rn utilization management nurse inpatient cmc utilization management full time 8 hour days Jobs in Concord, California

System Utilization Management SUM Utilization Review RN
Oakland, CaliforniaAlameda Health System Summary SUMMARY: The System Utilization Management SUM Utilization Review RN is responsible for ensuring the appropriate use of healthcare resources while maintaining high- standards of patient care. This role involves evaluating medical necessity, assessing treatment...Full Job Details
Utilization Management Nurse, Senior
Oakland, CaliforniaBlue Shield of California Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Management Nurse, Senior will report to...Full Job Details
Director, Utilization Management
Oakland, CaliforniaAlameda Health System Summary 100% employer health plan for employees and their eligible dependents Unique benefit offerings that are partially or 100% employer-paid Rich and varied retirement plans and the ability to participate in multiple plans. Generous paid time off plans Role Overview:...Full Job Details
RN - Case Manager - AS Utilization Management - Walnut Creek - Full Time - 8 Hour - Days
Walnut Creek, CaliforniaJohn Muir Health Job Description: The role of the inpatient case manager is one of patient advocate of appropriate utilization of resources. The inpatient case manager applies the process of assessment, planning, implementation, monitoring, evaluation and coordination of care to meet the...Full Job Details
RN - Case Manager - AS Utilization Management - Full Time - 8 Hour - PMs
Walnut Creek, CaliforniaJohn Muir Health Job Description: The role of the inpatient case manager is one of patient advocate of appropriate utilization of resources. The inpatient case manager applies the process of assessment, planning, implementation, monitoring, evaluation and coordination of care to meet the...Full Job Details
Travel Inpatient Case Manager (Utilization Review) - $3,252 per week
Carmichael, CaliforniaCoast Medical Service$3252.00 a week Coast Medical Service is seeking a travel nurse RN Case Management for a travel nursing job in Carmichael, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 07/08/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days...Full Job Details
Director, Commercial Utilization Management
Oakland, CaliforniaBlue Shield of California Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California (BSC) and the Utilization Management (UM) department in realizing its goals and objectives....Full Job Details
Director, Medi-Cal/Medicare Utilization Management Nurse Management
Oakland, CaliforniaBlue Shield of California Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives....Full Job Details
Continuing Care Utilization Review Coordinator RN - SNF
San Jose, CaliforniaKaiser Job Summary: Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in the discharge planning process. Essential Responsibilities: Conducts utilization review for in-house patients and/or members who have been admitted to...Full Job Details
Continuing Care Utilization Review Coordinator RN
Walnut Creek, CaliforniaKaiser Job Summary: Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in the discharge planning process. Essential Responsibilities: Conducts utilization review for in-house patients and/or members who have been admitted to...Full Job Details
Travel Inpatient Case Manager (Utilization Review) - $3,248 per week
Carmichael, CaliforniaNurse First$3248.00 a week Nurse First is seeking a travel nurse RN Case Management for a travel nursing job in Carmichael, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 07/08/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment...Full Job Details
Travel Inpatient Case Manager (Utilization Review) - $3,246 per week
Carmichael, CaliforniaStability Healthcare$3246.00 a week Stability Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Carmichael, California. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days, flexible Employment...Full Job Details
Local Contract Inpatient Case Manager (Utilization Review) - $66-70 per hour
Carmichael, CaliforniaHost Healthcare$66.00 - 70.00 an hour Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Carmichael, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 07/04/2025 Duration: 13 weeks 40 hours per week Shift: 8...Full Job Details
Travel Inpatient Case Manager (Utilization Review) - $3,197 per week
Carmichael, CaliforniaHost Healthcare$3197.00 a week Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Carmichael, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 07/04/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days...Full Job Details
Travel Inpatient Case Manager (Utilization Review) - $3,012 per week
Carmichael, CaliforniaNationwide Therapy Group$3012.00 a week Nationwide Therapy Group is seeking a travel nurse RN Case Management for a travel nursing job in Carmichael, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 07/08/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours,...Full Job Details
Travel Inpatient Case Manager (Utilization Review) - $3,478 per week
Carmichael, CaliforniaIDR Healthcare$3478.00 a week IDR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Carmichael, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment...Full Job Details
Behavioral Health Utilization Management Clinician, Senior
Oakland, CaliforniaBlue Shield of California Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of...Full Job Details
Behavioral Health Utilization Management Clinician, Consultant (Lead)
Oakland, CaliforniaBlue Shield of California Your Role The Behavioral Health (BH) Utilization Management (UM) team performs prospective, concurrent, retrospective utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinical criteria...Full Job Details
Travel Inpatient Case Manager (Utilization Review) - $2,990 per week
Carmichael, CaliforniaAnders Group$2990.00 a week Anders Group is seeking a travel nurse RN Case Management for a travel nursing job in Carmichael, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 07/08/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment...Full Job Details
Travel RN Case Manager - Utilization Review - $3,209 per week
Greenbrae, CaliforniaCoast Medical Service$3209.00 a week Coast Medical Service is seeking a travel nurse RN Case Management for a travel nursing job in Greenbrae, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 06/23/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days...Full Job Details
Travel RN Case Manager - Utilization Review - $3,220 per week
Greenbrae, CaliforniaPrime Staffing$3220.00 a week Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Greenbrae, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 06/23/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours Employment...Full Job Details
Travel RN Case Manager - Utilization Review - $2,969 per week
Greenbrae, CaliforniaVoca Healthcare$2969.00 a week Voca Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Greenbrae, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 06/23/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days...Full Job Details
Travel RN Case Manager - Utilization Review - $3,249 per week
Greenbrae, CaliforniaWellspring Nurse Source$3249.00 a week Wellspring Nurse Source is seeking a travel nurse RN Case Management for a travel nursing job in Greenbrae, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 06/23/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days...Full Job Details
Travel Nurse RN - Utilization Review - $3,435 per week
Greenbrae, CaliforniaLanceSoft$3435.00 a week LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Greenbrae, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 07/07/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days...Full Job Details
Travel RN Case Manager - Utilization Review - $3,301 per week
Greenbrae, CaliforniaNurse First$3301.00 a week Nurse First is seeking a travel nurse RN Case Management for a travel nursing job in Greenbrae, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 06/23/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment...Full Job Details