Utilization Review Nurse jobs in Redwood City, CA

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Inpatient Registered Nurse or LVN Case Manager Job
Yoh 62 reviews - California
group of patients - Performs appropriate Utilization Review functions utilizing approved Intensity of... Nurse Licensure or Licensed Vocation Nurse in State...
Sponsored by Health Callings - 4 days ago
Utilization Review Nurse
Santa Clara Family Health Plan 4 reviews - Campbell, CA
are seeking a Utilization Review Nurse who will be responsible for the day-to-day utilization review for... requests through claims review and incoming requests...
Sponsored by Miracle Workers - 7 days ago
Utilization Review/Quality Assurance Registered Nurse
Cross Country TravCorps' Nursing Division - San Leandro, CA
an opportunity in Oakland, CA for a Utilization Review/Quality Assurance Travel Nurse, however if this... new and exciting Utilization Review/Quality Assurance...
Sponsored by Hospital Jobs Online - 17 hours ago

Staff Pharmacist - Mountain View, CA

PharMerica 180 reviews - Mountain View, CA
Works with patient medical information to conduct Drug Utilization Review (DUR) on all prescriptions and review clinical edits to ensure there is no adverse...
7 days ago - save job - block - email - more...

Quality, Compliance, and Education Coordinator - Home Health...

Sutter Health 156 reviews - San Francisco, CA
The Quality, Compliance & Education (QCE) Coordinator is responsible for coordinating and/or implementing the collection of quality and compliance-related data,...
1 day ago - save job - block - email - more...

Manager of Home Visiting Programs (Open)

County of San Mateo 6 reviews - San Mateo County, CA
responsible for approximately 80 multidisciplinary professional and paraprofessional staff, while directly supervising 12 Senior Public Health Nurses and... $50.63 - $63.29 an hour
12 days ago - save job - block - email - more...

Director of Care Management

County of Santa Clara 24 reviews - Santa Clara, CA
manage and evaluate the operations of the care mangement division within nursing and patient care services, including discharge planning, utilization... $73.13 - $93.71 an hour
7 days ago - save job - block - email - more...

Regional Nurse Program Coordinator

Blue Shield of California 121 reviews - San Jose, CA
The Regional Nurse Program Coordinator (RNPC), who will report to a nurse manager, works in partnership with the Regional Medical Director (RMD) and/or the...
11 days ago - save job - block - email - more...

Medical Review Nurse

Santa Clara Family Health Plan 4 reviews - Campbell, CA 95008
We are seeking a Medical Review Nurse who will be responsible for performing comprehensive medical record and claims review to make payment determinations based...
Miracle Workers - 7 days ago - save job - block - email - more...

Home Health Nurse II, (HHRNII) ( Job Number: 234179 )

Kaiser Permanente 1,661 reviews - Redwood City, CA - +1 location
• Participates in Departmental Quality Assurance activities and Utilization Review activities as requested....
26 days ago - save job - block - email - more...

Patient Care Coord RN [140387] ( Job Number: 275194 )

Kaiser Permanente 1,661 reviews - Santa Clara, CA - +1 location
Please be aware that this position is currently under review as part of the jurisdictional process with the California Nurses Association to determine whether...
25 days ago - save job - block - email - more...

Utilization Management Review Nurse

Chinese Community Health Plan - San Francisco, CA 94133 (Russian Hill area)
The Nurse reviewer performs on-site, written or telephonic assessments and utilization review, across the continuum of care for inpatients and outpatients....
Easily apply
28 days ago - save job - block - email - more...

Utilization Review Nurse Job

Jserver - Santa Clara, CA
Utilization Review Nurse needed for a permanent opportunity with Yoh's client located in Santa Clara, CA. The Big Picture - Top Skills You Should Possess:....
Go Job Search - 6 days ago - save job - block - email - more...
RN-Case Manager-Workers Compensation
Nurse Resolutions - California
patients to utilization review and case management... Rehabilitation Registered Nurse (CRRN), and/or Certified Occupational Health Nurse (COHN), professional...
Sponsored by National Senior Living Providers Network - 7 days ago
Medical Review Nurse
Santa Clara Family Health Plan 4 reviews - Campbell, CA
Medical Review Nurse who will be responsible for performing comprehensive medical record and claims review... Review or other Utilization Review nurse functions...
Sponsored by Miracle Workers - 7 days ago
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