We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Neonatal Intensive Care Nurses care for premature and critically ill newborns in the neonatal intensive care unit (NICU) of a hospital. These babies are born needing immediate medical attention, so Neonatal Intensive Care Nurses connect them to technology that helps them breathe and allows them to be fed intravenously, so they can gain weight. As a Neonatal Intensive Care Nurse, you’ll work under the direction of a physician, caring for the newborn, and helping to educate their new mothers about their baby’s condition, breastfeeding, and answering their questions. *Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details. **Equal Opportunity Employer** BENEFITS: Insurance We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection. 401K You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.

Travel Postpartum RNCompany: Fusion Medical StaffingLocation: Facility in Berkeley, CAJob DetailsFusion Medical Staffing is seeking a skilled Postpartum RN for a 13 week travel assignment in Berkeley, CA. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.Required Qualifications:One year’s recent experience as a postpartum RN Valid RN license in compliance with state regulationsCurrent BLS (AHA/ARC) CertificationNRP CertificationPreferred Qualifications:ACLS CertificationOther certifications and licenses may be required for this positionSummary:The Postpartum Registered Nurse provides specialized, family-centered care to mothers and newborns in the postpartum unit. This role involves assessing maternal and newborn health, implementing care plans, supports breastfeeding and educating families on postpartum and newborn care. The Postpartum RN collaborates with healthcare teams to ensure optimal outcomes and demonstrates advanced clinical skills, critical thinking, and a commitment to patient safety and professional ethics.Essential Work Functions:Explains postpartum and newborn care procedures to mothers and families to gain cooperation, understanding, and alleviate apprehensionAdministers prescribed medications and treatments to mothers and newborns safely and accurately, following established protocolsAssess and monitor the health of postpartum mothers and newborns, identifying changes, addressing complications, and recording significant conditions and reactionsAssists with and educates on breastfeeding, addressing challenges to ensure successful feeding practicesPerforms newborn assessments, including vital signs, weight checks, and required screening testsResponds to life-saving situations using evidence-based protocols and best practicesCollaborate with interdisciplinary teamsEducates new parents on infant care, maternal recovery, and postpartum health, including safe sleep practices and early signs of complicationsPrepares equipment and aids physicians during examinations and any necessary postpartum or neonatal proceduresMaintains awareness of comfort and safety needs of mothers and newborns, ensuring a safe, supportive environment for bondingDocuments all relevant history and physical assessments for assigned patients accurately in medical recordsPerforms other duties as assignment within the scope of the practiceRequired Essential Skills:Critical thinking, service excellence and good interpersonal communication skillsThe ability to read, write, & communicate in the English language is requiredAbility to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skillsPhysical Abilities - Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bendingInterpersonal Skills - To work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalismTechnical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detailSensory - Visual acuity, ability to effectively communicate.Benefits Include:Highly competitive pay for travel professionalsComprehensive medical, dental, and vision insurance with first day coveragePaid Time Off (PTO) after 1560 hoursLife and Short-term disability offered401(k) matchingAggressive Refer-a-friend Bonus Program24/7 recruiter supportReimbursement for licensure and CEUsWhy Choose Fusion At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.Other Duties Disclaimer:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.Start your rewarding career as a Travel Postpartum RN with Fusion Medical Staffing and join our mission to improve lives. Apply now! *Fusion is an EOE/E-Verify Employer #pb10

Overview: Licensed Physical Therapist Assistant (PTA) - Care Coordination ProgramPhysical Therapy + Care Coordination: The Best of Both Worlds!We’re looking for Physical Therapy Assistants to support our innovative new care coordination program! This opportunity empowers you to practice at the top of your license, while giving you the chance to branch out into care coordination duties designed to standardize your hours and grow your career. All this plus truly flexible scheduling, amazing benefits, and the ability to make a huge difference in the lives of seniors!Incentive OpportunitiesFor some leadership positions at EmpowerMe Wellness, we offer financial incentive opportunities tied to performance. Be sure to ask your recruiter to learn more! Responsibilities: The OpportunityWe are hiring a licensed Physical Therapist Assistant (PTA) to join our team and work with the residents of a senior living community that offers one or more of the following care settings: independent living, assisted living, and memory care. Therapy services for the residents at this community are covered by private insurance and/or Medicare Part B. As a PTA, you will be responsible for: Providing physical therapy and wellness services for older adults under the supervision of a PT as part of a multidisciplinary teamSupport care coordination efforts by conducting regular wellness checkpoint visits with patients, communicating with patients’ providers and caregivers, and assisting patients with attending telehealth visitsMaintaining professional practices and ethical standards in accordance with company-wide policies and clinical initiativesContributing to program development, quality improvement, and problem-solvingAssist with optimizing each patient’s functional well-being and satisfactionYour ScheduleWhile our clinics typically operate 8 a.m. to 5 p.m. Monday through Friday, our flexible scheduling lets you craft a schedule that’s suited to your unique lifestyle!Our Amazing BenefitsAll Employees Get: Fun at Work, a Team You’ll Love, and a Culture You Can Stand Behind! 401(k) Eligibility with Opportunity for Matching FundsAmazing Career Advancement and Cross Training OpportunitiesRecognition ProgramsEmployee Assistance ProgramPart-Time Employees Also Get:Voluntary Benefits (Accident, Critical Illness, Hospital Indemnity, Identity Theft, Pet Protection)Full-Time Employees Also Get:Full Benefits, including HSA, FSA, and Life & Disability InsuranceVoluntary Benefits (Accident, Critical Illness, Hospital Indemnity, Identity Theft, Pet Protection)Flexible Paid Time Off Qualifications: You’re Our Perfect Fit If...You’re energetic, dedicated, and hard-wired to help others – especially seniors. You want to make a difference in the world and help others lead fuller, healthier lives. You want more than just a jobyou seek a calling – a mission you can feel great about. And you want a support system to ensure your career ascends to the highest of heights.Plus, you have the following: Completion of an accredited Physical Therapy Assistant program (New Grads Welcome) Current PTA state licensure Excellent verbal and written communication skills A results-oriented mindset with a dash of critical thinking Tech-savvy skills – quick learners are our favorite kind! Professional curiosity and a knack for finding solutionsCome be a part of our mission to make a positive impact on the lives of seniors. Apply today!About EmpowerMe WellnessEmpowerMe Wellness is on a mission to improve the lives of seniors and the communities they call home! We provide fully integrated healthcare to senior living communities nationwide, offering on-site care coordination, therapy, and pharmacy services. Our experienced team of more than 3,500 clinicians and professionals provide personalized health and wellness solutions that lead to healthier, happier tomorrows!To learn more about us, visit empowerme.com today.This employer is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the employer will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective employees and incumbents to discuss potential accommodations with the employer. Compensation: $33.00 - $46.00 per hour

