RN Utilization Review jobs in Sacramento, CA

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Concurrent Review Nurse II
TotalMed Staffing - 14 reviews - Sacramento, CA
Participate in utilization management committees and work on special projects related to utilization management as needed....
Manager, Utilization Management CA-Sacramento
Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make...
Registered Nurse Case Manager
Registered nurse, RN, medical management, discharge planning, utilization review, case management, clinic, healthcare, health care, medical....

Utilization Review Nurse I (Field Based)

Federal Services - 512 reviews - Rancho Cordova, CA
The Utilization Review Nurse I provides first level clinical review for all outpatient and ancillary services requiring authorization....

Utilization Review RN

Dignity Health - 767 reviews - Rancho Cordova, CA 95741
The Utilization Review RN will review medical records, benefit, contractual and other guidelines to determine benefit coverage, medical appropriateness...

Medical Review Nurse (CA Health & Wellness)

Health Net of California - 512 reviews - Sacramento, CA
2+ years in acute care nursing and utilization review. Perform retrospective review of large hospital and physician claims for admission appropriateness, coding...

Utilization Review Nurse - RN

CorVel Corporation - 209 reviews - Sacramento, CA
Utilization Review and/or Workers' Compensation related experience preferred. Understanding the rules and regulations of California Workers Compensation...
Easily apply

Patient Care Coordinator Case Manager

Kaiser Permanente - 5,413 reviews - Sacramento, CA   +1 location
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...

Clinical Documentation Improvement Specialist - $5K Sign on...

UnitedHealth Group - 6,147 reviews - Sacramento, CA 95828
If RN, BSN degree. Provides expert level review of inpatient clinical records within 24-48 hours of admit; Ensures effective utilization of Midas or Optum ® CDI...

Clinical Documentation Improvement and Utilization Managemen...

Shriners Hospitals for Children - 78 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...

Utilization Review Nurse

Plexus - 160 reviews - Rancho Cordova, CA
Prepare cases for review by physician advisor. Calls facilities for clinical review and/or discharge information....
Easily apply

RN Comprehensive Care Management (Sacramento)

HealthNow Administrative Services - Sacramento, CA
Multi-state RN licensure preferred. The RN will complete the appropriate notification processes. Primary Responsibility Performs a complete review for medical...

Concurrent Review RN or LVN Needed ASAP!

Totalmed - Sacramento, CA
Acute care and utilization review:. Participate in utilization management committees and work on special projects related to utilization management as needed....
Easily apply
Bilingual Registered Nurse (RN)
Alliance Medical Center - California
RN. Direct nursing care as required by license standards of care, participates in infection control, utilization review, and quality assessment activities and...
Easily apply
RN Field Case Manager
Excel Managed Care & Disability Services, Inc. - California
Prior Workers’ Compensation case management experience and/or experience in rehabilitation, utilization review or home health case management....
Easily apply