Utilization Review RN jobs in Sacramento, CA

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RN Care Coordinator
Dignity Health 514 reviews - Sacramento, CA
The RN Care Coordinator consistently conducts the utilization review process and the discharge planning process as required by hospital policies, standards of...
Sponsored by Dignity Health - 29 days ago
Utilization Review - Managed Care Nurse - Travel (UL RN)
NursesRx 12 reviews - Sacramento, CA
Utilization Review - Managed Care Nurse - Travel (UL RN). As a critical member of the hospital staff, the utilization review nurse is also responsible for:....
Sponsored by NursesRx - 20 days ago
Utilization Review Nurse (Claims Team)
River City Medical Group - Sacramento, CA
The Utilization Review Nurse acts as the clinical resource for all incoming Claims telephone calls. Act as back up for Prior Authorization Review Nurses when...
Easily apply
Sponsored by River City Medical Group - 20 days ago

Utilization Manager

Centene Corporation 206 reviews - Sacramento, CA
D or RN. 3+ years experience in psychiatric and/or substance abuse health care settings including utilization review....

Clinical Review Clinician III/ Utilization Review RN-(Teleco...

Molina Healthcare 142 reviews - Sacramento, CA
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....

Appeals & Grievance Clinical Specialist II (CA: Woodland Hil...

Health Net, Inc. 3 reviews - Rancho Cordova, CA 95670
Krohn, RN, LNCC. Prepares questions on complex cases for consultant review or external third party medical review;...

Manager, Case Management (RN)

KVR Consultant - Sacramento, CA
Thorough knowledge of case and/or utilization management and clinical nursing. Unrestricted RN license in applicable state(s) and valid driver's license and...
Easily apply

RN Case Manager

Covenant Care - Capital Transitional Care - Sacramento, CA
Performs daily pre-admission, admission, and concurrent utilization reviews using partner guidelines, facility standards, and other information to determine...
Easily apply

RN Manager Case Management

KVR Consultant - Sacramento, CA
RN Manager Case Management:. Thorough knowledge of case and/or utilization management and clinical nursing. Unrestricted RN license in applicable state(s) and...
Easily apply

Utilization Management

Kforce 356 reviews - El Dorado Hills, CA 95762
Refers complex cases to RN according to guidelines. Kforce has a client seeking Utilization Management in El Dorado Hills, California (CA)....

Utilization Review clinician\RN

Universal Health Services - Sacramento, CA
California RN required. The Utilization Review Clinician/RN is responsible for the managing, reviewing and monitoring the utilization of resources related to...

Utilization Review Nurse - UR Registered Nurse - Remote!

Professional Services Network, Inc - Sacramento, CA
The RN will perform utilization review, pre-cert, concurrent review, with some discharge planning and will telecommute from anywhere in the US....

Utilization Review Nurse (Claims Team)

River City Medical Group - Sacramento, CA 95831 (Greenhaven area)
The Utilization Review Nurse acts as the clinical resource for all incoming Claims telephone calls. Act as back up for Prior Authorization Review Nurses when...
Easily apply
Nurse Auditor/ RN Coder
All Med Search - Sacramento, CA
Medical Review Nurse-Coder. Conduct medical chart reviews. Active unrestricted RN license in good standing....
Easily apply
Sponsored by All Med Search - 13 days ago
Care Review Clinician III
Molina Healthcare 142 reviews - Sacramento, CA
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....
Sponsored by Molina Healthcare - 3 days ago

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Company with Utilization Review RN jobs
514 reviews
Dignity Health is one of the nation’s leading hospital networks with opportunities available at 40 hospitals in AZ, CA, and NV.