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...
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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...
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INPATIENT REVIEW & CARE TRANSITION NURSE
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...
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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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