system utilization management sum utilization review rn Jobs in Oakland, 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
System Educator Care Coordination/Utilization Review
Oakland, CaliforniaAlameda Health System Summary Role Overview: The System Educator of Care Coordination and Utilization Review is responsible for developing, implementing, and maintaining education and training programs across the organization's care coordination and utilization review teams. This role ensures...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
Utilization Management Nurse
Burlingame, CaliforniaNorth East Medical Services The Utilization Management (UM) Nurse is a licensed nursing professional responsible for reviewing UM cases and discharge planning activities. The UM Nurse may also assist with preparing files for audits and required reporting and ensuring UM cases are reviewed and...Full Job Details
Travel Nurse RN
Greenbrae, CaliforniaMedical Solutions$2986.00 a week Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Greenbrae, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days...Full Job Details
Travel Nurse RN
Palo Alto, CaliforniaMedical Solutions$3060.00 a week Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Palo Alto, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days...Full Job Details
Travel Nurse RN
Palo Alto, CaliforniaMedical Solutions$3114.00 a week Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Palo Alto, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 10 hours, days...Full Job Details
Travel Nurse RN
Oakland, CaliforniaMedical Solutions$3046.00 a week Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oakland, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment...Full Job Details
Care Review Clinician
San Jose, CaliforniaMolina Healthcare California RN residents preferred. Pacific daytime business hours required. JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of...Full Job Details
Clinical Review Nurse
Alameda, CaliforniaYoh, A Day & Zimmermann Company Clinical Review Nurse (RN) (WORK FROM HOME) needed for a remote contract opportunity with Yoh's client. Top Skills You Should Possess: Minimum three years acute care clinical experience required Minimum two years of experience in appeals and grievances casework required...Full Job Details
RN Inpatient Review Case Manager
San Francisco, CaliforniaMolina Healthcare RN licensure must be valid for California. California is not a compact state. Candidates who do not live in California must have CA licensure and must be willing to work Pacific daytime Hours. JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members,...Full Job Details
Case Management Nurse
Greenbrae, CaliforniaPride Health Pride Health is currently seeking candidates for a "RN-Case Manager" position that will provide support to our client's healthcare systems in Greenbrae, CA 94904. This a contract assignment with a high likelihood of extension and a great way to start working with a top-tier...Full Job Details
Travel Nurse RN
Santa Rosa, CaliforniaLanceSoft$3060.00 a week LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Santa Rosa, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type:...Full Job Details
Travel Nurse RN
Oakland, CaliforniaLanceSoft$3119.00 a week LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Oakland, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 05/12/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type:...Full Job Details
Travel Nurse RN
Oakland, CaliforniaLanceSoft$3119.00 a week LanceSoft is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Oakland, California. Job Description & Requirements Specialty: Acute Care Case Management Discipline: RN Start Date: 05/12/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours,...Full Job Details
Nurse Care Management
San Leandro, CaliforniaAlameda Health System Summary SUMMARY: Responsible for coordinating continuum of care and discharge planning activities for a caseload of assigned patients; develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of care, and...Full Job Details
Care Management Specialist
Oakland, CaliforniaAlameda Health System Summary SUMMARY: Assists in Care Management Team of social workers and nurses with functions such as but not limited to provide census reconciliation, administrative support for care coordination and discharge planning activities, working with the payors, accurate and...Full Job Details
SLH Care Management Specialist
San Leandro, CaliforniaAlameda Health System Summary SUMMARY: Assists in Care Management Team of social workers and nurses with functions such as but not limited to provide census reconciliation, administrative support for care coordination and discharge planning activities, working with the payors, accurate and...Full Job Details
SAP EMS
Santa Clara, CaliforniaTranzeal Job Duties: • Perform simple and complex configurations on the SAP EMS platform to create, update and inactivate entitlements • Setup new offerings in EMS and map them to entitlement models and update existing entitlements • Formulate solutions in SAP EMS based on business...Full Job Details
Travel Nurse RN
Walnut Creek, CaliforniaCross Country Nurses$2515.00 a week Cross Country Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Walnut Creek, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 05/20/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days...Full Job Details
Travel Nurse RN
Palo Alto, CaliforniaCross Country Nurses$3465.00 a week Cross Country Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Palo Alto, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 06/08/2025 Duration: 26 weeks 40 hours per week Shift: 8 hours, days...Full Job Details
Travel Nurse RN
Palo Alto, CaliforniaCross Country Nurses$3420.00 a week Cross Country Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Palo Alto, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 05/12/2025 Duration: 8 weeks 40 hours per week Shift: 10 hours, days...Full Job Details
Travel Nurse RN
Greenbrae, CaliforniaCross Country Nurses$2855.00 a week Cross Country Nurses 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: 05/12/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days...Full Job Details
Travel Nurse RN
Santa Rosa, CaliforniaCross Country Nurses$2600.00 a week Cross Country Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Santa Rosa, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 05/19/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days...Full Job Details
Travel Nurse RN
Oakland, CaliforniaCross Country Nurses$2900.00 a week Cross Country Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Oakland, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 05/12/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days...Full Job Details