Utilization Review Nurse jobs in Palo Alto, CA

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Quality Nurse Specialist
Hospice, Quality Assessment/Utilization Review, Computer Charting/Auditing experience required. The Quality Nurse Specialist assists the Quality/QAPI Director...
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AIDS Services - Registered Nurse Case Manager - Full Time
The Health Trust - San Jose, CA
Licensed to practice as a Registered Nurse in the State of California. Upon request of AIDS Services Director or Clinical Supervisor, participates as preceptor...
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Blood Center Nursing Operations Supervisor
Current license as a California Registered Nurse; Reviews daily drive summary reports and completes appropriate follow-up....
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Patient Care Coordinator Case Manager, short hour, variable...

Kaiser Permanente - 3,699 reviews - Redwood City, CA
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...

RN Case Manager

All's Well Health Care - 6 reviews - Santa Clara, CA
$39 an hour
Registered Nurse (RN). Current California Registered Nurse (RN) or California Licensed Vocational Nurse (LVN)....
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Pediatric Utilization Review Nurse -

ALL's WELL - 15 reviews - Burlingame, CA 94010
The Pediatric Utilization Review Nurse will perform utilization reviews ensuring that Health Plan pediatric members receive necessary medical care in a timely...

UM Nurse Manager

Excel MSO, LLC - San Jose, CA 95132 (Berryessa area)
Manages and supervises the utilization review nurses and coordinators including, but not limited to:. Under the direction of the Director of Health Services,...
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Home Health RN Care Manager

Clinical Management Consultants - Palo Alto, CA
$85,000 - $115,000 a year
Home Health RN Case Manager, Home Health Nurse Case Manager, Home Health RN Care Manager, Home Health Nurse Care Manager, Home Health RN Care Coordinator, Home...

Nurse Care Advocate - San Mateo, CA

Landmark Health - San Mateo, CA
1-2 years of utilization management experience a must. Reviews medical information collected including medical records and/or performs additional assessment to...

Registered Nurse

Exponent - 6 reviews - Menlo Park, CA 94025
Utilization review, research, or legal nurse consulting experience is a plus. Registered Nurse state license....

Care Neighborhood 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....

Utilization Review Nurse - /

Alls Well Health Care Services - 3 reviews - Cupertino, CA 95014  +2 locations
$90,000 a year
This Utilization Review Nurse Position Features:. Immediate need for utilization review nurse seeking! Apply for this great position as a utilization review...

Managed Care Case Manager - Managed Care - Mountain View

Sutter Health - 325 reviews - Mountain View, CA 94039
Experience performing onsite concurrent review or case management functions. The Nurse Case Manager processes referral authorizations, handles the concurrent...
Clinical Case Manager (RN), Occupational Health Services
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...
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RN - Case Manager (San Jose)
Thomson Alliance, Inc - San Jose, CA
Utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization review, case management, and/or discharge planning...
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