Utilization Review Nurse $110,000 jobs in Palo Alto, CA

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Registered Nurse Case Manager
American Nurses Credentialing Center, Nurse Case Manager (RN-NCM). Registered nurse, RN, medical management, discharge planning, utilization review, case...
Manager, Care Management
Guides clinical staff with review of assessments and care plans, evaluates utilization reviews or documentation. Reviews cases regularly with staff;...
Managed Care Utilization Review Quality RN Director
Clinical Management Consultants - San Francisco, CA 94133
$106,241 - $155,381 a year
A leading managed care organization is looking for a Clinical Operations Director to join its Utilization Review and Quality Review teams....

Case Management Nurse (Open & Promotiona...

County of San Mateo - 13 reviews - San Mateo County, CA
$57.50 - $67.98 an hour
Nurse, case manager, utilization review, discharge planning, discharge planner, InterQual, Quality Management, QA, clinical nurse....

Clinical Sourcing Manager

Stanford Health Care - 263 reviews - Palo Alto, CA
Conducts reviews of supplier relationships (conduct performance reviews, gather stakeholder input, amass data, etc.)....
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Quality Manager - Behavioral Health and ...

County of San Mateo - 13 reviews - San Mateo County, CA   +1 location
$54.93 - $68.67 an hour
Conduct service utilization review and performance monitoring across all service networks. Conduct regular and ongoing service utilization review and...

Clinical Services Supervisor, RN - Home Health Hospice

Kaiser Permanente - 5,879 reviews - Santa Clara, CA
Monitors quality, service and utilization standards. Kaiser Permanente conducts compensation reviews of positions on a routine basis....

Psychiatric Nurse Practitioner - Collabo...

County of San Mateo - 13 reviews - San Mateo, CA
$141,752 - $167,565 a year
Provisions of the Nurse Practice Act. Participate in treatment reviews, make recommendations (i.e. Attend discharge/utilization review meetings at SMMC,...

Nurse Director - Seton Coastside

Seton Medical Center Coastside - 7 reviews - Moss Beach, CA
Minimum of three years progressive management experience (at least two of which are directly related to care coordination, utilization review or discharge...

Registered Nurse Practitioner (Critical Care)

Veterans Affairs, Veterans Health Administration - 3,373 reviews - Palo Alto, CA
$125,940 - $161,900 a year
Practice, ethics and resource utilization; Licensed or otherwise recognized as a nurse practitioner in a State and possesses a full and current certification as...

Manager, Care Management

Alameda Health System - 45 reviews - San Leandro, CA
Guides clinical staff with review of assessments and care plans, evaluates utilization reviews or documentation. Reviews cases regularly with staff;...

Internal Medicine MD or Family Practice NP

Axis Community Health - 15 reviews - Pleasanton, CA 94566
Participate in quality assurance, peer review and utilization review activities as assigned. Degree from a recognized University, current valid California...

Interim Director of Case Management

HealthTrust Workforce Solutions - 482 reviews - San Jose, CA
Registered Nurse (RN). Utilization Review for medical necessity of admission and concurrent stay, Social Services Intervention, Discharge Planning, Resource...
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Supervisor, Clinical Nurse
Landmark Health - 17 reviews - South San Francisco, CA 94083
Disease and utilization management experience useful. Working with the corporate Operations team, assures documentation is completed by Nurse Care Managers and...
Case Management and Utilization Review Nurse Manager
Clinical Management Consultants - Scotts Valley, CA
$97,389 - $149,762 a year
Case Management and Utilization Review Nurse Manager Job in Scotts Valley CA. An award winning health plan in Central California is looking for a Case...