Occupational Therapist - RehabWe are seeking a compassionate and skilled Occupational Therapist to join our rehabilitation team. In this role, you will help individuals regain independence by developing and implementing customized programs to improve daily living and vocational skills.Key Responsibilities:Assess patients' needs and develop individualized treatment plans.Use therapeutic techniques to improve patients' abilities to perform daily tasks.Adapt environments and modify tasks to remove barriers for patients.Teach patients and caregivers strategies for improving functionality and independence.Document patient progress and adjust treatment plans as necessary.Work Environment:Work in rehabilitation centers, hospitals, or outpatient clinics.Collaborate with a multidisciplinary team focused on patient recovery.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional development and continuing education.A supportive work environment that values innovation and teamwork.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions.. The Clinical Services Coordinator, Advancedwill report to the Manager, Operations FCR. In this role you will assist the clinical team to ensure a timely review of facility compliance claims, including monitoring queues, assisting with administrative support to the FCR team This will includemanagement of daily inventory, assisting with researching claims, pulling medical records and answering questions sent to the FCR mailbox. The main goal of this team is to support the clinical team to ensure they have what they need in order to complete the medical necessity reviews.Your Work In this role, you will: Process faxed/phoned in authorizations, UM/CM requests, special processing/case types and/or calls left on voicemailMonitor specific queues/workstreams andgeneratespre-defined reports to identify and resolve common errorsHandle customer/provider problematic callsCheck member history for case management triageand research member eligibility/benefits and provider networksAssign initial EOA days, or triage to nurses, based on established workflowAssists with system letters, requests for information and data entry. Monitors for Medical Records Outstanding (MRO), keeps track to ensure timely receipt and filing of medical records. **Requires occasional visits to the office to collect these medical records. Provides administrative/clerical support to the FCR team.Acts as a liaison, gather information and track all patients referred to the care management programsWork with the Operations Specialist and Senior Manager on projects as assigned.Monitor specific queues/workstreams and generates pre-defined reports to identify and resolve common errors. Your Knowledge and Experience Requires a high school diploma or equivalentRequires at least 5 years of prior relevant experienceRequires health insurance/managed care experienceRequires strong computer navigation skillsRequires independent motivation and strong work ethic

We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Case Management Nurses coordinate long-term care for their patients. Their goal is to treat their patients at optimal times to keep them healthy and out of the hospital. As a Case Management Nurse, you’ll likely work with specific groups of patients. You can choose to specialize in treating people with diseases like HIV/AIDS or cancer, or you can work with patients of certain age groups like geriatrics or pediatrics. You’ll also research the latest treatment and procedures, and work with insurance companies to help your patients receive the best possible care in the most cost-effective way. *Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details. **Equal Opportunity Employer** BENEFITS: Insurance We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection. 401K You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.

Travel ER RNCompany: Fusion Medical StaffingLocation: Facility in Pleasanton, CAJob DetailsFusion Medical Staffing is seeking a skilled ER RN for a 13 week travel assignment in Pleasanton, CA. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.Required Qualifications:One year of recent experience as an ER RNValid RN license in compliance with state regulationsCurrent BLS certification (AHA/ARC)Current ACLS certification (AHA/ARC)Current PALS (AHA / ARC) or ENPC CertificationPreferred Qualifications:TNCC, NIHSS, CPI, NRP and SANE certificationsOther certifications or licenses may be required for this positionSummary:The Emergency Room Registered Nurse (ER RN) delivers rapid-response, high-quality patient care in a fast-paced emergency department setting. This role involves assessing patient conditions, implementing urgent care plans, administering life-saving treatments, and collaborating with multidisciplinary healthcare teams to ensure high-quality, efficient, patient-centered care in critical situations. The ER RN demonstrates strong clinical skills, exceptional critical thinking abilities, excellent communication under pressure, and a commitment to maintaining the highest standards of patient safety and professional ethics.Essential Work Functions:Rapidly assess and triage patients upon arrival prioritizing care based on the severity of their conditionExplain emergency procedures and treatments to patients and familiesAdminister prescribed medications and treatments in accordance with approved emergency nursing techniques and protocolsPrepare equipment and aid physicians during emergency treatments and examinationsMonitor patient comfort and safety throughout their time in the emergency department, responding to immediate needsObserve and document patient conditions as required within scope of practiceTake and monitor vital signs using clinical judgment to address deviations and prevent complicationsRespond to life-saving situations based upon emergency nursing standards, policies, procedures, and protocolsDocument comprehensive nursing assessments interventions, and outcomes in electronic medical records (EMR)Initiate patient education plans according to individualized needs, considering the acute nature of emergency careCollaborate effectively with interdisciplinary teams including physicians, specialists, paramedics, social workers and other support staff to ensure comprehensive carePerform other duties as assigned within the scope of practiceAdhere to hospital safety protocols, infection control guidelines, and regulatory standardsRequired Essential Skills:Critical thinking, service excellence and good interpersonal communication skillsThe ability to read, write, & communicate in the English language is requiredAbility to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skillsPhysical Abilities - Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bendingInterpersonal Skills - To work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalismTechnical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detailSensory - Visual acuity, ability to effectively communicate.Benefits Include:Highly competitive pay for travel professionalsComprehensive medical, dental, and vision insurancePaid Time Off (PTO) after 1560 hoursShort-term disability offered401(k) matchingAggressive Refer-a-friend Bonus Program24/7 recruiter supportReimbursement for licensure and CEUsWhy Choose Fusion At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.Other Duties Disclaimer:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.Start your rewarding career as a Travel ER RN with Fusion Medical Staffing and join our mission to improve lives. Apply now!*Fusion is an EOE/E-Verify Employer #pb12

Physical Therapist Assistant - RehabWe are seeking a dedicated Physical Therapist Assistant to join our rehabilitation team. In this role, you will support physical therapists in providing treatments that help patients improve mobility, relieve pain, and regain independence.Key Responsibilities:Assist physical therapists in implementing treatment plans tailored to patients' needs.Instruct patients in exercises designed to improve strength, balance, or coordination under supervision.Monitor patients during therapy sessions and report progress or challenges to the supervising therapist.Maintain accurate documentation of treatments provided and patient responses.Ensure therapy equipment is clean, organized, and ready for use during sessions.Work Environment:Work in rehabilitation centers, hospitals, or outpatient clinics under the supervision of licensed physical therapists.A collaborative environment focused on achieving optimal patient outcomes through teamwork.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through training and certifications.A supportive workplace culture that values collaboration and innovation in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Care Managementteam will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Case Management – Nurse, Senior will report to the Manager of Care Management. In this role you will play a pivotal role in assessing member needs, providing clinical education, as well as care coordinationwith providers, medical groups, and community resources. You will be responsible for managing and coordinating patient care, ensuring that our members receive the highest quality of care and services. Care Managers perform care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians.Your Work In this role, you will: Determine appropriateness of referral for CM services, mental health, and social servicesAssess members health behaviors, cultural influences and clients belief/value system. Evaluate all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriersResearch and design treatment/care plans to promote quality of care, cost effective health care services based on medical necessity complying with contract for each appropriate plan type. Adjust plans or create contingency plans as necessaryIdentify appropriate programs and services that align with member needs and preferencesInitiate timely Individualized Care Plans (ICP) based on Health Risk Assessment (HRA) completion, participation in and documentation of Interdisciplinary meetings (ICT), assisting in transitions of care across all agesProvide Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD)Conduct member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental casesResearch opportunities for improvement in assessment methodology and actively promote continuous improvement. Anticipate potential barriers while establishing realistic goals to ensure success for the member, providers, and BSCDetermine realistic goals and objectives and provide appropriate alternatives. Actively soliciting client’s involvementRecognize need for contingency plans throughout the healthcare processProvide education and support to members and their families regarding health conditions, treatment options, and community resourcesFollow up with members as appropriate to ensure they have successfully connected with recommended programs and servicesYour Knowledge and Experience Requires a current and valid CA RN License or valid RN license(s) from other state(s). Preferred licensure from a compact state. If assigned to another state, must maintain an active, unrestricted RN license in assigned state(s) or the ability to obtain required RN license (in addition to primary state license) within 90 days of hireBachelor of Science in Nursing or advanced degree preferredCertified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirementsRequires 5 years experience in nursing, healthcare, or related field A minimum of 3 years managed care experience in inpatient, outpatient, or managed care environment preferredHealth insurance/managed care experience preferredTransitions of care experience preferredStrong knowledge of healthcare delivery systems, managed care principles, and care coordinationExcellent communication skills

