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Utilization review nurse Jobs in San Diego, CA

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Utilization review nurse • san diego ca

Last updated: 14 hours ago
Utilization Management Nurse, Senior

Utilization Management Nurse, Senior

Blue Shield of CaliforniaSan Diego, CA, United States
Full-time
The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will repor...Show moreLast updated: 30+ days ago
Utilization Review-Case Management (Full-Time)

Utilization Review-Case Management (Full-Time)

Aurora San DiegoSan Diego, CA, US
Full-time
Work as member of multi-disciplinary treatment team reviewing patient care and treatment options for both inpatient and outpatient services. Proactively monitor and optimize reimbursement for extern...Show moreLast updated: 30+ days ago
Associate Director / Director, Drug Safety (Medical Safety Review)

Associate Director / Director, Drug Safety (Medical Safety Review)

Arrowhead Pharmaceuticals, Inc.San Diego, CA, United States
Full-time
Associate Director / Director, Drug Safety (Medical Safety Review).Arrowhead Pharmaceuticals, Inc.Nasdaq : ARWR) is a clinical stage biopharmaceutical company that develops medicines that treat intrac...Show moreLast updated: 6 days ago
  • Promoted
eDiscovery Review Attorney

eDiscovery Review Attorney

Cooley LLPSan Diego, CA, United States
Full-time +1
Cooley is seeking a E-Discovery Review Attorney to join the Litigation & E-Discovery Services team.As part of the Litigation and E-Discovery Services group, the E-Discovery Review Attorney provides...Show moreLast updated: 30+ days ago
  • Promoted
Senior Estimate Review Specialist

Senior Estimate Review Specialist

San Diego StaffingSan Diego, CA, US
Full-time
Senior Estimate Review Specialist.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexp...Show moreLast updated: 30+ days ago
Chief Medical Officer, Clinical Assessment Review Expert

Chief Medical Officer, Clinical Assessment Review Expert

ConfidentialSan Diego, CA, United States
Full-time
Chief Medical Officer, Clinical Assessment Review Expert.Successful healthcare services provider.The Company is seeking a Chief Medical Officer for its Clinical Assessment Review Expert (CAREs) tea...Show moreLast updated: 17 days ago
  • New!
Spine Surgeon Telecommute Medical Review Stream Physician

Spine Surgeon Telecommute Medical Review Stream Physician

ConcentraNational City, CA, US
Full-time
Board Certified Orthopedic or Neurosurgeon Surgeon physician.Are you passionate about your work / life balance? We are seeking flexible and experienced physicians for our medical reviewstream divisio...Show moreLast updated: 14 hours ago
CIVIL SERVICE REVIEW-CE / VOC : Adjunct / Substitute Instructor POOL (non-credit)

CIVIL SERVICE REVIEW-CE / VOC : Adjunct / Substitute Instructor POOL (non-credit)

New River Community CollegeSan Diego, CA, United States
Full-time
CIVIL SERVICE REVIEW-CE / VOC : Adjunct / Substitute Instructor POOL (non-credit).San Diego Community College District.The San Diego Community College District accepts applications for adjunct (part?t...Show moreLast updated: 3 days ago
ABA Utilization Review (UR) Specialist

ABA Utilization Review (UR) Specialist

Spectrum Billing SolutionsSan Diego, CA, United States
Full-time
ABA Utilization Review (UR) Specialist.Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology...Show moreLast updated: 3 days ago
  • Promoted
Travel Nurse RN - Utilization Review in Apple Valley, CA

Travel Nurse RN - Utilization Review in Apple Valley, CA

TravelNurseSourceSan Diego, California, US
Full-time
TravelNurseSource is working with TechLink Systems, Inc.Utilization Review RN in Apple Valley, California, 92307!.Job Title : Registered Nurse - Utilization Review. Location (On-site, Remote, or Hyb...Show moreLast updated: 30+ days ago
  • Promoted
Travel Nurse RN - Case Manager, Utilization Review - $2,335 per week

