Utilization Review Specialist jobs in San Francisco, CA

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Clinical Nurse II, Care Management
Previous Case Management or Utilization Review experience in a clinical setting. Review activities by literature review, membership in a professional...
RN - Case Manager - Physician Network
John Muir Health - 63 reviews - Walnut Creek, CA
Updates care plans as needed and reviews updated treatment plans with PCP. The care plan is developed through comprehensive review of all aspects of the patient...
Health Plan of San Mateo - 6 reviews - San Francisco, CA
$40.86 - $51.82 an hour
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Inpatient Review & Care Transition Nurse to ensure that prospective, initial...
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Inpatient Review & Care Transition Nurse - Utilization Revie...

Managed Care - San Francisco, CA
Seeking a full time Inpatient Review & Care Transition Nurse to ensure that prospective, initial and concurrent reviews for all inpatient and prior authorized...
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Utilization Review Specialist

Children's Hospital & Research Center Oakland - 6 reviews - Oakland, CA
Utilization Review Specialist. Previous experience working in a Utilization Department with an IPA or a health plan....

Senior Medical Coding Specialist

ONLOK - San Francisco, CA
Senior Medical Coding Specialist. Demonstrated familiarity with utilization of electronic health records systems and their application....
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Performance Specialist

Cox Automotive - 70 reviews - Redwood City, CA
Provide and review team-specific. Xtime is hiring a Dealer Performance Specialist Position Description....

Clinical Nurse Specialist-Consultation Liason-Behavioral Hea...

Sutter Health - 386 reviews - San Mateo, CA
Knowledge of utilization review, discharge planning, clinical pathways, managed care and "Best Practice Guidelines" preferred....

Occupancy & Compliance Manager

COMMUNITY HOUSING PARTNERSHIP - 23 reviews - San Francisco, CA
Monitors utilization of andensures compliance with Local Operating Subsidy Program (LOSP) and MentalHealth Services Act (MHSA) contracts....

Clinical Documentation Specialist - RHIA / CCS

Core Medical Group - 35 reviews - Walnut Creek, CA
Clinical Documentation Specialist - RHIA / CCS. Provide clinically based concurrent and retrospective review of inpatient medical records to evaluate the...

Mako Product Specialist - Oakland, CA

Stryker - 468 reviews - Oakland, CA
Support the development and execution of the sales plan as well as grow the utilization of the RIO system by increasing volume with current and potential...

Quality Data & Programming Analytics Coordinator

UCSF Benioff Childrens Physicians - Emeryville, CA
Certified Coding Specialist (CCS) and/or Certified Coding Specialist – Physician Based (CCSP). Coordinates the quality, patient satisfaction, peer review and...
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Specialist II, Translational Development Operations (Biospec...

Celgene Corporation - 110 reviews - San Francisco, CA 94158 (South Of Market area)
Plan/design biospecimen handling logistics and review biomarker-related clinical documents clinical protocols, ICFs, CRFs for successful study start-up....
Nurse Care Advocate
Landmark Health - 5 reviews - South San Francisco, CA 94080
1-2 years of utilization management experience a must. Complete an initial patient assessment on all new enrolled patients, including a medical record review...
Insurance Verification Specialist
Fremont - Fremont, CA
Performs telephonic support for online authorization of outpatient services• Provides direct support to Primary Care practices and specialty care providers...
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