Travel Cath Lab TechCompany: Fusion Medical StaffingLocation: Facility in San Jose, CAJob DetailsFusion Medical Staffing is seeking a skilled Cath Lab Tech for a 13 week travel assignment in San Jose, CA. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.Required Qualifications:One year’s recent experience as a Cardiac Cath Lab TechCurrent BLS (AHA/ARC) CertificationARRT, RCES, or RCIS CertificationCurrent ACLS (AHA/ARC) CertificationPreferred Qualifications:Valid Radiologic Technologist license in compliance within state regulationsPALS (AHA/ARC) or ENPC CertificationsOther certifications and licenses may be required for this positionSummary:The Cath Lab Technologist is responsible for assisting in diagnostic and interventional cardiovascular procedures in the cardiac catheterization lab. This role involves preparing patients and equipment, monitoring hemodynamic data, assisting physicians during procedures, and ensuring patient safety throughout the process. The technologist operates specialized imaging equipment, maintains sterile technique, and collaborates with the healthcare team to provide high-quality patient care. This position requires technical expertise in cardiovascular procedures, critical thinking skills, and the ability to work efficiently in high-pressure situations.Essential Work Functions:Prepare and position patients for cardiac catheterization, angioplasty, stent placement, electrophysiology studies, and other interventional proceduresAssist physicians during procedures by passing catheters, wires, balloons, and stents, and operating fluoroscopy and hemodynamic monitoring equipmentOperate and maintain imaging equipment, contrast injectors, and hemodynamic monitoring systems, ensuring proper functionalityAbility to scrub in and assist with sterile field setup, ensuring adherence to infection control and procedural protocolsPerform sheath removal and hemostasis using manual compression or closure devices as directedMaintain accurate documentation, including patient records, imaging data, and equipment logsAssist with inventory management, stocking supplies, and ensuring proper storage of sterile instruments and medicationsAdhere to radiation safety protocols, ensuring proper use of lead aprons, shields, and dosimetersEnsure compliance with hospital policies, safety guidelines, and regulatory requirementsAdhere to hospital safety protocols, infection control guidelines, and regulatory standardsPerform other duties as assigned within the scope of practiceRequired Essential Skills:Critical thinking, service excellence and good interpersonal communication skillsThe ability to read, write, & communicate in the English language is requiredAbility to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skillsPhysical Abilities - Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bendingInterpersonal Skills - To work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalismTechnical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detailSensory - Visual acuity, ability to effectively communicate.Benefits Include:Highly competitive pay for travel professionalsComprehensive medical, dental, and vision insurance with first day coveragePaid Time Off (PTO) after 1560 hoursLife and Short-term disability offered401(k) matchingAggressive Refer-a-friend Bonus Program24/7 recruiter supportReimbursement for licensure and CEUsWhy Choose Fusion At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.Other Duties Disclaimer:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.Start your rewarding career as a Cardiac Cath Lab Tech with Fusion Medical Staffing and join our mission to improve lives. Apply now!*Fusion is an EOE/E-Verify Employer #pb11

Physical Therapist - RehabWe are seeking a dedicated Physical Therapist to join our rehabilitation team. In this role, you will help patients recover from injuries or illnesses by improving their movement, reducing pain, and restoring functionality through personalized therapy programs.Key Responsibilities:Evaluate patients to assess their physical conditions and develop individualized treatment plans.Implement therapeutic exercises, manual therapy techniques, and specialized equipment to aid recovery.Educate patients and caregivers on techniques to improve mobility and prevent future injuries.Collaborate with other healthcare professionals to ensure comprehensive care for patients.Monitor patient progress and adjust treatment plans as necessary to achieve optimal outcomes.Document patient evaluations, treatments, and progress in compliance with healthcare regulations.Work Environment:Work in rehabilitation centers, hospitals, outpatient clinics, or private practices specializing in physical therapy.Engage in a dynamic, hands-on environment that requires physical activity and patient interaction.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through training and certifications.A supportive work environment focused on collaboration and innovation in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The Licensed Clinician, Senior, will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role you will conduct clinical review of mental health and substance use authorization requests at various levels of care for medical necessity, coding accuracy, medical policy compliance and contract compliance.Your Work In this role, you will: Perform prospective, concurrent and retrospective utilization reviews and first level determination approvals for members admitted to inpatient facilities using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare as neededGather clinical information and apply the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care facilitates including effective discharge planning at levels of care appropriate for the members needs and acuity; prepare and present cases to Medical Director (MD) for medical director oversight and necessity determinationProvide information to facilities and providers regarding community treatment resources, mental health care management programs, company policies and procedures, and medical necessity criteriaWork with multidisciplinary teams to support members using an integrated team-based approach including Interdisciplinary Team Meetings and case consultations with Medical Director and/or Licensed ManagerRecognize the members right to self-determination as it relates to the ethical principle of autonomy, including the members/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamSupport team through consistent and successful caseload management and workload to achieve team goals, regulatory timelines, and accreditation standardsYour Knowledge and Experience Bachelor of Science or advanced degree preferredCurrent unrestricted CA license (LCSW, LMFT, LPCC, Licensed Psychologist, or Registered Nurse (RN) with Behavioral Health experience)Requires at least five (5) years of prior experience in healthcare related fieldThree (3) years conducting Behavioral Health Utilization Management for a health insurance plan or managed care environment preferredStrong understanding of Behavioral Health Utilization Management including ability to apply and interpret admission and continued stay criteria of multiple standardized clinical criteria sets including but not limited to MCG guidelines, nonprofit association guidelines, and various Medicare guidelinesFamiliarity with medical terminology, diagnostic terms, and treatment modalities including ability to comprehend psychiatric evaluations, clinical notes, and lab resultsProficient with Microsoft Excel, Outlook, Word, Power Point, and the ability to learn and utilize multiple systems/databasesExcellent analytical, communication skills, written skills, time management, and organizational skillsPossess outstanding interpersonal, organizational, and communication skills, positive attitude, and high level of initiativeAbility to identify problems and works towards problem resolution independently, seeking guidance as needed

