Utilization Review RN jobs in Sacramento, CA

Filter results by:
Sort by: relevance - date
Salary Estimate
Job Type
Experience Level
Page 1 of 78 jobs
Upload your resume - Let employers find you
Utilization Review RN
The Utilization Review RN will review medical records, benefit, contractual and other guidelines to determine benefit coverage, medical appropriateness...
RN Care Coordinator
Current California RN licensure. The RN Care Coordinator consistently conducts the utilization review process and the discharge planning process as required by...
Utilization Management Nurse
w3r Consulting - 13 reviews - El Dorado Hills, CA
Current active unrestricted CA RN License. Performs prospective, concurrent and retrospective utilization reviews and first level determination approvals for...
Easily apply

Clinical Documentation Improvement Specialist

UnitedHealth Group - 9,637 reviews - Sacramento, CA 95828
If RN, BSN degree. Provides expert level review of inpatient clinical records within 24-48 hours of admit; Ensures effective utilization of Midas or OptumĀ® CDI...

Sr Director Care Coordination

Dignity Health - 802 reviews - Rancho Cordova, CA 95742
Provides oversight for the medical necessity reviews, denials management, utilization management supporting all areas of the organization within the assigned...

ICR- Facility Nurse Reviewer

Blue Shield of California - 360 reviews - Rancho Cordova, CA 95670
Current Active California RN License Required. Works with other members of the MCS team, provider relations, hospitals, IPA/MGs, to review utilization review,...

Patient Care Coordinator RN

Kaiser Permanente - 5,895 reviews - Roseville, CA
Current California RN license required. Demonstrated experience in utilization management, discharge planning, or transfer coordination....

RN Comprehensive Care Management (Sacramento)

HealthNow Administrative Services - Sacramento, CA
Multi-state RN licensure preferred. The RN will complete the appropriate notification processes. Primary Responsibility Performs a complete review for medical...

Patient Logistics RN

Dignity Health - 802 reviews - Rancho Cordova, CA 95741
Current California RN license. Primary responsibility for completing quality assurance reviews of work performed and communicating with department manager and...

ICR - Prior Authorization & Specialty Services RN

Blue Shield of California - 360 reviews - Rancho Cordova, CA 95670
Current Active CA RN License. Clinical judgment and detailed knowledge of benefit plans used to complete review decisions....

Patient Logistics RN per diem

Dignity Health - 802 reviews - Rancho Cordova, CA 95741
Current California RN license. Primary responsibility for completing quality assurance reviews of work performed and communicating with department manager and...

RN Case Manager

UnitedHealth Group - 9,637 reviews - Sacramento, CA 95828
Experience in utilization review, concurrent review and/or risk management. Current, unrestricted RN license in the State....

Authorization Nurse - SAC 17-15

Hill Physicians Medical Group - 15 reviews - Sacramento, CA 95815 (South Hagginwood area)
Utilization Management experience preferred. Review and process urgent and non-urgent authorization requests (via phone, fax and electronic submission) for...
RN Care Coordinator
Current California RN licensure. The RN Care Coordinator consistently conducts the utilization review process and the discharge planning process as required by...
RN Manager, Utilization Management (UM)
Plan, develop, and direct the Utilization Management Department, including the sections for authorizations and concurrent review....