Travel Nurse RN - Case Manager, Utilization Review - $2,335 per week

Medical SolutionsSan Diego, CA, USA
Full-time
Travel Nurse RN - Case Manager, Utilization Review - $2,335 per week at Medical Solutions summary : .The Travel Nurse RN - Case Manager, Utilization Review position offers healthcare professionals a ...Show moreLast updated: 30+ days ago
eDiscovery Review Attorney

eDiscovery Review Attorney

CooleySan Diego, CA, United States
Full-time +1
Cooley is seeking a E-Discovery Review Attorney to join the Litigation & E-Discovery Services team.As part of the Litigation and E-Discovery Services group, the E-Discovery Review Attorney provides...Show moreLast updated: 3 days ago
  • Promoted
Registered Nurse Manager - Utilization Review & Case Management

Registered Nurse Manager - Utilization Review & Case Management

Macpower Digital Assets EdgeSan Diego, CA, United States
Full-time
Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center.Ensures cost effective and quality patient care by appropriate utilization of resourc...Show moreLast updated: 30+ days ago
Care Review Clinician (RN) NIGHT SHIFT

Care Review Clinician (RN) NIGHT SHIFT

Molina HealthcareSan Diego, CA, United States
Full-time
California residents preferred.EMERGENCY ROOM ADMISSIONS REVIEW NURSE • • • •_3-12 NIGHT SHIFT 7 : 30PM - 08 : 30AM PACIFIC HOURS NON EXEMPT, 3 days a week will rotate. TRAINING SCHEDULE WILL BE Monday ...Show moreLast updated: 30+ days ago
  • Promoted
Clinical Review Medical Director - Vascular Surgery - Remote

Clinical Review Medical Director - Vascular Surgery - Remote

UnitedHealth GroupSan Diego, CA, United States
Remote
Full-time
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...Show moreLast updated: 5 days ago
Associate Director / Director, Drug Safety (Medical Safety Review)

Associate Director / Director, Drug Safety (Medical Safety Review)

Arrowhead PharmaceuticalsSan Diego, CA, US
Full-time
Arrowhead Pharmaceuticals, Inc.Nasdaq : ARWR) is a clinical stage biopharmaceutical company that develops medicines that treat intractable diseases by silencing the genes that cause them.Using a bro...Show moreLast updated: 30+ days ago
  • Promoted
Flexible Online Opportunity - Discover & Review Work-from-Home Gigs

Flexible Online Opportunity - Discover & Review Work-from-Home Gigs

Finance BuzzBonita, California, US
Remote
Temporary
Looking for extra income but not sure where to start? We’re hiring people to explore and review online side hustles listed by FinanceBuzz. No experience needed – just a willingness to try out differ...Show moreLast updated: 30+ days ago
Sr Spec-Integrated Care Mgmt - Utilization Management - Sharp Corporate - FT - Days

Sr Spec-Integrated Care Mgmt - Utilization Management - Sharp Corporate - FT - Days

Sharp HealthCareSan Diego, CA
Full-time
Hourly Pay Range (Minimum - Midpoint - Maximum) : .The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position w...Show moreLast updated: 30+ days ago
CJA Voucher Review Clerk

CJA Voucher Review Clerk

United States CourtsSan Diego, CA, United States
Full-time
Court Name / Organization California Southern District Court.Overview of the Position The U.District Court for the Southern District of California is accepting applications for the position of CJA Vo...Show moreLast updated: 5 days ago
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Utilization Management Nurse, Senior

Utilization Management Nurse, Senior

Blue Shield of CaliforniaSan Diego, CA, United States
30+ days ago
Job type
  • Full-time
Job description

Your Role

The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical information provided by the facilities to determine medical necessity when our members admit. You will also be involved with discharge planning and transfers as needed for higher levels of care or out of network admissions.