Utilization Review Nurse jobs in Redwood City, CA

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Medical Review Nurse - Permanent Job
Yoh 71 reviews - Santa Clara, CA
Utilization Management Experience. Performs review of suspended claims for CPT, ICD-9/ICD-10, HCPCS coding, bundling issues and modifier utilization....
Sponsored by NurseJobsNationwide.com - 11 days ago
Utilization Review Nurse Job
Yoh 71 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 - 11 days ago
Case Manager RN-Case Mgmt-Full Time-Days
Sutter Health 180 reviews - San Francisco, CA
Current license as a registered nurse in the State of California, BSN preferred. The Case Manager performs concurrent and retrospective review to determine the...
Sponsored by Sutter Health - 11 days ago

RN Case Manager - Workers Compensation

EK Health Services - San Ramon, CA
EK Health Services has built a reputation for offering superior, goal-oriented Workers' Compensation case management, utilization review, and bill review...
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10 days ago - save job - email - more...

Clinical Nurse IV

Alameda Health System 7 reviews - Oakland, CA
Or Three years experience as a Clinical Nurse II with ACMC. Minimum of one-year full-time, continuous experience as a Clinical Nurse III with ACMC....
Alameda County Medical Center - 30+ days ago - save job - email - more...

Utilization Review Nurse - 97,000k

ALL's WELL 8 reviews - Hayward, CA 94540 (Santa Clara area)
Some responsibilities of an Utilization Review Nurse duties include:. Immediate need for Utilization Review Nurse seeking a great opportunity, with a well known...
16 days ago - save job - email - more...

Clinical Nurse II Care Management

Alameda Health System 7 reviews - Oakland, CA
HGH Utilization Management. Reviews all admits for. Advisor for review, as appropriate. Refers for a secondary review when necessary....
Alameda County Medical Center - 3 days ago - save job - email - more...

Supervisor, UM Coordinators (healthcare)

San Francisco Health Plan 3 reviews - San Francisco, CA
Creates and tracks Census, performance and utilization reports. Works collaboratively with UM nurses, UM Managers and Medical Directors....
24 days ago - save job - email - more...

Grievance and Appeals Coordinator

Alameda Alliance for Health 5 reviews - Alameda, CA
Experience in quality and utilization management systems. Summarize cases including articulation of member’s perception and present essential information to...
30+ days ago - save job - email - more...

Home Health Nurse II (HORNII-M) ( Job Number: 256697 )

Kaiser Permanente 1,928 reviews - San Jose, CA
Participates in Departmental Quality Assurance activities and Utilization Review activities as requested. Current license to practice as a Registered Nurse in...
29 days ago - save job - email - more...

Clinical Director, Quality Services ( Job Number: 304895 )

Kaiser Permanente 1,928 reviews - Oakland, CA
Directs member grievance and complaint review process. Collaborates with medical staff to manage the medical staff functions including peer review and the...
24 days ago - save job - email - more...

Director, Case Management (Full Time - Day Shift)

Sutter Health 180 reviews - San Francisco, CA
The Case Management Director works with the Chief Financial Officer, Chief Nurse Executive, VP of Medical Affairs, Utilization Review Physician Advisor, and the...
4 days ago - save job - email - more...

UM Inpatient Review Nurse

All Medical Personnel 49 reviews - Alameda, CA
Utilization Review Nurse. Conduct on-site and telephonic Utilization review. Active California Registered Nurse License or Masters in Social Work is required....
17 days ago - save job - email - more...
Behavioral Health Care Advocate - San Francisco, CA
UnitedHealth Group 1,663 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 - 12 days ago
Nurse Director of Case Management and Utilization Review
Clinical Management Consultants - Palo Alto, CA
$170,000 - $190,000 a year
Nurse Director of Case Management, Nurse Director of Care Coordination, Nurse Director of Utilization Review, Nurse Director of Care Management, Director of...
Sponsored by Clinical Management Consultants - 16 days ago
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