NewTravel Labor & Delivery RN - $2,737 per week HCS 247Travel Labor & Delivery RN - $2,737 per weekLodi, CAOur clinical coverage includes Registered Nurse specialties such as ER, ICU, Med-Surg, Telemetry, Step-Down, OR, PACU, L&D, Mother/Baby, NICU, Cath Lab, Endoscopy, and more along with a full range of allied and imaging professionals, including Respiratory Therapists, Surgical Technicians, X-Ray Techs, CT Techs, MRI Techs, Interventional Radiology (IR) Techs, Cath Lab Techs, Ultrasound/Sonographers, Mammography Techs, and Nuclear Medicine Techs. HCS 24/7 is a national healthcare staffing organization specializing in the placement of Registered Nurses and Allied health professionals across acute care and other clinical settings.
NewTravel Nurse RN - Registered Nurse First Assistant - $2,182 to $2,770 per week in Lodi, CA TravelNurseSourceTravel Nurse RN - Registered Nurse First Assistant - $2,182 to $2,770 per week in Lodi, CALodi, CA$2,182–$2,770With Envista Healthcare Staffing, your healthcare career is an open ticket to wherever your dreams lead— no limits, no settling, no nonsense. TravelNurseSource is working with Envista Resources to find a qualified RNFA RN in Lodi, California, 95240!
Human Resources Business Partner Herc Rentals IncHuman Resources Business PartnerRoseville, CA$90,000–$110,000 / yearResponsible for providing effective employee relations, service employees by utilizing excellent problem solving and relationship skills, an in-depth knowledge of human resources generalist issues as well as policies and procedures, and knowledge of company products and services. Please be advised that the actual salary offered for any position is subject to the companys sole discretion and may be influenced by various factors, including but not limited to the candidates qualifications, experience, location, and overall fit for the role.
NewRN - Case Mgmt. HiredFirstRN - Case Mgmt.Lodi, CA$2,448–$2,743Experience Required: Minimum 1 year acute care experience (Required). Act as liaison between patients, families, providers, and payors.
Assessment Coordinator (RN) University Health Services IncAssessment Coordinator (RN)SACRAMENTO, CAHeadquartered in King of Prussia, PA, UHS has over90,000 employees and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. Conveniently located in northern Sacramento, Heritage Oaks is a fully accredited, 125-bed acute psychiatric hospital offering a full range of individually tailored treatment services to adolescents, adults, and senior adults, including treatment for substance abuse and chemical dependency issues with drugs and alcohol.
PACE Home Care Clinical RN (Central Valley PACE - Stockton) Golden Valley Health CentersPACE Home Care Clinical RN (Central Valley PACE - Stockton)Stockton, CA$52.42–$60.68 / hourUnder the direct supervision of the PACE Clinical Manager RN, the Home Care Clinical RN is responsible for the development and implementation of homecare nursing home/boarding care services for program participants and oversight of all clinical skilled home care services. Minimum one (1) year of experience in a home health agency, primary care clinic, or health facility as a registered nurse or license vocational nurse; or minimum five (5) years as a CNA or MA.
Registered Nurse (Full Time) University Health Services IncRegistered Nurse (Full Time)SACRAMENTO, CARewarding career opportunities Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected health care management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.
Family Nurse Practitioner Health & Life Organisation IncFamily Nurse PractitionerSacramento, CAA board certificate through a recognized body, such as the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners Certification Board (AANPCB). POSITION SUMMARY: The Family Nurse Practitioner (FNP) provides comprehensive healthcare services to individuals and families across the lifespan, from infants to the elderly.
Appeals & Grievances Nurse Western Health AdvantageAppeals & Grievances NurseSacramento, CAFull timeReporting to the Utilization Operations Director, you will collaborate with Medical Directors, Clinical Pharmacists, Appeals & Grievances staff, and contracted provider groups to evaluate complex cases, ensure regulatory compliance, and support exceptional member outcomes. This role is ideal for a registered nurse with managed care experience who is passionate about ensuring members receive timely, clinically sound, and compliant reviews of appeals and grievances.
Registered Nurse - Hospice First Call HospiceRegistered Nurse - HospiceCitrus Heights, CaliforniaThe Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. The mission of First Call Hospice, a locally owned agency founded in 1993, is to provide individualized quality hospice care to meet the unique needs of patients with a limited life expectancy.
