Utilization Review Nurse jobs in Redwood City, CA

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ED Case Manager (Per Diem)
Sutter Health 155 reviews - San Francisco, CA
and appropriate utilization of resources, balanced with the patient’s right to self-determination.” Qualifications Current California Registered Nurse license...
Sponsored by Sutter Health - 1 day ago
Registered Nurse (Full-Time)
ANX Home Healthcare - Daly City, CA
applicable registered nurse experience within the... the Quality Assurance activities and Utilization Review activities of the agency, as requested • Selects...
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Sponsored by ANX Home Healthcare - 30+ days ago

Utilization Review Nurse

Santa Clara Family Health Plan 4 reviews - Campbell, CA 95008
We are seeking a Utilization Review Nurse who will be responsible for the day-to-day utilization review for inpatient and outpatient activities, utilizing...
CareerBuilder - 2 days ago - save job - email - more...

HH Nurse II SH ( Job Number: 277436 )

Kaiser Permanente 1,656 reviews - Union City, CA
• Participates in Departmental Quality Assurance activities and Utilization Review activities as requested....
3 days ago - save job - email - more...

Medical Review Nurse

Santa Clara Family Health Plan 4 reviews - Campbell, CA 95008
We are seeking a Medical Review Nurse who will be responsible for performing comprehensive medical record and claims review to make payment determinations based...
Miracle Workers - 3 days ago - save job - email - more...

Home Health Nurse II ( Job Number: 269603 )

Kaiser Permanente 1,656 reviews - San Bruno, CA - +2 locations
• Participates in Departmental Quality Assurance activities and Utilization Review activities as requested....
11 days ago - save job - email - more...

Workers Compensation Case Manager Job

Jserver - Oakland, CA
- Provide telephonic case management and utilization review for workers compensation claims. - Utilize clinical experience and judgment to determine medical...
Go Job Search - 1 day ago - save job - email - more...

Regional Telephonic Case Manager RN-Workers Comp ( Job Numbe...

Kaiser Permanente 1,656 reviews - Oakland, CA
• Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning, &...
17 days ago - save job - email - more...

Director of Care Management

County of Santa Clara 24 reviews - Santa Clara, CA
manage and evaluate the operations of the care mangement division within nursing and patient care services, including discharge planning, utilization... $73.13 - $93.71 an hour
3 days ago - save job - email - more...

RN - Registered Nurse Lead - Home Health - Hospice

Supplemental Health Care 101 reviews - San Mateo, CA
The RN Lead directs nursing patient assignments, nursing staff scheduling and patient visit volume distributions, and assists in meeting financial targets by...
Supplemental HealthCare - 3 days ago - save job - email - more...

Managed Care Case Manager - Mountain View

Sutter Health 155 reviews - San Francisco, CA
The Nurse Case Manager processes referral authorizations, handles the concurrent review process, and provides case management for members in hospitals, SNFs, or...
4 days ago - save job - email - more...

Utilization Management, Nurse, IP Onsite (8:30-5pm)

San Francisco Health Plan 3 reviews - San Francisco, CA
San Francisco Health Plan is seeking a Nurse for the inpatient utilization management team. Candidate must be a registered nurse or licensed vocational nurse...
18 days ago - save job - email - more...
Registered Nurse - Medical/Surgical (Ward 2B) Part-Time
Department of Veterans Affairs 688 reviews - San Francisco, CA
type(s): *Other(10-2850A Application for Nurses and Nurse Anesthetists) *Resume Applicants may also submit... 2850a - Application for Nurse and Nurse Anesthetist...
Sponsored by Nurse.com - 21 hours ago
Utilization Review Nurse
Santa Clara Family Health Plan 4 reviews - Campbell, CA
are seeking a Utilization Review Nurse who will be responsible for the day-to-day utilization review for... requests through claims review and incoming requests...
Sponsored by Miracle Workers - 3 days ago
Utilization Management Nurse Job
Yoh 62 reviews - San Francisco, CA
Should Possess: - Experience in utilization review / utilization management - Health Plan Experience What You'll Be Doing: - Conduct utilization reviews at...
Sponsored by NurseJobsNationwide.com - 4 days ago
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