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

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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...
RN - Emergency Department - Intermittent (Per Diem)
Veterans Affairs, Veterans Health Administration - 2,806 reviews - San Francisco, CA
$98,942 - $161,900 a year
VA Form 10-2850a - Application for Nurses and Nurse Anesthetists available at the VA Forms website:. Practice, ethics and resource utilization;...
Director of Patient Care Services
Reviews departmental trends and facilitates improvement of processes through Process Improvement activities. Assures that skilled nursing and other therapeutic...

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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Quality Manager - Behavioral Health and ...

County of San Mateo - 13 reviews - San Mateo County, CA  +1 location
$53.33 - $66.67 an hour
Conduct service utilization review and performance monitoring across all service networks. Conduct regular and ongoing service utilization review and...

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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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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Quality Review Nurse (RN)

San Francisco Health Plan - 12 reviews - San Francisco, CA 94103 (South Of Market area)
Reviews clinical quality processes and identifies workflow enhancements. Reviews, tracks, documents, and manages clinical appeals and grievances....

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...

Utilization Management (UM) Manager Leader, Registered Nurse

Kaiser Permanente - 4,916 reviews - San Francisco, CA
Kaiser Permanente conducts compensation reviews of positions on a routine basis. Knowledge of Nurse Practice Act, The Joint Commission, and other local, state,...

Nurse Manager (Quality Management)

Zuckerberg San Francisco General Hospital and Trau... - San Francisco Bay Area, CA
Nurse Quality, Utilization or Improvement Management:. Coordinates Utilization Reviews with both internal and external stakeholders utilizing InterQual Criteria...
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Manager Utilization Management

Kaiser Permanente - 4,916 reviews - San Jose, CA
Manages projects related to chart reviews. Kaiser Permanente conducts compensation reviews of positions on a routine basis....

SR. Utilization Review Nurse Consultant-West Coast

Alvarez & Marsal - 22 reviews - San Francisco, CA 94111 (Financial District area)
Perform utilization management, utilization review or concurrent review (inpatient care management). Senior Associate-Utilization Review Nurse Consultant:....
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...
RN - Resource RN
Veterans Affairs, Veterans Health Administration - 2,806 reviews - San Francisco, CA
$88,842 - $146,037 a year
VA Form 10-2850a - Application for Nurses and Nurse Anesthetists available at the VA Forms website:. Practice, ethics and resource utilization;...

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