PACE Level of Care Clinic RN (Central Valley PACE - Stockton) Golden Valley Health CentersPACE Level of Care Clinic RN (Central Valley PACE - Stockton)Stockton, CA$49.92–$57.79 / hourLeadership: Delegates nursing care to appropriate personnel; recognizes clinic problems and documents same; demonstrates participation in QI processes; complies with policies regarding safe working practices; recognizes inappropriate or inefficient patient care management; resolves issues/problems and completes written reports; fulfills call for clinic as assigned and adjusts work flows for census and acuity. Under the clinical supervision of the PACE Center Manager RN, conducts level of care (LOC) assessments to determinate participant eligibility, provides clinic nursing services including assessing patients, participating in the interdisciplinary team and care planning, implementing care and care management, evaluating patient care and medical records, and demonstrating leadership abilities.
Per Diem Clinical Research Nurse - Home Visits Science 37Per Diem Clinical Research Nurse - Home VisitsSacramento, CA$50–$55 / hourWith interest/expertise in Science 37's decentralized model of care delivery, the Mobile Research Nurse will perform delivery of care to participants as well as collaborate with brick and mortar sites, if indicated, for shared clinical trial implementation. Science 37's Nursing Solutions Group brings together expert nurses who share a passion for organizing, planning and implementing mobile clinical nurse services to participants in clinical trials.
Registered Nurse (RN)-PRN Suncrest HospiceRegistered Nurse (RN)-PRNSacramento, California$52–$58 / hourPer diemThe Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients where they reside, which could include private homes, Skilled Nursing Facilities, and assisted living facilities. Time management skills to manage visits, documentation, meetings (i.e. to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns).
PRN RN Crossover Health Management Services, Inc.PRN RNElk Grove, CA$52.07–$68 / hourParticipates in implementation of new health technologies, products, services, and programs that establish the Crossover Medical Group as a recognized thought leader for employer-based health care and lifestyle medicine programs. Crossover's Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound-in-person, virtually and via asynchronous messaging.
NewRegistered Nurse Manager - Service Unit Department Macpower Digital Assets Edge Private LimitedRegistered Nurse Manager - Service Unit DepartmentSacramento, CA$176,900–$267,200 / yearEnsures staff provides high quality, accessible, cost-effective care, and patient focused services to members across the continuum, which comply with local, state, and federal requirements. Ensures Assistants and staff provide the highest quality of care and are in compliance with the Nurse Practice Act, The Joint Commission, federal, state, and local requirements.
NewService Unit Department Manager RN - Oncology Macpower Digital Assets Edge Private LimitedService Unit Department Manager RN - OncologyRoseville, CA$180,000–$272,600 / yearEnsures staff provides high quality, accessible, cost-effective care, and patient focused services to members across the continuum, which comply with local, state, and federal requirements. Ensures Assistants and staff provide the highest quality of care and are in compliance with the Nurse Practice Act, The Joint Commission, federal, state, and local requirements.
NewRN 3B Healthcare, IncRNRoseville, CACollaborates with Human Resources to ensure completion of all employee health screenings, annual immunization updates, and workers compensation reporting of employee injuries and illnesses Job Requirements: Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Two years' experience in acute care setting: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification from approved vendor per AH policy: Preferred Infection Control Certification: Preferred Public Health Nursing Credential: Preferred Essential Functions: Conducts ongoing surveillance investigation and follow up of infections through review of admission diagnoses, microbiology culture results, isolation orders, patient records, consultation requests, post-discharge surveillance, and autopsy findings. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Provider (Physician Assistant/Nurse Practitioner) - West Region Bicycle HealthProvider (Physician Assistant/Nurse Practitioner) - West RegionSacramento, CARemoteThe Nurse Practitioner or Physician Assistant will assess new patients presenting for telemedicine-based care of opioid use disorder, determine appropriateness of enrollment in our care setting, and manage their continuity OUD treatment from initial induction through the duration of their care. We've grown our clinical staff of medical providers caring for patients, across 32 states, and we employ a large ancillary staff for support with technologic and administrative needs, clinical and behavioral support, and care coordination.
Nurse Practitioner VITAS Healthcare CorpNurse PractitionerSacramento, CAAll VITAS employees commit to fulfilling their duties and responsibilities with the highest regard for professionalism, collaboration and teamwork, and an eye focused constantly on growth and improvement. VITAS Healthcare is the nation's leading provider of end-of-life care, and has the resources and expertise to support your personal and professional growth.
Nurse Practitioner: 8 hours on Thursdays Crossover Health Management Services, Inc.Nurse Practitioner: 8 hours on ThursdaysElk Grove, CA$68.86–$90 / hourCrossover's Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound-in-person, virtually and via asynchronous messaging. Provide continuous availability for medical and technical questions to the employees, patient care staff, and ancillary care providers including after hours coverage.
