Utilization Review Nurse jobs in Redwood City, CA

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RN Manager of Care Coordination and Discharge Planning
Clinical Management Consultants - Palo Alto, CA
$150,000 - $168,000 a year
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
RN Care Coordination Director
Clinical Management Consultants - San Mateo, CA
$151,743 - $185,627 a year
Director Care Management, Nurse Director of Case Management, Nurse Director of Care Coordination, Nurse Director of Utilization Review, Nurse Director of Care...
Sponsored by Clinical Management Consultants
Medical Claims Review Nurse
Healthcare Scouts - South San Francisco, CA
$100,000 a year
As the Medical Claims Review Nurse you will perform utilization/claim reviews to ensure cost-effective medical necessity....
Easily apply
Sponsored by Healthcare Scouts

RN Care Coordinator

MedProVidex - 566 reviews - Redwood City, CA 94062
Current Registered Nurse License in California. Reviews medications and recognizes potential medication discrepancies and barriers referring to and coordinating...

RN Care Coordination Director

Clinical Management Consultants - San Mateo, CA
$151,743 - $185,627 a year
Director Care Management, Nurse Director of Case Management, Nurse Director of Care Coordination, Nurse Director of Utilization Review, Nurse Director of Care...

Utilization Review Nurse - Managed Care

All's Well - 12 reviews - Burlingame, CA
$90,000 a year
Must have experience with utilization reviews and utilization management, and claims review. If you're interested in working for a top-notch organization with...

Registered Nurse - Community Living Center

U.S. Department of State - 144 reviews - Menlo Park, CA
$87,295 - $145,793 a year
VA Form 10-2580a - Application for Nurses and Nurse Anesthetists:. Registered Nurse - Community Living Center....

Chief Nurse - Research

U.S. Department of State - 144 reviews - San Francisco, CA
$126,238 - $158,700 a year
Other (10-2850A APPLICATION FOR NURSES AND NURSE ANESTHETISTS). Chief Nurse - Research. VA Form 10-2850a - Application for Nurses and Nurse Anesthetists...

Medical Review Nurse - Permanent Job

Yoh - 88 reviews - Santa Clara, CA
Utilization Management Experience. Performs review of suspended claims for CPT, ICD-9/ICD-10, HCPCS coding, bundling issues and modifier utilization....

Patient Care Coordinator Case Manager

Kaiser Permanente - 2,538 reviews - San Jose, CA  +3 locations
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...

Registered Nurse Utilization Management -

ALL's WELL - 12 reviews - Emeryville, CA 94608
$115,000 a year
The RN Utilization Nurse will perform utilization reviews to ensure cost-effective medical necessity. This Registered Nurse Utilization Management Outpatient...

Managed Care Case Manager- Managed Care- Mtn View

Sutter Health - 242 reviews - Mountain View, CA
Experience performing onsite concurrent review or case management functions; The Nurse Case Manager processes referral authorizations, handles the concurrent...

Care Advocate - Behavioral Health - San Francisco, CA - Tele...

UnitedHealth Group - 2,190 reviews - San Francisco, CA
Administer benefits and review treatment plans. Take this opportunity to start doing your life's best work.(sm)As a Behavioral/Mental Health Care Advocate you...
Organ Transplant Coordinator II (Registered Nurse)
DONOR NETWORK WEST - Oakland, CA
Registered Nurse with Critical Care or Organ Transplant Experience:. Participates in post-donor review with team members and appropriate management staff per...
Easily apply
Sponsored by DONOR NETWORK WEST
Managed Care Case Manager- Managed Care- Mtn View
Sutter Health - 242 reviews - Mountain View, CA
Experience performing onsite concurrent review or case management functions; The Nurse Case Manager processes referral authorizations, handles the concurrent...
Sponsored by Sutter Health
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