Utilization Review jobs in Sacramento, CA

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Social Services Director I
Genesis HealthCare 830 reviews - Carmichael, CA
Serves as an active contributor in designated center meetings (Morning Meeting, Utilization Management, Customer at Risk, Care Planning, etc.)....
Sponsored by Genesis HealthCare
RN Care Coordinator
Dignity Health 555 reviews - Rancho Cordova, CA
The RN Care Coordinator evaluates the medical necessity of a patients utilization of healthcare services with designated screening criteria upon point of...
Sponsored by CareerBuilder
Medical Review Registered Nurse (RN)
HealthCare Scouts, Inc. - Sacramento, CA
2+ years of utilization review experience. The Medical Review Registered Nurse (RN) will be responsible for performing retrospective review of large hospital...
Sponsored by CareerBuilder

Case Manager Registered Nurse

Mediscan Staffing Services 15 reviews - Sacramento, CA
RN Case Managers- Now Hiring! Mediscan is a staffing agency that is dedicated to providing quality work. Having been around for the last 10+ years, we
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Patient Care Coordinator RN

Kaiser Permanente 2,467 reviews - Sacramento, CA
This review is on a position-by-position basis and includes an analysis of the actual duties performed in each position under review....

Strategic Planning Facilitator

Grant Thornton 117 reviews - Sacramento, CA
Perform engagement management responsibilities, including performance reviews, task delegation, project scheduling, project financials, quality review and...

Federal - Substance Abuse Prevention Coordinator (PC) - Sacr...

Accenture 3,319 reviews - Sacramento, CA
He or she will review SSA community provider invoices to ensure eligibility of the Soldier to receive services....

RFMSS Functional Administrator

CALIBRE Systems, Inc. - Sacramento, CA
Review and update set up tables, enter new facilities and conflicts, monitor actions of Range Control Schedulers as related to processing requests (automated,...


Children's Receiving Home of Sacramento 4 reviews - Sacramento, CA
Perform Utilization Reviews as assigned. Reviews as needed for clients receiving. Continuously review charts for new and/or relevant....
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Program Manager - Care Management

Dignity Health 555 reviews - Sacramento, CA
Review detailed utilization reports, analyze results, and identify favorable and unfavorable performance divers while making recommendations to improve our...

Registered Nurse - Medical Claims and Coding

Xerox 3,727 reviews - West Sacramento, CA 95691
Responsible for applying medical judgment to adjudicate claims, review claims inquiry forms, appeals and manually price and review for appropriateness of the...

Medical Review Nurse Opening in Sacramento, California!

Premiere Onboard - Sacramento, CA
2+ years in acute care nursing and utilization review. Perform retrospective review of large hospital and physician claims for admission appropriateness, coding...
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Clinical Case Manager - Direct Hire

Pacific Staffing 25 reviews - Sacramento, CA
Collects and reports utilization data and quality information, such as delays in service, possible avoidable days, provider preventable conditions, readmissions...
Client Service Delivery Director
Towers Watson 137 reviews - California
Review and retain all service level agreements (SLAs) across the client base. Manage performance of team members including utilization as well as growth and...
Sponsored by Towers Watson
Managed Care/Clinical Pharmacist
Rx relief 5 reviews - Sacramento, CA
Oversee the drug utilization review and medication therapy management programs at the assigned plan to meet Medicare Part D requirements and develop systematic...
Sponsored by Rx relief
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