Acute Care Nurse Practitioner Pulmonary Medicine AssociatesAcute Care Nurse PractitionerSacramento, CAPulmonary Medicine Associates, treating patients in the greater Sacramento area for over 50 years, currently has an opening for an Advanced Practice Provider to be part of our hospital ICU care team in the Sacramento area. Inpatient APP Duties Include: Under the general supervision of a physician, provide care to hospital ICU patients and delegated medical tasks, using established and approved protocols as required by PMA and hospital policy.
Senior Admissions Registered Nurse Nonexempt CA VITAS Healthcare CorpSenior Admissions Registered Nurse Nonexempt CASacramento, CAIn addition to responsibilities and requirements outlines in the current Admission Nurse job description, the Senior Admission Nurse will also be responsible for the following: Training and on-going coaching for new and existing Admission Nurses as assigned by the Admissions Manager. All VITAS employees commit to fulfilling their duties and responsibilities with the highest regard for professionalism, collaboration and teamwork, and an eye focused constantly on growth and improvement.
NewRN Case Manager Full Time Vibra HealthcareRN Case Manager Full TimeFolsom, California$60–$84.60 / hourFull timeResponsibilities: Responsibility to coordinate clinically complex patient’s care across a continuum; ensuring and facilitating the achievement of quality clinical and cost outcomes, negotiating, procuring and coordinating appropriate services and resources needed by the patients, and at key points, intervening to address and resolve issues/concerns. Current, valid, and active license to practice as a Registered Nurse, Occupational Therapist, Physical Therapist, Speech Therapist or Licensed Social Worker in the state of employment required; OR a Master’s degree in Social Work and at least three (3) years of experience hospital case management experience required.
NewRN - Employee Health 3B Healthcare, IncRN - Employee HealthRoseville, CAManages and evaluates annual medical surveillance programs, including organizing, interpreting, and reviewing diagnostic tests to ensure employees are medically fit to perform essential job functions. Collaborates with treating providers, supervisors, workers? compensation carriers, and internal stakeholders to facilitate timely return-to-work plans and prevent recurrence of injury.
NewOperating Room Nurse Manager Macpower Digital Assets Edge Private LimitedOperating Room Nurse ManagerRoseville, CA$180,500–$272,600 / yearKey Responsibilities: Leads implementation of best practice models and patient care delivery systems across multiple locations. Drives operational improvements, root cause analysis, and strategic projects for quality and efficiency.
Hospice RN - Weekends UnitedHealth Group IncHospice RN - WeekendsSacramento, CA$45.30–$67.95 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve.
NewFamily Nurse Practitioner or Physician Assistant Per Diem/Part Time (Antioch, CA) BRIGHTER BEGINNINGSFamily Nurse Practitioner or Physician Assistant Per Diem/Part Time (Antioch, CA)Antioch, CAServices may include: Minor surgery (toenail removal, mole and cyst removal, foreign object removal, etc.), Suturing, General Orthopedic Evaluations/Management, Basic rehabilitation for musculoskeletal injuries, General internal medicine, family medicine, and pediatrics, General Dermatology, General Eye Problems. Work productivity must demonstrate the ability to see a minimum caseload of 18-20 patients per day (8-hour shift), effectively work patients into their schedules as caseload demands and respond to a variety of unforeseen daily circumstances, including emergency care of patients.
Skilled Nursing Supervisor RN CommonSpirit HealthSkilled Nursing Supervisor RNSacramento, CAAs our Skilled Nursing Supervisor (RN), you will help the healthcare team at Bruceville Terrace foster a supportive, collaborative environment so they can meet the needs of residents, families, and physicians while delivering high-quality nursing services in a cost-effective manner. Over half of the facility is dedicated to skilled nursing/convalescent care, while the remaining beds are committed to meet the medical and rehabilitative needs of the short-term patient after a stay at the acute care hospital.
Skilled Nursing Manager RN CommonSpirit HealthSkilled Nursing Manager RNSacramento, CAAs our Skilled Nursing Manager (RN), you will help the healthcare team at Bruceville Terrace foster a supportive, collaborative environment so they can meet the needs of residents, families, and physicians while delivering high-quality nursing services in a cost-effective manner. Over half of the facility is dedicated to skilled nursing/convalescent care, while the remaining beds are committed to meet the medical and rehabilitative needs of the short-term patient after a stay at the acute care hospital.
