RN Utilization Review jobs in Sacramento, CA

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Supervisor, Utilization Review
River City Medical Group - Sacramento, CA
Under the direction and oversight of the Manager, Utilization Management the Supervisor, Utilization Review is responsible for assigned inpatient or outpatient...
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Sponsored
HOME HEALTH RN CASE MANAGER
Possession of valid California RN license. May be required to participate in utilization review, quality assessment and performance improvement activities and...
Sponsored
Registered Nurse (RN) in Sonoma County, CA!
Alliance Medical Center - California
Direct nursing care as required by license standards of care, participates in infection control, utilization review, and quality assessment activities and...
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Sponsored

Medical Review Registered Nurse (RN) - Remote

NCI Information Systems, Inc. - 2 reviews - Sacramento, CA
At least 2 years utilization/quality assurance review and ICD-9/10-CM/CPT-4 coding experience. As the Medicare Medical Review Nurse ( Medical Reviewer ), you...

Care Review Clinician III (RN)

Molina Healthcare - 304 reviews - Sacramento, CA
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....

Clinical Liaison (Care Transitions Nurse)

Genesis Healthcare - 1,452 reviews - Sacramento, CA
Document thoroughly, completely and timely, in PCC, patient status, clinical and financial documentation reviews and reservation so center can prepare to admit....

Care Manager

Adventist Health - 117 reviews - Roseville, CA 95661
Perform concurrent and retrospective medical record/case review utilizing appropriate medical resources and clinical decision support tools....

RN - Emergency Department (Full-TIme, Night Shift)

Sutter Health - 359 reviews - Sacramento, CA
RN. Current California RN license or interim permit. The RN coordinates care across all disciples, in collaboration with medical staff....

Case Manager

LJR HOLDINGS - Sacramento, CA
• Experience in utilization review, concurrent review and/or risk management. • Experience in Pharmacy and/or Opioid utilization....

Clinical Documentation Improvement and Utilization Managemen...

Shriners Hospitals for Children - 51 reviews - Sacramento, CA
Minimum 5 years recent health information management, case management / utilization / quality review and/or other related clinical experience in an acute care...

Supervisor, Utilization Review

River City Medical Group - Sacramento, CA
Under the direction and oversight of the Manager, Utilization Management the Supervisor, Utilization Review is responsible for assigned inpatient or outpatient...
Easily apply

Hospice Nurse Per Diem

UC DAVIS HEALTH SYSTEM - 83 reviews - Sacramento, CA
Participating in utilization review, quality assessment and performance improvement activities and policy development related to patient care;...

Transition Case Manager

Kaiser Permanente - 4,027 reviews - Sacramento, CA
Demonstrated experience in utilization data collection and cost benefit analysis. Kaiser Permanente conducts compensation reviews of positions on a routine...
RN Care Coordinator (Per Diem, Days)
Current California RN licensure. The RN Care Coordinator consistently conducts the utilization review process and the discharge planning process as required by...
Sponsored by Dignity Health
Medical Review RN - Per Diem (Nights)
Medical Review RN - Per Diem. Completes medical necessity utilization reviews and documents those reviews in MIDAS+ within required timeframes....
Sponsored by Dignity Health

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