Utilization Review Jobs in San Jose
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Search Results - Utilization Review Jobs in San Jose
Medical Solutions-Castro Valley, 25 mi from San Jose
Job Description
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Castro Valley, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 13...
Medical Solutions-Castro Valley, 25 mi from San Jose
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Castro Valley, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 13 weeks
• 36 hours...
Alameda Health System-San Jose
Summary
Role Overview:
The System Educator of Care Coordination and Utilization Review is responsible for developing, implementing, and maintaining education and training programs across the organizations care coordination and utilization...
tiptopjob.com -
Molina Healthcare-San Jose
Education
Bachelor's Degree in Nursing
Preferred Experience
Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines.
Effective verbal and written...
Stanford Health Care-Menlo Park (CA), 17 mi from San Jose
and discharge planning activities for a caseload of assigned patients. Major responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness...
Stanford Health Care-Palo Alto (CA), 15 mi from San Jose
continuum of care and discharge planning activities for a caseload of assigned patients. Major responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts...
Stanford Health Care-Palo Alto (CA), 15 mi from San Jose
Qualifications:
• 5+ years of experience as an RN
• 3+ years of experience in case management/utilization review
Why work at Stanford Medicine | Stanford Health Care (SHC)?
• Recognized as a top Academic Medical Center globally!
• Ranked No. 10 on the Best...
Stanford Health Care-Palo Alto (CA), 15 mi from San Jose
hr, Day Shift
Strongly Preferred Qualifications:
• 5+ years of experience as an RN
• 3+ years of experience in case management/utilization review
Why work at Stanford Medicine | Stanford Health Care (SHC)?
• Recognized as a top Academic Medical...
Northeast Healthcare Recruitment, Inc. (NEHCR)-San Jose
healthcare quality, cost, and outcomes.
7. Identify and develop innovative opportunities to enhance effectiveness and quality.
8. Full Time, Call 1:4
9. 100% Virtual
10. Apply Criteria, Utilization review
Requirements:
1. MD or DO with Board certification...
appcast.io -
Stanford Health Care-Palo Alto (CA), 15 mi from San Jose
and discharge planning activities for a caseload of assigned patients. Major responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness...
The Nonprofit Partnership-San Jose
and administrative functions.
15. Oversees and participates in the referral management process and utilization review.
16. Maintains a clinical practice one day per week (20% time), treating patients within the scope of licensure and organizational protocols.
17. ..
appcast.io -
Gotham Enterprises Ltd-Santa Clara, 4 mi from San Jose
and substance abuse utilization review process preferred
• Comfortable working with various virtual communication tools and platforms
Benefits
• Comprehensive healthcare coverage (including medical, dental, and vision, FSA/HSA, life, and disability insurance...
workable.com -
Sharp HealthCare-San Jose
Have the ability to type a minimum of 30 words per minute with 0-2 errors; Have the ability to proof work. Knowledge of insurance, utilization review, scheduling requirements and support of front desk responsibilities. Able to operate and maintain...
appcast.io -
Alameda Health System-San Jose
perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
Lead and manage a team of utilization review professionals providing guidance, training, and performance...
tiptopjob.com -
San Jose
for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.
Responsibilities:
• Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically...
icims.com -
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