Utilization Review Nurse $70,000 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 - 3 days 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

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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3 days ago - save job - email - more...

Clinical Documentation Specialist

County of Santa Clara 26 reviews - Santa Clara, CA
$48.71 - $59.03 an hour
Initiates and performs concurrent documentation reviews of selected inpatient records to clarify conditions/diagnoses and procedures where inadequate or...
9 hours 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...

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;...
15 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...
3 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 - 4 days ago - save job - email - more...

Case Manager - Infectious Disease - RN

Stanford Health Care 93 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...

Case Manager RN

Sequoia Hospital 458 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 - 30+ days ago - save job - email - more...

Nurse Manager Case Management

Clinical Management Consultants - San Francisco, CA
$129,750 - $161,375 a year
Nurse Manager of Case Management, Nursing Manager of Care Management, RN Manager of Care Coordination, Nurse Manager of Utilization Review, Director of Case...
4 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...
30+ days ago - save job - email - more...
CPMC-Case Manager-Outcomes Management*-per diem
Sutter Health 185 reviews - San Francisco, CA
Promotes effective utilization of clinical, ancillary and material resources; Current Licensure as a Registered Nurse in the State of California required....
Sponsored by Sutter Health - 30+ days ago
Case Manager - Infectious Disease - RN
Stanford Health Care 93 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
Director of Case Management - Kindred Hospital, San Francisc...
Kindred Healthcare 849 reviews - San Leandro, CA
Communicate findings to Utilization Review and other appropriate individuals. Assist with on-site monitoring reviews by PRO, Blue Cross, outside review...
Sponsored by Kindred Healthcare - 30+ days ago

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Company with Utilization Review Nurse $70,000 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.