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32 Utilization Review Nurse Jobs in San Diego, CA

Utilization Review Nurse

Judge Healthcare San Diego, CA

This is a fantastic opportunity in the San Diego, CA area. If you feel you are qualified and interested in the position please submit your resume for… Judge Healthcare

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San Diego Utilization Review Nurse (RN) - Managed Care – easy apply

CareNational Healthcare Services, LLC 1 Review San Diego, CA

As a Utilization Review Nurse you will utilize your clinical skills to… Glassdoor

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Clinical Appeals Coordinator – new

Sharp HealthCare 76 Reviews San Diego, CA

8-hour shift: 8:00 am - 4:30 pm, weekends once a month. Required Skills and Qualifications • Bachelors of Science Degree in Nursing or… Sharp HealthCare

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Utilization Review/Quality Assessment Analyst

Sharp Healthcare 76 Reviews San Diego, CA

* The UR/QA Analyst reviews orders in Allscripts, i.e., plan of care, resumption of care, certifications, supp. orders, etc. to complete revenue… Beyond.com

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#72489 Patient Relations, Patient Advocate

University of California - San Diego 100+ Reviews San Diego, CA

The Patient Advocate works to optimize the experience of patients/families who receive care from UCSD Hospital System. The Patient Advocate… Beyond.com

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Per Diem RN III - Hospital – new

Sharp Healthcare 76 Reviews San Diego, CA

* The Per Diem III RN Case Manager is responsible for gathering comprehensive information for patient assessment inclusive of client's health… Beyond.com

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Registered Nurse (RN) - Utilization Management Nurse Consultant

Aetna 100+ Reviews San Diego, CA

This position utilizes clinical experience and critical thinking in a collaborative process to review and facilitate appropriate healthcare… Beyond.com

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Case Management/Social Worker Assistant II – new

Sharp Healthcare 76 Reviews San Diego, CA

* The Case Management/Social Work Assistant will assist the case management/social work staff in the coordination of the discharge plan by arranging… Beyond.com

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Utilization Review Quality Improvement Specialist

County of San Diego 40 Reviews San Diego, CA

The Health and Human Services Agency's Behavioral Health Services has immediate openings for Utilization Review Quality Improvement Specialists to… Glassdoor

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#71262 Admin Nurse IV, Nurse Manager, BMT Oncology

University of California - San Diego 100+ Reviews San Diego, CA

Nurse Manager of assigned Nursing Services, is responsible and accountable for providing administrative and clinical leadership 24/7 for a 27 bed… Beyond.com

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Care Coordinator – new

Sharp Healthcare 76 Reviews San Diego, CA

The Care Coordinator indenifies appropriate criteria for assisting in the determination of referral authorizations. Collaborates with… Beyond.com

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Registered Nurse (RN) - Telephonic Workers Comp Case Manager

Aetna 100+ Reviews Encinitas, CA

Works telephonically with workers compensation patients, employers, providers, and claims adjusters to coordinate and assure proper delivery and… Beyond.com

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Utilization Review Case Manager

UC San Diego Health System 44 Reviews San Diego, CA

Position is a dedicated Nurse Case Manager assigned to the UR unit. Case Manager will conduct daily admission and continued stay reviews applying… Glassdoor

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UR/UM Analyst ID

Sharp Health Plan La Mesa, CA

The Utilization-Resource Case Manager functions as the primary liaison between the sponsoring agent and all other related parties to ensure… Glassdoor

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Patient Relations, Patient Advocate

UC San Diego Health System 44 Reviews San Diego, CA

The Patient Advocate works to optimize the experience of patients/families who receive care from UCSD Hospital System. The Patient Advocate… Glassdoor

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