Travel Surgical TechnologistCompany: Fusion Medical StaffingLocation: Facility in Redwood City, CAJob DetailsFusion Medical Staffing is seeking a skilled Surgical Technologist for a 28 week travel assignment in Redwood City, CA. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.Required Qualifications:One year of recent experience as a Surgical TechValid state license/certification or registration in compliance with state regulationsCurrent BLS Certification (AHA/ARC)Preferred Qualifications:Certified Surgical Technologist (CST) or equivalent certificationOther certifications and licenses may be required for this positionSummary:Surgical Technologists facilitate the safe and effective execution of surgical procedures under the supervision of the surgeon. They are responsible for preparing the operating room, maintaining sterile environments, ensuring equipment functionality, and anticipating the needs of the surgical team to maximize patient safety and procedural efficiency.Essential Work Functions:Prepares the operating room by arranging instruments, supplies, and equipment to ensure readiness for surgical proceduresHandle specimens with precision and care to maintain diagnostic integrity and follow institutional protocolsVerifies the availability of surgical supplies, checking machines and equipment for proper functioning prior to surgeryAssist with patient transfer to and from surgery as requiredAnticipates the needs of the surgical team by passing instruments, sponges, and supplies during proceduresProvides and coordinates patient care with other health team membersDecontaminates and assists in the sterilization of instruments, surfaces, and other supplies and equipmentEnsures instruments, gowns, drapes, surfaces, and other supplies meet infection control standardsAdhere to hospital safety protocols, infection control guidelines, and regulatory standardsPerforms other duties as assigned within the scope of practiceRequired Essential Skills:Critical thinking, service excellence and good interpersonal communication skillsThe ability to read, write, & communicate in the English language is requiredAbility to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skillsPhysical Abilities - Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bendingInterpersonal Skills - To work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalismTechnical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detailSensory - Visual acuity, ability to effectively communicate.Benefits Include:Highly competitive pay for travel professionalsComprehensive medical, dental, and vision insurance with first day coveragePaid Time Off (PTO) after 1560 hoursLife and Short-term disability offered401(k) matchingAggressive Refer-a-friend Bonus Program24/7 recruiter supportReimbursement for licensure and CEUsWhy Choose Fusion At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.Other Duties Disclaimer:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.Start your rewarding career as a Travel Surgical Technologist with Fusion Medical Staffing and join our mission to improve lives. Apply now!*Fusion is an EOE/E-Verify Employer #pb10

Radiology Technologist - Cath Lab TechWe are seeking a skilled Radiology Technologist specializing in Cath Lab procedures. In this role, you will assist in diagnostic and interventional cardiovascular procedures using advanced imaging technology to support patient care.Key Responsibilities:Prepare patients for cardiac catheterization procedures by explaining the process and positioning them correctly.Operate imaging equipment to provide real-time guidance during diagnostic and interventional procedures.Assist physicians during procedures such as angioplasty, stent placement, or pacemaker implantation.Monitor patients' vital signs and ensure their safety throughout the procedure.Maintain and calibrate imaging equipment to ensure optimal performance and compliance with safety standards.Work Environment:Work in hospitals or specialized cardiac catheterization labs equipped with advanced imaging technology.Collaborate closely with physicians, nurses, and other healthcare professionals in a high-pressure environment.Benefits:Competitive salary and comprehensive benefits package.Access to cutting-edge technology and ongoing training opportunities.A supportive work environment focused on innovation and teamwork in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events . The Manager, Utilization Management Nurse Management will report to the Senior Manager, Facility Compliance Review . In this role you will be responsible for several direct reports, be a resource for problem solving issues, training and updating documentation as needed. You will work to enhance the department’s operations with efficiency and attention to detail/quality.Your Work In this role, you will: Establish operational objectives for department or functional area and participate with other managers to establish group objectivesBe responsible for team, department or functional area results in terms of planning, cost in collaboration with Sr ManagerDevelop and maintain FCR workflows, protocols, and policies to ensure efficient and effective care coordinationEnsure workflow procedures and guidelines are clearly documented and communicatedInterpret or initiate changes in guidelines/policies/proceduresMonitor and evaluate the performance of the FCR team and implement improvement strategies as neededKeeps team focused on specific and measurable performance goals and monitors performance against clear standards.Works collaboratively among business units to align and partner with others to achieve performance goals and/or outcomesProvide Ensure the delivery of high-quality, patient-centered care through the management of chronic disease, complex case management, and discharge planningOther duties as assigned by Sr ManagerYour Knowledge and Experience Requires a current CA RN LicenseBachelors of Science in Nursing or advanced degree preferred.Requires at least 7 years of prior relevant experience including 3 years of management experience gained as a team leader, supervisor, or project/program managerA minimum of 3+ year experience in inpatient or managed care environment preferredExcellent communication, interpersonal, and negotiation skillsHas functional expertise within the area of responsibility.Knowledge of NCQA requirements preferredAbility to analyze data and create reports to guide decision-making and process improvements

Travel RN Case ManagerCompany: Fusion Medical StaffingLocation: Facility in Palo Alto, CAJob DetailsFusion Medical Staffing is seeking a Case Manager RN for a 26 week travel assignment in Palo Alto, CA. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.Required Qualifications:One year of recent experience as an RN Case ManagerValid RN license in compliance with state regulationsCurrent BLS (AHA/ ARC) CertificationPreferred Qualifications:ACLS Certifications (AHA/ARC)Other certifications and licenses may be required for this positionSummary:The Case Manager RN coordinates and facilitates patient care across the healthcare continuum, ensuring optimal use of resources and improved patient outcomes. They assess patient needs, develop comprehensive care plans, and collaborate with multidisciplinary teams to provide efficient, cost-effective, and high-quality patient care.Essential Work Functions:Assess patients' medical, psychosocial, and functional needsCollaborate with interdisciplinary teams, including physicians, therapists, social workers, and case managers, to develop patient-centered care plansDevelop and update individualized care plans, aligning with patient goals and clinical guidelinesCoordinate transitions of care ensuring seamless services and resources across the continuum of careFacilitate communication between patients, families, and interdisciplinary team membersMonitor and evaluate patient outcomes, and adjust care plans as neededEnsure compliance with regulatory standards and insurance requirementsAdvocate for patients' preferences addressing barriers to care and promoting equitable access to servicesConduct utilization reviews and manage length of stay ensuring adherence to evidence-based guidelines for care deliveryEducate patients and families on health conditions and available community resourcesDocument case management comprehensively and accurately in the patient's medical recordParticipates in interdisciplinary team meetingsPerform other duties as assigned within scopeAdhere to hospital safety protocols, infection control guidelines, and regulatory standardsRequired Essential Skills:Critical thinking, service excellence and good interpersonal communication skillsThe ability to read, write, & communicate in the English language is requiredAbility to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skillsPhysical Abilities - Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bendingInterpersonal Skills - To work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalismTechnical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detailSensory - Visual acuity, ability to effectively communicate.Benefits Include:Highly competitive pay for travel professionalsComprehensive medical, dental, and vision insurance with first day coveragePaid Time Off (PTO) after 1560 hoursLife and Short-term disability offered401(k) matchingAggressive Refer-a-friend Bonus Program24/7 recruiter supportReimbursement for licensure and CEUsWhy Choose Fusion At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.Other Duties Disclaimer:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.Start your rewarding career as a Travel RN Case Manager with Fusion Medical Staffing and join our mission to improve lives. Apply now! *Fusion is an EOE/E-Verify Employer #pb16

