Nurse case manager utilization review Jobs in San Diego, CA | Glassdoor
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Nurse case manager utilization review Jobs in San Diego, CA

84 Jobs

  • 3.7
    Scripps Health – La Jolla, CA
    $79k-$115k(Glassdoor est.)
    10 days ago 10d
    Keywords: Case Management, Care Manager, Case Management, RN, Registered Nurse, RN CaseManager, UtilizationReviewNurse, Navigator… appropriately. Works in collaboration with utilizationreviewnurse to ensure that reviews are completed timely. Required Education…
  • 2.8
    Kindred Healthcare – San Diego, CA
    $54k-$74k(Glassdoor est.)
    4 days ago 4d
    functions of case management, utilizationreview and management and discharge planning. CaseManager, Case Management, CM… CM, UtilizationReview, CCMC, RN, Registered Nurse, Hospital, Healthcare, Long Term Acute Care, Transitional Care Hospitals,…
  • 3.9
    Sharp HealthCare – San Diego, CA
    $46k-$63k(Glassdoor est.)
    15 days ago 15d
    engaged team. We have two Lead CaseManager opportunities; one will oversee UtilizationReview and the other position will oversee… DC, CM, RN Jobs, Registered Nurse, Nursing Leadership, RN Case Management, CaseManager Jobs, Nursing Jobs, Sharp Memorial Hospital…
  • 3.9
    KAISER – San Diego, CA
    $46k-$64k(Glassdoor est.)
    NEW
    ability to utilize/apply the general and specialized principles, practices, techniques and methods of utilizationreview/management… Qualifications: Bachelor's degree in nursing or health care related field preferred. Case Management Certification or certification…
  • 3.4
    American Mobile Healthcare – San Diego, CA
    $46k-$63k(Glassdoor est.)
    15 days ago 15d
    collaboration with utilizationreviewnurse to ensure that reviews are completed timely. The role of the case management nurse is to coordinate… $39.00 Job Description & Requirements Travel Case Management Nurse - CaseManager - (CM RN) Using objective data, evidence based…
  • 3.7
    Scripps Clinic – San Diego, CA
    $79k-$115k(Glassdoor est.)
    10 days ago 10d
    Keywords: Case Management, Care Manager, Case Management, RN, Registered Nurse, RN CaseManager, UtilizationReviewNurse, Navigator… appropriately. Works in collaboration with utilizationreviewnurse to ensure that reviews are completed timely. Required Education…
  • 3.9
    Sharp HealthCare – San Diego, CA
    $46k-$63k(Glassdoor est.)
    NEW
    80437, RN, Registered Nurse, CaseManager, RN Case Management, UtilizationReview, Nursing Jobs, Nurse, Sharp Memorial Hospital… efficient and cost effective utilization of resources while promoting quality outcomes. CaseManagers at Sharp Memorial Hospital…
  • 3.9
    KAISER – San Diego, CA
    Today 9hr
    retrospective review of care. May also be responsible for other integrated functions such as Discharge Planning, Case Management… Develops, manages and directs the Utilization Management programs in a Service Area or a Medical Center. Develops and manages programs…
  • 4.1
    The Delta Companies – San Diego, CA
    5 days ago 5d
    collaboration with utilizationreviewnurse to ensure that reviews are completed timely. The role of the case management nurse is to coordinate… Travel Case Management Nurse - CaseManager - (CM RN) Job ID: 319562 Discipline: Registered Nurse Location…
  • 4.2
    Landmark Health – San Diego, CA
    $77k-$107k(Glassdoor est.)
    HOT
    clinic, home care, or nursing home setting 1-2 years of utilization management experience a must Case management experience… by RN Nurse Care Managers, Social Workers, Pharmacists, Behavioral Health and other employed team members. The Nurse Care…
  • 3.9
    Sharp HealthCare – San Diego, CA
    $46k-$63k(Glassdoor est.)
    NEW
    Diem, PD, RN, Registered Nurse, CaseManager, RN Case Management, UtilizationReview, Nursing Jobs, Nurse, Sharp Memorial Hospital… efficient and cost effective utilization of resources while promoting quality outcomes. CaseManagers at Sharp Memorial Hospital…
  • 3.1
    Good Samaritan Hospital – San Diego, CA
    $52k-$71k(Glassdoor est.)
    NEW
    , 2017 – September 14, 2017 The CaseManager is responsible for utilizationreview and discharge planning for assigned patient… community resources and discharge planning. UtilizationReview · Reviews all patients for severity of illness and intensity…
  • 3.9
    KAISER – San Diego, CA
    $46k-$64k(Glassdoor est.)
    NEW
    ability to utilize/apply the general and specialized principles, practices, techniques and methods of utilizationreview/management… Qualifications: Bachelor's degree in nursing or healthcare related field preferred. Case Management Certification preferred.…
  • 3.1
    Brown & Brown Insurance – San Diego, CA
    $36k-$50k(Glassdoor est.)
