Utilization Review Nurse jobs in Redwood City, CA

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Care Advocate - San Francisco, CA
UnitedHealth Group 1,634 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 - 8 days ago
Clinical Nurse Specialist - Consultation Liaison - Behaviora...
Sutter Health 175 reviews - San Francisco, CA
California Clinical Nurse Specialist or Nurse Practitioner certification. Knowledge of utilization review, discharge planning, clinical pathways, managed care...
Sponsored by Sutter Health - 14 days ago

RN Nurse Case Manager Bilingual Vietnamese 96931

WellPoint 478 reviews - San Jose, CA 95110 (Downtown area)
May performs Utilization Review duties telephonically or on-site such as at hospitals to assist with discharge planning....
16 days ago - save job - email - more...

Renal Case Manager RN 20/hr Day ( Job Number: 292612 )

Kaiser Permanente 1,886 reviews - Redwood City, CA
This review is on a position-by-position basis and includes an analysis of the actual duties performed in each position under review....
30+ days ago - save job - email - more...

Utilization Review Nurse Job

Yoh 69 reviews - Santa Clara, CA
Utilization Review Nurse needed for a contract to hire opportunity with Yoh's client located in Santa Clara, CA....
Yoh Services, LLC - 7 days ago - save job - email - more...

Grievance and Appeals Coordinator

Alameda Alliance for Health 5 reviews - Alameda, CA
Experience in quality and utilization management systems. Summarize cases including articulation of member’s perception and present essential information to...
10 days ago - save job - email - more...

Healthcare Transformation Provider Operations Supply Chain M...

PwC 1,033 reviews - San Francisco, CA
Inventory management, purchased services & supply utilization -operational review of materials management; Our professionals have deep health industry expertise...
2 days ago - save job - email - more...

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....
25 days ago - save job - email - more...

RN Behavioral Health Psych Nurse MMP

WellPoint, Inc 478 reviews - San Jose, CA
Behavioral Health Case Manager (Psych Registered Nurse). Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting...
WellPoint - 15 days ago - save job - email - more...

Care Advocate - After Hours - San Francisco, CA

UnitedHealth Group 1,634 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...
30 days ago - save job - email - more...

Operations Manager

Pathways Home Health and Hospice 5 reviews - Sunnyvale, CA
Reviews and trains accurate and appropriate caregiver and nurse documentation related to client care, events and updates....
Easily apply
Pathways - 9 days ago - save job - email - more...

Clinical Nurse IV

Alameda Health System 7 reviews - Oakland, CA
The Certified Emergency Nurse (CEN) is desirable. The Coronary Care Registered Nurse (CCRN) is desirable. Reviews priorities of patient care and unit operation...
Alameda County Medical Center - 10 days ago - save job - email - more...
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....
Sponsored by Seton Medical Center - 12 days ago
Clinical Supervisor
The Health Trust - San Jose, CA
Knowledge and utilization of community resources preferred. Supervises nurse case managers, medical social workers, and benefits specialists....
Sponsored by The Health Trust - 30+ days ago
Case Management Nurse Manager
CMC 157 reviews - 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...
Sponsored by Nurse Management - 17 days ago
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Company with Utilization Review Nurse jobs
1,634 reviews
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