Radiology Technologist - Radiation Therapy Join our team as a skilled Radiology Technologist - Radiation Therapy, where you will play a vital role in delivering targeted radiation treatments to patients diagnosed with cancer or other conditions. This position is ideal for professionals passionate about using advanced technology to improve patient outcomes. Key Responsibilities: Administer radiation treatments as prescribed by oncologists, ensuring precision and patient safety.Operate radiation therapy equipment such as linear accelerators to deliver targeted doses of radiation.Monitor patients during treatments and provide immediate assistance if complications arise.Collaborate with oncologists, medical physicists, and other healthcare professionals to develop treatment plans.Maintain accurate records of treatments provided and ensure compliance with safety protocols. Work Environment: The role is based in hospitals or specialized oncology centers equipped with advanced radiation therapy technology.This position requires attention to detail in a fast-paced environment while adhering to strict safety standards for both patients and staff members. Benefits: A competitive salary with opportunities for career advancement within the field of radiation therapy.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Support for continuing education programs to maintain certifications and expand expertise in radiation therapy techniques. Equal Opportunity Employer: Your dedication to improving patient outcomes through advanced imaging and treatment technologies is valued here. We strive to create an inclusive environment where all employees can excel professionally while contributing meaningfully to patient care excellence. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role Work schedule is Mon-Fri 10am- 7pm The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. The Regional Registered Nurse Case Manager will report to the FEP Care Management Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive assessment of the member’s needsYour WorkIn this role, you will:Coordinate care for lower level of care such Skilled Nursing Facility, Home Health, Home Infusion, Acute Rehab, Long-term Acute Care Hospital, Hospice, and other community program as appropriatePerform effective discharge planning and collaborate with member’s support system and health care professionals involved in the continuum of careProvides disease management education on core chronic conditions (Diabetes, Heart Failure, COPD, Asthma and Coronary Artery Disease). Outreach to members with HEDIS Care Gaps to assist with closureApply detailed knowledge of FEP PPO and Blue Shield of California's established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each caseResearch and design treatment/care plans to promote quality of care, cost effective health care services based on medical necessity complying withcontract for each appropriate plan typeProvide Referrals to QualityManagement (QM), Disease Management (DM) and Appeals and Grievance department (AGD)Recognize the clients right to self-determination as it relates to the ethical principle of autonomy, including the client/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamDesign appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access and cost-effective outcomesInitiate and implement appropriate modifications in plan of care to adapt to changes occurring over time and through various settingsMust be able to sit for extended periods of time and read information on one computer screen and apply that information on a second computer screen to complete documentationYour Knowledge and ExperienceRequires a current CA RN License.Bachelor of Science in Nursing or advanced degree preferredCertified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirementsRequires at least 5 years of prior experience in nursing, healthcare or related field3+ years managed care experience preferred.Comprehensive knowledge of case management, discharge planning, utilization management, disease management and community resources preferredBehavioral health, oncology, or OB/NICU/pediatrics experience preferredStrong electronic clinical documentation skills, independent problem identification and resolution skillsKnowledge of coordination of care, prior authorization, level of care and length of stay criteria sets desirableCompetent understanding of NCQA and federal regulatory requirementsDemonstrate leadership, project management and program evaluation skills and ability to interact with all levels including senior management and influence decision-makingDemonstrates professional judgment, and critical thinking, to promote the delivery of quality, cost-effective care. This judgment is based on medical necessity including intensity of service and severity of illness within contracted benefits and appropriate level of care

Travel Physical Therapy Assistant (PTA)Company: Fusion Medical StaffingLocation: Facility in Fremont, CAJob DetailsFusion Medical Staffing is seeking a skilled Physical Therapy Assistant (PTA) for a 13 week travel assignment in Fremont, CA. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.Required Qualifications:Valid Physical Therapy Assistant license in compliance with state regulationsCurrent BLS certification (AHA/ARC)Preferred Qualifications:Graduate of an accredited program in physical therapyPhysical Therapy Assistant experience, but New Grads are welcome to applyOther certifications or licenses may be required for this positionSummary:The Physical Therapy Assistant (PTA) works under the supervision of a Physical Therapist to help implement treatment plans that improve patients' mobility, reduce pain, and enhance functional independence. PTAs provide hands-on assistance with therapeutic exercises, modalities, and activities of daily living across various clinical settings. They document patient progress, educate patients on home exercise programs, and collaborate with the healthcare team to support optimal recovery and overall quality of life.Essential Work Functions:Set up therapy equipment and treatment areas, ensuring all devices and supplies are calibrated, clean, and ready for patient sessionsGuide patients through prescribed exercises and activities to improve mobility, strength, and balance, while providing hands-on assistance with movements and transfers as neededObserve patient performance during therapy sessions, note changes in functional abilities, and report progress or concerns to the supervising Physical TherapistAccurately record patient treatment details, progress, and any adjustments made during therapy sessions in the medical recordInstruct patients and their caregivers on home exercise programs, proper use of assistive devices, and techniques for safe mobility and injury preventionWork in conjunction with physical therapists, occupational therapists, and other healthcare professionals to coordinate a comprehensive approach to patient careMaintain a safe treatment environment by adhering to infection control protocols, safety guidelines, and regulatory standards while addressing patients’ comfort needs during therapy sessionsEngage in quality assurance initiatives and professional development activities to remain current with best practices in physical therapyCollaborate in discharge planning to ensure smooth transitions and continued patient progress in community or home-based settingsPerforms other duties as assigned within scope of practiceRequired Essential Skills:Critical thinking, service excellence and good interpersonal communication skillsThe ability to read, write, & communicate in the English language is requiredAbility to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skillsPhysical Abilities - Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bendingInterpersonal Skills - To work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalismTechnical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detailSensory - Visual acuity, ability to effectively communicate.Benefits Include:Highly competitive pay for travel professionalsComprehensive medical, dental, and vision insurance with first day coveragePaid Time Off (PTO) after 1560 hoursLife and Short-term disability offered401(k) matchingAggressive Refer-a-friend Bonus Program24/7 recruiter supportReimbursement for licensure and CEUsWhy Choose Fusion At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.Other Duties Disclaimer:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.Start your rewarding career as a Travel Physical Therapy Assistant (PTA) with Fusion Medical Staffing and join our mission to improve lives. Apply now!*Fusion is an EOE/E-Verify Employer #pb7

