Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Care Review Clinician (RN/LPN) - Utilization & Authorization

$27.61 - $53.83 per hour

Molina Healthcare of Illinois

Molina Healthcare in San Francisco seeks a qualified healthcare professional to support clinical member services review processes. The role involves assessing services for compliance and cost-effectiveness, collaborating with multidisciplinary teams, and adhering to regulations. Required qualifications include at least 2 years of healthcare experience and relevant licensure. Preferred qualifications include experience with MCG, QNXT, and Pega. A competitive hourly pay range of $27.61 - $53.83 is offered, with actual compensation based on experience and location. #J-18808-Ljbffr Molina Healthcare

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Care Review Clinician (RN/LPN) - Utilization & Authorization in San Francisco, CA vacancy
  • $27.61 - $53.83 per hour

     ...for clinical member services review assessment processes. Responsible...  ...integrated delivery of care across the continuum. Contributes...  ...reviews to determine prior authorization/financial responsibility for...  ...Molina care model. • Adheres to utilization management (UM) policies and... 
    Suggested
    Hourly pay
    Contract work
    Work experience placement
    Work at office

    Molina Healthcare

    San Francisco, CA
    2 days ago
  •  ...Job Description: Registered Nurse (RN/LPN) - Long-Term Care | San Francisco, California, USA | Full-Time & Flexible Shifts Job Overview...  ...(for internationally trained nurses) Legal authorization to work in the United States at the time of application... 
    Suggested
    Daily paid
    Full time
    Part time
    Relocation
    Flexible hours
    Shift work

    Dfbooking Recruitment Services

    San Francisco, CA
    4 days ago
  • $2,902 per week

     ...Inc. is seeking a travel nurse RN Ambulatory Surgery for a...  ...Salary information and unbiased reviews from leading Travel Nurse Agencies...  ...are the foundation of care. That belief drives everything...  ...we do, from how we support our clinicians to how we build long-term relationships... 
    Suggested
    Weekly pay
    Immediate start
    Shift work

    Travel Nurses Inc

    San Francisco, CA
    4 days ago
  • $3,021 per week

     ...Healthcare is seeking a travel nurse RN Ambulatory Surgery for a...  ...information and unbiased reviews from leading Travel Nurse Agencies...  ...journey easy by taking care of all the details, so you don...  ...team and access to our on-staff clinicians so you can feel comfortable and... 
    Suggested
    Immediate start
    Shift work

    Host Healthcare

    San Francisco, CA
    4 days ago
  •  ...If you would prefer to work with an agency that honors and cares for its clinicians, with the strong communications and teamwork this is your place...  ...Position Requirements: - Licensed as a Registered Nurse/RN - Valid Driver's License and reliable vehicle with current... 
    Suggested
    Daily paid
    Relief

    Anchor Health

    San Francisco, CA
    18 hours ago
  •  ...Treatment Nurse is responsible for providing specialized nursing care focused on wound care, skin integrity, and physician-ordered...  ...schedules Qualifications Current and active RN or LPN license in the state of employment Previous experience in... 

    Evergreen Healthcare Group

    Daly City, CA
    18 hours ago
  • $35 - $42 per hour

     ...Job Description School Nurse / Registered Nurse (RN) or Licensed Practical Nurse (LPN) Hourly Rate: $35.00 - $42.00 per hour (depending...  ...As a School Nurse, you will provide specialized nursing care and health support services to medically fragile students... 
    Hourly pay
    Daily paid
    Full time
    Contract work
    Temporary work
    Part time
    Monday to Friday
    Shift work

    RCM Health Care Services

    San Francisco, CA
    4 days ago
  • $3,200 per week

     ...Talent4Health is seeking a travel nurse RN Ambulatory Care for a travel nursing job in San Francisco, California. Job Description & Requirements...  ...opportunities. We have successfully placed over 3000 plus clinicians with the topmost healthcare facilities across 50 states in... 
    Shift work

    Talent4Health

    San Francisco, CA
    1 day ago
  • $176.97k - $228k

     ...Summary The Wound Care Registered Nurse at the...  ...Living Center (CLC). The RN has the responsibility and accountability for utilizing the nursing process in...  ...of Station (PCS) : Not Authorized Requirements...  ...about federal benefits. Review our benefits Eligibility... 
    Permanent employment
    Full time
    Temporary work
    Part time
    Seasonal work
    Immediate start
    Remote work
    Relocation package
    Flexible hours
    Shift work

