Latest Utilization Review Nurse jobs in Redwood City, CA

19 Utilization Review Nurse Jobs in Redwood City, CA

Continuing Care Utilization Review Coordinator Registered Nurse Kaiser Permanente - Redwood City, California Bachelors degree in nursing or health related field required, OR four (4) years of experience in a directly related field.Graduate... 19 days ago
NURSE PRACTITIONER / PRIMARY CARE Jamie Grayem - San Jose, CA, US , community-based PACE physicians, and IDT to oversee and ensure effective care coordination At the direction of the Medical Director, review outcomes and utilization data, including hospitalizations, and use 4 days ago
Care Management Clinical Appeals Specialist Alameda Health System - San Leandro, California, USA setting or utilization review at a medical group or health plan. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California, Active BLS - Basic Life Support 21 days ago
Care Management Specialist Highland General Hospital - Oakland, CA clinical information for the purpose of completing initial and concurrent utilization review to ensure certification/approval of in-patient and post discharge services. 5. Per the direction of the Care 6 days ago
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Quality Utilization Coordinator Home Health Hospice Kaiser Permanente - San Francisco, California or quality utilization review experience. Education Bachelors degree in nursing or related field OR four (4) years of experience in a directly related field. High School Diploma or General Education 22 days ago
Remote Concurrent Review Coordinator NTT DATA - San Francisco, California resources. Compile data for utilization management review and submit the data to the Concurrent Review & Care Transitions nurse team for clinical decision-making. Maintain ongoing tracking and appropriate 11 days ago
AHD Case Manager RN Highland General Hospital - Alameda, CA Experience: One year related in acute care facility and/or utilization review training and/or healthcare experience. Minimum Experience: Varied clinical experience or experience in case management/community 6 days ago
SLH Care Management Specialist at Alameda Health System Alameda Health System - San Leandro, California information for the purpose of completing initial and concurrent utilization review to ensure certification/approval of in-patient and post discharge services. 5. Per the direction of the Care Management social 10 days ago
Nurse Practitioner/Primary Care Provider Virtus Healthcare Staffing, LLC - San Jose, California collaboratively with physicians, community-based PACE physicians, and the IDT to ensure seamless and effective care coordination. Drive Quality Improvement: Review outcomes and utilization data to identify areas 12 days ago
Nurse Practitioner / Primary Care Provider Virtus Healthcare Staffing, LLC - San Jose, California coordination with WelbeHealth physicians, community-based PACE physicians, and the IDT. Review outcomes and utilization data to identify areas for improvement and implement best practices. Participate 13 days ago

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