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220

Rn Utilization Review Jobs in California





Job info
 
Company
**********
Location
Torrance, CA
Posted Date
Oct 31, 2020
Info Source
Employer  - Full-Time  90 

Description The Utilization Management Nurse utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... 8am-5pm EST The Front End Review nurse uses clinical..

 
Company
**********
Location
Torrance, CA
Posted Date
Jan 06, 2021
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... the Soul. Join Us! The Utilization Management Nurse 2..

 
Company
**********
Location
Torrance, CA
Posted Date
Feb 09, 2021
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse work assignments are ... the Soul. Join Us! The Utilization Management Nurse 2..

 
Company
**********
Location
Ventura, CA
Posted Date
May 30, 2023
Info Source
Employer  - Full-Time  90  

Director of Utilization To manage and coordinate the ... To manage and coordinate the Utilization Review process , to assess the ... current admission criteria and standard review protocols for..

 
Company
**********
Location
Wildomar, CA
Posted Date
Jun 02, 2023
Info Source
Employer  - Full-Time  90 

Responsibilities Southwest Healthcare Inland Valley Hospital in Wildomar, California , is a licensed 122-bed facility accredited by the Joint Commission. It is Southwest Riverside County's only designated Trauma Center and a ..

 
Location
Fremont, CA
Posted Date
Jun 16, 2025
Info Source
Employer  - Full-Time  90 

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations.  As the facility leader, you will be ..

 
Company
**********
Location
San Diego, CA
Posted Date
Jun 16, 2025
Info Source
Employer  - Full-Time  90 

PURPOSE AND SCOPE: Ensure the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy. Provides direct supervision and coordination of inpatient ..

 
Company
**********
Location
Santa Cruz, CA
Posted Date
May 20, 2022
Info Source
Employer  - Full-Time  90  

... Fridayu003cstrongu003eu003cspanu003eu0026nbsp;u003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003ePOSITION SUMMARYu003c/strongu003eu003cbr /u003eThe Program Director RN manages the day-to-day operation of ... the Quality Assurance/Quality Improvement and Utilization Review programs. S/he acts as a ... Program committees such as..

 
Company
**********
Location
Wildomar, CA
Posted Date
Jun 09, 2023
Info Source
Employer  - Full-Time  90 

Posted: 01-Jun-23 Location: WILDOMAR, California Salary: Open Categories: General Nursing Internal Number: 191892 Responsibilities Southwest Healthcare Inland Valley Hospital in Wildomar, California , is a licensed 122-bed facility accredited by the ..

 
Company
**********
Location
Costa Mesa, CA
Posted Date
May 19, 2022
Info Source
Employer  - Full-Time  90  

The Case Manager (RN) utilizes clinical expertise, discretion, and ... inpatient providers. The Case Manager (RN) displays and practices a work-style ... maintenance. Essential Functions Case Manager RN (I): •..

 
Company
**********
Location
San Luis Obispo, CA
Posted Date
Jul 28, 2022
Info Source
Employer  - Full-Time  90  

Job Information Centerwell RN Clinical Manager in San Luis ... needs based on own the review of clinical documentation in addition ... to feedback and recommendations by Utilization Review staff...

 
Company
**********
Location
Inglewood, CA
Posted Date
Jun 16, 2025
Info Source
Employer  - Full-Time  90 

PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer support and case management for Fresenius Medical Care (FMCNA) renal patient population (internal and external) by providing guidance, support, care coordination, education ..

 
Company
**********
Location
Torrance, CA
Posted Date
Mar 23, 2022
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Behavioral Health Professional 2 ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 ... courses of action. Responsibilities The Utilization Management Behavioral Health..

 
Company
**********
Location
Torrance, CA
Posted Date
Mar 13, 2022
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Behavioral Health Nurse 2 ... and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 ... courses of action. Responsibilities The Utilization Management Behavioral Health..

 
Company
**********
Location
Whittier, CA
Posted Date
Jun 02, 2023
Info Source
Employer  - Full-Time  90  

The Registered Nurse (RN) Case Manager provides care coordination ... appropriate level of care. The RN Case Manager provides discharge planning ... of care and services. The RN Case Manager..

 
Location
Elk Grove, CA
Posted Date
Jun 16, 2025
Info Source
Employer  - Full-Time  90 

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations.  As the facility leader, you will be ..

 
Company
**********
Location
Arcadia, CA
Posted Date
Jun 02, 2023
Info Source
Employer  - Full-Time  90  

... and skills to ensure appropriate utilization of resources and patient quality ... telephonic prospective, concurrent and retrospective review of active patient care, including ... from care management decisions through..

 
Company
**********
Location
Roseville, CA
Posted Date
Jun 16, 2025
Info Source
Employer  - Full-Time  90 

PURPOSE AND SCOPE: Develops, implements, maintains and evaluates an effective, data-driven, quality assessment and performance improvement program(s) with participation by other members of the interdisciplinary team. Serves as a quality improvement ..

 
Company
**********
Location
Torrance, CA
Posted Date
Feb 07, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Weekend Shift- RN Utilization Management Behavioral Health Nurse 2 ... in Torrance California Description The Utilization Management Behavioral Health Nurse 2 ... and/or benefit administration determinations. The..

 
Company
**********
Location
Santa Rosa, CA
Posted Date
Jun 16, 2025
Info Source
Employer  - Full-Time  90 

About this role: As a Facility Administrator with Fresenius Medical Care, you will manage and oversee the daily operations of the dialysis clinic. You will collaborate with the Medical Director and ..

 
Company
**********
Location
Torrance, CA
Posted Date
Jun 23, 2023
Info Source
Employer  - Full-Time  90  

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes ... discussed during the interview. The Utilization Management Behavioral Health Nurse completes ... obtain sufficient clinical information...

 
Company
**********
Location
San Jose, CA
Posted Date
Aug 06, 2022
Info Source
Employer  - Full-Time  90  

Job Information Centerwell RN Clinical Manager Home Health Full ... needs based on own the review of clinical documentation in addition ... to feedback and recommendations by Utilization Review staff...

 
Company
**********
Location
Torrance, CA
Posted Date
Sep 11, 2021
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... courses of action. Responsibilities The Utilization Management Nurse 2..

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