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

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RN - Case Management - Clinical Resource II - NORTHERN CALIF...
Supplemental Health Care 115 reviews - San Mateo, CA
Current California license as a Registered Nurse (R.N.). This position has Program Oversight for Case Management and Social Work services within a large public...
Sponsored by NurseJobsNationwide.com - 24 days ago
Complex Care Case Manager
Stanford Hospital & Clinics 81 reviews - Palo Alto, CA
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...
Sponsored by Stanford Hospital & Clinics - 1 day ago

Staff Nurse (Revenue Utilization Review)

Department of Veterans Affairs 744 reviews - Palo Alto, CA
Responsibilities of the RUR (Registered Utilization Review) Nurse include but are not limited to:. Reviews and conducts special eligibility validation reviews...
6 days ago - save job - email - more...

Inpatient Utilization Management Nurse (Temporary)

Alameda Alliance for Health 5 reviews - Alameda, CA
The Inpatient Utilization Management (UM) Nurse is responsible for conducting on-site and telephonic utilization review of hospitalized members and initiating...
3 days ago - save job - email - more...

RN-CASE MANAGER (Utilization Review)

Department of Veterans Affairs 744 reviews - Palo Alto, CA
The Utilization Review will be given training on Mc. The substantive data generated through utilization management (UM) reviews are integrated into quality...
10 days ago - save job - 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. UM Nurse Manager, Inpatient....
30+ days ago - save job - email - more...

Renal Case Manager RN 20/hr Day ( Job Number: 292612 )

Kaiser Permanente 1,798 reviews - Redwood City, CA
This review is on a position-by-position basis and includes an analysis of the actual duties performed in each position under review....
14 days ago - save job - email - more...

Complex Care Case Manager

Stanford Hospital & Clinics 81 reviews - Palo Alto, CA
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...
1 day ago - save job - email - more...

HEALTH SERVICES OPERATIONS SUPERVISOR

Health Plan of San Mateo 3 reviews - South San Francisco, CA
This position will report to the Health Services Utilization Review Manager. This position also assists in triaging identified issues/problems and forming...
HEALTHeCAREERS Network - 16 days ago - save job - email - more...

Utilization Review Nurse

Bayside Solutions 13 reviews - South San Francisco, CA
Our client in South San Francisco is looking for a Utilization Review Nurse to join their team! Review authorization requests for out-of-network inpatient...
11 days ago - save job - email - more...

Complex Case Management Nurse

San Francisco Health Plan 3 reviews - San Francisco, CA
The Complex Case Management Nurse reports to the Nurse Supervisor of Complex Case Management. Review of inpatient admissions to identify patients who would...
18 days ago - save job - email - more...

Medical Referral Nurse

Brown & Toland Physicians 6 reviews - San Francisco, CA
To comply with NCQA, health plan and Brown & Toland Physicians (BTP) guideslines and perform utilization review activities to determine medical necessity using...
30+ days ago - save job - email - more...
Director Utilization Review/Case Management – Northern Calif...
The Greeley Company Inc. - California
Work with utilization review, case management and. O six UR nurses. California for a Utilization Review/Case Management....
Sponsored by The Greeley Company Inc. - 30+ days ago
Registered Nurse Operating Room SFSC (Fairfield)
Sutter Health 169 reviews - San Francisco, CA
Operating Room Registered Nurse. ACLS/PALS required for all registered nurses. Reviews pre-operative patient information including H&P and consent....
Sponsored by Sutter Health - 22 days ago
RN Case Manager -Case Management (per diem)
Sutter Health 169 reviews - San Francisco, CA
Comprehensive knowledge of Utilization Review, levels of care, and observation status. The RN Case Manager is responsible for Care Coordination, Care...
Sponsored by Sutter Health - 17 days ago

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