Utilization Review Nurse jobs in Redwood City, CA

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Home Health Nurse II, (HHRNII)

Kaiser Permanente 2,156 reviews - Redwood City, CA
Participates in Departmental Quality Assurance activities and Utilization Review activities as requested. Current license to practice as a Registered Nurse in...

Clinical RN Specialist

Alameda Alliance for Health 6 reviews - Alameda, CA
Perform NCQA utilization management. Prepare questions on complex cases for consultant review or external third party medical review (DMHC)....

Case Manager - Util Managment- Case Management (.75FTE, Days...

Lucile Packard Children's Hospital Stanford 25 reviews - Palo Alto, CA
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...

Utilization Management Coordinator

San Francisco Health Plan 4 reviews - San Francisco, CA
Refers cases to a UM nurse, for clinical review, potential denial or modification and physician provider education....

Medical Case Manager

Broadspire 24 reviews - San Francisco, CA
Nurse, insurance, employee health, office nurse, return to work, injured. Nurse, field case manager, occupational health....

Workers Compensation Medical Case Manager (RN) - Broadspire...

Broadspire 24 reviews - Fremont, CA - +1 location
Nurse, insurance, employee health, office nurse, return to work, injured. Nurse, field case manager, occupational health....

Clinical Documentation Specialist

County of Santa Clara 26 reviews - Santa Clara, CA
Initiates and performs concurrent documentation reviews of selected inpatient records to clarify conditions/diagnoses and procedures where inadequate or...

Utilization Review Travel RN-Nurse

Rise Medical Staffing - Oakland, CA
Rn, registered nurse, nursing, nurse, healthcare, travel nursing, travel nurses, traveling nurses, traveling nurse, travel nurse....
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NX Case Manager (.001FTE, Days) 

Lucile Packard Children's Hospital Stanford 25 reviews - Palo Alto, CA
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...

Pharmacy Services Supervisor

Kaiser Permanente 2,156 reviews - Oakland, CA - +1 location
Conduct monthly/quarterly attendance reviews. Conduct quarterly reviews on over/short reports. Ensure effective utilization of pharmaceutical inventory and...
Utilization Review - Managed Care Nurse - (UL RN)
NursesRx 11 reviews - Oakland, CA
Utilization Review - Managed Care Nurse - (UL RN). As a critical member of the hospital staff, the utilization review nurse is also responsible for:....
Sponsored by NursesRx - 4 days ago
Commercial Medical Director - Work-At-Home
Humana 859 reviews - United States
Previous Medicare, Medicaid, and/or Commercial utilization review experience. Provide physician review services for utilization management, case management,...
Sponsored by HEALTHeCAREERS Network - 10 days ago
Telephonic Nurse Case Manager - On Site
Excel Managed Care & Disability Services, Inc. - San Francisco, CA
Prior Workers’ Compensation case management experience and/or experience in rehabilitation, utilization review or home health case management....
Easily apply
Sponsored by Excel Managed Care & Disability Services, Inc. - 15 days ago

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