Utilization Review Specialist jobs in Sunnyvale, CA

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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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Medical Director Utilization Management
Ambulatory and in-patient utilization review and identification of improvement opportunities. Reviews data and trends to identify opportunities for utilization...
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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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Content Review Operations Specialist

Experis - 320 reviews - San Jose, CA 95150
Perform high quality reviews. Maintain optimum utilization during a working shift. Review the apps in given time in accordance to the policies set by the client...
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Utilization Review Specialist (Per Diem)

Fremont Hospital - 17 reviews - Fremont, CA 94538 (Irvington area)
(part-time) Utilization Review Specialist. The Utilization Review (UR) Specialist is. Chart audits and other items as requested by the Utilization Review....

Quality Specialist - Clinical Effectiveness & Analysis (1.0...

Lucile Packard Children's Hospital - 61 reviews - Palo Alto, CA 94304
The Quality Specialist is responsible for the collection, entry, and integrity of clinical data and core measures....

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

Transportation Operations Specialist, Global Workplace

Tesla Motors - 368 reviews - Fremont, CA 94538 (Irvington area)
Report on utilization, costs and other metrics to measure the program’s performance. Reporting to the Transportation Program Manager, the Transportation...

Clinical Documentation Improvement Specialist III

Stanford Health Care - 185 reviews - Palo Alto, CA 94305
Initiates medical record review within 24 to 48 hours of admission. Two (2) years of experience equivalent to Clinical Documentation Improvement Specialist II....

Appeal & Grievance Intake Specialist

Santa Clara Family Health Plan - 6 reviews - Campbell, CA 95008
$21.09 - $30.58 an hour
Appeal & Grievance Intake Specialist. Review request forms for correctness and completeness. Support and participate in the interdisciplinary team approach to...

Shift Supervisor

Security Industry Specialists, Inc. - 94 reviews - Cupertino, CA
$50,000 a year
The Shift Supervisor, under the guidance of the Watch Commander, manages overall field services, operations and functions in assigned area including post...

Transportation Specialist

Santa Clara Family Health Plan - 6 reviews - Campbell, CA 95008
$15.46 - $21.65 an hour
Prepare transportation utilization reports and provide to management for review. Ability to timely review and accurately reconcile transportation invoices....
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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Field Application Engineer, USA (m/f)
Silexica GmbH - Saratoga, CA
Silexica is a fast-growing software company that helps manufacturers of embedded systems, such as smartphones, to increase their device performance by effective...
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