Utilization Review Nurse jobs in Redwood City, CA

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Complex Care Case Manager
Stanford Hospital & Clinics 81 reviews - Palo Alto, CA
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...
Sponsored by Stanford Hospital & Clinics - 6 days ago
ED Case Manager (Per Diem)
Sutter Health 169 reviews - San Francisco, CA
Current California Registered Nurse license. “Case Management in Hospital and Health Care Systems is a collaborative practice model including patients, nurses,...
Sponsored by Sutter Health - 22 days ago
Care Advocate - San Francisco, CA
UnitedHealth Group 1,577 reviews - San Francisco, CA
You will be responsible for the case management and utilization review of behavioral health and substance abuse services to include:....
Sponsored by UnitedHealth Group - 9 days ago

Clinical Documentation Specialist RN

Alameda Health System 7 reviews - Oakland, CA
FMT Utilization Management. Valid Registered Nurse (RN) license. Follows CDMP processes for conducting medical record reviews....
Alameda County Medical Center - 13 days ago - save job - email - more...

Home Health Clinical Team Manager

Pathways Home Health & Hospice 4 reviews - Sunnyvale, CA 94085
Participates in chart reviews. Currently licensed in the State of California as a Registered Nurse. Utilizes appropriate reports to ensure proper utilization of...
Association of California Nurse Leaders - 6 days ago - save job - email - more...

Utilization Review Nurse Job

Yoh 67 reviews - San Mateo, CA
Utilization Review Nurse needed for a contract opportunity with Yoh's client located in South San Francisco, CA. Utilization Management Experience....
Yoh Services, LLC - 20 days ago - save job - email - more...

Field Medical Management Nurse

Zenith Insurance Company 18 reviews - Pleasanton, CA
Maintain current unrestricted registered nurse (R.N.). Effectively conduct case management, disability management, and utilization review in the field visiting...
30+ days ago - save job - email - more...

CASE MANAGER - PER DIEM

San Ramon Medical Center 2 reviews - San Ramon, CA
Utilization Management supporting medical necessity and denial prevention. Required qualifications include an active CA Registered Nurse license with at least...
Tenet Healthcare - 6 days ago - save job - email - more...

Care Manager

Seton Medical Center 38 reviews - Daly City, CA
One year case management or utilization review experience preferred. Current and Valid License in the State of California as a Registered Nurse....
Nurse.com - 2 days ago - save job - email - more...

Inpatient Utilization Management Nurse (Temporary)

Alameda Alliance for Health 5 reviews - Alameda, CA
The Inpatient Utilization Management (UM) Nurse is responsible for conducting on-site and telephonic utilization review of hospitalized members and initiating...
8 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...
15 days ago - save job - email - more...

RN Utilization Review Nurse

All's Well 8 reviews - Daly City, CA
$80,000 a year
This RN Utilization Review Nurse Position Features:. Managed care health plan, seeks a Utilization Review (UR) Nurse to perform utilization reviews to assure...
19 days ago - save job - email - more...

Clinical Services Supervisor Home Health ( Job Number: 29442...

Kaiser Permanente 1,811 reviews - Oakland, CA
Monitors quality, service and utilization standards. Kaiser Permanente conducts compensation reviews of positions on a routine basis....
13 days ago - save job - email - more...
Care Advocate - After Hours - San Francisco, CA
UnitedHealth Group 1,577 reviews - San Francisco, CA
Care Advocates on the After Hours team are responsible for case management and utilization review of behavioral health including mental health and substance...
Sponsored by UnitedHealth Group - 1 day ago
Care Manager
Seton Medical Center 38 reviews - Daly City, CA
One year case management or utilization review experience preferred. Current and Valid License in the State of California as a Registered Nurse....
Sponsored by Nurse.com - 2 days ago
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