Utilization Review Nurse $70,000 jobs in Redwood City, CA

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RN Nurse Case Manager Bilingual Vietnamese 96931
WellPoint 478 reviews - San Jose, CA
May performs Utilization Review duties telephonically or on-site such as at hospitals to assist with discharge planning....
Sponsored by WellPoint - 14 days ago
Clinical Nurse Specialist - Consultation Liaison - Behaviora...
Sutter Health 175 reviews - San Francisco, CA
California Clinical Nurse Specialist or Nurse Practitioner certification. Knowledge of utilization review, discharge planning, clinical pathways, managed care...
Sponsored by Sutter Health - 12 days ago

Utilization Management Nurse, Outpatient

San Francisco Health Plan 3 reviews - San Francisco, CA
Valid unrestricted Registered Nurse, Nurse Practitioner or Licensed Vocational Nurse license in the state of California....
7 days ago - save job - email - more...

Utilization Management Coordinator

San Francisco Health Plan 3 reviews - San Francisco, CA
Refers cases to a UM nurse, for clinical review, potential denial or modification and physician provider education....
25 days ago - save job - email - more...

Patient Care Coordinator Case Manager ( Job Number: 300475 )

Kaiser Permanente 1,882 reviews - Oakland, CA - +1 location
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...
15 days ago - save job - email - more...

Healthcare Transformation Provider Operations Supply Chain M...

PwC 1,030 reviews - San Francisco, CA
Inventory management, purchased services & supply utilization -operational review of materials management; Our professionals have deep health industry expertise...
13 hours ago - save job - email - more...

RN Behavioral Health Psych Nurse MMP

WellPoint, Inc 478 reviews - San Jose, CA
Behavioral Health Case Manager (Psych Registered Nurse). Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting...
WellPoint - 13 days ago - save job - email - more...

Utilization Review Nurse Job

Yoh 69 reviews - Santa Clara, CA
Utilization Review Nurse needed for a contract to hire opportunity with Yoh's client located in Santa Clara, CA....
Yoh Services, LLC - 5 days ago - save job - email - more...

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;...
10 days ago - save job - email - more...

Clinical Nurse IV

Alameda Health System 7 reviews - Oakland, CA
The Certified Emergency Nurse (CEN) is desirable. The Coronary Care Registered Nurse (CCRN) is desirable. Reviews priorities of patient care and unit operation...
Alameda County Medical Center - 8 days ago - save job - email - more...

Operations Manager

Pathways Home Health and Hospice 5 reviews - Sunnyvale, CA
Reviews and trains accurate and appropriate caregiver and nurse documentation related to client care, events and updates....
Easily apply
Pathways - 7 days ago - save job - email - more...

Grievance and Appeals Coordinator

Alameda Alliance for Health 5 reviews - Alameda, CA
Experience in quality and utilization management systems. Summarize cases including articulation of member’s perception and present essential information to...
8 days ago - save job - email - more...
RN/Registered Nurse II Case Manager
Good Samaritan Hospital 337 reviews - San Jose, CA
The Case Manager is responsible for utilization review and discharge planning for assigned patient population....
Sponsored by HCA Inc - 30+ days ago
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
Care Manager
Seton Medical Center 6 reviews - Daly City, CA
One year case management or utilization review experience preferred. Current and Valid License in the State of California as a Registered Nurse....
Sponsored by Seton Medical Center - 13 days ago

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Company with Utilization Review Nurse $70,000 jobs
478 reviews
WellPoint is a health benefits company, an independent licensee of the Blue Cross and Blue Shield Association.