Utilization Review Nurse $90,000 jobs in Redwood City, CA

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Commercial Medical Director - Work-At-Home
Humana 857 reviews - United States
Previous Medicare, Medicaid, and/or Commercial utilization review experience. Provide physician review services for utilization management, case management,...
Sponsored by HEALTHeCAREERS Network - 3 days ago
Utilization Review - Managed Care Nurse - (UL RN)
NursesRx 11 reviews - Oakland, CA
Utilization Review - Managed Care Nurse - (UL RN). As a critical member of the hospital staff, the utilization review nurse is also responsible for:....
Sponsored by NursesRx - 4 days ago
Clinical Director, Quality Services
Kaiser Permanente 2,154 reviews - San Francisco, CA
Directs member grievance and complaint review process. Collaborates with medical staff to manage the medical staff functions including peer review and the...
Sponsored by Kaiser Permanente - 30+ days ago

Nurse Director of Case Management

Innovative Management Solutions - Palo Alto, CA
The Director of Utilization Review will work with Health Information Management, Revenue Cycle, Nursing and Physicians to optimize care from both the clinical...
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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....

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...

Registered Nurse - RN

Maxim Healthcare Services 720 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...

Utilization Review - Managed Care Nurse - (UL RN)

NursesRx 11 reviews - Oakland, CA
Utilization Review - Managed Care Nurse - (UL RN). As a critical member of the hospital staff, the utilization review nurse is also responsible for:....

Clinical Documentation Specialist

County of Santa Clara 26 reviews - Santa Clara, CA
Initiates and performs concurrent documentation reviews of selected inpatient records to clarify conditions/diagnoses and procedures where inadequate or...

Hospice Clinical Services Supervisor

Kaiser Permanente 2,154 reviews - San Francisco, CA
Monitors quality, service and utilization standards. Kaiser Permanente conducts compensation reviews of positions on a routine basis....

Clinical Director, Quality Services

Kaiser Permanente 2,154 reviews - San Jose, CA - +1 location
Directs member grievance and complaint review process. Collaborates with medical staff to manage the medical staff functions including peer review and the...

Coordinator of Care Services Director/Director of Case Manag...

Kaiser Permanente 2,154 reviews - Oakland, CA
Monitors utilization indicators; Directs development & implementation of quality & utilization standards across the hospital to ensure coordinated plans of...

Nurse Manager - Utilization and Case Management

Affinity Medical Solutions (University HealthCare... - 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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Executive Director (5+ years of experience required)
Clinic by the Bay - San Francisco, CA
Oversees planning and utilization of the Clinic’s physical facilities. Conducts annual performance reviews and makes necessary changes to correct deficiencies....
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Sponsored by Clinic by the Bay - 15 days ago
Registered Nurse - RN
Maxim Healthcare 720 reviews - Palo Alto, CA
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...
Sponsored by NurseJobsNationwide.com - 5 days ago

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