Utilization Management Nurse jobs in Sacramento, CA

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Case Manager, Disease Management Program RN - Diabetes/CDE
Sutter Health - 459 reviews - Sacramento, CA
Hospital or ambulatory case management or disease management. Previous case management experience is preferred....
Utilization Review RN
Dignity Health - 700 reviews - Rancho Cordova, CA 95670
Familiarity with an electronic practice management system is preferred. Position works closely with Primary Care and Specialist physicians, Medical Director,...
Registered Nurse (RN) - Sacramento Home Health
Sutter Health - 459 reviews - Sacramento, CA
Responsible for coordinating the interdisciplinary team to implement the established plan of patient care and ensuring effective management of visit utilization...

Utilization Review Nurse I (Field Based)

Federal Services - 452 reviews - Rancho Cordova, CA
Answers Utilization Management directed telephone calls; Identifies and refers potential cases to Disease Management, Case Management, Demand Management and...

Utilization Review RN

Dignity Health Medical Foundation Regional Affilia... - 700 reviews - Rancho Cordova, CA 95670
Familiarity with an electronic practice management system is preferred. Position works closely with Primary Care and Specialist physicians, Medical Director,...

Clinical Documentation Improvement Specialist

UnitedHealth Group - 5,529 reviews - Sacramento, CA 95828
Ensures effective utilization of Midas or Optum ® CDI 3D Technology to document all verbal, written, electronic clarification activity....

Nurse Medical Mgmt Job Family, I or II, Sacramento, CA

Anthem, Inc. - 2,157 reviews - Sacramento, CA
Case management or LTSS experience preferred. Requires current active unrestricted RN license to practice as a health professional in applicable state(s) or...

RN Care Coordinator - Care Coordination - Day - Part Time (5...

Mercy San Juan Medical Center - 700 reviews - Carmichael, CA 95608
Case Management certification preferred. A Masters Degree in nursing with a concentration in Case Management can serve as a substitute for the experience...

Manager, Care Management RN

California Health & Wellness - 452 reviews - Sacramento, CA
Thorough knowledge of case and/or utilization management. Direct the daily activities of care management staff....

Nurse Case Manager (CCM)

The Hanover Insurance Group - 166 reviews - Roseville, CA
Working knowledge of utilization review process, medical bill review and/or medical case management. The Nurse Case Manager is responsible to provide case...

Utilization Review Nurse

Wollborg Michelson Recruiting - 27 reviews - Rancho Cordova, CA
Registered Nurse (RN). RN Utilization Care Manager. Provides referrals to Case Management, Disease Management, Appeals and Grievance and Quality Departments as...
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RN Care Coordinator (Full Time, Days)

Methodist Hospital Sacramento - 700 reviews - Sacramento, CA 95823 (Parkway area)
Current Registered Nurse (R.N.). A Masters Degree in nursing with a concentration in Case Management can serve as a substitute for the experience requirement....

Medical Case Management Nurse

Benefit and Risk Management Services - Folsom, CA 95630
Maintains compliancy with regulation changes affecting utilization management. The Medical Case Management Nurse (MCM Nurse) provides a variety of services with...
Registered NurseUtilization Manager at Travis AFB
Must have utilization management or utilization review experience for 24 recent consecutive months. Three years of managed care responsibilities with a focus in...
RN Supervisor - Utilization Management (UM)
Dignity Health - 700 reviews - Woodland, CA 95695
Demonstrates a working knowledge of Utilization Management. Three to five (3-5) years Utilization Management (UM) experience required....

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