Utilization Review Nurse jobs in Redwood City, CA

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Care Management Clinical Appeals Specialist (rev 072216)
Coordinates all utilization review functions, including response to payor requests for concurrent and retrospective review information including Medicare and...
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Clinical Instructor II
Demonstrating effective utilization of counseling and guidance. A Master's Degree in Nursing or related field may substitute for two years experience as a...
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Hospital RN Case Manager
Power Personnel - 2 reviews - Oakland, CA
$60 an hour
Performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services;...
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Utilization Review Nurse-LTC

Santa Clara Family Health Plan - 6 reviews - Campbell, CA 95008
Responsible for daily utilization review activities of inpatient concurrent review and discharge and care transition planning;...

Pediatric Utilization Review Nurse

Alls Well Health Care Services - 4 reviews - San Francisco, CA
$100,000 a year
The Pediatric Utilization Review Nurse will perform utilization reviews ensuring that Health Plan pediatric members receive necessary medical care in a timely...
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In-Patient Palliative Care Coordinator RN

Kaiser Permanente - 4,034 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....

Prior Authorizationb Nurse

Excel MSO, LLC - San Jose, CA 95113 (Downtown area)
Registered Nurse (RN). Current unrestricted Licensed Vocational Nurse (LVN) or Registered Nurse (RN) license for the State of California- required....
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PCC/Case Manager RN Transitions 20 hr Variable

Kaiser Permanente - 4,034 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....

Case Manager, RN - Transitional care program

Kaiser Permanente - 4,034 reviews - Santa Clara, CA
This review is on a position-by-position basis and includes an analysis of the actual duties performed in each position under review....

Part Time Utilization Management Nurse (RN or LVN)

Alls Well Health Care Services - 4 reviews - San Jose, CA
$48 an hour
Registered Nurse (RN). _In immediate need for a temporary to hire, part time RN or LVN for a Utilization Management & Concurrent Review Nurse position in the...
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Home Health Nurse II

Kaiser Permanente - 4,034 reviews - Redwood City, CA  +4 locations
Participates in Departmental Quality Assurance activities and Utilization Review activities as requested. Current license to practice as a Registered Nurse in...

Registered Nursing - Clinical Documentation Specialist

Zuckerberg San Francisco General Hospital and Trau... - San Francisco Bay Area, CA
Proposed posting for 2320 Registered Nurse. Two (2) years of experience as a registered nurse in an acute care hospital setting (med-surgical, critical care,...
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Case Manager RN, Community Care

Kaiser Permanente - 4,034 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....
Program Manager, Clinical Services
The Health Trust - 2 reviews - San Jose, CA
Knowledge and utilization of community resources preferred. Supervises nurse case managers, medical social workers, and benefits specialists....
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RN-NURSE MANAGER (Care Navigation & Utilization Management)
Responsible for the direct coordination of case management/CHNC staffing, Utilization Review, Project RED staff, post discharge calls, substance abuse and...
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