Search Results: 25,374 vacancies

 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Greenbrae, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week ~ Shift... 
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Medical Solutions

Greenbrae, CA
4 hours agonew
 ...PHP is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Greenbrae, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 06/17/2024 ~ Duration: 13 weeks ~36 hours per... 
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PHP

Greenbrae, CA
15 hours ago
 ...Description Job Description Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San Francisco....  ...required. Collaborates with the physician, nurse case manager, social worker, and other members of the health care team to... 
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2 days per week
1 day per week

Vivo HealthStaff

San Francisco, CA
a month ago
 ...Clinical Operations Medical Director Utilization Management of Medical Oncology Benefits Carelon Benefits Management $20,000 Sign On Bonus...  .... Job Summary: Perform physician-level case review, following initial nurse review, of Medical Oncology regimens... 
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Elevance Health

Walnut Creek, CA
2 days ago
 ...Job Summary: Manages activities of the unit(s), monitors quality, service and utilization standards. Supervises the day to day shift activities. Essential Responsibilities...  .... Kaiser Permanente conducts compensation reviews of positions on a routine basis.  At any time,... 
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Kaiser Permanente

Walnut Creek, CA
a month ago
 ...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Oakland, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 13 weeks Employment Type... 
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Hiring Now!

Oakland, CA
1 day ago
 ...Stefanini Group is hiring! Stefanini is looking for Loan Reviewer Analyst for 100% Remote work. For quick Apply, please reach out...  ...requirements. Prepare loan write-ups as directed by the Asset Manager or Examiner-in-Charge. Participate in periodic loan review... 
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Stefanini

San Francisco, CA
2 days ago
 ...Description Hybrid (San Francisco Bay Area or Minneapolis-St. Paul, MN) About the Opportunity As the Product Manager for the Veza Access Reviews product, you'll work with various internal stakeholders and customers to define, refine and execute the product vision... 
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Veza Technologies, Inc.

San Francisco, CA
21 days ago
 ...hiring! Stefanini is looking for Loan Reviewer Analyst for 100% Remote work. For quick...  ...write -ups as directed by the Asset Manager or Examiner -in -Charge. Participate...  ...services, technology, public sector, and utilities. Stefanini is a CMM level 5, IT consulting... 
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Stefanini, Inc

San Francisco, CA
3 days ago
 ...Job Summary: Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in the discharge...  ...knowledge of diagnostic codes. Must be able to work in a Labor/Management Partnership environment. Preferred Qualifications:... 
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Kaiser Permanente

Oakland, CA
more than 2 months ago
 ...Job Summary: Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in the discharge...  ...knowledge of diagnostic codes. Must be able to work in a Labor/Management Partnership environment. Preferred Qualifications:... 
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Kaiser Permanente

Martinez, CA
more than 2 months ago
 ...Remote/WFH (San Francisco Bay Area or Minneapolis-St. Paul, MN) About the Opportunity As the Product Manager for the Veza Access Reviews product, you’ll work with various internal stakeholders and customers to define, refine and execute the product vision for Veza... 
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Veza Technologies, Inc.

San Francisco, CA
2 days ago
 ...About Your Work Join our Advanced Practice Medical Management team as a Utilization Management RN , where you’ll be at the forefront of ensuring...  ...providers, vendors and CMS. Perform Utilization Review activities prospectively or post-service (retrospective)... 
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Altais Health Solutions

Oakland, CA
a month ago
 ...training for behavioral health providers, case managers, and other healthcare professionals. We...  ...general direction, supervises Clinical Review Specialists in Alameda County Behavioral...  ...experience in an authorizations, utilization management, or quality assurance unit .... 
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County of Alameda

Oakland, CA
4 days ago
 ...state of California. About Your Work The Supervisor, Utilization Management will be a content expert and resource for all clinical data...  ...on: Supervises and coordinates activities of utilization review staff in maintenance of informed policy and procedure manuals... 
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Altais

Oakland, CA
2 days ago

$135k - $165k

 ...We are looking for an experienced Project Manager in Multi-family, Commercial or Healthcare to join our team. You'll have the chance...  ...projects in the industry. We focus specifically on Underground Utilities, Earthwork & Demolition parts of projects. What You Will Be... 
Full time
For subcontractor

CyberCoders

Oakland, CA
15 days ago
 ...Job Summary: Develops, coordinates and manages the administrative and operational...  ...activities that are directly associated with the utilization management of medical services provided...  .... Manages projects related to chart reviews. Conducts utilization data analysis (... 
Hourly pay
Full time
Contract work
Local area
Shift work

Kaiser Permanente

Oakland, CA
more than 2 months ago
 ...member of the Population Health and Quality department, the Quality Review Nurse (QRN) will support key clinical quality initiatives at...  ...as part of grievance investigations. Reporting to the QRN Manager and under the guidance of SFHP Medical Director, the QRN will support... 
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Holiday work

San Francisco Health Plan

San Francisco, CA
20 days ago
 ...The Concurrent Review Coordinator is responsible for working with a multi-disciplinary...  ...include data collection, authorization management, correspondence compliance, discharge planning...  ...and authorization requests within utilization management and clinical operations, contingent... 
Holiday work
Work experience placement
Immediate start

San Francisco Health Plan

San Francisco, CA
4 days ago
 ...laws. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation,... 
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Local area
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Chefs' Warehouse

Richmond, CA
4 days ago