Utilization Review Nurse jobs in Redwood City, CA

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Utilization Review Nurse - UR Registered Nurse - Remote!
Professional Services Network, Inc - San Francisco, CA
The Utilization Review RN will be responsible for clinical review of all services requiring authorization for appropriateness based on Inter....
Sponsored by Miracle Workers - 19 days ago
Registered Nurse - Utilization Review
Maxim Healthcare 652 reviews - Sunnyvale, CA
We are currently looking to bring on top-tier, intelligent and qualified Utilization Review (UR) Nurse to perform utilization reviews assuring that members...
Sponsored by NurseJobsNationwide.com - 15 days ago

Relief Nurse Case Manager - Utilization Management/ Case Man...

Lucile Packard Children's Hospital Stanford 22 reviews - Palo Alto, CA
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...
19 days ago - save job - email - more...

Patient Care Coord Case Mgr

Kaiser Permanente 2,000 reviews - Oakland, CA - +1 location
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...
8 days ago - save job - email - more...

Outpatient Services Utilization Manager (RN)

Alameda Health Consortium/Community Health Center... - San Leandro, CA
Utilization Management/ Quality Improvement experience. Outpatient Services Utilization Manager Organizational Description....
1 day ago - save job - email - more...

Registered Nurse Case Manager

The Health Trust - San Jose, CA
Licensed to practice as a Registered Nurse in the State of California. Upon request of The Health Trust AIDS Services Director or Clinical Supervisor,...
2 days ago - save job - email - more...

Home Health Nurse II

Kaiser Permanente 2,000 reviews - Santa Clara, CA - +1 location
Participates in Departmental Quality Assurance activities and Utilization Review activities as requested. Current license to practice as a Registered Nurse in...
16 days ago - save job - email - more...

Home Health Nurse II [HHRNII]

Kaiser Permanente 2,000 reviews - Santa Clara, CA - +1 location
Participates in Departmental Quality Assurance activities and Utilization Review activities as requested. Current license to practice as a Registered Nurse in...
20 days ago - save job - email - more...

Nurse Manager Case Management

Clinical Management Consultants - San Francisco, CA
$129,750 - $161,375 a year
Nurse Manager of Case Management, Nursing Manager of Care Management, RN Manager of Care Coordination, Nurse Manager of Utilization Review, Director of Case...
8 days ago - save job - email - more...

Case Manager RN

Sequoia Hospital 458 reviews - Redwood City, CA 94062
The incumbent will also incorporate into the utilization review process the ability to access and interpret clinical information against the designated review...
Dignity Health - 30+ days ago - save job - email - more...

Complex Case Management Supervisor

San Francisco Health Plan 3 reviews - San Francisco, CA 94103 (South Of Market area)
Provide individual supervision with each staff weekly and review staff documentation. Participate in the interview/hiring process for direct report staff....
Association of California Nurse Leaders - 3 days ago - save job - email - more...

Manager, Adult Referral Center - (ANL 4 SUPV)

University of California San Francisco Medical Cen... 63 reviews - San Francisco, CA
Knowledge / experience with and/or EPIC software utilization and installation. Responsible for building relationships with all clinicians, practice staff and...
1 day ago - save job - email - more...
Utilization Management Review Nurse
Chinese Community Health Plan - San Francisco, CA
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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Sponsored by Chinese Community Health Plan - 30+ days ago
Medical Review Nurse
Josephines Professional Staffing - Campbell, CA
Cross train to perform Concurrent Review, other Utilization Review, Case Management or other nurse functions....
Sponsored by NurseJobsNationwide.com - 6 days ago
Manager | UM | Utilization Management | RN
Cameron Craig Group - San Francisco Bay Area, CA
$104,000 a year
This includes utilization management and care coordination. Candidates who are Certified Professional Utilization Review/Utilization Management (CPUR or CPUM)...
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Sponsored by Cameron Craig Group - 30+ days ago
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