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

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Nurse Manager - Utilization and Case Management
Affinity Medical Solutions (University HealthCare Alliance) - Oakland, CA
The Nurse Manager of Utilization and Case Management is responsible for the overall functions of the facility-based, inpatient utilization management...
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Sponsored by Affinity Medical Solutions (University HealthCare Alliance) - 30+ days ago
Clinical Nurse Specialist - Consultation Liaison - Behaviora...
Sutter Health 198 reviews - San Mateo, CA
California Clinical Nurse Specialist or Nurse Practitioner certification. Knowledge of utilization review, discharge planning, clinical pathways, managed care...
Sponsored by Sutter Health - 16 days ago

Complex Care Case Manager (Outpatient Palliative Medicine)

Stanford Health Care 98 reviews - Palo Alto, CA
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...

UM Nurse, Outpatient

San Francisco Health Plan 4 reviews - San Francisco, CA
Valid unrestricted Registered Nurse, Nurse Practitioner or Licensed Vocational Nurse license in the state of California....

UM Nurse Consultant - Registered Nurse (RN)

Aetna 450 reviews - Fremont, CA
Utilization Review and/or Managed Care experience required. This position will include telephonic reviews and onsite reviews at acute facilities in the South...

Patient Care Coordinator Case Manager

Kaiser Permanente 2,152 reviews - Redwood City, CA - +2 locations
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...

Pharmacy Services Supervisor

Kaiser Permanente 2,152 reviews - Oakland, CA - +1 location
Conduct monthly/quarterly attendance reviews. Conduct quarterly reviews on over/short reports. Ensure effective utilization of pharmaceutical inventory and...

Case Manager-SH

Stanford Health Care 98 reviews - Palo Alto, CA
Recent experience in case management, utilization review or discharge planning preferred. CA Registered Nurse (RN) required....

Supervisor, UM Nurse, Outpatient

San Francisco Health Plan 4 reviews - San Francisco, CA
Valid unrestricted Registered Nurse or Nurse Practitioner license in the state of California. Utilization management including review of prior authorization...

Chief Nurse, Surgical Interventional Procedural Services

Department of Veterans Affairs 911 reviews - Palo Alto, CA
Develops resource utilization strategies to provide comprehensive staffing plans. And experience with CARF, TJC and other VA review processes (SOARS, CAP, OIG)....

Team Lead Complex Care Case Manager

Stanford Health Care 98 reviews - Palo Alto, CA
Knowledge of principles and best practices of case management, utilization review, care coordination and transitioning planning....

Registered Nurse - RN

Maxim Healthcare Services 719 reviews - Palo Alto, CA - +8 locations
We are seeking a Utilization Review (UR) Nurse to perform utilization reviews to assure that members receive necessary medical care in a timely and cost...
Nurse Manager of Case Management Utilization Review
Clinical Management Consultants - Palo Alto, CA
Nurse Manager of Case Management, Nursing Manager of Care Management, RN Manager of Care Coordination, Nurse Manager of Utilization Review, Discharge Planning,...
Sponsored by Clinical Management Consultants - 9 days ago
RN-Registered Nurse (Process Improvement Specialist)
Department of Veterans Affairs 911 reviews - Palo Alto, CA
Practice, ethics and resource utilization; I - An Associate Degree (ADN) or Diploma in Nursing, no experience Nurse....
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 $70,000 jobs
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