Utilization Review Nurse jobs in Redwood City, CA

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Care Advocate - Access and Triage - $3k Sign On Bonus - San...
UnitedHealth Group 1,939 reviews - San Francisco, CA
D, Therapist, Clinician, Behavioral Health, Mental Health, Social Worker, Psychotherapist, RN, Registered Nurse, Psych Nurse....
Sponsored by UnitedHealth Group - 2 days ago
Nurse Case Manager
Physicians Medical Group of San Jose - San Jose, CA
Prior Authorization Review Nurse. Nurse Case Manager. O Prior Experience in a managed care setting, acute hospital or utilization management preferred....
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Sponsored by Physicians Medical Group of San Jose - 30+ days ago
RN Care Coordination
Dignity Heath - Sequoia Hospital - Redwood City, CA
Current Registered Nurse (R.N.). Current California licensure as Registered Nurse is required (RN). The RN Care Coordinator consistently conducts the...
Sponsored by Miracle Workers - 1 day ago

Utilization Management Registered Nurse

All's Well 10 reviews - South San Francisco, CA
Full Time position for Utilization Management Registered Nurse in San Francisco CA! Experience with Utilization Review, Grievance and Appeals process, with...

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....

UM Nurse, Clinical Quality & Outreach

San Francisco Health Plan 4 reviews - San Francisco, CA
Using medical group data Prepare and track program performance, utilization and quality review reports for delegated groups and SFHP and follows up on...

Case Manager

Stanford Health Care 100 reviews - Palo Alto, CA
Recent experience in case management, utilization review or discharge planning preferred. CA Registered Nurse (RN) required....

Patient Care Coordinator RN

Kaiser Permanente 2,237 reviews - Oakland, CA - +1 location
This review is on a position-by-position basis and includes an analysis of the actual duties performed in each position under review....

RN CASE MANAGER - UTILIZATION REVIEW 03

ST. ROSE HOSPITAL 18 reviews - Hayward, CA 94545 (Glen Eden area)
Tracks and monitors inappropriate resource utilization. Provides relevant information to third-party payors and review agencies per departmental policies in a...

Utilization Review Nurse

Allied Health Group - Castro Valley, CA
Utilization review and complex discharging planning of hospital patients. Allied Health Group offers excellent Nursing jobs all across the country....
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Utilization Review Nurse

All's Well 10 reviews - Hayward, CA
Apply for this great position as a Utilization Review Nurse today! We are in search for nurses with utilization review, discharge planning and Interqual...

NURSE CONSULTANT II

California State Personnel Board - Oakland, CA
Evaluates and reviews complex disputed Independent Medical Review (IMR) claims, investigates and responds to complaints related to IMR, assists with quality...

Care Manager

Seton Medical Center 6 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....
CPMC-Case Manager float-Outcomes Management*-per diem
Sutter Health 205 reviews - San Francisco, CA
Promotes effective utilization of clinical, ancillary and material resources; Current Licensure as a Registered Nurse in the State of California required....
Sponsored by Sutter Health - 30+ days ago
RN Manager of Care Coordination and Discharge Planning
Clinical Management Consultants - San Jose, CA
Nurse Manager of Case Management, Nursing Manager of Care Management, RN Manager of Care Coordination, Nurse Manager of Utilization Review, Discharge Planning,...
Sponsored by Clinical Management Consultants - 2 days ago
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