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

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Nurse Case Manager I, II, or Sr-California MMP- 94255
Anthem, Inc. 493 reviews - San Jose, CA
May performs Utilization Review duties telephonically or on-site such as at hospitals to assist with discharge planning....
Sponsored by Anthem, Inc. - 6 days ago
Case Manager RN-Case Mgmt-Full Time-Days
Sutter Health 181 reviews - San Francisco, CA
Current license as a registered nurse in the State of California, BSN preferred. The Case Manager performs concurrent and retrospective review to determine the...
Sponsored by Sutter Health - 12 days ago

Care Coordinator

NaviHealth 10 reviews - San Francisco, CA - +1 location
Complete Utilization Management functions for authorizations. The health care team includes physicians, health plan UM/CM Nurse, hospital discharge planners,...
9 days ago - save job - email - more...

MSO Utilization Management Coordinator-14155

North East Medical Services 3 reviews - San Francisco, CA
The Utilization Management Coordinator I functions under the direct supervision of a physician or Registered Nurse performing utilization management and care...
17 days ago - save job - email - more...

Case Manager RN

Sequoia Hospital 443 reviews - Redwood City, CA 94062
The incumbent will also incorporate into the utilization review process the ability to access and interpret clinical information against the designated review...
Dignity Health - 9 days ago - save job - email - more...

Next Step Coordinator

EK Health Services - San Jose, 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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11 days ago - save job - email - more...

Utilization Management Nurse, Inpatient (onsite)

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

WOCN Nurse Coordinator - Nursing Administration Clinical Pro...

Lucile Packard Children's Hospital Stanford 21 reviews - Palo Alto, CA
CA Registered Nurse (RN). WOCN - Wound Ostomy Continence Nurse. The Wound Ostomy & Continence Nurse Coordinator (WOCN)/Clinical Nurse Specialist provides...
3 days ago - save job - email - more...

NURSE EVALUATOR II, HEALTH SERVICES

California State Personnel Board - San Francisco, CA
$5,015 - $6,586 a month
80% Performs in-house/onsite/fax utilization review of Medi-Cal beneficiaries for medical necessity of services requested....
13 days ago - save job - email - more...

Home Health Aide, Grade 165 ( Job Number: 275038 )

Kaiser Permanente 1,930 reviews - Redwood City, CA - +2 locations
Participates in Departmental Quality Assurance activities and Utilization Review activities as requested. Demonstrates utilization of supplies....
8 days ago - save job - email - more...

Home Health Nurse II, (HHRNII) ( Job Number: 234179 )

Kaiser Permanente 1,930 reviews - Redwood City, CA - +1 location
Participates in Departmental Quality Assurance activities and Utilization Review activities as requested. Current license to practice as a Registered Nurse in...
21 days ago - save job - email - more...

Home Health Nurse II ( Job Number: 269603 )

Kaiser Permanente 1,930 reviews - San Bruno, CA - +2 locations
Participates in Departmental Quality Assurance activities and Utilization Review activities as requested. Current license to practice as a Registered Nurse in...
12 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) guidelines and perform utilization review activities to determine medical necessity using...
Sponsored by Brown & Toland Physicians - 30 days ago
RN Case Manager -Case Management (per diem)
Sutter Health 181 reviews - San Francisco, CA
Comprehensive knowledge of Utilization Review, levels of care, and observation status. The RN Case Manager is responsible for Care Coordination, Care...
Sponsored by Sutter Health - 7 days ago
Registered Nurse Operating Room SFSC (Fairfield)
Sutter Health 181 reviews - San Francisco, CA
Operating Room Registered Nurse. ACLS/PALS required for all registered nurses. Reviews pre-operative patient information including H&P and consent....
Sponsored by Sutter Health - 30+ days ago

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Company with Utilization Review Nurse $50,000 jobs
493 reviews
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.