Utilization Review Nurse jobs in Redwood City, CA

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Senior Clinical Review Specialist
Lumetra Healthcare Solutions - San Francisco, CA
Experience in utilization and quality reviews, required. California Registered Nurse. As the Senior Clinical Review Specialist, you will be responsible for the...
Desired Experience: Microsoft Powerpoint, RN
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Registered Nurse (RN) - Case Management-Utilization Review
$80,000 a year
Advanced Travel Nursing, one of the largest staffing firms for travel nurses in the nation, is currently seeking qualified applicants for several open Case...
Desired Experience: Case Management
Utilization Management Nurse Reviewer
Chinese Hospital - 9 reviews - San Francisco, CA 94133
The Nurse reviewer performs on-site, written or telephonic assessments and utilization review, across the continuum of care for inpatients and outpatients....
Desired Experience: RN, Case Management
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RN Case Manager, Case Management (FT)

Sutter Health - 631 reviews - Burlingame, CA
Comprehensive knowledge of Utilization Review, levels of care and observation status. Must be able to effectively communicate with, and promote cooperation and...
Desired Experience: Case Manager Certification, Time Management, RN, RN-BC, Case Management, CCRN Certification

RN Clinical Care Coordinator

Generations Healthcare-Tunnell Skilled Nursing and... - San Francisco, CA
Review medical forms, reports, evaluations, studies, etc., as necessary for utilization, completeness and accuracy....
Desired Experience: RN
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Utilization Management

Dynamic Staffing Inc. - 4 reviews - San Francisco, CA
$68 a day
UM Nurse - #31607 Location:. Uses concepts and abilities as well as internal policies and procedures to complete assignments and solve problems Reviews cases...
Desired Experience: RN

RN Case Manager-1.0 Pacific Campus

Sutter Health - 631 reviews - San Francisco, CA
Comprehensive knowledge of Utilization Review, levels of care, and observation status. Must be able to effectively communicate with, and promote cooperation and...
Desired Experience: Case Manager Certification, Time Management, RN, RN-BC, Case Management, CCRN Certification

RN Utilization Case Manager

Crossroads Home Health and Hospice - 6 reviews - San Francisco, CA
Execute staff performance reviews during probationary periods and annually with the Director of Patient Care Services....
Desired Experience: Bilingual, Certified Home Health Aide, Time Management, RN, Reliable Transportation, Case Management, Driver's License, Home Care, CPR Certification
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LVN/LPT Nursing Manager

National Psychiatric Care and Rehabilitation Servi... - San Jose, CA
Will be responsible to coordinate and scheduled utilization reviews. National Psychiatric is looking for a full time Nursing Manager (Licensed Vocational Nurse...
Desired Experience: LVN, Licensed Psychiatric Technician, Behavioral Health
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Utilization Management Review Nurse (LVN)

Santa Clara Family Health Plan - 14 reviews - Campbell, CA 95008
$27.86 - $41.79 an hour
Knowledge of Milliman/MCG guidelines or other nationally accredited utilization review criteria or standards....
Desired Experience: RN, Managed Care

Field Nurse Case Manager (Remote-San Jose, CA)

Mitchell International, Inc. - 103 reviews - San Jose, CA   +1 location
Current, unencumbered Registered Nurse or Licensed Vocation Nurse license in the resident state; We recommend an integrated suite of solutions that include...
Desired Experience: Time Management, RN, Reliable Transportation, Management Experience, Case Management, Driver's License

Utilization Management Nurse - NGACO (SNF – Hayward/Fremont...

Hill Physicians Medical Group - 20 reviews - San Ramon, CA
The Network Initiatives Review Nurse is responsible for performing concurrent and retrospective reviews, and coordination of discharge planning for SNF and home...
Desired Experience: RN, Managed Care

Performance Improvement Coordinator

Reliance Hospice Care, Inc. - Newark, CA 94560
$80,000 - $90,000 a year
Registered Nurse (RN). Coordinates activities related to clinical record review for data collection. Registered nurse with current licensure to practice...
Desired Experience: RN, Home Care
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Utilization Review Travel Registered Nurse opening
Utilization Review, Registered Nurse in Oakland, California. Aya Healthcare has an immediate opening for the following position:....
Desired Experience: RN
LVN - Prior Authorization Specialist - 1450 Treat OPC - Full...
John Muir Health - 102 reviews - Walnut Creek, CA
RN - Registered Nurse - Current California License Required. The LVN - Prior Authorization Specialist is responsible for the review of requests for...
Desired Experience: RN
Utilization Management Review Nurse
Chinese Hospital - 9 reviews - San Francisco, CA 94133
Utilization Management Nurse Reviewer. The Nurse reviewer performs on-site, written or telephonic assessments and utilization review, across the continuum of...
Desired Experience: RN
Easily apply
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