Utilization Review Nurse jobs in Sacramento, CA

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Case Manager, Disease Management Program RN (Telephonic RN D...
Sutter Health - 335 reviews - Sacramento, CA
Physicians, nurses, social workers, etc. Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge...
Medical Review RN - Per-Diem (Nights)
Completes medical necessity utilization reviews and documents those reviews in MIDAS+ within required timeframes....
Sponsored by Dignity Health
Utilization Review LVN
The Utilization Review LVN uses clinical judgement in providing utilization management services. Licensed Vocation Nurse in California....
Sponsored by Dignity Health

Care Trans Nurse RN - Remote Work From Home

Genesis Healthcare - 1,361 reviews - Sacramento, CA 94203 (Alkali Flat area)
Identify risk markers and effectively communicate to center-based staff and Transitional Care Nurse (SNF to Home)....

Medical Case Management Nurse

Benefit and Risk Management Services - Folsom, CA 95630
Provides statistical case reviews and generates utilization reports. The Medical Case Management Nurse (MCM Nurse) provides a variety of services with respect...

HH Evening/Wknd Revisit Nurse

UC DAVIS HEALTH SYSTEM - 77 reviews - Sacramento, CA
May be required to participate in utilization review, quality assessment and performance improvement activities and policy development related to patient care....

Case Manager UR Discharge Planning - 20hr day

Kaiser Permanente - 3,813 reviews - Roseville, CA  +1 location
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...

Clinical Coordinator Telehealth RN (California licensed)

Corporate Service Center - 576 reviews - Sacramento, CA
Reviews and participates in. In the DHTN, reviews clinical outcomes, and resolves issues as required. Utilization of existing services and expands telehealth...

Clinical Resource Nurse

WESTERN HEALTH ADVANTAGE - 6 reviews - Sacramento, CA
Registered Nurse (RN). The Clinical Resource Nurse (CRN) requires the abilities and knowledge of a California-licensed Registered Nurse (RN)....
Easily apply

Intake Coordinator

EK Health Services - Sacramento, CA
Utilization Review Intake Coordinator*. Process Utilization Review referral forms received by EK Health Services....
Easily apply

Prior Authorization Nurse I

California Health & Wellness - Sacramento, CA
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

RN - Endoscopy (Per diem-Varied)

Sutter Health - 335 reviews - Roseville, CA
The Registered Nurse in the Acute Care setting manages the patient/family experience through utilization of critical....

Case Management Nurse

Wollborg/Michelson Recruiting Firm - Rancho Cordova, CA
CA Registered Nurse (RN). Health Care Case Review Experience:. At least 1-2 years of experience in Case Management, Quality Improvement or Utilization...
Easily apply
Care Trans Nurse RN - Remote Work From Home
Maintain a set visitation schedule to assigned hospitals.Case ManagementCollaborate with Discharge Planner and/or electronic discharge systems to identify...
Sponsored by Nurse.com
Outpatient Utilization Review Nurse (LVN/RN)
River City Medical Group - Sacramento, CA 95831
Act as back up for Case Managers and/or Concurrent Review Nurses when needed. Responsible for working directly with the Medical Director to review and properly...
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