    10 days ago 10d
    service. American Claims Management, Inc. is seeking a NurseCaseManager to perform initial and ongoing clinical assessment and… the casemanager's involvement to include clinical and financial outcomes; maintains accurate records of management of case including…
  • 3.4
    Anthem – San Diego, CA
    NEW
    and post service requests. Refers cases requiring clinical review to a Nursereviewer. Responsible for the identification… Fortune Top 50 Company. Utilization Management Representative I: Responsible for coordinating cases for precertification and…
  • 3.9
    Sharp HealthCare – San Diego, CA
    $46k-$63k(Glassdoor est.)
    18 days ago 18d
    Keywords: CaseManager, RN, RN Case Management, Diabetes, Sharp Rees Stealy, San Diego, Nursing Jobs, casemanager jobs, CM jobs… Bachelor of Science in Nursing or health related field strongly preferred Certified CaseManager (CCM) Certified Diabetes…
  • 3.1
    Good Samaritan Hospital – San Diego, CA
    $52k-$71k(Glassdoor est.)
    NEW
    /17 POSITION SUMMARY: The CaseManager is responsible for utilizationreview and discharge planning for assigned patient… POSITION DUTIES AND RESPONSIBILITIES: UtilizationReviewReviews all patients for severity of illness and intensity…
  • 3.2
    MemorialCare Health System – San Diego, CA
    $68k-$89k(Glassdoor est.)
    NEW
    personal growth. Position Summary: The Registered NurseCaseManager collaborates with other professional disciplines/unit… specialization with knowledge of utilizationreview, discharge planning activities, government and managed care regulations, quality…
  • 3.7
    Scripps Health – San Diego, CA
    $79k-$115k(Glassdoor est.)
    15 days ago 15d
    appropriately. Works in collaboration with utilizationreviewnurse to ensure that reviews are completed timely. Required Education… Bachelor of Science in Nursing (BSN) highly desired. Case Management and/or home care experience preferred. Case management certification…
  • 3.9
    Sharp HealthCare – San Diego, CA
    $56k-$102k(Glassdoor est.)
    HOT
    each physician specialty Ability to collaborate with casemanagers to collaboratively capture patient severity of illness and… Description Summary The Second Level Review Specialist retrospectively reviews medical records to validate the appropriateness…
  • 2.7
    Care1st Health Plan – San Diego, CA
    $50k-$69k(Glassdoor est.)
    11 days ago 11d
    for the generation of reports related to case management.  Conducts casereview with the Chief Medical Officer and Director… catastrophic, chronically ill, identified high-risk members on a case by case basis to achieve realistic outcomes. The primary goal of…
  • 3.7
    Scripps Health – San Diego, CA
    $79k-$115k(Glassdoor est.)
    15 days ago 15d
    appropriately. Works in collaboration with utilizationreviewnurse to ensure that reviews are completed timely. Required Education… Bachelor of Science in Nursing (BSN) highly desired. Case Management and/or home care experience preferred. Case management certification…
  • 4.2
    UC San Diego – San Diego, CA
    $73k-$94k(Glassdoor est.)
    23 days ago 23d
    school of nursing. RN License issued by the State of California. A background in case management, utilizationreview, and discharge… to the Medical Group Managed Care UM Manager, the ambulatory casemanager is responsible for utilization management, patient care…
  • 3.4
    Department of Veterans Affairs – San Diego, CA
    $82k-$107k(Glassdoor est.)
    NEW
    external review organizations and/or accrediting bodies. Collaborates in the management of staff with NurseManagers, Assistant… Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign…
  • 3.1
    Magellan Health – San Diego, CA
    $52k-$77k(Glassdoor est.)
    1 days ago 23hr
    substance abuse health care setting, including utilizationreview. Associate Care Manager must have performance ratings of “meets expectations… specific cases. Participate in QI activities, including data collection, tracking, and analysis. TRF’s to be reviewed by Master…
  • 3.7
    Scripps Health – San Diego, CA
    $79k-$115k(Glassdoor est.)
    15 days ago 15d
    appropriately. Works in collaboration with utilizationreviewnurse to ensure that reviews are completed timely. Required Education… Bachelor of Science in Nursing (BSN) highly desired. Case Management and/or home care experience preferred. Case management certification…
  • 3.9
    Sharp HealthCare – San Diego, CA
    $42k-$58k(Glassdoor est.)
    26 days ago 26d
    71061, Case Management Resource Specialist, RN, Registered Nurse, CaseManager, RN Case Management, UtilizationReview, ACM, CCM… CM Certification - such as Accredited CaseManager (ACM) or Certified CaseManager (CCM) Experience with InterQual and/or…
  • 2.7
    Care1st – San Diego, CA
    $60k-$74k(Glassdoor est.)
    13 days ago 13d
    ICD-10 and CPT codes preferred Experience with Utilization Management, Case Management, Care Coordination and Medical Office… Providers. The HEDIS Network Support Nurse is responsible for performing medical record review and audit, data extraction, maintaining…
  • 3.3
    Aetna – San Diego, CA
    $35k-$48k(Glassdoor est.)
    23 days ago 23d
    POSITION SUMMARY Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process… meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes…
  • 4.2
    Landmark Health – San Diego, CA
    $67k-$88k(Glassdoor est.)
    12 days ago 12d
    clinical initiatives and outcomes, and through clinical casereviews. Current RN License, BSN preferred, MBA or Business… or nursing home setting 3+ to 2+ years of increasing supervisory or management experience in a health care setting Case management…
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