Utilization Review Nurse $100,000 jobs in Palo Alto, CA

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Clinical Supervisor
The Health Trust - San Jose, CA
Knowledge and utilization of community resources preferred. Supervises nurse case managers, medical social workers, and benefits specialists....
Sponsored by The Health Trust - 30+ days ago
Nursing Director of Care Coordination
CMC 157 reviews - Palo Alto, CA
$170,000 - $190,000 a year
Nurse Director of Case Management, Nurse Director of Care Coordination, Nurse Director of Utilization Review, Nurse Director of Care Management, Director of...
Sponsored by Nurse Management - 19 days ago

Relief Complex Care Case Manager

Stanford Health Care 88 reviews - Palo Alto, CA
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...
12 days ago - save job - email - more...

Staff Pharmacist - Mountain View, CA

PharMerica 194 reviews - Mountain View, CA
Works with patient medical information to conduct Drug Utilization Review (DUR) on all prescriptions and review clinical edits to ensure there is no adverse...
29 days ago - save job - email - more...

Clinical Supervisor

The Health Trust - San Jose, CA
Knowledge and utilization of community resources preferred. Supervises nurse case managers, medical social workers, and benefits specialists....
30+ days ago - save job - email - more...

Clinical Pharmacist (Infectious Diseases)

Department of Veterans Affairs 780 reviews - Palo Alto, CA
Reviews orders for accuracy and completion; Performs chart reviews and medication monitoring of patients; Monitors utilization rates of antimicrobial agents and...
2 days ago - save job - email - more...

Coordination of Care Service Director [SSF / Redwood City] (...

Kaiser Permanente 1,886 reviews - South San Francisco, CA
Directs development and implementation of quality and utilization standards across the hospital to ensure coordinated plans of treatment, customer focused...
7 days ago - save job - email - more...

Director of Care Management

County of Santa Clara 26 reviews - Santa Clara, CA
$73.13 - $93.71 an hour
Assumes 24 hour/day, 7day/week responsibility for ensuring daily staffing and operational efficiency for the care management, utilization review and social work...
30+ days ago - save job - email - more...

Site Director Home Health / Continuum ( Job Number: 247506 )

Kaiser Permanente 1,886 reviews - San Bruno, CA
Monitors quality of services/care, utilization standards; Ensures coordinated plans of treatment and cost effective utilization of services....
30+ days ago - save job - email - more...

Palo Alto RN Complex Case Manager – Managed Care

CareNational Healthcare Services, LLC - Palo Alto, CA
$100,000 - $110,000 a year
At least 2-3 years direct case management and/or utilization review experience in a Managed Care setiing (Health Plan, medical group/IPA, HMO, MSO/TPA, etc) is...
Easily apply
30+ days ago - save job - email - more...

Manager - Quality Improvement & Compliance-Transplant

Stanford Health Care 88 reviews - Palo Alto, CA
Registered Nurse (RN),. Clinical Nurse Specialist (CNS),. Oversees the ongoing medical record reviews, including reviews of documentation required for UNOS and...
30+ days ago - save job - email - more...

Nurse Manager - Home Visiting Programs (...

County of San Mateo 6 reviews - San Mateo County, CA
$55.29 - $69.11 an hour
Evaluate and audit services through client surveys, review of program documentation, review of training evaluations and provider quality assurance reviews....
30+ days ago - save job - email - more...
Coordination of Care Service Director [SSF / Redwood City] (...
Kaiser Permanente 1,886 reviews - South San Francisco, CA
Directs development and implementation of quality and utilization standards across the hospital to ensure coordinated plans of treatment, customer focused...
Sponsored by Kaiser Permanente - 7 days ago
Nurse Director of Case Management and Utilization Review
Clinical Management Consultants - Palo Alto, CA
$170,000 - $190,000 a year
Nurse Director of Case Management, Nurse Director of Care Coordination, Nurse Director of Utilization Review, Nurse Director of Care Management, Director of...
Sponsored by Clinical Management Consultants - 20 days ago
Palo Alto RN Complex Case Manager – Managed Care
CareNational Healthcare Services, LLC - Palo Alto, CA
$100,000 - $110,000 a year
At least 2-3 years direct case management and/or utilization review experience in a Managed Care setiing (Health Plan, medical group/IPA, HMO, MSO/TPA, etc) is...
Easily apply
Sponsored by CareNational Healthcare Services, LLC - 30+ days ago

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