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

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RN Case Manager
The Case Manager is responsible for utilization review and discharge planning for assigned patient population....
Case Management Coordinator, RN - Lawton. San Fran
Kindred Healthcare - 1,656 reviews - San Francisco, CA
Case Manager, Case Management, CM, Utilization Review, CCMC, RN, Registered Nurse, Hospital, Healthcare, Long Term Acute Care, Transitional Care Hospitals, ACLS...
Program Manager Nursing Excellence
Stanford Health Care - 214 reviews - Palo Alto, CA 94305
RN- California Registered Nurse (RN) license. Oversee the leadership development and professional advancement of high potential nurse leaders at all levels of...

Care Optimization Nurse

Health at Scale Corporation - Palo Alto, CA
Conduct periodic reviews of health encounters serviced by deployed systems and identify opportunities for continued innovation and improvement....
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Utilization Review Nurse (Prior Authorization)

Health Plan of San Mateo - 8 reviews - San Francisco Bay Area, CA
$40.86 - $51.82 an hour
Utilization review nursing:. Provide back-up for other Utilization Review Nurses as needed. The Health Plan of San Mateo (HPSM), a managed care health plan,...
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NX Case Manager - Resource Center (0.001 FTE, Rotating)

Lucile Packard Children's Hospital - 70 reviews - Palo Alto, CA 94304
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...

UM Nurse Consultant

Aetna - 2,275 reviews - San Francisco, CA
Nursing/Registered Nurse is desired. Click here to review the benefits associated with this position. Nurse Consultants are a clinical resource to their...

Case Manager - Resource Center (0.5 FTE, Days)

Lucile Packard Children's Hospital - 70 reviews - Palo Alto, CA 94304
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...

Care Management Nurse

San Francisco Health Plan - 12 reviews - San Francisco, CA 94103 (South Of Market area)
Coordinate with Utilization Management and Pharmacy teams on members medical and pharmacy needs. Nurse case management includes medical assessment and care...

Medical Claims Review Nurse

Health Plan of San Mateo - 8 reviews - San Francisco Bay Area, CA
$40.86 - $51.82 an hour
Medical claims review:. Experience with utilization management retrospective review and coding methodologies within a managed care environment is preferred....
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Case Manager - Relief

Stanford Health Care - 214 reviews - Palo Alto, CA 94305
Recent experience in case management, utilization review or discharge planning preferred. Registered Nurse with current California license required....

Program Manager-Nursing Excellence

Stanford Health Care - 214 reviews - Palo Alto, CA 94305
RN- California Registered Nurse (RN) license. Oversee the leadership development and professional advancement of high potential nurse leaders at all levels of...

Patient Care Coord RN 24 per week incl Wkends

Kaiser Permanente - 4,925 reviews - Fremont, CA
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...
Outpatient Utilization Management Nurse
The Outpatient Utilization Management (UM) Nurse is responsible for conducting clinical reviews of outpatient authorization requests....
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...

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