Nurse reviewer jobs in Hayward, CA

 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in San Mateo, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~36 hours per week ~ Shift... 

 ...applicants.* Job Description: Position: RN Utilization Review Location: Oakland CA Shift: 17:00 7:30 Duration:...  ...review Skills and Qualifications: Bachelors degree in Nursing State licensure as a Registered Nurse (RN) Minimum 2... 

 ...a competitive benefit package including flexible work options and exceptional support for the family and the individual. Quality Review is an exceptional team of highly skilled professionals within the Global Regulatory Operations (GRO) department which resides in the... 

 ...Job Description Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San Francisco. It...  ...per week on-site required. Collaborates with the physician, nurse case manager, social worker, and other members of the health care... 

 ...Job Summary: Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in the discharge...  ...years of experience in an inpatient setting OR if for Skilled Nursing departments, minimum two (2) years of experience in a skilled... 

 ...common purpose to deliver a better world. Join us. Job Description AECOM is seeking a Senior Estimator/Constructability Review Engineer to be based in Oakland, CA. Under minimal supervision, performs complex duties utilizing advanced techniques and... 

 ...we keep Roblox safe, civil, and inclusive, and we foster positive relationships between people around the world. Why Moderation Review Tools? This is an opportunity to join as Senior Front End Engineer on the Moderation Review Team. You will help build the tools used... 

 ...contracted/planned providers. Manages projects related to chart reviews. Conducts utilization data analysis (avoidable days,...  ...including, but not limited to (HBS, TPMG Sub-specialty departments, Nursing, MSW, PT/OT, HH, Hospice, SNF, CCM, Behavioral Health, Rehabilitation... 

 ...improve overall revenue by recovering denied and underpaid claims from both commercial and government payers. Our retrospective claims review is contingency based with no upfront costs to our clients and utilizes our proprietary system, staff, and resources to recover... 

 ...common purpose to deliver a better world. Join us. Job Description AECOM is seeking a Senior Estimator/Constructability Review Engineer to be based in Oakland, CA. Under minimal supervision, performs complex duties utilizing advanced techniques and... 

 ...you will have the opportunity to learn to perform these duties and receive training to help you grow in this position. * Performs reviews of examined cases closed by examiners. Decides the nature and extent of review necessary. Evaluates evidence and information used... 

We have been able to grow because we have put our team and our clients first. With a track record of over 30 years, be want to grow with you. If you believe you will be able to add value, skills, and hard work to ensure the culture remains a place of grow, this Tax Manager...

 ...provide the highest quality of care and are in compliance with the Nursing Practice Act, The Joint Commission, federal, state, and local...  ...activities. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente... 

 ...Job Summary: The Nurse Practitioner (NP) is responsible for the assessment of selected patients in the designated service. The...  ...indicators for patients cared for in the designated service. Reviews medical record for follow up or ordering of diagnostic studies... 

 ...regarding patient care. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente...  ...: Experience Minimum two (2) years of nursing experience required. Minimum two (2) years of experience as... 

 ...Job Summary: Provides age-appropriate skilled nursing care to patients in their place of residence in accordance with agency...  ...Participates in Departmental Quality Assurance activities and Utilization Review activities as requested. Self-Development Selects and... 

 ...regarding patient care. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente...  ...: Experience Minimum two (2) years of nursing experience required. Minimum two (2) years of experience as... 

 ...provide the highest quality of care and are in compliance with the Nursing Practice Act, The Joint Commission, federal, state, and local...  ...activities. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente... 

 ..., consulting, and coordinating support to assigned areas. Uses nurses licensure as a substantial amount of scientific knowledge or technical...  ...physicians and staff regarding regional projects or regulatory reviews, i.e. the interpretation of regulatory requirements and the... 

 ...The Director of Nursing/Resident Services Director (RN or LVN) at Atria Park of San Mateo will take total ownership of the Care Department...  ...and standards. ~ Complete daily Quality Enhancement reviews to ascertain if the department is meeting state regulations and...