Utilization Review Nurse jobs in Palo Alto, CA

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Nurse Care Advocate
Landmark Health - 7 reviews - South San Francisco, CA 94080
1-2 years of utilization management experience a must. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care...
Home Health RN Manager of Clinical Practice
Kindred At Home - 109 reviews - San Jose, CA 95117
Admissions Nurse, Admission Nurse, BSN, cardio nurse, cardio RN, cardio registered nurse, cardiac nurse, cardiac RN, cardiac registered nurse, case management,...
Utilization Review Specialist- Oakland, CA
BHR Corporation - Oakland, CA
The Utilization Review Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according...
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Prior Authorization Nurse (Temp)

Alameda Health Consortium/Community Health Center... - San Leandro, CA
UM Prior Authorization (PA) Nurse. This position supports CHCN’s Medical Directors with case review prep including medical review criteria for PA determinations...

Outpatient Utilization Management Nurse

Alameda Alliance for Health - 16 reviews - Alameda, CA
The Outpatient Utilization Management (UM) Nurse is responsible for conducting clinical reviews of outpatient authorization requests....

Case Manager (Fixed Term)

Stanford Health Care - 209 reviews - Palo Alto, CA 94305
Recent experience in case management, utilization review or discharge planning preferred. Registered Nurse with current California license required....

Patient Care Coordinator Case Manager, 24/hr Evening

Kaiser Permanente - 4,784 reviews - Redwood City, CA
Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred....

Patient Care Coordinator Case Manager, 24 Day 10:30am Start

Kaiser Permanente - 4,784 reviews - San Jose, CA
Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred....

Inpatient Utilization Management Nurse

Alameda Alliance for Health - 16 reviews - Alameda, CA
The Inpatient Utilization Management (UM) RN is responsible for conducting on-site and telephonic utilization review of hospitalized members and initiating the...

Social Worker III - Social Worker/Discha...

County of San Mateo - 12 reviews - San Mateo County, CA
$34.94 - $43.66 an hour
Appropriate utilization of a variety of social resources. An effective communicator to a broad range of stakeholders, including MD's, nurses, conservators,...
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Assistant Clinic Manager, LVN - Internal Medicine

Stanford Health Care - 209 reviews - Palo Alto, CA 94305
Reviews and signs off on daily clinic deposits. Assists the Clinic Manager in interviewing, hiring, orienting, training, and evaluating the competency of...

Patient Care Coordinator Case Manager, 24/hr Eve ED

Kaiser Permanente - 4,784 reviews - Santa Clara, CA
Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred....

Utilization Review Nurse

Santa Clara Family Health Plan - 7 reviews - Campbell, CA 95008
Responsible for daily utilization review activities of inpatient concurrent review and discharge planning; Review outpatient and inpatient prior authorization,...
Inpatient Utilization Management Nurse
The Inpatient Utilization Management (UM) RN is responsible for conducting on-site and telephonic utilization review of hospitalized members and initiating the...
Outpatient Utilization Management Nurse
The Outpatient Utilization Management (UM) Nurse is responsible for conducting clinical reviews of outpatient authorization requests....

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