Utilization Review Nurse jobs in Redwood City, CA

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NURSE EVALUATOR II, HEALTH SERVICES

California State Personnel Board - San Francisco, CA
$5,015 - $6,586 a month
80% Performs in-house/onsite/fax utilization review of Medi-Cal beneficiaries for medical necessity of services requested....
30+ days ago - save job - email - more...

Hospice Site Director San Francisco

Kaiser Permanente 2,010 reviews - San Francisco, CA
Monitors quality of services/care, utilization standards; Kaiser Permanente conducts compensation reviews of positions on a routine basis....
1 day ago - save job - email - more...

Concurrent Review Nurse

Hill Physicians Medical Group, Inc. - San Ramon, CA
Proactively conduct concurrent review of inpatient utilization according to Hill Physicians Medical Group (HPMG) criteria....
30+ days ago - save job - email - more...

Case Manager RN

Sequoia Hospital 458 reviews - Redwood City, CA 94062
The incumbent will also incorporate into the utilization review process the ability to access and interpret clinical information against the designated review...
Dignity Health - 30+ days ago - save job - email - more...

Complex Care Case Manager, Pain Management Center

Stanford Health Care 93 reviews - Redwood City, 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...

Care Coordinator

NaviHealth 11 reviews - San Francisco, CA
Complete Utilization Management functions for authorizations. The health care team includes physicians, health plan UM/CM Nurse, hospital discharge planners,...
30+ days ago - save job - email - more...

Complex Care Case Manager (Psych Consult/ED)

Stanford Health Care 93 reviews - Palo Alto, CA
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...
10 days ago - save job - email - more...

Utilization Management Review Nurse

EXCEL MSO, LLC. - San Jose, CA
Utilization Management Review Nurse Qualifications:. Utilization Management Review Nurse Position Summary:. Prior Experience in a managed care setting, acute...
CareerBuilder - 9 days ago - save job - email - more...

San Francisco RN Director of Medical Management (CM/UM/QM) –...

CareNational Healthcare Services, LLC - San Francisco, CA
$130,000 - $150,000 a year
Responsible for oversight of day to day operations of Case Management, Utilization Review, Quality Improvement, Care Transitions and Member Outreach....
Easily apply
3 days ago - save job - email - more...

Nurse Manager (Children's Mental Health) - EMQ FamiliesFirst

EMQ FamiliesFirst - Campbell, CA
RN - Registered Nurse California. Nurse Manager, Crisis Stabilization Unit. Reviews incident reports to identify and correct occurrences....
Easily apply
25 days ago - save job - email - more...
Nursing Manager of Care Coordination and Discharge Planning
CMC 168 reviews - 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 Nurse Management - 10 days ago
Case Management Nurse Manager
CMC 168 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 - 8 days ago
RN Case Management Utilization Review Travel Position - 12hr...
Advantage RN 2 reviews - California
$882 a week
Seeking Travel Nurses for THOUSANDS of assignments throughout the country! Our recruiting team works hard with our nurses and other healthcare travelers to find...
Sponsored by NursingJobs.us - 20 hours ago
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