Utilization Management Nurse jobs in Sacramento, CA

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Registered Nurse-Senior Concurrent Review Nurse-Managed Care...
Nurse Resolutions - Sacramento, CA
$95,000 a year
Utilization Review or Case Management:. Educate providers on utilization and medical management processes. Knowledge of utilization management principles and...
Easily apply
Sponsored
RN Case Manager - Emergency (Per Diem - Nights)
Sutter Health - 325 reviews - Sacramento, CA
Previous case management experience preferred. National certification in Case Management (ACM, CCM) preferred....
Sponsored
Utilization Review LVN
3+ years utilization management (UM) experience. The Utilization Review LVN uses clinical judgement in providing utilization management services....
Sponsored by Dignity Health

Service Director, Population Management

Kaiser Permanente - 3,710 reviews - Roseville, CA
Minimum five (5) years of management experience required. Directs development and implementation of quality and utilization standards across the continuum of...

Prior Authorization Nurse I

California Health & Wellness - Sacramento, CA
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....

Medical Review RN - Per-Diem (Nights)

Mercy Healthcare Sacramento - 560 reviews - Sacramento, CA
Points of entry management. One to two years case management experience preferred. Utilization Review Consistently applies the utilization review process as...

Senior Concurrent Review Nurse

eFusion Partners LLC - Sacramento, CA
Participate in utilization management committees and work on special projects related to utilization management as needed....
Easily apply

Patient Care Coordinator Case Manager

Kaiser Permanente - 3,710 reviews - Sacramento, CA  +1 location
Monitors care processes to provide cost-effective implementation and evaluation of utilization management. Assists in developing, implementing and maintaining...

Senior Concurrent Review Nurse

California Health & Wellness - Sacramento, CA
Participate in utilization management committees and work on special projects related to utilization management as needed....

Concurrent Review Nurse (Sacramento) - SAC 16-13

Hill Physicians Medical Group - 9 reviews - Sacramento, CA 95815 (South Hagginwood area)
Refer members to various other departments for follow-up (i.e., Case Management, Disease Management, TPL, COB)....

Manager Utilization Management

Kaiser Permanente - 3,710 reviews - Roseville, CA
Minimum three (3) years of previous experience in utilization management activities required. Experience in Case Management Preferred....

Outpatient Telephonic RN Case Manager

Medical Professionals - 16 reviews - Sacramento, CA
$95,000 a year
Participates in Utilization Management, Case Management, and Quality Improvement. Outpatient Case Management:. Understanding of Managed Care and Outpatient Case...
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Case Manager, Disease Management Program RN

Sutter Health - 325 reviews - Sacramento, CA 95828
Hospital or ambulatory case management or disease management. Physicians, nurses, social workers, etc. Previous case management experience is preferred....
Registered NurseUtilization Manager – Travis AFB, CA – Si...
Loyal Source Government Services - Travis AFB, CA
Must have utilization management or utilization review experience for 24 recent consecutive months. Three years of managed care responsibilities with a focus in...
Sponsored
Case Manager, Disease Management Program RN
Sutter Health - 325 reviews - Sacramento, CA
Hospital or ambulatory case management or disease management. Physicians, nurses, social workers, etc. Previous case management experience is preferred....
Sponsored

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