Top 13 Utilization review nurse Jobs in Madera, Ca

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
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
16h
Case Manager (RN)
Madera Community Hospital —Madera, CA
- $55.34 - $66.41 an hour
- Full-time
- Acute care
- Microsoft Word
- Nursing
Quick Apply
Clinical Performance Registered Nurse
Sound Physicians —Fresno, CA
- $115,000 a year
- Full-time
- Nursing
- RN License
- Hospital
- Paid holidays
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
RN Case Manager
Community Health System —Fresno, CA
- $53.09 - $67.56 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Free parking
- 403(b) matching
Peer Review Coordinator RN
Saint Agnes Medical Center —Fresno, CA
- $45.50 - $68.27 an hour
- Full-time
- Nursing
- RN License
- Hospital
Registered Nurse Case Manager
INNOVATIVE INTEGRATED HEALTH —Fresno, CA
- $55 - $58 an hour
- On call
- CPR Certification
- Nursing
- RN License
Registered Nurse (RN) | Work from home | $34/hr | Starts 8/24/26
Carenet Health —United States
- $34 an hour
- Weekends as needed
- Remote
- Bilingual
- Nursing
- RN License
- Continuing education credits
- Paid holidays
9d

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RN, Quality Management Coordinator, Peer Review
Community Health System —Fresno, CA
RN - Current State of California Registered Nurse license required. Demonstrate ability to develop data spreadsheets and provide the analysis and communication…
$55.48 - $70.60 an hour
Register Nurse
NeuroRestorative —Clovis, CA
Current driver's license, car registration and auto insurance if providing transportation to individuals receiving services.
$38 - $42 an hour

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Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per…
Quick Apply
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
9d

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utilization review nurse jobs near madera, ca

Utilization Review Nurse (RN)

Madera Community Hospital -
Madera, CA

Quick Apply

Job Details

Full-time
$55.34 - $66.41 an hour

Qualifications

Medicare
RN License
BLS Certification
Employee relationship building
Medicaid health insurance
Acute care facility experience
Medicare regulations
Medicaid regulations
Medicaid

Full Job Description

Madera Community Hospital

Located in the heart of Central California, Madera Community Hospital is a General Acute Care, private, not-for-profit hospital dedicated to improving and maintaining the health and wellness of residents throughout the Central Valley. We are committed to identifying and serving our community's needs with compassion, concern, care and safety for every patient. Madera Community Hospital is a growing acute care facility seeking talented individuals with a drive to provide quality care and dedicated to making a difference in our community.

Position Summary: The Utilization Review Nurse assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review. This includes those who may have Medicare, Medicaid, HMO or private insurance to cover their stay at various units. Discharge planning is coordinated with physicians, Nursing, patient and family who have an ongoing caring relationship with the patient. Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers.

Qualifications:

Minimum of 1–3 years of related acute care nursing experience and completion of an accredited nursing program required.
Experience with Meditech Electronic Health Record (EHR) system preferred.
Must have working knowledge of criteria for Medicare, Medicaid, HMO and private insurance coverage.
Ability to maintain collaborative working relationships to ensure a positive and productive work environment.
Ability to plan and prioritize work with frequent interruptions.
Ability to provide exceptional customer service.
Effective verbal and written communication skills.
Knowledge and proficiency of hospital information technology applications.
Requires Current California Board of Nursing Registered Nurse License.
Current American Heart Association BCLS certificate required; ACLS certificate preferred.
CCM in Case Management preferred.

Madera Community Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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utilization review nurse jobs in madera, ca

Utilization Review Nurse (RN)

Peer Review Nurse

Utilization Review Case Manager Extra on Call

Case Manager (RN)

Clinical Performance Registered Nurse

RN, Quality Management Coordinator, Peer Review

RN Case Manager

Peer Review Coordinator RN

Registered Nurse Case Manager

Registered Nurse (RN) | Work from home | $34/hr | Starts 8/24/26

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