Utilization Review Jobs in Santa Rosa
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Search Results - Utilization Review Jobs in Santa Rosa
GQR Healthcare-Santa Rosa
Job Description
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Santa Rosa, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 05/18...
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GQR Healthcare-Santa Rosa
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Santa Rosa, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 05/18/2026
• Duration...
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Prime Staffing-Santa Rosa
Certifications: BLS – AHA
Must-Have: Strong assessment, discharge planning, and utilization review skills
/n
Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers...
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Bestica-Santa Rosa
with payer guidelines (CMS, DRG, InterQual, etc.)
• Support utilization review and medical necessity determinations
⚠️ Important Requirements
• Full SSN is required at the time of submission
• Local candidates will be considered at a lower pay rate...
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MedPro Healthcare Staffing-Santa Rosa
status or veteran status.
Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN
• Weekly payment estimates are intended for informational...
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Northern California Behavioral Health System-Santa Rosa
to the Business Office, Admitting Unit and the Utilization Review Department.
• Maintains knowledge of developmental tasks and sociological theories of pertinent age groups.
• Maintains knowledge of legal guidelines pertaining to Emergency Medical Treatment...
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workable.com -
Catalytic Solutions-Santa Rosa
necessity per evidence-based guidelines./n- Experience in disability case management and prior authorizations./n- Familiarity with HMOs, IPAs, and utilization review./n/nOrientation: /n- Total orientation hours: 40/n/nWhy Catalytic Solutions (CatSol): /nAt...
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Northern California Behavioral Health System-Santa Rosa
utilization.
• Provides coaching and education to employees in the department, within guidelines of clinical education.
• Provides clerical support to DON, promoting policy enforcement and supporting with disciplinary actions, while maintaining confidentiality...
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workable.com -
Sonoma, 21 mi from Santa Rosa
Certifications: Licensed RN in the State of California, certification in Case Management or Utilization Review at hire or within 3 years of hire if no experience in case management.
Required Skills & Knowledge: Good written and verbal communication skills...
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icims.com -
Forest Knolls (CA), 31 mi from Santa Rosa
Overview:
Serenity Knolls is seeking a Full Time On-Site Utilization Review Specialist at our substance use facility.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
• Experience...
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icims.com -
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