Utilization Review Nurse $50,000 jobs in Redwood City, CA

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Medical Referral Nurse
Brown & Toland Physicians 7 reviews - San Francisco, CA
To comply with NCQA, health plan and Brown & Toland Physicians (BTP) guideslines and perform utilization review activities to determine medical necessity using...
Sponsored by Brown & Toland Physicians - 2 days ago
Case Manager - Infectious Disease - RN
Stanford Health Care 92 reviews - Palo Alto, CA
Performing utilization review activities, including review of patient. CA Registered Nurse (RN). Resources, service delivery, and compliance with external...
Sponsored by Stanford Health Care - 27 days ago

Relief Case Manager-Utilization Review S...

County of San Mateo 6 reviews - San Mateo County, CA
$42.94 - $53.67 an hour
Nurse Practice Act. The Utilization Review Specialist / Discharge Planner is responsible for retrospective and concurrent Utilization Review activities and for...
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2 days ago - save job - email - more...

Utilization Management Nurse, Inpatient (remote 2pm - 12:30a...

San Francisco Health Plan 3 reviews - San Francisco, CA
Utilization Management Nurse, Inpatient. Prior experience in case management, resource management or utilization review preferred....
11 days ago - save job - email - more...

Medical Referral Nurse

Brown & Toland Physicians 7 reviews - San Francisco, CA
To comply with NCQA, health plan and Brown & Toland Physicians (BTP) guideslines and perform utilization review activities to determine medical necessity using...
2 days ago - save job - email - more...

Relief Nurse Case Manager - Utilization Management/ Case Man...

Lucile Packard Children's Hospital Stanford 22 reviews - Palo Alto, CA
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...
14 days ago - save job - email - more...

RN Field Case Manager - Workers Compensation

EK Health Services - Oakland, CA
EK Health Services has built a reputation for offering superior, goal-oriented Workers' Compensation case management, utilization review, and bill review...
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5 days ago - save job - email - more...

Utilization Management Review Nurse

EXCEL MSO, LLC. - San Jose, CA
Utilization Management Review Nurse Qualifications:. Utilization Management Review Nurse Position Summary:. Prior Experience in a managed care setting, acute...
CareerBuilder - 3 days ago - save job - email - more...

Complex Care Case Manager, Pain Management Center

Stanford Health Care 92 reviews - Redwood City, CA
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...
27 days ago - save job - email - more...

Case Manager - Infectious Disease - RN

Stanford Health Care 92 reviews - Palo Alto, CA
Performing utilization review activities, including review of patient. CA Registered Nurse (RN). Resources, service delivery, and compliance with external...
27 days ago - save job - email - more...

Nurse Consultant III

State Compensation Insurance Fund 55 reviews - Pleasanton, CA 94588
- Evaluate and review complex overturned Independent Medical Review (IMR) claims; - provide expert consultation to the Utilization Review (UR) Dept, Medical...
Monster - 5 days ago - save job - email - more...

Nurse Case Manager I, II, or Sr-California MMP- 94255

Anthem, Inc. 508 reviews - San Jose, CA 95106 (Downtown area)
May performs Utilization Review duties telephonically or on-site such as at hospitals to assist with discharge planning....
9 days ago - save job - email - more...
Managed Care Case Manager - Mountain View
Sutter Health 185 reviews - Mountain View, CA
Experience performing onsite concurrent review or case management functions; The Nurse Case Manager processes referral authorizations, handles the concurrent...
Sponsored by Sutter Health - 30+ days ago
RN Caregiver Support Program (Part Time)
Department of Veterans Affairs 839 reviews - San Francisco, CA
Practice, ethics and resource utilization; Other(10-2850A APPLICATIONS FOR NURSES AND NURSE ANESTHETISTS) *Resume Applicants may also submit the following...
Sponsored by Nurse.com - 1 day ago
Utilization Management Review Nurse
Chinese Community Health Plan - San Francisco, CA
Utilization Management Nurse Reviewer. The Nurse reviewer performs on-site, written or telephonic assessments and utilization review, across the continuum of...
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Sponsored by Chinese Community Health Plan - 30+ days ago

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Company with Utilization Review Nurse $50,000 jobs
7 reviews
Brown & Toland is a network of 1500+ local physicians, working in 38 Bay Area Cities, caring for more than 300,000 patients.