Utilization Review jobs in Sacramento, CA

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Registered Nurse – Utilization Manager – Travis AFB, CA – Si...
Loyal Source Government Services - Travis AFB, CA
Must have utilization management or utilization review experience for 24 recent consecutive months. American Nurses Association (ANA), American Nurses...
Sponsored
RN Care Coordinator (Per Diem, Days)
The RN Care Coordinator consistently conducts the utilization review process and the discharge planning process as required by hospital policies, standards of...
Sponsored by Dignity Health
Physician Preference Items Project Manager
Adventist Health - 91 reviews - Sacramento, CA
Will manage process, scope, and timeline of sourcing and utilization initiatives. Sound understanding of hospital supply chain and finance processes, including...
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Case Manager

Universal Health Services - Sacramento, CA
Coordination with external review organizations. Communication skills, knowledge of utilization management and....

Concurrent Review Nurse (Sacramento) - SAC 16-13

Hill Physicians Medical Group - 9 reviews - Sacramento, CA 95815 (South Hagginwood area)
Conduct concurrent and retrospective review of inpatient and outpatient utilization according to approved criteria....

Prior Authorization Nurse I

California Health & Wellness - Sacramento, CA
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Consumer Credit Analyst I

Golden 1 Credit Union - 43 reviews - Sacramento, CA 95826
Review required documentation for accuracy and truthfulness. Review credit reports and intemperate the data along with the analysis of key lending ratios to...

Service Director, Population Management

Kaiser Permanente - 3,715 reviews - Roseville, CA
Kaiser Permanente conducts compensation reviews of positions on a routine basis. Directs development and implementation of quality and utilization standards...

Concurrent Review Nurse II

California Health & Wellness - Sacramento, CA
Participate in utilization management committees and work on special projects related to utilization management as needed....

Case Manager TCM

LJR HOLDINGS - Sacramento, CA
• Experience in utilization review, concurrent review and/or risk management. • Experience in Pharmacy and/or Opioid utilization....

Case Manager - Sacramento - SAC 16-10

Hill Physicians Medical Group - 9 reviews - Sacramento, CA 95815 (South Hagginwood area)
~ Support Medical Management Team, Authorization Review, Clinical Initiatives, and Provider Education. ~ Support the interdisciplinary team approach to ensure...

Clinical Consultant - Telecommute - West Coast

UnitedHealth Group - 4,049 reviews - Sacramento, CA
Routinely collaborating with account management to provide clinical aspects of client quarterly reviews. Collaborates with clients to establish achievable but...

Utilization Review clinician

Heritage Oaks Hospital - 13 reviews - Sacramento, CA 95841
The Utilization Review Clinician is. The Utilization Review Clinician functions as. Year experience with communication with external review organizations....
HH RN Per Diem - Home Health
UC DAVIS HEALTH SYSTEM - 76 reviews - Sacramento, CA
$68.10 an hour
Participating in utilization review, quality assessment and performance improvement activities and policy development related to patient care;...
Sponsored
RN Care Coordinator (Part Time, Days)
The RN Care Coordinator consistently conducts the utilization review process and the discharge planning process as required by hospital policies, standards of...
Sponsored by Dignity Health

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