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Utilization Review Nurse

Carmichael,CA

1599 Utilization Review Nurse jobs in Carmichael,CA

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Registered Nurse

UnitedHealth Group

Sacramento, CA 95813

$41.20-$61.85/hr
~ 24 min OnsiteRetirement Benefit

  • Current and unrestricted RN licensure in the state of California
  • Current driver's license, vehicle insurance and access to a dependable vehicle or public transportation
  • CA: 1+ years of experience in professional nursing
  • Current CPR certification or ability to complete within 90 days of hire
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Patient Logistics RN-CA

CommonSpirit Health

Rancho Cordova, CA 95670

$47.41-$70.52/hr

RN, First Assistant - AHLM (Specialty)

Adventist Health

Elk Grove, CA 95759

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Border Patrol Agent (BPA) Entry Level New Hire Sign-On and Retention Incentives

United States Customs and Border Protection

Rancho Cordova, CA 95670

$49,739-$89,518/yr
Bilingual Preferred
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Program Manager, Healthcare Services (Enhanced Care Mgmt - PST hours)

Molina Healthcare

Sacramento, CA 95813

$84,067-$163,931/yr
~ 24 min Onsite

  • At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
  • Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT).
  • Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.
  • If licensed, license must be active and unrestricted in state of practice.
  • Strong analytical and problem-solving skills.
  • Strong organizational and time-management skills.
  • Ability to work in a cross-functional, professional environment.
  • Experience working within applicable state, federal, and third-party regulations.
  • Strong verbal and written communication skills.
  • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
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Registered Nurse

U.S. Navy

Rancho Cordova, CA 95670

New, Posted 1 hour ago
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Billing Follow-up Associate

Adecco

Roseville, CA 95747

$29-$31/hr
RemoteHealth InsurancePaid Time OffRetirement Benefit

  • Minimum of 1-year medical billing and follow up experience
  • Must have ability to read/understand EOB
  • High School Education/GED or equivalent/associate degree or Technical degree preferred
  • Working knowledge of Workers Compensation and MVAs a plus
  • Experience with Cerner and EPIC
  • Remot e/Work from Home position - however candidates must reside in PT or MT time zones only
  • Shift: 8:00a-5:00p Monday - Friday - 5-month assignment - expected to begin on or about 8/12/26 with an estimated end date of 1.26.27 - possibility of extension/direct hire
  • Location: Work from Home - PT or MT time zone
  • Follow established procedures and receive daily instructions on work
  • Reviews, corrects and submits claims to payers
  • Reviews unpaid accounts, initiates correct actions to collect the accounts and follows up on action to assure expected results is achieved
  • Reviews unpaid claims and obtain necessary information to resolve reimbursements
  • Meet or exceed productivity and quality performance expectations
  • Client is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
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Outpatient PMHNP - Hybrid Work Schedule

MINDPATH HEALTH

Sacramento, CA 95815

New, Posted 1 day ago

Customer Service Specialist

CALIFORNIA STATE UNIVERSITY

Carmichael, CA

$4,295/mo
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Travel Nurse RN - Home Health - $60 to $65 per hour in Rancho Cordova, CA

TravelNurseSource

Rancho Cordova, CA 95670

$60-$65/hr
~ 18 min Onsite

  • Active RN License
  • BLS (Basic Life Support) Certification
  • Minimum 1 year of hospice experience required
  • Requires Home Health experience preferred
  • Valid driver's license and reliable transportation preferred
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  1. Carmichael,CA Jobs
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  3. Utilization Review Nurse Jobs

What companies are hiring Utilization Review Nurse jobs in Carmichael,CA?

  1. UnitedHealth Group
  2. CommonSpirit Health
  3. Adventist Health
  4. United States Customs and Border Protection
  5. Molina Healthcare
  6. U.S. Navy
  7. Adecco
  8. MINDPATH HEALTH
  9. CALIFORNIA STATE UNIVERSITY
  10. TravelNurseSource

What is the hourly salary range for Utilization Review Nurse jobs in Carmichael,CA?

The hourly salary range is $29 - $70.52.

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