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Utilization Review Jobs in San Jose

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Search Results - Utilization Review Jobs in San Jose
Molina Healthcare-San Jose-
with multidisciplinary teams to promote the Molina care model.  •  Adheres to utilization management (UM) policies and procedures. Required Qualifications  •  At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization...
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San Jose-icims.com-
Behavioral Health is currently seeking a Utilization Review Specialist - Full Time to assist the Utilization Department staff with comprehensive inpatient care and treatment within our 133-bed Acute Psychiatric Hospital. San Jose Behavioral Health is where...
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San Jose-tiptopjob.com-
knowledge of nursing principles and practices, hospital operations, medical supplies, and their clinical applications.  •  Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint.  •  Utilization Review experience is a plus...
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San Jose-icims.com-
the Patient Safety Reporting system.  •  Facilitate medical staff drug utilization reviews (DURs) as deemed necessary.  •  Exhibit basic competency in Microsoft Word, Microsoft Excel, and Microsoft PowerPoint and be able to type 40 words per minute.  •  Assess...
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South San Francisco, 34 mi from San Jose-icims.com-
with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations Responsibilities: MAJOR DUTIES AND RESPONSIBILITIES: Reviews medical files and provides recommendations for utilization review, chart...
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San Jose-icims.com-
with utilization review activities.  •  Track corrective actions and monitor the effectiveness of interventions.  •  Support infection prevention and control surveillance activities.  •  Competency in gathering information and understanding context from several sources...
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