    VETERANS HEALTH ADMINISTRATION

    San Francisco, CA
    1 day ago
  • DFBooking Careers is looking for Registered Nurses (RN) and Licensed Practical/Vocational Nurses (LPN/LVN) to join their team in San Francisco, California....  ...nurses. Responsibilities include delivering nursing care, maintaining patient records, and coordinating with healthcare... 
    Full time
    Flexible hours

    DFBooking Careers

    San Francisco, CA
    4 days ago
  • DFBooking Careers seeks Registered Nurses (RN) and Licensed Practical/Vocational Nurses (LPN/LVN) in San Francisco, California. This role offers flexible full...  ...nurses. Responsibilities include direct patient care, care coordination, and compliance with nursing standards... 
    Full time
    Part time
    Flexible hours
    Shift work

    DFBooking Careers

    San Francisco, CA
    18 hours ago
  •  ...to 7am) Registered Nurse (RN) Staff Nurse is a licensed professional...  ...Services that provides care and services to residents in a...  ..., and emotional well-being utilizing the nursing process of assessing...  ...and ending of assigned shift. Reviews daily patient reports and assignments... 
    Shift work

    Windsor Healthcare Communities

    Oakland, CA
    21 days ago
  • $37 - $45 per hour

     ...built on client-focused quality care for patients and their...  ...providing expert, reliable care utilizing best practices with an emphasis...  ...Acute Care Partner ~5.0 Star Reviews on Indeed ~4.6 Star Glassdoor...  ...plan of care established by the RN Case Manager Prepare... 
    Full time

    ANX Home Healthcare & Hospice Care

    Daly City, CA
    5 days ago
  • $37 - $45 per hour

     ...built on client-focused quality care for patients and their...  ...providing expert, reliable care utilizing best practices with an emphasis...  ...Acute Care Partner ~5.0 Star Reviews on Indeed ~4.6 Star Glassdoor...  ...plan of care established by the RN Case Manager Prepare... 
    Part time
    Shift work
    Weekend work

    ANX Home Healthcare & Hospice Care

    San Francisco, CA
    16 days ago
  • I believe that better care begins at home. Compassionate care,...  ...have come to expect from our clinicians. Kindred at Home, a division...  ...their families. As a LPN/LVN Intake Specialist, you will...  .... May obtain ongoing authorizations for visits based upon written... 
    Work at office

    Kindred at Home

    Daly City, CA
    3 days ago
  • $42 - $55 per hour

     ...- $55 per hour based upon experience. LVN/LPN is $30 - $38 an hour.Administrative FunctionsDirect...  ...and guidelines that govern the long-term care facility.Ensure that all nursing personnel...  ...established by this facility.Periodically review the department's policies, procedure... 
    Hourly pay
    Permanent employment
    Shift work

    Recruit-Care

    Pacifica, CA
    18 hours ago
  • $48 - $58 per hour

     ...vehicle is your sidekick!)  Tackle other health missions as they arise  Your Superpowers:  Adult status (18+ years)  Current RN or LPN license (your official healthcare badge)  CPR certification (because heroes save lives!)  At least 1 year of nursing... 
    Hourly pay
    Relief
    Flexible hours

    Ramp Health

    San Francisco, CA
    18 hours ago
  • $31 - $33 per hour

     ...built on client-focused quality care for patients and their...  ...providing expert, reliable care utilizing best practices with an emphasis...  ...Care Partner ~5.0 Star Reviews on Indeed ~4.6 Star Glassdoor...  ...through insurance verification and authorization processes. Plans &... 
    Contract work
    Private practice

    ANX Home Healthcare & Hospice Care

    Daly City, CA
    5 days ago
  • $89.75 - $106.61 per hour

     ...Summary: The Registered Nurse (RN) II is a professional...  ...time frame. The RN II provides care to patients via the therapeutic...  ...health care team members. Utilizes effective communication methods...  ...and skills, following lines of authority, as appropriate. Demonstrates... 
    Part time
    Work experience placement
    Work at office
    Shift work
    Night shift

    Kaiser Permanente

    San Francisco, CA
    11 hours ago
  •  ...implementation and evaluation of care for patients and their...  ...Practice: Emergency Nursing 6 Utilizing professional nursing knowledge...  ...credentials and training (CA RN license, BLS, ACLS, PALS, NIHSS...  ...events, in-services and the review of professional literature.... 
    Temporary work

