Utilization review nurse [h1.location_city]
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Utilization review nurse • oakland ca
[last_updated.last_updated_1_day]
Formulary Strategy & Utilization Review Pharmacist.Shape the drug benefit landscape-analyze and optimize medication use.Review prescribing trends and propose cost-saving alternatives.Maintain evide...[show_more][last_updated.last_updated_30]
Step into a high-impact leadership role as the Nurse Manager of Case Management and Utilization Review and help shape exceptional care coordination, throughput efficiency, and patient experience ac...[show_more][last_updated.last_updated_30]
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_more][last_updated.last_updated_variable_days]
Wholesale Credit Review Associate.Join our Wholesale Credit Review team and play a key role in assessing risk across JPMorgan's global client portfolios.
You will help ensure the integrity of our cr...[show_more][last_updated.last_updated_variable_days]
The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions / never eve...[show_more][last_updated.last_updated_variable_days])
Be among the first 25 applicants CGS Federal (Contact Government Services) provided pay range.This range is provided by CGS Federal (Contact Government Services).
Your actual pay will be based on yo...[show_more][last_updated.last_updated_variable_days]
Portuguese Document Reviewer Contact Review - Washington, DC Location : Remote Start Date : Negotiable EXPERIENCE & QUALIFICATIONS : Fluency in Portuguese Familiarity with document review workflows Ex...[show_more][last_updated.last_updated_variable_days]
Registered Nurse (RN) | Utilization Review.TravelNurseSource is working with GQR Healthcare to find a qualified Utilization Review RN in Oakland, California, 94609!.
Contract - W2 Case Management / Ut...[show_more][last_updated.last_updated_variable_days]
Director, Utilization Management.Unique benefit offerings that are partially or 100% employer-paid.Rich and varied retirement plans and the ability to participate in multiple plans.Alameda Health S...[show_more][last_updated.last_updated_variable_days]
Reporting to the Sr Medical Director, the Appeals & Quality Review Nurse Manager, provides leadership and oversight of SFHP's quality review functions, ensuring timely and compliant resolution of c...[show_more][last_updated.last_updated_variable_days]
Federal Reserve Bank of San Francisco.We are the Federal Reserve Bank of San Francisco public servants with a mission to advance the nations monetary financial and payment systems to build a stron...[show_more][last_updated.last_updated_variable_days]
A company is looking for a Clinical Care Manager- Utilization Review Nurse.Key Responsibilities Conduct timely reviews of healthcare services and document clinical findings in compliance with reg...[show_more][last_updated.last_updated_1_day]
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in San Francisco, California.
Job Description & Requirements.We’re seeking talented healthcar...[show_more][last_updated.last_updated_30]
The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions / never...[show_more][last_updated.last_updated_variable_days]
Federal Reserve Bank of San Francisco.We are the Federal Reserve Bank of San Francisco public servants with a mission to advance the nation's monetary, financial, and payment systems to build a st...[show_more][last_updated.last_updated_variable_days]
Clinical Quality Review Coordinator.Candidate must be authorized to work in the USA without requiring sponsorship.The MSPRC Coordinator provides administrative and quality support for the Multi?Spe...[show_more][last_updated.last_updated_1_day]
Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San Francisco.It is a hybrid position with 1-2 days per week on-site required.Collaborates with ...[show_more][last_updated.last_updated_30]
Loan Review Senior Consultant – Crowe.We are seeking a Loan Review Senior Consultant to perform credit risk consulting projects for a variety of clients in the financial services industry.Provide l...[show_more][last_updated.last_updated_variable_days]
JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting provision of integrated delivery of ca...[show_more][last_updated.last_updated_variable_days]
- [promoted]
Formulary Strategy & Utilization Review Pharmacist
Pharmacy CareersOakland, CA, United States[job_card.full_time]
Nurse Manager of Case Management and Utilization Review
Clinical Management ConsultantsSan Lorenzo, CA[job_card.full_time]
Senior Estimate Review Specialist
San Francisco StaffingSan Francisco, CA, United States[job_card.full_time]
- [promoted]
Credit Review - Senior Associate
ChaseSan Francisco, CA, US[job_card.full_time]
- [promoted]
Utilization Management Nurse, Senior
Blue Shield of CAOakland, CA, United States[job_card.full_time]
- [promoted]
French Document Review Attorney
CGS Federal (Contact Government Services)San Francisco, California, United States[job_card.full_time]
- [promoted]
Portuguese Document Review Attorney
Contact Government Services, LLCSan Francisco, California, United States[job_card.full_time]
Travel Nurse RN - Utilization Review - $2,528 per week in Oakland, CA
TravelNurseSourceOakland, CA, US[job_card.full_time]
- [promoted]
Director, Utilization Management
Alameda Health SystemOakland, CA, United States[job_card.full_time]
Appeals & Quality Review Nurse Manager
San Francisco Health PlanSan Francisco, CA, United States[job_card.full_time]
Analyst, Credit Review
Federal Reserve Bank of PhiladelphiaSan Francisco, California, USA[job_card.full_time] +2
- [promoted]
Illinois Licensed Utilization Review Nurse
VirtualVocationsSan Francisco, California, United States[job_card.full_time]
Travel Nurse RN - Case Manager, Utilization Review - $2,574 per week
Medical SolutionsSan Francisco, CA, USA[job_card.full_time]
Utilization Management Nurse, Senior
Blue Shield of CaliforniaOakland, CA, United States[job_card.full_time]
- [promoted]
Analyst, Credit Review
Federal Reserve SystemSan Francisco, CA, US[job_card.permanent]
Clinical Quality Review Coordinator
Amerit ConsultingSan Francisco, CA, United States[job_card.full_time]
Utilization Review RN (Hybrid)
Vivo HealthStaffSan Francisco, CA, US[job_card.full_time]
- [promoted]
Loan Review Senior Consultant
CroweSan Francisco, California, United States[job_card.full_time]
Care Review Processor-Utilization Review-California
Molina HealthcareSan Francisco, CA, United States[job_card.full_time]
Formulary Strategy & Utilization Review Pharmacist
Pharmacy CareersOakland, CA, United States[job_card.30_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]PharmD with managed care, DUR, or pharmacy benefit experience. Strong Excel / data analytics background preferred. Understanding of clinical guidelines and P&T processes. Join a top-tier managed care team Hybrid flexibility Strategic and data-driven focus
Formulary Strategy & Utilization Review Pharmacist
Shape the drug benefit landscape-analyze and optimize medication use.
Key Responsibilities :
- Review prescribing trends and propose cost-saving alternatives.
- Maintain evidence-based formularies across multiple payers.
- Conduct retrospective DUR and prepare stakeholder reports.
Qualifications :
Why Join Us?