Physical Therapist - Home Health Join our team as a dedicated Physical Therapist in Home Health, where you will help patients improve movement, manage pain, and regain independence in the comfort of their own homes. Key Responsibilities: Review patient medical histories and conduct assessments to diagnose movement dysfunction and identify patient goals.Develop and implement individualized treatment plans that may include hands-on therapy, exercises, and use of assistive equipment.Provide skilled physical therapy services in accordance with a physician’s plan of care, adapting interventions to the home environment.Educate patients and family members about the recovery process, safe mobility, and home exercise programs.Monitor and document patient progress, modifying treatment plans as needed to achieve optimal outcomes.Communicate and collaborate with physicians, nurses, and other healthcare professionals to coordinate care.Supervise and instruct Physical Therapist Assistants or Aides as required.Ensure all documentation is completed promptly and accurately in compliance with agency and regulatory standards. Work Environment: The role is based in patients’ homes, requiring travel within the community and adaptability to various home settings.This position requires strong communication, organizational skills, and the ability to work independently. Benefits: A competitive salary with opportunities for career advancement within home health or rehabilitation specialties.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Support for continuing education programs to maintain licensure and enhance expertise in home health physical therapy. Equal Opportunity Employer: Your commitment to helping patients regain independence at home is valued here. We strive to create an inclusive environment where all employees can thrive professionally while making a meaningful difference in patients’ lives. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The Behavioral Health Utilization Management Clinician, Experienced, will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role you will conduct clinical review of mental health and substance use authorization requests at various levels of care for medical necessity, coding accuracy, medical policy compliance and contract compliance.Your WorkIn this role, you will:Perform prospective & concurrent utilization reviews and first level determination approvals for members admitted to facilities using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare as neededGather clinical information and apply the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care facilitates including effective discharge planning at levels of care appropriate for the members needs and acuity; prepare and present cases to Medical Director (MD) for medical director oversight and necessity determinationProvide information to facilities and providers regarding community treatment resources, mental health care management programs, company policies and procedures, and medical necessity criteriaWork with multidisciplinary teams to support members using an integrated team-based approach including Interdisciplinary Team Meetings and case consultations with Medical Director and/or Licensed ManagerRecognize the members right to self-determination as it relates to the ethical principle of autonomy, including the members/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamSupport team through consistent and successful caseload management and workload to achieve team goals, regulatory timelines, and accreditation standardsYour Knowledge and ExperienceCurrent unrestricted CA license (LCSW, LMFT, LPCC, PhD/PsyD or RN with Behavioral Health experience) requiredAdvanced degree commensurate with field is preferredRequires at least three (3) years of prior experience in healthcare related fieldOne (1) year conducting Behavioral Health Utilization Management for a health insurance plan or managed care environment preferredStrong understanding of Behavioral Health Utilization Management including ability to apply and interpret admission and continued stay criteria of multiple standardized clinical criteria sets including but not limited to MCG guidelines, nonprofit association guidelines, and various Medicare guidelinesFamiliarity with medical terminology, diagnostic terms, and treatment modalities including ability to comprehend psychiatric evaluations, clinical notes, and lab resultsProficient with Microsoft Excel, Outlook, Word, Power Point, and the ability to learn and utilize multiple systems/databasesExcellent analytical, communication skills, written skills, time management, and organizational skillsPossess outstanding interpersonal, organizational, and communication skills, positive attitude, and high level of initiativeAbility to identify problems and works towards problem resolution independently, seeking guidance as needed

Physical Therapist Assistant - Home Health Join our team as a dedicated Physical Therapist Assistant in Home Health, where you will work under the supervision of physical therapists to help patients regain movement and manage pain in their own homes. Key Responsibilities: Assist physical therapists in providing physical therapy treatments and procedures as outlined in the care plan.Observe and document patients’ status before, during, and after therapy, reporting progress and concerns to the supervising physical therapist.Help patients perform specific exercises and use therapeutic equipment safely in the home environment.Educate patients and family members about exercises and activities to continue between visits.Adapt interventions as needed within the scope of the treatment plan and state laws.Ensure all documentation is accurate and completed in a timely manner according to agency and regulatory standards. Work Environment: The role is based in patients’ homes, requiring travel within the community and adaptability to various home settings.This position requires strong interpersonal skills and the ability to work independently while supporting patient goals. Benefits: A competitive salary with opportunities for career advancement within home health or rehabilitation specialties.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Support for continuing education programs to maintain certification and enhance expertise in home health physical therapy assistance. Equal Opportunity Employer: Your commitment to helping patients regain independence at home is valued here. We strive to create an inclusive environment where all employees can thrive professionally while making a meaningful difference in patients’ lives. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Network Contracting and Trend Analytics (NTA) team supports the Network Management team with analytical and financial modeling for provider contracting and network development activities for Blue Shield of California. The Senior Principal, Medical Informatics of NTA will report to the Senior Director of NTA. In this role you will be responsible for behavioral health finance analytics including measurement of internal cost of healthcare and reporting, analytics supporting coordination of care opportunities, and oversight of provider contracting analytics. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.Your Work In this role, you will: Develop the financial management and modeling best practices, specifically for Behavior Health as we move to an in-sourced environmentImplement on-going behavior health costs analysis and trendsBe responsible for CoHC - Behavior HealthBe the lead on modeling the financial aspects. Example, evaluating the financial aspects of care activities such as hospital ER vs behavioral health servicesLead all financial aspects in developing Value-Based Contracting, specifically in Behavior Health marketplace.Be accountable for development of the financial contractual arrangements and the implementation of these providers, which we are bringing in house Your Knowledge and Experience Requires a college degree or equivalent experienceMPH, MBA, MS, MA, RN, or RHIA preferredRequires 10 years of relative experienceRequires a minimum of 5 years’ experience in Health Care (managed care, academic, or gov't payer)Requires contracting in healthcare with a behavioral health specialtyRequires experience developing programs that will translate into CoHC savings specifically in extensive vendor knowledge of financial healthcare within behavioral healthRequires experience with behavioral health financial reporting and modelingRequires one to be comfortable with an ever changing business model that is continually seeking the optimal solution in the behavioral health spaceRequires a SAS Certified Base Programmer Credential or equivalent or a SAS Certified Advanced Programmer Credential or equivalent

