Utilization Review Nurse jobs in Palo Alto, CA

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Transfusion Safety Coordinator
Facilitates pathology review of transfusion service reports. Conducts prospective and retrospective audits on the utilization of blood and blood products and...
Sponsored by El Camino Hospital
Clinical QualityOutcomes Nurse
The Nurse works closely with physicians and nurses to meet compliance with recommended evidence-based practice guidelines....
Sponsored by El Camino Hospital
Physician Reviewer, Utilization Management
Clover Health - San Francisco, CA
Utilization management/review experience preferred. Provide mentoring, and coaching to physician and UM nurses to strengthen Utilization Management...
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Utilization Management Supervisor

All's Well Health Care - 6 reviews - Hayward, CA
$95,000 a year
Registered Nurse (RN). The UM Supervisor is responsible for supervising utilization review activities for all members and Clinic partners....
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Case Manager (RN)

Stanford Health Care - 164 reviews - Palo Alto, CA 94305
Performing utilization review activities, including review of patient. CA Registered Nurse (RN). Resources, service delivery, and compliance with external...

Complex Case 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 Nurse II (HHRN0116)

Kaiser Permanente - 3,907 reviews - Redwood City, CA  +1 location
Participates in Departmental Quality Assurance activities and Utilization Review activities as requested. Current license to practice as a Registered Nurse in...

Clinical Nurse IV

Alameda Health System - 28 reviews - San Leandro, CA
The Certified Emergency Nurse (CEN) is desirable. The Coronary Care Registered Nurse (CCRN) is desirable. Or Three years experience as a Clinical Nurse II with...

Program Manager, Clinical Services

The Health Trust - San Jose, CA
Knowledge and utilization of community resources preferred. Supervises nurse case managers, medical social workers, and benefits specialists....

Nurse Director Utilization Review

Clinical Management Consultants - Milpitas, CA
$174,250 - $225,350 a year
Nurse Director Utilization Review Job in Milpitas CA. Nurse Director Case Management, Nurse Director Care Coordination, Nurse Director Utilization Review, Care...

Clinical Research Operations Manager (Academic Operations Ma...

Stanford University - 249 reviews - Stanford, CA 94305
Provide analysis and review of multi-year plans, including providing alternative methods for achieving goals when necessary....

Nurse Care Manager

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

Manager - Resource Center (1.0 FTE, Days)

Lucile Packard Children's Hospital - 57 reviews - Palo Alto, CA 94304
The RCM will communicate with Stanford Children’s Health staff, utilization review organizations, vendors, providers and other external customers in an effort...
Director of Care Management
Valley Medical Center - 15 reviews - Santa Clara, CA
$182,780 - $234,220 a year
Assumes 24 hour/day, 7day/week responsibility for ensuring daily staffing and operational efficiency for the care management, utilization review and social work...
Sponsored by The County of Santa Clara
Utilization Management Nurse
Clover Health - San Francisco, CA
2-3 years experience in a hospital setting, acute care, direct care experience preferred OR experience as case manager, care coordinator, concurrent review...
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