Utilization Review Nurse jobs in Redwood City, CA

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CPMC-Case Manager-Outcomes Management*-per diem
Sutter Health 180 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 - 24 days ago
Behavioral Health Care Advocate - San Francisco, CA
UnitedHealth Group 1,662 reviews - San Francisco, CA
Administer benefits and review treatment plans. As one of our newest Behavioral Health Care Advocates YOU will be responsible for case management and...
Sponsored by UnitedHealth Group - 10 days ago

Nurse Case Manager I, II, or Sr-California MMP- 94255

Anthem, Inc. 490 reviews - San Jose, CA 95106 (Downtown area)
May performs Utilization Review duties telephonically or on-site such as at hospitals to assist with discharge planning....
3 days ago - save job - email - more...

Care Coordinator

NaviHealth 8 reviews - San Francisco, CA - +1 location
Complete Utilization Management functions for authorizations. The health care team includes physicians, health plan UM/CM Nurse, hospital discharge planners,...
7 days ago - save job - email - more...

Care Coordinator I

Santa Clara Family Health Plan 4 reviews - Campbell, CA
Review prior authorization request forms for correctness and completeness. For member currently enrolled in care coordination programs, review outpatient and...
CareerBuilder - 11 days ago - save job - email - more...

Managed Care Case Manager - RN - Burlingame

Sutter Health 180 reviews - San Francisco, CA
Experience performing onsite concurrent review or case management functions; The Nurse Case Manager processes referral authorizations, handles the concurrent...
8 days ago - save job - email - more...

Administrative Nurse II

County of Santa Clara 26 reviews - Santa Clara, CA
$70.62 - $90.50 an hour
Perform special functions as assigned, e.g. nurse recruiter. Submission of a California Registered Nurse License is required....
7 days ago - save job - email - more...

Medical Referral Nurse

Brown & Toland Physicians 7 reviews - San Francisco, CA
To comply with NCQA, health plan and Brown & Toland Physicians (BTP) guidelines and perform utilization review activities to determine medical necessity using...
28 days ago - save job - email - more...

Managed Care Case Manager - Mountain View

Sutter Health 180 reviews - San Francisco, CA
Experience performing onsite concurrent review or case management functions; The Nurse Case Manager processes referral authorizations, handles the concurrent...
17 days ago - save job - email - more...

Home Health Aide, Grade 165 ( Job Number: 275038 )

Kaiser Permanente 1,925 reviews - Redwood City, CA - +2 locations
Participates in Departmental Quality Assurance activities and Utilization Review activities as requested. Demonstrates utilization of supplies....
6 days ago - save job - email - more...

Relief Complex Care Case Manager

Stanford Health Care 89 reviews - Palo Alto, CA
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...
30+ days ago - save job - email - more...

Nurse Administrator Float

JSA Healthcare Corporation 2 reviews - Hillsborough, CA
Responsible for utilization controls of healthcare resources, tending, and intervention. Responsible for the accurate review, justification, and contestation of...
17 days ago - save job - email - more...
Clinical Services Manager
Brookdale - San Jose, CA
Health, healthcare, medical, medical care, retirement, assisted, assisted living, assisted living facility, geriatric care, home health, AL, Alzheimer’s, CCRC,...
Easily apply
Sponsored by Brookdale - 9 days ago
Case Management Nurse Manager
CMC 158 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 - 13 days ago
Nurse Manager of Case Management Utilization Review
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 - 1 day ago
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