Occupational Therapist - Home Health Join our team as a dedicated Occupational Therapist in Home Health, where you will help patients regain independence and improve their ability to perform daily activities in their own homes. Key Responsibilities: Assess patients’ functional abilities and develop individualized treatment plans to address self-care, mobility, and safety needs.Implement therapeutic interventions to improve patients’ ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs).Educate patients and caregivers on adaptive equipment, home modifications, and strategies to enhance independence.Monitor and document patient progress, adjusting treatment plans as needed to achieve optimal outcomes.Collaborate with physicians, nurses, and other healthcare professionals to coordinate care and support patient goals.Ensure timely and accurate documentation in compliance with agency and regulatory standards. Work Environment: The role is based in patients’ homes, requiring travel within the community and adaptability to various home settings.This position requires creativity, problem-solving skills, and the ability to work independently while supporting patients and families. Benefits: A competitive salary with opportunities for career advancement within home health or rehabilitation specialties.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Support for continuing education programs to maintain licensure and enhance expertise in home health occupational therapy. Equal Opportunity Employer: Your dedication to helping patients achieve independence at home is valued here. We strive to create an inclusive environment where all employees can thrive professionally while making a meaningful difference in patients’ lives. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Physical Therapist - OutpatientIf you are passionate about helping patients improve mobility and regain independence, consider joining our outpatient team as a Physical Therapist. You will design and implement customized rehabilitation programs tailored to individual needs.Key Responsibilities:Assess patients' physical conditions and develop personalized treatment plans.Utilize therapeutic exercises, manual therapy techniques, and equipment to aid recovery.Educate patients on maintaining physical health and preventing future injuries.Collaborate with other healthcare professionals to ensure comprehensive care.Monitor patient progress and adjust therapy plans as needed for optimal outcomes.Work Environment:Provide care in outpatient clinics or private practice settings.Work closely with a multidisciplinary team dedicated to patient recovery.Benefits:A competitive compensation package with benefits included.A focus on professional development through training programs and certifications.A supportive workplace culture that emphasizes teamwork and innovation.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Radiology Technologist - Mammography TechJoin our team as a Radiology Technologist specializing in mammography. You will play a vital role in early detection by performing diagnostic imaging procedures focused on breast health.Key Responsibilities:Prepare patients for mammography procedures by explaining the process and ensuring comfort.Operate mammography equipment to capture high-quality diagnostic images.Maintain patient safety by adhering to established protocols and radiation safety standards.Collaborate with healthcare providers to analyze imaging results for accurate diagnoses.Document procedures and maintain accurate patient records.Work Environment:Work in hospitals, diagnostic imaging centers, or outpatient facilities.Engage in a collaborative environment dedicated to patient care excellence.Benefits:A competitive salary with a comprehensive benefits package.Access to state-of-the-art technology and training opportunities.A supportive workplace culture focused on innovation and teamwork.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Radiology Technologist - Mammography TechJoin our team as a Radiology Technologist specializing in mammography. You will play a vital role in early detection by performing diagnostic imaging procedures focused on breast health.Key Responsibilities:Prepare patients for mammography procedures by explaining the process and ensuring comfort.Operate mammography equipment to capture high-quality diagnostic images.Maintain patient safety by adhering to established protocols and radiation safety standards.Collaborate with healthcare providers to analyze imaging results for accurate diagnoses.Document procedures and maintain accurate patient records.Work Environment:Work in hospitals, diagnostic imaging centers, or outpatient facilities.Engage in a collaborative environment dedicated to patient care excellence.Benefits:A competitive salary with a comprehensive benefits package.Access to state-of-the-art technology and training opportunities.A supportive workplace culture focused on innovation and teamwork.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Physical Therapist - Skilled Nursing Facility (SNF)If you are passionate about helping patients regain mobility and independence, consider joining our team as a Physical Therapist in a skilled nursing facility. You will design and implement rehabilitation programs tailored to residents' unique needs.Key Responsibilities:Assess residents' physical conditions and develop individualized treatment plans.Utilize therapeutic exercises, manual therapy techniques, and equipment to aid recovery.Educate residents on maintaining physical health and preventing future injuries.Collaborate with other healthcare professionals to ensure comprehensive care plans are executed effectively.Monitor progress and adjust therapy programs as needed for optimal outcomes.Work Environment:Provide care in skilled nursing facilities focused on long-term patient recovery.Work within a multidisciplinary team dedicated to enhancing residents' quality of life.Benefits:A competitive compensation package with benefits included.A focus on professional development through training programs and certifications.A supportive workplace culture that emphasizes teamwork and innovation.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Speech-Language Pathologist - RehabWe are seeking a dedicated Speech-Language Pathologist to join our rehabilitation team. In this role, you will assess and treat individuals with speech, language, voice, and fluency disorders, helping them regain essential communication skills and improve their quality of life.Key Responsibilities:Evaluate patients to determine the nature and extent of speech or language difficulties.Develop and implement individualized treatment plans to address specific disorders.Teach alternative communication methods as needed.Collaborate with other healthcare professionals to provide comprehensive care.Document patient progress and adjust therapy plans as necessary.Work Environment:Work in rehabilitation centers, hospitals, or outpatient facilities.Engage in a collaborative, team-based environment focused on patient outcomes.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth and continuing education.A supportive work environment that values collaboration and innovation.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Speech-Language Pathologist - RehabWe are seeking a dedicated Speech-Language Pathologist to join our rehabilitation team. In this role, you will assess and treat individuals with speech, language, voice, and fluency disorders, helping them regain essential communication skills and improve their quality of life.Key Responsibilities:Evaluate patients to determine the nature and extent of speech or language difficulties.Develop and implement individualized treatment plans to address specific disorders.Teach alternative communication methods as needed.Collaborate with other healthcare professionals to provide comprehensive care.Document patient progress and adjust therapy plans as necessary.Work Environment:Work in rehabilitation centers, hospitals, or outpatient facilities.Engage in a collaborative, team-based environment focused on patient outcomes.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth and continuing education.A supportive work environment that values collaboration and innovation.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Physical Therapist - Inpatient If you are passionate about helping patients recover from injuries or illnesses, consider joining us as a Physical Therapist. In this inpatient role, you will work closely with patients to improve mobility, strength, and overall functionality during their hospital stays. Key Responsibilities: Evaluate patients' physical conditions and develop individualized treatment plans tailored to their recovery goals.Create therapy programs focused on improving mobility, strength, coordination, and pain management during hospitalization.Collaborate with interdisciplinary teams, including physicians and nurses, to ensure comprehensive patient care plans are implemented effectively.Educate patients on exercises and techniques that support continued recovery after discharge from the hospital.Document patient progress accurately and adjust treatment plans as needed based on clinical outcomes. Work Environment: The role is based in hospital inpatient units where physical therapists help patients recovering from surgeries, injuries, or chronic conditions requiring intensive rehabilitation support.This position demands physical stamina as it involves assisting patients with mobility exercises throughout the day in a fast-paced healthcare environment. Benefits: A competitive salary with opportunities for professional growth within inpatient rehabilitation settings.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Support for continuing education programs to enhance your expertise as a physical therapist in inpatient care settings. Equal Opportunity Employer: Your commitment to improving patient outcomes is valued here. We strive to create an inclusive environment where all employees can thrive professionally while delivering exceptional care to our patients during their recovery journeys. