Utilization Review Specialist jobs in Sunnyvale, CA

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Relief Case Manager-Utilization Review S...
County of San Mateo - 8 reviews - San Mateo County, CA
$48.29 - $60.37 an hour
The Utilization Review Specialist / Discharge Planner is responsible for retrospective and concurrent Utilization Review activities and for monitoring...
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Advanced Practice Coordinator (Organ Recovery/Transplant)
DONOR NETWORK WEST - San Ramon, CA
$85,000 - $136,000 a year
Develops and reviews all protocols for donor evaluation to ensure highest possible utilization. Reviews and updates management guidelines with the Medical...
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Market Sales Specialist
HD Supply - 447 reviews - San Francisco, CA
Work review typically involves periodic review of output by supervisor and/or direct 'customers' of the process....
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Capitated (CAP) Contract Specialist

CHME, Inc. - San Jose, CA
The Capitated Contract Specialist ensures every aspect of a claim is accurate, so that utilization is captured in the encounter data in single pass....
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Relief Case Manager-Utilization Review S...

County of San Mateo - 8 reviews - San Mateo County, CA
$48.29 - $60.37 an hour
The Utilization Review Specialist / Discharge Planner is responsible for retrospective and concurrent Utilization Review activities and for monitoring...
Easily apply

Utilization Management Support Specialist

Santa Clara Family Health Plan - 6 reviews - Campbell, CA 95008
Review structured clinical data and matching it against specific medical terms and diagnoses or procedures (without the need for interpretation) and follow...

Medical Management Specialist Sr (California MMP) - 115590

Anthem, Inc. - 1,539 reviews - San Jose, CA
Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information....

Relief Case Manager-Utilization Review Specialist

County of San Mateo - 8 reviews - Redwood City, CA 94063
$48.29 - $60.37 an hour
Relief Case Manager - Utilization Review Specialist / Discharge Planner. The Utilization Review Specialist / Discharge Planner is responsible for retrospective...

Sr Periop Material Cost Specialist

Kaiser Permanente - 3,457 reviews - Santa Clara, CA 95051
Identifies & implements Product Utilization savings. Reviews workflow & makes recommendations for work assignments....

Systems Administrator

Associated Students, San Jose State University - San Jose, CA 95192 (Downtown area)
$25.48 - $27.88 an hour
Applications review begins *April 15th.*. Collaborate with the Assistant IT Manager and IT Support Specialists on preventive maintenance tasks....
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Sales Support Specialist

Global Payments - 43 reviews - Newark, CA
Utilization of company technology and resources. Receive and review new merchant applications for new or additional accounts....

Clinical Quality Specialist

Stanford Health Care - 133 reviews - Palo Alto, CA 94305
The Quality Specialist is responsible for the collection, entry, and integrity of clinical data and core measures....

Outpatient Case Manager/Therapist (2016)

Fremont Hospital - 12 reviews - Fremont, CA 94538 (Irvington area)
And understood by the Utilization Review Specialist, management and. Integrating and functions of case management, utilization review, and....
RN - Clinical Nurse Specialist - Critical Care/Cardiovascula...
Sutter Health - 303 reviews - San Francisco, CA
Knowledge of quality theory and processes, utilization review, discharge planning, and clinical practice guidelines preferred....
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Director of Clinical Services
Acadia Healthcare - San Jose, CA
This position will provide direction, supervision, monitoring, and disciplinary action for clinical staff, coordinator of therapeutic recreation, and...
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Our mission is to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioral health.