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The Utilization Review Specialist is responsible for assessing and reviewing the healthcare delivery system to promote cost-effective quality care and cost containment. · Review of healthcare delivery system · Promotion of cost-effective quality care · ...
Fremont2 weeks ago
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This is a Utilization Review position that requires experience as a house supervisor in PACU/OR. The job offers a competitive salary and benefits package. · CA RN License required · PACU/OR experience as a house supervisor necessary · ...
Fremont1 month ago
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The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal and/or state statutes, regulations and g ...
Fremont, CA2 weeks ago
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Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Utilization Review Nurse. · ______________________________________ · NOTE- THIS IS 100% REMOTE ROLE & ONLY W ...
San Francisco2 days ago
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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. · ...
San Francisco2 weeks ago
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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. · ...
San Francisco, CA2 weeks ago
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It's more than a career, it's a callingMO-REMOTEWorker Type:RegularJob Highlights:Eligible candidates must reside within SSM Health's four state footprint - including Missouri, Illinois, Wisconsin or Oklahoma only.Job Summary:Evaluates the medical necessity and appropriateness of ...
Richmond $90,000 - $155,000 (USD) per year1 day ago
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The Contra Costa Health Department is seeking to fill two (2) Utilization Review Manager positions in Contra Costa Health Plan, · in the Case Management Department located in Martinez, CA.We are seeking a strategic, · experienced, · and collaborative Utilization Review Manager to ...
Martinez1 month ago
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Concord, CA1 month ago
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Make an impact at Bayside Marin by ensuring patients receive high-quality care while optimizing healthcare resources. · ...
San Rafael, CA1 month ago
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· The Position · ****Re-Announcement**** · *****Open Until Filled***** · Why Join Contra Costa County Health Services? · The Contra Costa Health Department is seeking to fill two (2) Utilization Review Manager positions in Contra Costa Health Plan, in the Case Management Departm ...
Martinez, CA $70,000 - $115,000 (USD) per year6 days ago
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Bayside Marin, un centro de tratamiento para adicción y salud mental, busca a un Especialista en Revisión de Utilización para unirse a su equipo dedicado. · ...
San Rafael, CA1 month ago
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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 ...
San Francisco Freelance4 days ago
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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 ...
San Francisco, CA Full time3 days ago
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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: · ...
San Francisco4 days ago
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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 ...
Oakland2 weeks ago
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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 ...
San Francisco4 days ago
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Summary · Ref #: M-RN · Profession: Registered Nurse · Specialty: Case Manager / Utilization Review · Job Type: Contract/Travel · Start Date: ASAP · Location: Greenbrae, CA · Shift Schedule: Mon-Fri; 7:30a-4p · Shift Type: Days · Rate: $3,072/40-hours · Requirements · Act ...
Greenbrae $68,000 - $102,000 (USD) per year1 day ago
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Assess patient needs and develop individualized care plans. Review treatment plans, hospital stays, and services for medical necessity. · Collaborate with providers, interdisciplinary teams. · ...
Greenbrae1 month ago
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Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Utilization Review Nurse. · ______________________________________ · NOTE- THIS IS 100% REMOTE ROLE & ONLY W ...
Fremont2 days ago
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We are currently seeking Board-Certified physicians in Urology to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1–2 hours per week—with no minimum commitment. · ...
Pacifica Freelance2 weeks ago
Interim Nurse Manager, Utilization Review - San Francisco - Azad
Description
Healthcare Executive Placements, Inc.(HCEPInc) is seeking an Interim Nurse Manager, Utilization Review / Discharge Planning for a W2 Contract position based in San Francisco, CA.
Schedule:
Full time, Monday through Friday, 8am - 4:30pm, weekend on-call coverage
Assignment Duration: 13 Weeks (possibility of extending)
Compensation:
This position offers a daily rate of $600 to $625 which equates to $3,000 to $3,125 per week (based on a 5-day / 40-hour workweek)
Per Diems:
Lodging: $259 per day and Meals & Incidentals: $92 per day
Per diems are paid daily, 7 days a week, totaling $2,457 per week
Auto Stipend:
$25 per day
Stipend is paid daily, 7 days a week, totaling $175 per week
Total Weekly Compensation (Daily Rate + Per Diems + Stipend
):
Between $5,632 to $5,757 per week
Benefits:
Paid sick leave, Paid holidays, Co-paid medical, dental, and vision insurance, Cafeteria plan access and 401(k) retirement plan.
Summary:
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.
Develops and maintains clinical standards of care and practice; responsible for all resource budgeting, selection and development.Essential Functions:
Manages the operations of 24-hour departments that may be at multiple locations.
Ensures Assistants and staff provide the highest quality of care and are in compliance with the Nursing Practice Act, The Joint Commission, federal, state, and local requirements.
Establishes, implements, and maintains patient care and service standards to meet members and internal clients expectations.Designs and evaluates processes to improve systems and patient care results across the continuum of care.
Develops and monitors budgets for the appropriate use of human and material resources.
Monitors financial performance and identifies and implements strategies to reduce costs and improve quality of care/service.
Determines the appropriate staff mix for department and develops processes to screen, interview, hire, train, and maintain the competency of all department staff.
Ensures on going staff development.Develops, implements, and monitors departmental policy and procedures which support the organizations goals and business objectives and ensures they are met.
Oversees and develops standards of care and standards of practice, directs fiscal management, and quality improvement activities.Manages and resolves human resource, employee and department safety, and risk management issues.
Qualifications:
BSN or bachelor's degree in a healthcare-related field strongly preferred; master's degree preferred.
Current California RN license required.
BLS certification required.
Minimum of 5 years nursing experience in both direct patient care and management/leadership roles required.
Minimum of 4 years of supervisory experience required.
About Healthcare Executive Placements Inc. (HCEPInc.):
HCEPInc. values diversity - in backgrounds and in experiences.
Since our inception, we have witnessed how our diverse workforce has thrived while contributing to the increases in innovation and advancements in the client organizations we serve.
HCEPInc.is committed to Diversity, Equity & Inclusion and is striving to build an even more diverse, inclusive team that reflects the people and communities where we live and work.
HCEPInc.is an equal opportunity employer that considers and employs qualified individuals based upon job related qualifications regardless of race, color, sex, religion, creed, physical or mental disability, veteran's status, sexual orientation, national origin, age, or any other status protected under applicable local, state, or federal law.
HCEPInc.takes affirmative action to employ and advance in employment qualified employees and applicants who are disabled, disabled veterans, recently separated veterans, Armed Forces services medal veterans, and other protected veterans.
HCEPInc. is a Certified Minority Owned Business and OFCCP compliant.-
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