Top 26 Documentation & utilization review nurses Jobs in Corte Madera, Ca

Utilization Review RN II, Care Coordination, Full-Time, Days
MarinHealth Medical Center —Greenbrae, CA
- $66.03 - $99.04 an hour
- Full-time
- Nursing
- RN License
- Hospital
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2d
UM Genetic Counselor Medical Reviewer
Wollborg Michelson Recruiting —California
- $62.00 - $64.70 an hour
- Full-time
- LVN
- Windows
- Master's degree
- Health insurance
- Dental insurance
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6d
Registered Nurse
Best Home Health Providers, Inc. —Petaluma, CA
- $110 - $130 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
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Nurse Practitioner/Physician Assistant
FOWAD Advanced Nursing Services Inc —California
- $85 - $150 an hour
- Per diem
- Vital signs
- Mid-level
- Outpatient experience
- Flexible schedule
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7d
Nursing Supervisor - Registered Nurse
Chaparral House —Berkeley, CA
- From $57 an hour
- Full-time
- Nursing
- Medication administration
- Patient monitoring
- Free parking
- Paid holidays
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14d
Registered Nurse
Caring Hand Home Health Solutions, Inc. —Corte Madera, CA
- $110 - $130 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
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21h
Travel RN - Case Management/Utilization Review - Case Management
American Traveler —Oakland, CA
- $3,171 a week
- Rotating weekends
- Acute care
- RN License
- 5 years
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Per Diem IV Ketamine RN
Mindful Health Solutions —Oakland, CA
- $65 - $70 an hour
- Part-time
- CPR Certification
- Nursing
- Microsoft Outlook
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IV Ketamine RN
Mindful Health Solutions —Oakland, CA
- $65 - $70 an hour
- Full-time
- CPR Certification
- Nursing
- Microsoft Outlook
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Registered Nurse – Population Health
Asian Health Services —Oakland, CA
- $64.52 - $65.94 an hour
- CPR Certification
- Nursing
- RN License
- Commuter assistance
- Paid holidays
Quick Apply
5d
Case Manager RN
Novato Healthcare Center —Novato, CA
- $45 - $55 an hour
- Full-time
- Mid-level
- Administrative experience
- Bachelor's degree
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NURSE CASE MANAGER I P
NORTH EAST MEDICAL SERVICES —Burlingame, CA
- $143,098.80 - $165,048.00 a year
- Nursing
- Clean driving record
- RN License
NURSE CASE MANAGER II P
NORTH EAST MEDICAL SERVICES —Burlingame, CA
- $143,098.80 - $165,048.00 a year
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Nurse Supervisor
Colegio de Médicos de Barcelona —Oakland, CA
- $63.21 - $76.13 an hour
- Part-time
- Nursing
- Patient monitoring
- RN License
- Health savings account
- Loan repayment program
Quick Apply
13d

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documentation & utilization review nurses jobs near corte madera, ca

Utilization Review RN II, Care Coordination, Full-Time, Days

MarinHealth Medical Center -
Greenbrae, CA

Quick Apply

Job Details

Full-time
$66.03 - $99.04 an hour
2 days ago

Qualifications

Collaborate with healthcare professionals
Electronic health records (EHR) management
RN License
BLS Certification
Patient management software
English
Acute care facility experience
Evidence-based practice
Utilization management
Conflict management
Resource utilization in healthcare
Productivity software
Documentation review
Negotiation
Documentation reviews

Full Job Description

ABOUT MARINHEALTH
Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch.

MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others.

Company:

Marin General Hospital dba MarinHealth Medical Center

Compensation Range:

$66.03 - $99.04

Work Shift:

10 Hour (days) (United States of America)

Scheduled Weekly Hours:

Job Description Summary:

The Utilization Review Nurse is responsible for completion of admission, concurrent and retrospective reviews for designated health plans. This function includes appropriate application of standardized criteria and concurrent documentation. As appropriate, the UR nurse will assess for clinical stability and coordinate transfer back to Marin General for continued care when patients are admitted to non-contracted hospitals. The UR nurse is also responsible for initial RAC review prior to submission to Physician Advisor and will appeal medical necessity denials. Denials submitted to the case management department from Patient Financial Services will be reviewed to determine if the medical record has sufficient medical necessity documentation prior to a written appeal. The UR nurse will escalate cases to the Medical Director (as necessary) to ensure the provision of appropriate and effective patient care.

Job Requirements, Prerequisites and Essential Functions:

EDUCATION
Bachelor of Science degree in Nursing preferred

EXPERIENCE
1. Three (3) or more years of experience in an acute patient care setting preferably in medical/surgical or critical care.
2. Substantial recent experience in utilization review and/or discharge planning in an acute care setting is strongly preferred.
3. Experience in applying evidence based criteria related to utilization management.
4. Experience using case management software

LICENSURE AND CERTIFICATIONS
Registered Nurse Required at hire
Basic Life Support Required at hire

PREREQUISITE SKILLS
1. Must have the ability to read, write, and follow English verbal and written instructions, and have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, and positive personal influence and negotiation skills.
2. Able to carry out review function and access medical records.
3. Must have the ability to work independently with a minimum of direction, anticipate and organize work flow, prioritize and follow through on responsibilities.
4. Utilization review/discharge planning services appropriate to patients with complex
5. Strong attention to detail and accuracy is required.
6. Must have the ability to work in a high volume case load environment and deal effectively with rapidly changing priorities.
7. Demonstrated ability to work constructively with a broad spectrum of health care professionals is required.
8. Must be assertive and creative in problem solving, system planning and management.
9. Proficient computer skills are required including use of Electronic Health Record. Microsoft Office Suite Products.

Accommodation:

Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or [email protected].

C.A.R.E.S. Standards:

MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues.

Health & Immunizations:

To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law.

Compensation:

The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements.

Equal Employment:

All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.

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Refine Your Search

documentation & utilization review nurses jobs in corte madera, ca

Utilization Review RN II, Care Coordination, Full-Time, Days

UM Genetic Counselor Medical Reviewer

Registered Nurse

Nurse Practitioner/Physician Assistant

Nursing Supervisor - Registered Nurse

Registered Nurse

Travel RN - Case Management/Utilization Review - Case Management

Per Diem IV Ketamine RN

IV Ketamine RN

Registered Nurse – Population Health

Case Manager RN

NURSE CASE MANAGER I P

NURSE CASE MANAGER II P

Nurse Supervisor

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