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Utilization Review Nurse jobs in Redwood City, CA

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RN - Case Manager (San Jose)
Thomson Alliance, Inc - San Jose, CA
Utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization review, case management, and/or discharge planning...
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AHD Utilization Review Management Coordinator (rev 062315)
Two years Case Management and/or Utilization Review. The AHD Utilization Review Management Coordinator has oversight of the clinical components....
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Utilization Management Nurse

Clover Health - San Francisco, CA
2-3 years experience in a hospital setting, acute care, direct care experience preferred OR experience as case manager, care coordinator, concurrent review...
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Manager - Case Management - Utilization Management (1.0 FTE,...

Lucile Packard Children's Hospital - 32 reviews - Palo Alto, CA 94304
Provides leadership andmanagement to licensed nursing professionals providing CaseManagement and utilization review services and support staff....

Telephonic Nurse Case Manager

Rising Medical Solutions - San Francisco, CA
Nurse Case Management with Workers’ Compensation:. You have Healthcare/Work Comp Insurance/Bill Review experience (a plus!)....
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Outpatient Utilization Management Nurse

Alameda Alliance for Health - 11 reviews - Alameda, CA
The Outpatient Utilization Management (UM) Nurse is responsible for conducting clinical reviews of outpatient authorization requests....

Nurse Care Advocate - San Mateo, CA

Landmark Health - San Mateo, CA
1-2 years of utilization management experience a must. Reviews medical information collected including medical records and/or performs additional assessment to...

Quality Review Coordinator

San Francisco Health Plan - 9 reviews - San Francisco, CA
The Quality Review Coordinator is responsible for serving primarily in an administrative support capacity to the Quality Review Nurses who are responsible for...

Utilization Review Nurse Need

All's Well Healthcare - San Francisco Bay Area, CA
$115,000 a year
Utilization Review, Utilization Management or Case management experience REQUIRED. UTILIZATION REVIEW NEED, San Francisco Bay Area:....
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Medical Nurse Case Manager

Safeway Inc - 4,622 reviews - Pleasanton, CA
Knowledgeable in workers' compensation - medical and disability case management and/or utilization review / utilization management practices and procedures...

Cardiovascular Surgery Case Manager, Patient Care Coordinato...

Kaiser Permanente - 3,637 reviews - Santa Clara, CA
This review is on a position-by-position basis and includes an analysis of the actual duties performed in each position under review....

Onsite RN Case Manager - San Jose, CA

UnitedHealth Group - 3,957 reviews - San Jose, CA
Experience in utilization review, concurrent review and / or risk management. RN, Registered Nurse, Case Manager, Managed Care, Utilization Review, CCM,...
Referral Services Nurse I (Denial Letters)
Participates with inter-rater reviews to evaluate quality of work. Working knowledge of utilization management, reimbursement, medical necessity criteria...
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Registered Nurse Case Manager - Full Time
The Health Trust - San Jose, CA
Licensed to practice as a Registered Nurse in the State of California. Upon request of AIDS Services Director or Clinical Supervisor, participates as preceptor...
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Utilization Management Nurse
Clover Health - San Francisco, CA
2-3 years experience in a hospital setting, acute care, direct care experience preferred OR experience as case manager, care coordinator, concurrent review...
Easily apply
Sponsored
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Alameda Health System is a public health care provider and medical training institution recognized for its world class system of care
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