
- 8 hour shift
- Nursing
- Anatomy knowledge
- RN License
Quick Apply
Nurse (RN)-Clinical Practice and Operations, Network Administration, (Novato), Full-Time, Days
MarinHealth Medical Network —Novato, CA
- $130,582.40 - $195,852.80 a year
- 8 hour shift
- Nursing
- RN License
- BLS Certification
Quick Apply
Licensed Vocational Nurse (Infectious Diseases)
Marin Community Clinics —San Rafael, CA
- $36.76 - $48.00 an hour
- Weekends as needed
- Spanish
- Nursing
- LVN
- Mileage reimbursement
- AD&D insurance
Outpatient Registered Nurse - RN - Dialysis - Per Diem
Fresenius Medical Care —Santa Rosa, CA
- $34.50 - $63.00 an hour
- Part-time
- CPR Certification
- Nursing
- Heavy lifting
- Health insurance
- Dental insurance
6d
CarT Nurse
Epic Care —Emeryville, CA
- $65 - $89 an hour
- Weekends as needed
- Nursing
- Patient monitoring
- RN License
Electrophysiology Advanced Pratitioner
Cardiovascular Associates of Marin & SF —Larkspur, CA
- From $210,000 a year
- Full-time
- Background check
- HIPAA
- Inpatient
- Profit sharing
- Health insurance
Quick Apply
Nurse Practitioner (2 years' experience required)
West County Health Centers, Inc. —Sebastopol, CA
- From $125,000 a year
- Part-time
- Spanish
- CPR Certification
- Mid-level
- 403(b) matching
- Loan repayment program
Quick Apply
Wound Care Nurse Practitioner & Physician Assistant
Professional Wound Specialists —San Francisco, CA
- $110,000 - $190,000 a year
- Part-time
- Background check
- Spanish
- Nursing
Quick Apply
Remote Psychiatric Nurse Practitioner (PMHNP) with 103/104 NP Cert - Telehealth, W2, Benefits & more
Talkiatry —California
- $180,000 - $215,000 a year
- Part-time
- Remote
- Nursing
- Psychiatry
- Mid-level
- Health savings account
- Paid holidays
We are looking for Registered Nurse- RN (Visa Sponsorships Available)
San Francisco Health Care and Rehab —San Francisco, CA
- $40 - $54 an hour
- 12 hour shift
- Background check
- CPR Certification
- Skilled nursing facility
- Paid holidays
- Health insurance
Quick Apply
14d
Charge RN - Surgery - Full Time Evening
Providence Health and Services —Napa, CA
- $77.41 - $107.19 an hour
- 8 hour shift
- Nursing
- Surgery
- RN License
- Paid parental leave
- Paid holidays
2d
Women's Health NP and CNM opportunities with established, not-for-profit company located in Northern California—San Joaquin County ...student loan repayment program available; experience required (ENPLWPRI)
Millennium Med Search —California
- $155 a day
- Mid-level
- Outpatient experience
- Clinic
- AD&D insurance
- Paid holidays

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UM Licensed Vocational Nurse (REMOTE)

Medica Talent Group
California

Quick Apply

Job Details

Temporary | Full-time
$33 - $46 an hour
6 days ago

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
Medicare
LVN
Managed care
Electronic health records (EHR) management
Customer service
Managed care organization experience
CMS
Regulatory compliance
Word embeddings
HIPAA
Microsoft Office
CMS regulatory compliance
Pre-authorization review for utilization management
Medicare regulations
Utilization management
Clinical program data analysis
Conflict management
Clinical documentation
Resource utilization in healthcare
Health information regulatory compliance
Medicaid regulations
Clinical confidentiality policies
Clinical data analysis

Full Job Description

The LVN Utilization Management Nurse is responsible for reviewing and processing authorization requests to ensure services are medically necessary, appropriate, timely, and consistent with health plan benefits, regulatory requirements, and nationally recognized clinical guidelines. This position reviews inpatient and outpatient services, hospitalizations, home care, treatment plans, and ongoing services while supporting cost-effective, high-quality patient care.