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Physical Therapist - Inpatient If you are passionate about helping patients recover from injuries or illnesses, consider joining us as a Physical Therapist. In this inpatient role, you will work closely with patients to improve mobility, strength, and overall functionality during their hospital stays. Key Responsibilities: Evaluate patients' physical conditions and develop individualized treatment plans tailored to their recovery goals.Create therapy programs focused on improving mobility, strength, coordination, and pain management during hospitalization.Collaborate with interdisciplinary teams, including physicians and nurses, to ensure comprehensive patient care plans are implemented effectively.Educate patients on exercises and techniques that support continued recovery after discharge from the hospital.Document patient progress accurately and adjust treatment plans as needed based on clinical outcomes. Work Environment: The role is based in hospital inpatient units where physical therapists help patients recovering from surgeries, injuries, or chronic conditions requiring intensive rehabilitation support.This position demands physical stamina as it involves assisting patients with mobility exercises throughout the day in a fast-paced healthcare environment. Benefits: A competitive salary with opportunities for professional growth within inpatient rehabilitation settings.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Support for continuing education programs to enhance your expertise as a physical therapist in inpatient care settings. Equal Opportunity Employer: Your commitment to improving patient outcomes is valued here. We strive to create an inclusive environment where all employees can thrive professionally while delivering exceptional care to our patients during their recovery journeys. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Radiology Technologist - X Ray TechWe are seeking an experienced Radiology Technologist specializing in X-ray imaging. In this role, you will perform diagnostic imaging procedures to assist physicians in diagnosing injuries or illnesses while ensuring patient safety and comfort.Key Responsibilities:Prepare patients for X-ray examinations by explaining the procedure and positioning them correctly.Operate X-ray equipment to capture high-quality diagnostic images as per physician instructions.Ensure radiation safety protocols are followed to protect patients, staff, and yourself from unnecessary exposure.Collaborate with physicians to analyze imaging results for accurate diagnoses.Maintain accurate records of procedures performed and ensure proper functioning of X-ray equipment through routine maintenance checks.Work Environment:Work in hospitals, diagnostic imaging centers, or outpatient facilities equipped with advanced X-ray technology.Engage in a fast-paced environment requiring attention to detail and technical expertise.Benefits:A competitive salary with comprehensive benefits options available.A focus on professional growth through training opportunities and certifications support programs.A supportive workplace culture that values collaboration and innovation in patient care delivery systems.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Radiology Technologist - X Ray TechWe are seeking an experienced Radiology Technologist specializing in X-ray imaging. In this role, you will perform diagnostic imaging procedures to assist physicians in diagnosing injuries or illnesses while ensuring patient safety and comfort.Key Responsibilities:Prepare patients for X-ray examinations by explaining the procedure and positioning them correctly.Operate X-ray equipment to capture high-quality diagnostic images as per physician instructions.Ensure radiation safety protocols are followed to protect patients, staff, and yourself from unnecessary exposure.Collaborate with physicians to analyze imaging results for accurate diagnoses.Maintain accurate records of procedures performed and ensure proper functioning of X-ray equipment through routine maintenance checks.Work Environment:Work in hospitals, diagnostic imaging centers, or outpatient facilities equipped with advanced X-ray technology.Engage in a fast-paced environment requiring attention to detail and technical expertise.Benefits:A competitive salary with comprehensive benefits options available.A focus on professional growth through training opportunities and certifications support programs.A supportive workplace culture that values collaboration and innovation in patient care delivery systems.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Radiology Technologist - CT Scan TechWe are seeking a skilled Radiology Technologist specializing in CT Scans to join our team. In this role, you will operate advanced computed tomography (CT) equipment to produce detailed diagnostic images, ensuring high-quality care and accurate results for patients.Key Responsibilities:Prepare patients for CT scan procedures by explaining the process, answering questions, and positioning them correctly.Operate CT scan equipment to capture high-quality diagnostic images while ensuring patient safety and comfort.Administer contrast materials when necessary to enhance imaging results, following established safety protocols.Collaborate with physicians to analyze imaging results and provide accurate diagnostic support.Maintain and calibrate CT equipment to ensure optimal performance and compliance with safety standards.Document procedures and maintain accurate patient records in compliance with regulatory requirements.Work Environment:Work in hospitals, diagnostic imaging centers, or outpatient facilities equipped with advanced CT technology.Engage in a fast-paced environment requiring attention to detail and technical expertise.Collaborate with a multidisciplinary team dedicated to delivering exceptional patient care.Benefits:Competitive salary and comprehensive benefits package.Access to cutting-edge technology and ongoing training opportunities.A supportive work environment focused on professional growth and innovation.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Radiology Technologist - CT Scan TechWe are seeking a skilled Radiology Technologist specializing in CT Scans to join our team. In this role, you will operate advanced computed tomography (CT) equipment to produce detailed diagnostic images, ensuring high-quality care and accurate results for patients.Key Responsibilities:Prepare patients for CT scan procedures by explaining the process, answering questions, and positioning them correctly.Operate CT scan equipment to capture high-quality diagnostic images while ensuring patient safety and comfort.Administer contrast materials when necessary to enhance imaging results, following established safety protocols.Collaborate with physicians to analyze imaging results and provide accurate diagnostic support.Maintain and calibrate CT equipment to ensure optimal performance and compliance with safety standards.Document procedures and maintain accurate patient records in compliance with regulatory requirements.Work Environment:Work in hospitals, diagnostic imaging centers, or outpatient facilities equipped with advanced CT technology.Engage in a fast-paced environment requiring attention to detail and technical expertise.Collaborate with a multidisciplinary team dedicated to delivering exceptional patient care.Benefits:Competitive salary and comprehensive benefits package.Access to cutting-edge technology and ongoing training opportunities.A supportive work environment focused on professional growth and innovation.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Radiology Technologist - Cath Lab TechWe are seeking a skilled Radiology Technologist specializing in Cath Lab procedures. In this role, you will assist in diagnostic and interventional cardiovascular procedures using advanced imaging technology to support patient care.Key Responsibilities:Prepare patients for cardiac catheterization procedures by explaining the process and positioning them correctly.Operate imaging equipment to provide real-time guidance during diagnostic and interventional procedures.Assist physicians during procedures such as angioplasty, stent placement, or pacemaker implantation.Monitor patients' vital signs and ensure their safety throughout the procedure.Maintain and calibrate imaging equipment to ensure optimal performance and compliance with safety standards.Work Environment:Work in hospitals or specialized cardiac catheterization labs equipped with advanced imaging technology.Collaborate closely with physicians, nurses, and other healthcare professionals in a high-pressure environment.Benefits:Competitive salary and comprehensive benefits package.Access to cutting-edge technology and ongoing training opportunities.A supportive work environment focused on innovation and teamwork in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Radiology Technologist - Nuclear Medicine TechWe are seeking a highly skilled Nuclear Medicine Technologist to join our radiology team. In this role, you will prepare and administer radioactive drugs for imaging or therapeutic purposes while ensuring patient safety throughout the process.Key Responsibilities:Prepare radioactive drugs (radiopharmaceuticals) and administer them to patients via injection, inhalation, or oral methods.Operate advanced imaging equipment to capture images of radioactive material within the body for diagnostic purposes.Monitor patients during procedures for any adverse reactions or complications.Ensure compliance with radiation safety protocols to protect patients, staff, and yourself from unnecessary exposure.Collaborate with physicians to analyze imaging results for accurate diagnoses or treatment plans.Maintain detailed records of procedures performed and ensure proper disposal of radioactive materials according to regulations.Work Environment:Work in hospitals, diagnostic imaging centers, or research facilities equipped with nuclear medicine technology.A dynamic environment requiring attention to detail, technical expertise, and adherence to safety standards.Benefits:A competitive salary with comprehensive benefits options available.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Radiology Technologist - MRI TechJoin our team as a Radiology Technologist specializing in MRI. You will operate advanced imaging equipment to create detailed diagnostic images, ensuring accurate results for patient care.Key Responsibilities:Prepare patients for MRI procedures by explaining the process and positioning them correctly.Administer contrast dyes when necessary to enhance imaging results.Operate MRI equipment to capture high-quality diagnostic images.Collaborate with physicians to analyze imaging results and provide accurate diagnoses.Maintain patient safety by adhering to established protocols and standards.Work Environment:Work in hospitals, diagnostic imaging centers, or outpatient facilities.Engage in a fast-paced environment requiring attention to detail and technical expertise.Benefits:Competitive salary and benefits package.Access to state-of-the-art technology and ongoing training opportunities.A collaborative work environment focused on patient care excellence.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*