Top 13 Utilization review nurse Jobs in Fresno, Ca

Utilization Review Case Manager Extra on Call
Saint Agnes Medical Center —Fresno, CA
- $49.47 - $71.74 an hour
- Part-time
- Acute care
- CPR Certification
- Nursing
17h
Utilization Review Nurse (RN)
Madera Community Hospital —Madera, CA
- $55.34 - $66.41 an hour
- Full-time
- Acute care
- Nursing
- RN License
Quick Apply
Peer Review Nurse
Madera Community Hospital —Madera, CA
- $46.00 - $61.91 an hour
- Part-time
- Acute care
- Nursing
- RN License
Quick Apply
Clinical Performance Registered Nurse
Sound Physicians —Fresno, CA
- $115,000 a year
- Full-time
- Nursing
- RN License
- Hospital
- Paid holidays
Case Manager (RN)
Madera Community Hospital —Madera, CA
- $55.34 - $66.41 an hour
- Full-time
- Acute care
- Microsoft Word
- Nursing
Quick Apply
Peer Review Coordinator RN
Saint Agnes Medical Center —Fresno, CA
- $45.50 - $68.27 an hour
- Full-time
- Nursing
- RN License
- Hospital
RN, Quality Management Coordinator, Peer Review
Community Health System —Fresno, CA
- $55.48 - $70.60 an hour
- 8 hour shift
- Nursing
- RN License
- 5 years
- Retirement plan
Registered Nurse Case Manager
INNOVATIVE INTEGRATED HEALTH —Fresno, CA
- $55 - $58 an hour
- On call
- CPR Certification
- Nursing
- RN License

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Utilization Review Case Manager Extra on Call
Saint Agnes Medical Center —Fresno, CA
Knowledge regarding hospital protocol and procedures, clinical standards and outcomes, funding options, familiarity with community resources and outside…
$49.47 - $71.74 an hour
17h
Utilization Review Nurse (RN)
Madera Community Hospital —Madera, CA
Minimum of 1–3 years of related acute care nursing experience and completion of an accredited nursing program required. CCM in Case Management preferred.
$55.34 - $66.41 an hour
Quick Apply

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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…
9d
Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Exp. in the delivery of a health services program or…
$40.40 an hour
10d

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utilization review nurse jobs near fresno, ca

Utilization Review Case Manager Extra on Call

Saint Agnes Medical Center -
Fresno, CA

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Job Details

Part-time
$49.47 - $71.74 an hour
17 hours ago

Qualifications

RN License
Acute care facility experience

Full Job Description

Employment Type:
Part time

Shift:
Day Shift

Description:
Reporting to the Manager Social Services, Social Services, this position coordinates utilization review service for defined patient populations across the acute care continuum. This includes discharge planning, utilization management, care coordination collaboration, and support for resource utilization. This position works collaboratively with an interdisciplinary team to improve patient care through the effective utilization of the facility's resources.

Requirements
1. Current licensure as a Registered Nurse (RN) in the state of California is required.
2. Current American Heart Association (AHA) Healthcare Provider CPR card is preferred.
3. Degree from an accredited baccalaureate nursing program (BSN) is preferred.
4. Certified Case Manager (CCM) national certification is preferred.
5. InterQual training must be obtained within six (6) months of hire into position.
6. Previous experience in at least two (2) areas of clinical specialty in an acute care setting is required.
7. Excellent communication skills, critical thinking, creative problem-solving skills, and competent organizational and planning skills are required.
8. The incumbent must be self-directed and able to tolerate frequent interruptions with a demanding workload.
9. Knowledge regarding hospital protocol and procedures, clinical standards and outcomes, funding options, familiarity with community resources and outside professional agencies, familiarity with federal and state regulations governing hospital and home care, as well as understanding of the financial structure of health plan and delivery system is preferred.

Pay Range
$49.47 - $71.74

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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utilization review nurse jobs in fresno, ca

Utilization Review Case Manager Extra on Call

Utilization Review Nurse (RN)

Peer Review Nurse

Clinical Performance Registered Nurse

Case Manager (RN)

Peer Review Coordinator RN

RN, Quality Management Coordinator, Peer Review

Registered Nurse Case Manager

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