Care Coordinator RN CommonSpirit HealthCare Coordinator RNWoodland, CAWoodland Memorial Hospital is a 108-bed acute care facility offering the most comprehensive range of health care services in Yolo County, including inpatient and outpatient surgical services, family birth center/labor and delivery, emergency services, home health services, palliative care, inpatient mental health services, sleep disorders center and cancer care services. Every day, you will strategically assess, plan, and facilitate comprehensive care across the continuum, expertly advocating for patients while collaborating with physicians, nursing, departments, insurers, and post-acute providers to ensure timely, high-quality transitions.
Sign-On Bonus - Center Medical Director Physician Assistant or Nurse Practitioner Carbon HealthSign-On Bonus - Center Medical Director Physician Assistant or Nurse PractitionerSacramento, CaliforniaActing with an owner’s mindset, the Clinic Medical Director leads clinic operations, drives financial performance, and supports patient retention and growth through a combination of effective leadership and high-quality clinical care. Demonstrate Accountability: Acts with a clear sense of ownership with exceptional organization and time management skills; establishes clear responsibilities and processes for delivering, monitoring and measuring results.
RN - Care Management Talented Medical SolutionsRN - Care ManagementLodi, CA$2,800–$2,943Ensures the interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs and covered services by monitoring diagnostic testing, treatments and procedures, and other aspects of patient care as appropriate for acute care. We are comprised of a 190-bed hospital, 17 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout Lodi and the surrounding areas.
Examiner Nurse Practitioner Loyal Source Government Services LLCExaminer Nurse PractitionerRocklin, CA$149,572–$179,572 / yearThe role involves reviewing the claim, performing focused assessments of claimed injuries, reviewing medical records, and potentially rendering a medical opinion based on the record review and completed Compensation & Pension (C&P) exam. Job Responsibilities: Conduct Comprehensive Medical Disability Examinations: Perform thorough and focused medical evaluations of Veterans, including reviewing their medical history, conducting physical examinations, and assessing the impact of disabilities on their daily life and functional abilities.
NewHyper Wellness IV Nurse RHWM017Hyper Wellness IV NurseSacramento, CaliforniaRole Overview As a Registered Nurse at Restore, you’ll deliver high-quality medical services and therapies, educate clients on their wellness journey, and collaborate with the studio team to drive both medical and business success. With more than 200 studios across 40 states, we deliver innovative, science-backed therapies that empower clients to look and feel their best.
IV Hydration RN in Wellness Center RHWM017IV Hydration RN in Wellness CenterSacramento, CaliforniaRole Overview As a Registered Nurse at Restore, you’ll deliver high-quality medical services and therapies, educate clients on their wellness journey, and collaborate with the studio team to drive both medical and business success. You combine strong clinical expertise with a passion for customer service, ensuring each client receives safe, effective, and personalized care.
RN Sun Mar Health CareRNPittsburg, CaliforniaDevelops staffing plans that assure sufficient staffing to meet direct care needs, recommends numbers and types of nursing personnel necessary to provide care and to maintain compliance with facility mission and federal and state requirements. Audits clinical records for accuracy and completeness of comprehensive resident assessments, effective documentation reflecting resident responses to interventions and consistent implementation of plans of care by all staff and professionals, on all shifts.
Registered Nurse Pennant ServicesRegistered NurseEl Dorado Hills, CaliforniaThe Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. The mission of First Call Hospice, a locally owned agency founded in 1993, is to provide individualized quality hospice care to meet the unique needs of patients with a limited life expectancy.
Registered Nurse - Hospice Pennant ServicesRegistered Nurse - HospiceSacramento, CaliforniaThe mission of First Call Hospice, a locally owned agency founded in 1993, is to provide individualized quality hospice care to meet the unique needs of patients with a limited life expectancy. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.
Connection Center Triage RN CommonSpirit HealthConnection Center Triage RNRancho Cordova, CATo be successful in this role you will demonstrate exceptional critical thinking, rapid assessment abilities, and strong communication, managing priorities effectively under pressure to ensure timely and appropriate patient attention. Responsible for triaging incoming calls from patients, assessing needs, giving appropriate clinical dispositions base on established protocols.
Labor and Delivery Nurse CommonSpirit HealthLabor and Delivery NurseSacramento, CAAs our Registered Nurse (RN) in the Family Birth Center, you will help individuals and families receive holistic, effective, and appropriate care so they can experience safe and confidential care from admission to discharge. Serving over 80,000 patients annually, the hospital offers a full complement of services including a Level II NICU, heart care, cancer care, women's health, and neurology.
