Utilization Review Nurse jobs in Palo Alto, CA

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Field Nurse Case Manager (RN)
EK Health Services Inc - San Jose, CA 95129
EK Health Services has built a reputation for offering superior, goal-oriented Workers' Compensation case management, utilization review, and bill review...
RN Field Case Manager
Excel Managed Care & Disability Services, Inc. - California
Nurse Case Manager RN Registered Nurse. Registered Nurse (RN). Prior Workers’ Compensation case management experience and/or experience in rehabilitation,...
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Licensed Vocational Nurse

Guardian Angel Home Health - 55 reviews - San Jose, CA
Participates in quarterly utilization review and chart audits as required by agency. Assisting the Registered Nurse or physician in performing specialized....

Clinical Documentation Specialist - Medical Records (1.0 FTE...

Lucile Packard Children's Hospital - 89 reviews - Palo Alto, CA 94304
Perform monthly retrospective reviews for DRG verification with focus upon questionable DRGs focused OIG work plan and CMS, also performing any organizational...

Case Manager RN/Patient Care Coordinator, 24/hr Day

Kaiser Permanente - 6,052 reviews - San Jose, CA
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...

Clinical Improvement Manager

Satellite Healthcare - 35 reviews - San Jose, CA
Registered Nurse license; Review quality measures monthly/quarterly for assigned territory; Review deficient findings with Center management and Territory/Home...

Patient Care Coordinator Case Manager, On-Call

Kaiser Permanente - 6,052 reviews - Santa Clara, CA   +2 locations
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...

Director Service Unit RN

Kaiser Permanente - 6,052 reviews - San Mateo, CA 94403 (Sugerloaf area)
Kaiser Permanente conducts compensation reviews of positions on a routine basis. Directs development and implementation of quality and utilization standards for...

Case Manager RN/Patient Care Coordinator, 24/hr Eve ED

Kaiser Permanente - 6,052 reviews - San Jose, CA
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...

Temp Nurse Case Manager

Santa Clara Family Health Plan - 11 reviews - Campbell, CA 95008
Facilitate successful transition of care for members who move between care settings by coordinating services for medical appointments, pharmacy assistance and...

Manager - Case Management (1.0 FTE, Days)

Lucile Packard Children's Hospital - 89 reviews - Palo Alto, CA 94304
Provides leadership andmanagement to licensed nursing professionals providing CaseManagement and utilization review services and support staff....

Case Manager

Good Samaritan Hospital - 872 reviews - San Jose, CA
The Case Manager is responsible for utilization review and discharge planning for assigned patient population....
RN Case Manager, Case Management (64 hrs)
Sutter Health - 557 reviews - Burlingame, CA
Comprehensive knowledge of Utilization Review, levels of care and observation status. Must be able to effectively communicate with, and promote cooperation and...
UM Nurse Manager
Excel MSO, LLC - San Jose, CA 95132
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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Prior Authorization Nurse, RN
Excel MSO, LLC - San Jose, CA 95113
Registered Nurse (RN). Perform prior authorization process by performing clinical review of requests requiring medical review and entering authorizations into...
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