Utilization Review Nurse jobs in Redwood City, CA

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Registered Nurse - Medical Claims Review Job
Yoh 88 reviews - San Mateo, CA
Experience with Utilization Review. Medical Claims Review RN will review retrospective authorization requests/claims documentation within specified timeframes....
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MEDICAL CLAIMS REVIEW NURSE
Health Plan of San Mateo 3 reviews - San Mateo, CA
MEDICAL CLAIMS REVIEW NURSE. The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Medical Claims Review Nurse to perform...
Sponsored by HEALTHeCAREERS Network
UTILIZATION REVIEW NURSE
Health Plan of San Mateo 3 reviews - San Mateo, CA
UTILIZATION REVIEW NURSE. The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Utilization Review Nurse to perform utilization...
Sponsored by HEALTHeCAREERS Network

Patient Care Coordinator RN, 40 hour, days

Kaiser Permanente 2,472 reviews - South San Francisco, CA
This review is on a position-by-position basis and includes an analysis of the actual duties performed in each position under review....

Utilization Review - Managed Care Nurse - (UL RN)

NursesRx 12 reviews - Redwood City, CA
Utilization Review - Managed Care Nurse - (UL RN). As a critical member of the hospital staff, the utilization review nurse is also responsible for:....

Patient Care Coordination Case Manager

Kaiser Permanente 2,472 reviews - San Francisco, CA
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...

Registered Nurse Lead-15134

North East Medical Services - San Francisco, CA
.Current California Registered Nurse License. A Registered Nurse (RN) team leader functions under the direct supervision of a physician team leader & nurse...

Nurse Manager - Utilization Management

ALL's WELL 12 reviews - Burlingame, CA 94011
Great opportunity for an experienced nurse manager with utilization review and care management background to oversee a growing team of clinicians.Mentor and...

Utilization Management RN

Clinical Management Consultants - San Francisco, CA
$92,162 - $110,183 a year
Clinical RN, Quality RN, Outreach RN, Utilization Review Management, Quality, Process Improvement Nurse, supervisor of clinical care, progressive care...

Patient Care Coordinator/Discharge Planner On Call Day

Kaiser Permanente 2,472 reviews - Redwood City, CA
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...

Registered Nurse - Medical Claims Review Job

Yoh 88 reviews - San Mateo, CA
Experience with Utilization Review. Medical Claims Review RN will review retrospective authorization requests/claims documentation within specified timeframes....

RN Clinical Liaison

Genesis HealthCare 833 reviews - San Leandro, CA 94577
Prior experience in utilization review or discharge planning preferred. RN, R.N., admissions, liaison, marketing, sales, nursing, nurse,. Area of Interest :....

Clinical Documentation Specialist

Pathways to Wellness - Union City, CA 94587  +1 location
California Registered Nurse license, Licensed Clinician or Certified Coding Specialist:. A current California Registered Nurse license, Licensed Clinician or...
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Nursing Lead- RDBU
Shire 111 reviews - United States
Prior experience as a nurse in a clinical or home setting with patients. This will include meeting with nursing vendors no less than once a quarter to review...
Sponsored by Shire
Registered Nurse
MTC Medical 5 reviews - United States
Review medical files to determine all provided services are documented. Practice basic cost containment and utilization management for patient care and...
Sponsored by NurseJobsNationwide.com
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