Utilization Management Nurse jobs in San Ramon, CA

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Utilization Management Nurse
Clover Health - San Francisco, CA
2-3 years experience in a hospital setting, acute care, direct care experience preferred OR experience as case manager, care coordinator, concurrent review...
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RN - Case Manager (San Francisco)
Thomson Alliance, Inc - San Francisco, CA
Minimum two (2) years of experience in utilization review, case management, and/or discharge planning preferred. Registered Nurse Case Manager....
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Nurse Consultant
GSG Associates, Inc. - San Francisco, CA
Experience in Workers’ Compensation Case Management and/or Utilization Review in a Workers’ Comp setting preferred....
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Care Management Utilization Management RN Coordinator (rev 1...

Alameda Health System - 28 reviews - Oakland, CA
Educate providers on utilization and medical management processes. Serves as content expert for utilization management process, benefit interpretation and...

Remote Prior Authorization Nurse- Consultant

Alvarez & Marsal - 17 reviews - San Francisco, CA 94111 (Financial District area)
Experience in health management -. Possess excellent time management skills. Under the direction of the Utilization Management (UM) Manager, the Prior...

Care Advisor - SR 16-172

Hill Physicians Medical Group - 9 reviews - San Ramon, CA
Two years of experience in case management, utilization management, discharge planning and or quality improvement in a managed care setting....

CCS Care Coordinator, Patient Care Coord, RN

Kaiser Permanente - 3,910 reviews - Oakland, CA
Demonstrated experience in utilization management, discharge planning, or transfer coordination. Previous case management experience preferred....

Inpatient Utilization Management Nurse

San Francisco Health Plan - 9 reviews - San Francisco, CA 94103 (South Of Market area)
San Francisco Health Plan is seeking a California Registered Nurse for its Inpatient Utilization Management team....

Manager of Utilization Management - Consulting

Alvarez & Marsal - 17 reviews - San Francisco, CA 94111 (Financial District area)
Minimum of five years of progressive management experience to include combination of quality improvement, referral management, case management and utilization...

Case Manager - SR 16-176

Hill Physicians Medical Group - 9 reviews - San Ramon, CA
Two years of experience in case management, utilization management, discharge planning and or quality improvement in a managed care setting....

Senior Clinical Practice Consultant - Northern California

UnitedHealth Group - 4,321 reviews - San Francisco, CA
Quality improvement, practice management, medical management, health care analytics, managed care contracting OR experience in a primary care or multi-specialty...

Utilization Management Nurse

Clover Health - San Francisco, CA
2-3 years experience in a hospital setting, acute care, direct care experience preferred OR experience as case manager, care coordinator, concurrent review...
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Pediatric Heart Center Clinical Data Specialist

University of California San Francisco Medical Cen... - 179 reviews - San Francisco, CA
Background in quality improvement/assessment or utilization management. Database management experience. Active Registered Nurse licensure in the State of...
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...
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Physician Reviewer, Utilization Management
Clover Health - San Francisco, CA
Provide mentoring, and coaching to physician and UM nurses to strengthen Utilization Management effectiveness....
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