Nurse Family Birth Center CommonSpirit HealthNurse Family Birth CenterCarmichael, CAWe average 150 deliveries monthly, supported by a robust team including Nurse Shift Managers, a Perinatal Safety Specialist, a Perinatal Certified Nurse Specialist, an in-house OB hospitalist, and a designated OB anesthesiologist. As our Family Birth Center (FBC) Registered Nurse (RN) at Mercy San Juan Medical Center, you will be a pivotal healthcare professional, delivering compassionate, high-quality care so you can significantly impact our patients' well-being and recovery.
NewNurse Practitioner (CA License required) Greater Good HealthNurse Practitioner (CA License required)Elk Grove, CAWhat You Can Expect: This is a full time Nurse Practitioner opportunity (M-F schedule with the ability to be flexible and to adjust based on patient and nephrology partner needs).This role includes a mix of in-clinic (dialysis centers and nephrology practices), and in-home visits primarily within your designated service area. Manage the longitudinal care of an assigned patient panel of CKD and ESKD patients, focused on managing their conditions, timely post-discharge follow-up, utilization management, preventing readmissions, and medication management.
NewNurse Practitioner (CA License required) - $10k sign on bonus! Greater Good HealthNurse Practitioner (CA License required) - $10k sign on bonus!Elk Grove, CaliforniaManage the longitudinal care of an assigned patient panel of CKD and ESKD patients, focused on managing their conditions, timely post-discharge follow-up, utilization management, preventing readmissions, and medication management. This is a full time Nurse Practitioner opportunity (M-F schedule with the ability to be flexible and to adjust based on patient and nephrology partner needs).This role includes a mix of in-clinic (dialysis centers and nephrology practices), and in-home visits primarily within your designated service area.
NewFamily Nurse Practitioner or Physician Assistant Per Diem/Part Time (Antioch, CA) Brighter BeginningsFamily Nurse Practitioner or Physician Assistant Per Diem/Part Time (Antioch, CA)Antioch, CAPart timeServices may include: Minor surgery (toenail removal, mole and cyst removal, foreign object removal, etc.), Suturing, General Orthopedic Evaluations/Management, Basic rehabilitation for musculoskeletal injuries, General internal medicine, family medicine, and pediatrics, General Dermatology, General Eye Problems. Work productivity must demonstrate the ability to see a minimum caseload of 18-20 patients per day (8-hour shift), effectively work patients into their schedules as caseload demands and respond to a variety of unforeseen daily circumstances, including emergency care of patients.
Travel Registered Nurse Occupational Employee Health Job HealthforceTravel Registered Nurse Occupational Employee Health JobRoseville, CAHealthforce is a nationwide travel healthcare staffing agency connecting travel nurses and allied health professionals with high-quality contract assignments across the United States. You will plan, organize, implement, and evaluate employee health services in the local market, ensuring alignment with system-wide policies and procedures while supporting occupational health, infection prevention, workers’ compensation, and staff wellness initiatives.
Nurse Practitioner Dermatology Lodi, CA SKIN AND CANCER INSTITUTENurse Practitioner Dermatology Lodi, CALodi, CAThe ideal candidate will provide high-quality patient care, conduct comprehensive assessments, and develop individualized treatment plans for patients with various skin conditions. - Diagnose and manage a wide range of skin conditions, including but not limited to acne, eczema, psoriasis, skin infections, and skin cancers.
NewTravel Registered Nurse Tele Job HealthforceTravel Registered Nurse Tele JobLodi, CAWe specialize in placing clinicians in travel nursing jobs , allied health travel assignments , and local contract opportunities in hospitals, long-term care facilities, and outpatient settings. Healthforce is a nationwide travel healthcare staffing agency connecting travel nurses and allied health professionals with high-quality contract assignments across the United States.
NewTravel Registered Nurse ER Job HealthforceTravel Registered Nurse ER JobLodi, CAHealthforce is a nationwide travel healthcare staffing agency connecting travel nurses and allied health professionals with high-quality contract assignments across the United States. We specialize in placing clinicians in travel nursing jobs , allied health travel assignments , and local contract opportunities in hospitals, long-term care facilities, and outpatient settings.
RN, Home Care Manager, Senior Care, PACE Sutter HealthRN, Home Care Manager, Senior Care, PACESacramento, CA$146,910.40–$235,060.80 / yearEmployees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs.
RN, Supervisor, Health Plan Care Management Adventist Health SystemRN, Supervisor, Health Plan Care ManagementRoseville, CAWorks collaboratively with physicians, staff and service line leadership on quality and performance improvement activities related to optimal utilization of resources, efficient delivery of high quality care, patient flow, capacity management and other clinical cost reduction initiatives. Enhances the quality of member management by promoting continuity of care and cost effectiveness through whole person in-patient and out-patient management, care integration, case management, utilization review and care planning.