Remote Inpatient Review Nurse - San Francisco

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team ...

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team ...

The Appeals & Quality Review Nurse Manager provides leadership and oversight of SFHP's quality review functions. · Provides subject matter expertise and high-level oversight of clinical grievances and appeals. · Apply clinical judgment to complex and high-value cases, ensuring ap ...

The Nurse Manager provides leadership and oversight of SFHP's quality review functions. They apply clinical judgment to complex cases guiding resolution strategies that balance regulatory requirements organizational standards member needs. · BSN required. · 2 to 4 years of relate ...

Manages 24-hour departments providing patient care services. Ensures staff provide high quality, accessible, cost effective care, and patient focused services to members across the continuum, which comply with local, state, and federal requirements. · ...

Manages 24-hour departments providing patient care services. Ensures staff provide high quality, accessible, cost effective care, and patient focused services to members across the continuum, which comply with local, state, and federal requirements. · ...

LanceSoft, a Certified MBE and Woman-Owned organization, seeks an experienced travel nurse RN for Utilization Review in San Francisco. This 13-week assignment offers competitive compensation at $3,214 per week. · Job Details · Skill: Utilization Review · Discipline: Registered Nu ...

LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in San Francisco, California. · Job Description & Requirements · Specialty: · Utilization Review · Discipline: · RN · Start Date: · 03/23/2026 · Duration: · 13 weeks · 40 hours per week · Shift: · ...

LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in San Francisco, California. · Job Description & Requirements · Specialty: Utilization Review · Discipline: RN · Start Date: 03/23/2026 · Duration: 13 weeks · 40 hours per week · Shift: 8 hours, d ...

Anticipated End Date: · Position Title: · Nurse Reviewer IJob Description: · Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productiv ...

Immediate need for a talented Registered Nurse – RN Utilization Review / Discharge Planning. · Utilization ManagementPerform daily pre-admission, admission, and concurrent utilization reviewsEducate care teams on utilization and care coordination processesCase Management & Discha ...

Job Summary · In addition to the responsibilities listed below, this position is also responsible for applying advanced clinical and regulatory knowledge of evidence-based guidelines, insurance policies, and clinical criteria to consult on the medical necessity, level of care, an ...

Job Summary · In addition to the responsibilities listed below, this position is also responsible for applying advanced clinical and regulatory knowledge of evidence-based guidelines, insurance policies, and clinical criteria to consult on the medical necessity, level of care, an ...

Job Summary: · In addition to the responsibilities listed below, this position is also responsible for applying advanced clinical and regulatory knowledge of evidence-based guidelines, insurance policies, and clinical criteria to consult on the medical necessity, level of care, a ...

Job Summary · In addition to the responsibilities listed below, this position is also responsible for applying advanced clinical and regulatory knowledge of evidence-based guidelines, insurance policies, and clinical criteria to consult on the medical necessity, level of care, an ...

· Company Description · HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest a ...

Job Summary · In addition to the responsibilities listed below, this position is also responsible for applying advanced clinical and regulatory knowledge of evidence-based guidelines, insurance policies, and clinical criteria to consult on the medical necessity, level of care, an ...

LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Fremont, California. · ...

LanceSoft is seeking travel nurses for various positions in Fremont California · RN Utilization Review · ...

LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in San Mateo, California. · Job Description & Requirements · Specialty: Utilization Review · Discipline: RN · Start Date: 03/23/2026 · Duration: 13 weeks · 40 hours per week · Shift: 8 hours, days ...