Utilization Review Nurse jobs in Palo Alto, CA

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Clinical Nurse Consultant
B. Braun Medical Inc - 18 reviews - San Francisco, CA
Strong interpersonal communication skills Strong listening skills Strong Presentation skills Basic Computer competency - email, Word, Excel, Internet...
QUALITY MANGEMENT NURSE
Medprovidex - 798 reviews - Redwood City, CA
Current registered or vocational nurse licensed in the State of California. Perform patient chart review to reconcile quality reporting results with chart...

Case Manager - Utilization Management (1.0 FTE, Days)

Lucile Packard Children's Hospital - 85 reviews - Palo Alto, CA 94304
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...

Manager Case Management/Utilization Management

The Clinical Recruiter - San Jose, CA
Minimum three (3) years of previous experience in utilization management activities required. Responsible for all aspects of staff management including, hiring,...

UM Coordinator I

Alameda Health Consortium/Community Health Center... - San Leandro, CA
Refer cases to UM Nurses, Case Managers, including the Medical Director, for clinical review, potential denial or modification....

Care Coordinator

CareNational - San Jose, CA
$16 - $18 an hour
Gathers clinical information regarding individual cases and determines appropriate Medical Management area to refer call or assign case, such as Case Management...
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Registered Nurse Practitioner (Critical Care)

Veterans Affairs, Veterans Health Administration - 3,373 reviews - Palo Alto, CA
$125,940 - $161,900 a year
Practice, ethics and resource utilization; Licensed or otherwise recognized as a nurse practitioner in a State and possesses a full and current certification as...

NX Case Manager - Resource Center (0.001 FTE, Rotating)

Lucile Packard Children's Hospital - 85 reviews - Palo Alto, CA 94304
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...

Manager, Case & Disease Management

Alameda Alliance for Health - 21 reviews - Alameda, CA
Oversee expense and revenue utilization. Registered Nurse license, active and unrestricted licensed in the State of California....

AHD Nurse, Care Management

Alameda Health System - 45 reviews - Alameda, CA
Coordinates all utilization review functions, including response to payor requests for concurrent and retrospective review information including Medicare and...

Manager, Outpatient Utilization Management

Alameda Alliance for Health - 21 reviews - Alameda, CA
This position oversees the outpatient utilization management (UM) team focusing on utilization management and care coordination to assure integration of all...

Accounting Assistant

EK Health Services Inc - San Jose, CA 95129 (West San Jose area)
EK Health Services has built a reputation for offering superior, goal-oriented Workers' Compensation case management, utilization review, and bill review...
Registered Nurse Case Manager
American Nurses Credentialing Center, Nurse Case Manager (RN-NCM). Registered nurse, RN, medical management, discharge planning, utilization review, case...
Prior Authorization Nurse, RN or LVN
Excel MSO, LLC - San Jose, CA 95113
Registered Nurse (RN). Current unrestricted Licensed Vocational Nurse (LVN) or Registered Nurse (RN) license for the State of California- required....
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Utilization Management Review Nurse
Chinese Hospital - 7 reviews - San Francisco, CA 94133
Utilization Management Nurse Reviewer. The Nurse reviewer performs on-site, written or telephonic assessments and utilization review, across the continuum of...
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