The UM Nurse works closely with Medical Directors, Hospitalists, providers, health plans, hospital partners, and care teams to facilitate timely authorization decisions and coordinate patient care. Responsibilities include verifying member eligibility and benefits, conducting concurrent and retrospective reviews, processing referrals and prior authorizations, coordinating discharge planning, and communicating authorization decisions to providers and members.

The position requires strong knowledge of utilization management processes, Medicare, Medi-Cal, Commercial, CCS, and other government program requirements, as well as familiarity with evidence-based criteria such as Milliman, InterQual, CMS, and specialty-specific guidelines. The UM Nurse must maintain accurate documentation, meet required turnaround times, protect patient confidentiality, and comply with HIPAA and applicable federal and state regulations.

Minimum Qualifications:

Current, valid Licensed Vocational Nurse (LVN) license.
Minimum of 2 years of managed care experience.
Experience using electronic medical records, authorization systems, and Microsoft Office applications, including Word, Excel, and Outlook.
Knowledge of utilization management, pre-authorizations, reimbursement regulations, and applicable federal and state requirements.
Strong communication, customer service, interpersonal, problem-solving, and conflict-resolution skills.
Ability to work collaboratively with diverse internal and external stakeholders.
Strong attention to detail and ability to analyze and interpret clinical and operational data.
Knowledge of DOFRs, delegation agreements, authorization matrices, and health plan requirements preferred.
Commitment to HIPAA compliance, privacy, and confidentiality standards.

Key Responsibilities:

Review and process referral and authorization requests within established turnaround time requirements.
Evaluate medical necessity and level of care using applicable clinical and evidence-based guidelines.
Verify member eligibility and benefits and communicate authorization decisions to providers and members.
Monitor ongoing services for medical necessity, appropriateness, and cost effectiveness.
Coordinate with Medical Directors, referral specialists, providers, hospitals, and health plans to facilitate timely decisions.
Process and coordinate Letters of Agreement (LOAs) for non-contracted providers and facilities, when applicable.
Conduct concurrent and retrospective reviews, discharge planning, and prior authorization/pre-certification activities as assigned.
Maintain accurate and timely documentation in the Medical Management system.
Stay current on utilization management regulations, health plan requirements, and applicable clinical guidelines.
Develop positive working relationships with internal and external customers while supporting high-quality, cost-effective patient care.

***TEMP POSITION - ASSIGNMENT ENDS 10/31/26***

Pay: $33.00 - $46.00 per hour

Experience:

Managed care: 2 years (Required)
Microsoft Office: 1 year (Required)

License/Certification:

LVN (Required)

Location:

California (Required)

Work Location: Remote

Quick Apply

Refine Your Search

outpatient nurse jobs in novato ca

UM Licensed Vocational Nurse (REMOTE)

Clinical RN II, Outpatient Infusion, Full-Time, 8/12 Hour Combination Day Shift

Nurse (RN), Cardiology, (Larkspur/Novato), Per Diem, Days

Part-Time Infusion RN Integrative Medical Practice — Mill Valley, California

Care Manager RN Per Diem Day

Registered Nurse- GI Clinic

Ambulatory Services Nurse II, PreOp & PACU

RN

Nurse (RN) - Cardiology, Cardiovascular Medicine, (Larkspur), Full-Time, Days

Nurse (RN)-Clinical Practice and Operations, Network Administration, (Novato), Full-Time, Days

Licensed Vocational Nurse (Infectious Diseases)

Outpatient Registered Nurse - RN - Dialysis - Per Diem

CarT Nurse

Electrophysiology Advanced Pratitioner

Nurse Practitioner (2 years' experience required)

Wound Care Nurse Practitioner & Physician Assistant

Remote Psychiatric Nurse Practitioner (PMHNP) with 103/104 NP Cert - Telehealth, W2, Benefits & more

We are looking for Registered Nurse- RN (Visa Sponsorships Available)

Charge RN - Surgery - Full Time Evening

Women's Health NP and CNM opportunities with established, not-for-profit company located in Northern California—San Joaquin County ...student loan repayment program available; experience required (ENPLWPRI)

I want to receive the latest job alert for outpatient nurse in novato ca

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