Utilization Review Nurse jobs in Palo Alto, CA

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Registered Nurse (RN)
New Haven Home Health Services, Inc. - Daly City, CA 94015
Participates in quality improvement, utilization review, and multidisciplinary conferences. Registered Nurse (RN)*....
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Quality Specialist - Clinical Effectiveness & Analysis (1.0...
CA Registered Nurse (RN). Gathers and analyzes clinical and financial information from a variety of internal and external sources, relating to patient safety,...

Outpatient Case Management RN

Alameda Health Consortium/Community Health Center... - San Leandro, CA
Active, unrestricted, California Nursing License (Registered Nurse). Identify barriers to efficient hospital utilization and facilitate resolution....

Palliative Medicine Complex Care Case Manager

Stanford Health Care - 226 reviews - Palo Alto, CA 94305
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...

Collections Supervisor

Stanford Health Care - 226 reviews - Palo Alto, CA 94305
Current license as a California Registered Nurse; Reviews daily drive summary reports and completes appropriate follow-up....

Pediatrics Case Manager RN

Kaiser Permanente - 5,102 reviews - Santa Clara, CA
This review is on a position-by-position basis and includes an analysis of the actual duties performed in each position under review....

RN Manager of Medical Management - Health Plan

CareNational - San Jose, CA
$120,000 - $150,000 a year
Minimum of 3-5 year’s Case Management and Utilization Review experience. Registered Nurse license and BSN. 3 year’s managerial experience and leadership of a...
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Service Director, Cardiac Procedure Unit (CPU)

Kaiser Permanente - 5,102 reviews - Santa Clara, CA
Kaiser Permanente conducts compensation reviews of positions on a routine basis. Directs development and implementation of quality and utilization standards...

Director of Health Care Services

Synergized Staffing - Santa Clara, CA
$125,000 a year
Monitors utilization indicators; Directs development and implementation of quality and utilization standards across the hospital to ensure coordinated plans of...
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Executive Director of Care Coordination

Clinical Management Consultants - Redwood City, CA
$180,364 - $220,534 a year
A nurse expert in case management and utilization review is needed in Northern California. The Executive Director Care Coordination is expected to work closely...

Patient Care Coordinator Case Manager, 24/hr Evening

Kaiser Permanente - 5,102 reviews - Redwood City, CA
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...

Registered Nurse - 29329

OfficeWorks, Inc. - 79 reviews - Redwood City, CA 94062
$27 - $49 an hour
The ideal registered nurse will have at least 2 years’ experience working within Utilization Review or Utilization Management....
Easily apply
Director of Patient Care Services
Reviews departmental trends and facilitates improvement of processes through Process Improvement activities. Assures that skilled nursing and other therapeutic...
Outpatient Utilization Management Nurse
The Outpatient Utilization Management (UM) Nurse is responsible for conducting clinical reviews of outpatient authorization requests....
Registered Nurse - 29329
OfficeWorks, Inc. - 79 reviews - Redwood City, CA 94062
$27 - $49 an hour
The ideal registered nurse will have at least 2 years’ experience working within Utilization Review or Utilization Management....
Easily apply
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