Utilization Review Nurse jobs in Redwood City, CA

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Registered Nurse
MTC Medical 5 reviews - United States
Review medical files to determine all provided services are documented. Practice basic cost containment and utilization management for patient care and...
Sponsored by NurseJobsNationwide.com - 8 days ago
Complex Case Manager- Managed Care- Fremont
Sutter Health 209 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 - 14 days ago
Utilization Review Nurse Job
Yoh 81 reviews - Santa Clara, CA
Utilization Review Nurse needed for a contract to hire opportunity with Yoh's client located in Santa Clara, CA....
Sponsored by NurseJobsNationwide.com - 5 days ago

Quality Improvement Program Manager

United Medical Staffing - Sunnyvale, CA
Coordinates utilization review activities, adverse event review, ADR review and other focused review activities, analyzes, documents and trends data and assists...
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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 Job

Yoh 81 reviews - Santa Clara, CA
Utilization Review Nurse needed for a contract to hire opportunity with Yoh's client located in Santa Clara, CA....

Utilization Management (RN) - Home Health

Sutter Health 209 reviews - San Francisco, CA
Utilization management experience preferred. Demonstrated knowledge of home health clinical standards of practice, utilization review, performance improvement,...

MPHS - RN Clinical Operations Manager Cancer Center

Sutter Health 209 reviews - San Mateo, CA
Monitors and manages the utilization of services and. Current licensure as a Registered Nurse in the State of California....

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...

Medical Resource Nurse - San Francisco

BHHC - San Francisco, CA 94105 (Financial District area)
Foster a positive and close working relationship with other Company staff, including the adjusting staff, utilization review, medical bill review, special...

Medical Review Nurse

All's Well 11 reviews - San Francisco, CA
This Medical Review Nurse Position Features:. Great opportunity to learn as you will cross train to perform Concurrent Review, Utilization Review and Case...

Utilization Review Nurse - 105,000

Alls Well Health Care Services - San Francisco, CA
Responsibilities for the Utilization Review Nurse include utilization review for hospital admissions and outpatient services....

Complex Care Case Manager (Psych Consult/ED)

Stanford Health Care 100 reviews - Palo Alto, CA
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...
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
Initial Clinical Nurse Reviewer
CID Management 2 reviews - California
We are a Utilization Management company in Southern California seeking an Initial Clinical Nurse Reviewer. Clinical review experience preferred....
Sponsored by HEALTHeCAREERS Network - 3 hours ago
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