Utilization Review Nurse jobs in Redwood City, CA

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Care Advocate - San Francisco, CA
UnitedHealth Group 1,550 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 - 18 hours 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 - 17 days ago
Show:  all jobs - only 'Easy Apply' jobs

Nurse Case Manager I, II, or Sr-California MMP -Telecommute...

WellPoint 459 reviews - San Jose, CA 95101 (North Valley area)
May performs Utilization Review duties telephonically or on-site such as at hospitals to assist with discharge planning....
22 days ago - save job - block - email - more...

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....
17 days ago - save job - block - email - more...

Regional Vice President

DSI Renal Inc. 15 reviews - San Francisco, CA
Registered Nurse license preferred. Ensures effective utilization of established policies of physical and financial resources....
4 days ago - save job - block - email - more...

Medical Referral Nurse Job

Yoh 66 reviews - San Francisco, CA
Utilization Review experience. Perform Utilization Review activities prospectively or post-service (retrospective) for elective/urgent hospital admissions and...
Yoh Services, LLC - 26 days ago - save job - block - email - more...

RN/Registered Nurse Case Mgr/Case Management

Good Samaritan Hospital 316 reviews - San Jose, CA
The Case Manager is responsible for utilization review and discharge planning for assigned patient population....
HCA Inc - 30+ days ago - save job - block - email - more...

Nurse Case Mgr Ld - San Francisco Bay Area CA - 93942SY

WellPoint 459 reviews - San Francisco, CA 94102 (Downtown area)
Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable...
14 days ago - save job - block - email - more...

Palo Alto RN Complex Case Manager – Managed Care

CareNational Healthcare Services, LLC - Palo Alto, CA
$100,000 - $110,000 a year
At least 2-3 years direct case management and/or utilization review experience in a Managed Care setiing (Health Plan, medical group/IPA, HMO, MSO/TPA, etc) is...
Easily apply
19 days ago - save job - block - email - more...

HEA NCLEX RN Faculty PT (Hayward, CA)

Kaplan 518 reviews - Hayward, CA
Current, unencumbered license as a Registered Nurse. Understanding & application of Kaplan methodology with appropriate utilization of the Faculty Manual....
10 days ago - save job - block - email - more...

Manager, Quality Improvement

Hill Physicians Medical Group, Inc. - San Ramon, CA
Critical thinking skills and analytical experience in utilization and quality management. BS preferred, certification as QA/UR nurse or related credential or...
13 days ago - save job - block - email - more...

Oakland RN Director of Medical Management - Managed Care – M...

CareNational Healthcare Services, LLC - Oakland, CA
$140,000 - $150,000 a year
Requires a valid, unrestricted state Registered Nurse (R.N.). Knowledge of utilization management, quality improvement, discharge planning, and cost management....
Easily apply
18 days ago - save job - block - email - more...
ED Case Manager (Per Diem)
Sutter Health 168 reviews - San Francisco, CA
Current California Registered Nurse license. “Case Management in Hospital and Health Care Systems is a collaborative practice model including patients, nurses,...
Sponsored by Sutter Health - 13 days ago
RN Case Manager
Akira Health Inc. - San Jose, CA
Promotes effective and efficient utilization of clinical resources. Ability to identify process issues and work through solutions (case review)....
Easily apply
Sponsored by Akira Health Inc. - 20 days ago
CPMC-Case Manager-Outcomes Management*-per diem
Sutter Health 168 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 - 1 day ago
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Company with Utilization Review Nurse jobs
1,550 reviews
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