• Battelle Memorial Institute (Oceanside, CA)
    …within legal and professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or potential ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support...will support positive programs for equal treatment of all staff and full utilization of all qualified… more
    DirectEmployers Association (11/05/25)
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  • ERP International (San Diego, CA)
    **Overview** ERP International is seeking a full-time **Registered Nurse (RN) Health Educator** supporting **Naval Medical Center San Diego, CA ... of other individuals performing similar services. ? Participate in peer review and performance improvement activities. ? Practice aseptic techniques as necessary.… more
    DirectEmployers Association (10/18/25)
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  • Stanford Health Care (Palo Alto, CA)
    …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... other interdisciplinary team members; arranges follow up care as appropriate. + Utilization Review -- Reviews prospectively, concurrently and retrospectively all… more
    DirectEmployers Association (11/11/25)
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  • Stanford Health Care (Palo Alto, CA)
    …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... provide requested clinical and psychosocial information to assurereimbursement. + Utilization Review -- Reviews prospectively, concurrently and retrospectively… more
    DirectEmployers Association (11/11/25)
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  • Stanford Health Care (Palo Alto, CA)
    …development of their APPs. The Lead APP also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse ... management team. . Conduct regularly scheduled meetings with the staff APPs. . Ensure clinical competency and adherence to...and adherence to policy through practice analysis and case review of APPs with physicians. . Investigate and respond… more
    DirectEmployers Association (11/13/25)
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  • Stanford Health Care (Palo Alto, CA)
    …growth and development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered ... management team. + Conduct regularly scheduled meetings with the staff APPs. + Ensure clinical competency and adherence to...and adherence to policy through practice analysis and case review of APPs with physicians. + Investigate and respond… more
    DirectEmployers Association (11/04/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply  UTILIZATION REVIEW ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to...new or revised procedures. + Works with Professional Standards Review Organization representative to orient new staff more
    The County of Los Angeles (10/06/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW ... medical direction, administrative and technical supervision over the nursing staff engaged in utilization review ...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
    The County of Los Angeles (09/27/25)
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  • Senior Registered Nurse - Hospital…

    Ventura County (Ventura, CA)
    …the general and specialized principles, practices, techniques and methods of utilization review /management, discharge planning or case management. + utilize ... Senior Registered Nurse - Hospital Management Utilization Print...needs; + Communicates the plan to physicians, patient, family/caregivers, staff & appropriate community agencies; + Reviews, monitors, evaluates… more
    Ventura County (09/21/25)
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  • Utilization Review LVN

    Dignity Health (Rancho Cordova, CA)
    …work from home within the Greater Sacramento, CA region.** **Position Summary:** The Utilization Review (UR) LVN uses clinical judgement in providing ... position may be assigned cases in pre-authorization areas, in skilled nursing facility review or in concurrent review . Responsibilities may include: - Manages… more
    Dignity Health (11/21/25)
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