Top 13 & utilization review nurses Jobs in Chico, Ca

Utilization Management Clinical
BUTTE HOME HEALTH INC —Chico, CA
- $50 - $60 an hour
- Full-time
- RN License
- Mid-level
- Office
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Quality Registered Nurse
BUTTE HOME HEALTH INC —Chico, CA
- $50 - $60 a month
- Part-time
- Nursing
- RN License
- Mid-level
Quick Apply
Care Coordinator (RN) - Case Management (Full-Time, Temporary, Days)
Enloe Medical Center —Chico, CA
- $58.56 - $79.06 an hour
- 8 hour shift
- CPR Certification
- Nursing
- Microsoft Excel
- Health insurance
- Dental insurance
Travel RN - Leadership - Nurse Manager
American Traveler —Chico, CA
- $2,762.90 a week
- 8 hour shift
- Acute care
- RN License
- BLS Certification
Quick Apply
Nurse Practitioner/Physician Assistant
Proactive Wellness Systems LLC —Chico, CA
- $65 - $90 an hour
- Full-time
- Vital signs
- Medication administration
- Urgent Care
- Health insurance
- Dental insurance
Quick Apply
8d
Clinical Appeals & Grievances Nurse Reviewer
Tanaq Support Services LLC —United States
- Weekends as needed
- Microsoft Word
- Nursing
- Microsoft Excel
14d

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MD or DO for Skilled Nursing
Community Health Centers of America —Chico, CA
Valid state medical license as MD or DO. Maintains interdisciplinary treatment by reviewing treatment plans and progress, and consulting and collaborating with…
$240,000 - $350,000 a year
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Physical Therapist, $5,000 Sign On Bonus!
Autumn Creek Post Acute —Butte County, CA
Physical Therapist will spend approximately 10-20% of time sitting at desk or terminal entering data. Writes accurate, complete, and clear documentation in…
$58 - $62 an hour
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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
Director of Nursing
North Central Correctional Complex —Marion, OH
Valid driver’s license in the state of Ohio with an acceptable driving record required, unless waived by management. Must possess current CPR certification.
$115,000 a year
7d

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& utilization review nurses jobs near chico, ca

Utilization Management Clinical

BUTTE HOME HEALTH INC
Chico, CA

Quick Apply

Job Details

Full-time
$50 - $60 an hour

Qualifications

Collaborate with healthcare professionals
Computer operation
Customer communication
Case assessment
Electronic health records (EHR) management
RN License
Patient management software
Multidisciplinary team collaboration for treatment planning
Computer skills

Full Job Description

The Utilization Manager, Registered Nurse, is an office-based nursing position responsible for supporting high-quality patient care through clinical oversight, utilization management, and real-time guidance to field clinicians. This role serves as a key clinical resource within the organization, assisting with nursing calls, care coordination, and clinical decision-making to promote positive patient outcomes while ensuring regulatory and payer compliance.

Key responsibilities include:

Provide clinical support and guidance to field clinicians, including RNs, LVNs, and therapy staff.
Take and triage nursing calls from clinicians, patients, and caregivers as appropriate.
Collaborate with field staff to assist with clinical problem-solving, patient status changes, and care planning.
Review plans of care and clinical documentation to ensure appropriate utilization of services and skilled need.
Monitor visit frequencies and service utilization in alignment with physician orders, payer guidelines, and agency standards.
Support case managers with recertifications, discharges, transitions of care, and care coordination.
Participate in interdisciplinary collaboration to promote continuity of care and effective communication.
Identify clinical risks or concerns and escalate issues appropriately.
Support compliance with Medicare Conditions of Participation, regulatory requirements, and agency policies.
Contribute to quality improvement initiatives focused on patient outcomes, documentation accuracy, and clinical best practices.

Required Qualifications

Active Registered Nurse (RN) license in the state of California.
Strong clinical assessment, critical-thinking, and decision-making skills.
Excellent verbal and written communication skills.
Ability to work collaboratively with interdisciplinary teams.
Proficiency with electronic medical records (EMR) systems and basic computer applications.

Preferred Qualifications

Experience in utilization management, case management, or clinical coordination.
Home Health experience preferred but not required.
Knowledge of Medicare home health regulations, payer guidelines, and Conditions of Participation.
Experience providing clinical support, education, or mentorship to field clinicians.
Strong organizational skills with the ability to manage multiple priorities in a fast-paced office environment.

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Refine Your Search

& utilization review nurses jobs in chico, ca

Utilization Management Clinical

Quality Registered Nurse

Care Coordinator (RN) - Case Management (Full-Time, Temporary, Days)

Travel RN - Leadership - Nurse Manager

Nurse Practitioner/Physician Assistant

Clinical Appeals & Grievances Nurse Reviewer

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