Utilization Management Nurse jobs in Sacramento, CA

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Senior Clinical Appeals RN - Sacramento, CA
UnitedHealth Group 2,130 reviews - Sacramento, CA
€¢ Current working knowledge of discharge planning, utilization management, case management, and performance improvement....
Sponsored by UnitedHealth Group
RN Case Manager (Roseville) (Full time-Days)
Sutter Health 234 reviews - Sacramento, CA
Previous case management experience preferred. National certification in Case Management (ACM, CCM) preferred....
Sponsored by Sutter Health
Palliative Care Nurse - Auburn/Roseville (Per Diem-Days)
Sutter Health 234 reviews - Sacramento, CA
Expertise in pain and symptom management. Hospice and Palliative Nurse Certification is preferred. The Palliative Care Nurse – Per Diem functions independently...
Sponsored by Sutter Health
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RN Medical Case Mgr - Workers Compensation

The Travelers Companies, Inc. 3 reviews - Rancho Cordova, CA
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....

Utilization Review Nurse (Outpatient)

River City Medical Group - Sacramento, CA 95831 (Greenhaven area)
Three years utilization/case management experience in the managed care industry. Act as back up for Case Managers and/or Concurrent Review Nurses when needed....
Easily apply

Concurrent Review Nurse I

Centene Corporation 224 reviews - Sacramento, CA
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....

Prior Authorization Nurse I

Centene Corporation 224 reviews - Sacramento, CA
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....

LVN-Medical Case Mgr Concierge Nurse/Northgate/West Sacramen...

The Travelers Companies, Inc. 3 reviews - Rancho Cordova, CA
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....

Case Manager

Hill Physicians Medical Group, Inc. - Sacramento, CA
Two years of experience in case management, utilization management, discharge planning and or quality improvement in a managed care setting....

Medical Case Management Nurse

Sacramento County, CA - Sacramento, CA
Medical Case Management Nurses in Sacramento County perform a variety of responsible medical case management duties....

Patient Care Coordinator RN

Kaiser Permanente 2,467 reviews - Sacramento, CA
Demonstrated experience in utilization management, discharge planning, or transfer coordination. Previous case management experience preferred....

Claims Utilization Review Nurse (LVN/RN)

River City Medical Group - Sacramento, CA
Three years utilization/case management experience in the managed care industry. Make referrals to Case Management for members who meet pre-determined criteria....
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LEARNING CENTER COORDINATOR

Mercy Healthcare Sacramento 555 reviews - Sacramento, CA 95825
Strong organization, prioritization and time management skills. Inservice staff on proper utilization of forms and the effect and/or benefit to the department...
RN - Case Manager (Full Time - Days) (LIMITED TERM)
Sutter Health 234 reviews - Sacramento, CA
Previous case management experience preferred. National certification in Case Management (ACM, CCM) preferred....
Sponsored by Sutter Health
Electrophysiology RN
Sutter Health 234 reviews - Sacramento, CA
Electrophysiology (EP) Registered Nurse. Training and demonstrated background in electrophysiology procedures, inventory management, data management and various...
Sponsored by Sutter Health

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Company with Utilization Management Nurse jobs
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier