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

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Nurse Case Manager I, II, or Sr (California MMP) - 94255
WellPoint 449 reviews - San Jose, CA
claims or service issues. May performs Utilization Review duties telephonically or on-site such as at... May performs Utilization Review duties telephonically...
Sponsored by WellPoint - 2 days ago
RN Care Coordinator (PROJECT RED)
Department of Veterans Affairs 721 reviews - San Francisco, CA
two (2) Registered Nurses as a Care Coordinator for... discharge services, confirm the medication plan, review the appropriate steps for what to do if a problem...
Sponsored by Department of Veterans Affairs - 6 days ago

Utilization Management Nurse, Outpatient

San Francisco Health Plan 3 reviews - San Francisco, CA
San Francisco Health Plan is seeking an Outpatient UM Nurse, who is a California Registered Nurse or Licensed Vocational Nurse who is passionate about making a...
22 days ago - save job - block - email - more...

Quality & Utilization Review Nurse

CVHCare Home Health - San Ramon, CA 94583
We are seeking a Utilization Review Nurse to ensure our company is meeting its mission of providing top quality clinical services....
7 days ago - save job - block - email - more...

Field Medical Management Nurse

Zenith Insurance Company 16 reviews - Pleasanton, CA
Effectively conduct case management, disability management, and utilization review in the field visiting treating physicians and injured workers facilitating...
6 days ago - save job - block - email - more...

Nurse Case Manager I, II, or Sr (California MMP) - 94255

WellPoint 449 reviews - San Jose, CA 95101 (North Valley area)
Nurse (RN) Case Management (I/II/Sr) – Medicare/Medicaid. We currently have multiple openings for the MMP Business Line within Alameda & Santa Clara Counties ....
2 days ago - save job - block - email - more...

RN Case Manager

Akira Health Inc. - San Jose, CA
The nurse case manager provides ongoing support and expertise through implementation of evidence-based interventions following a comprehensive assessment and...
Easily apply
1 day ago - save job - block - email - more...

RN Care Coordinator (PROJECT RED)

Department of Veterans Affairs 721 reviews - San Francisco, CA
The San Francisco Veterans Affairs Medical Center is looking to recruit two (2) Registered Nurses as a Care Coordinator for Project Red....
6 days ago - save job - block - email - more...

Medical Referral Nurse

Brown & Toland Physicians 6 reviews - San Francisco, CA
To provide comprehensive Utilization Management services working in conjunction with the healthcare team across all lines of business to ensure members access...
7 days ago - save job - block - email - more...

Utilization Management Nurse, Inpatient (8:30-5pm ONSITE Tem...

San Francisco Health Plan 3 reviews - San Francisco, CA
San Francisco Health Plan is seeking a Nurse for the inpatient utilization management team. Candidate must be a registered nurse or licensed vocational nurse...
22 days ago - save job - block - email - more...

Medical Management Manager - Permanent Job

Yoh 65 reviews - Santa Clara, CA
- Oversee the daily operations of case management and utilization management with a strong focus on customer service, staff coaching, and compliance with...
Yoh Services, LLC - 16 hours ago - save job - block - email - more...

Nurse Case Manager I, II, or Sr (California MMP)

WellPoint, Inc 449 reviews - San Jose, CA
Nurse (RN) Case Management (I/II/Sr) – Medicare/Medicaid. We currently have multiple openings for the MMP Business Line within Alameda & Santa Clara Counties ....
WellPoint - 9 days ago - save job - block - email - more...
RN/Registered Nurse Case Mgr/Case Management
Good Samaritan Hospital 306 reviews - San Jose, CA
is responsible for utilization review and discharge... POSITION DUTIES AND RESPONSIBILITIES: Utilization Review § Reviews all patients for severity of illness...
Sponsored by HCA Inc - 14 days ago
California Travel Nursing and Allied Jobs – Immediate Interv...
Soliant Health 24 reviews - Oakland, CA
is looking for travel nurses. All applicants must... RN: 12hr nights, BLS, ACLS, prefer CCRN Utilization Review RN: acute psych care setting, BLS, 730 – 4p...
Sponsored by Soliant Health - 13 days ago
San Francisco Utilization Review RN - Managed Care
CareNational Healthcare Services, LLC - San Francisco, CA
Utilization Management Nurse is responsible for utilization management, utilization review, or concurrent... system, utilization review and case review procedures... $90,000 - $100,000 a year
Easily apply
Sponsored by CareNational Healthcare Services, LLC - 30+ days ago

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Company with Utilization Review Nurse $90,000 jobs
449 reviews
WellPoint is a health benefits company, an independent licensee of the Blue Cross and Blue Shield Association.