    AHMC Healthcare

    Daly City, CA
    4 days ago
  •  ...Wound Care Registered Nurse The wound care role supports evidence...  ...Community Living Center (CLC). The RN has the responsibility and accountability for utilizing the nursing process in the...  ...Incentives: Not Available Permanent Change of Station (PCS): Not Authorized... 
    Permanent employment
    Full time
    Remote work
    Relocation package

    US Department of Veterans Affairs

    San Francisco, CA
    4 days ago
  •  ...quality assessment and improvement, and the review and clinical application of research...  ...interdisciplinary teams in providing quality care. Lastly, you are high energy, seek out opportunities...  ...: Current, active, unencumbered state RN licensure Current Healthcare Provider... 
    Daily paid

    Satellite Healthcare

    Oakland, CA
    1 day ago
  •  ...agency in San Francisco is seeking a Per Diem Registered Nurse/Licensed Vocational Nurse (RN/LVN) interested in working as an Independent Contractor. The role involves managing nursing care plans, administering medications, and providing care in various specialty settings,... 
    Daily paid
    For contractors
    Flexible hours

    NurseRegistry

    San Francisco, CA
    18 hours ago
  •  ...in the power one person has to make a difference in a patient's care, inspiring Gifted's mission to help nurses thrive and advance their...  ...physicians during examination and treatment of patients. MedSurg RN job responsibilities include, but are not limited to: MedSurg... 
    Hourly pay
    Weekly pay
    Temporary work
    Relief
    Local area
    Shift work
    Night shift

    Therapia Staffing

    San Francisco, CA
    18 hours ago
  • $48 - $58 per hour

    Ramp Health is seeking PRN Nurses (RN and LPN) to administer vaccines in San Francisco, California. Join a passionate team delivering life-saving vaccines and conducting biometric screenings. Enjoy flexible scheduling that allows for work-life balance. Must hold a valid... 
    Hourly pay
    Relief
    Flexible hours

    Ramp Health

    San Francisco, CA
    4 days ago
  • $110k - $120k

     ...built on client-focused quality care for patients and their...  ...providing expert, reliable care utilizing best practices with an emphasis...  ...Acute Care Partner ~5.0 Star Reviews on Indeed ~4.6 Star Glassdoor...  ...working directly and alongside the RN Clinical Team Manager.... 

    ANX Home Healthcare & Hospice Care

    Daly City, CA
    5 days ago
  •  ...Nurse (LVN) provides nursing care to patients in Pediatric Specialties...  ..., obtaining vital signs, reviewing medications, administering vaccines...  ...conditions or concerns to the RN or physician Alert...  ...teams through various channels Utilize clinical systems, including APeX... 
    Work experience placement
    Worldwide

    University of California , San Francisco

    San Francisco, CA
    3 days ago
  •  ...TYPE: Part-Time / Per Diem ABOUT US Care Indeed delivers high-quality in-home...  ...community settings in partnership with the RN and interdisciplinary care team Use clinical...  ..., additional training, and agency authorization to perform higher-skill procedures. Advanced... 
    Daily paid
    Temporary work
    Part time
    Local area
    Flexible hours
    Shift work
    Weekend work
    Afternoon shift

    Care Indeed

    San Francisco, CA
    26 days ago
  • $93k - $115k

     ...remained dedicated to delivering high-quality care and improving health outcomes for our...  ...-licensed, home-health-experienced clinicians to support you in the field—whether assisting...  ...additional needs (HHA, PT, OT, ST, MSW) to the RN or Clinical Supervisor Use equipment... 
    Full time
    Contract work
    Work at office
    Flexible hours

    Health Link

    San Francisco, CA
    16 days ago
  • $35 - $39 per hour

     ...Job Description Vivo HealthStaff is recruiting a Clinic LVN or RN for a contract position in San Francisco, California. This is a dispensing...  ...determined by the supervisor. Pay: $35-39 per hour for LVN/LPN $48-52 per hour for RN Schedule: ~5am - 1:30pm Monday-... 
    Hourly pay
    Contract work
    Temporary work
    Monday to Friday

    Vivo HealthStaff

    San Francisco, CA
    17 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Care Review Clinician (RN/LPN) - Utilization & Authorization. Be the first to apply!