RYZ Labs
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Fairfield,CA
A healthcare company is seeking a Registered Nurse to provide home care services to patients. In this role, you will assess and evaluate patient needs, implement care plans, and monitor patient progress. Candidates must hold a valid RN license and...
Cherokee Federal
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Travis Afb,CA
Shall read, understand, speak, and write English fluently. - Shall have knowledge, skills, and computer literacy to interpret and apply medical care criteria, such as, but not limited to, Inter. Qual or Milliman Ambulatory Care Guidelines. - Shall...
John Muir Health
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Concord,CA
Job Description:The role of the inpatient case manager is one of patient advocate of appropriate utilization of resources. The inpatient case manager applies the process of assessment, planning, implementation, monitoring,...
Catholic Hospice
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Fairfield,CA
Per-Diem Hours: Sundays 12am to 8am Summary & Objective The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care...
Optum
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Fairfield,CA
A healthcare organization is seeking a Registered Nurse in Massachusetts to conduct medical record audits and support patient care. The role involves collaborating with peers, communicating findings and requires an RN license and MDS...
Network Health Plan (Wisconsin)
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Fairfield,CA
A leading health organization is seeking a RN Coordinator for Utilization Management in Wisconsin. This full-time position involves reviewing authorization requests for medical necessity and collaborating with various departments. Applicants...
John Muir Health
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Concord,CA
Job Description:Under the direction of the Supervising Physician and using Standardized Procedures, the RNFA provides intraoperative care to the patient by assisting the surgeon in surgical procedures. The RNFA must demonstrate...
Houston Methodist Hospital
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Fairfield,CA
At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally...
Stanford Health Care
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Fairfield,CA
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This...
University of Minnesota School of Nursing
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Fairfield,CA
A leading healthcare organization is looking for a DRG/CVA Validation Auditor RN to audit inpatient claims by validating coding and reimbursement methodologies. The role offers flexibility to work remotely, requiring an Associates degree and...
BlueCross BlueShield of Tennessee
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Fairfield,CA
Join our team as a Clinical Review Manager! We are seeking a quick learner who is self-motivated and capable of working independently. The ideal candidate will be able to efficiently navigate and disseminate clinical information in a...
Kansas Staffing
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Fairfield,CA
divh2Job Opportunity At Highmark Inc./h2pJob Summary: This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,...
Village Center for Care
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Fairfield,CA
A healthcare organization in New York is seeking a Full-Time Quality Assurance Clinical Auditor - RN to elevate their nursing career. This hybrid role entails ensuring the compliance of clinical activities with regulatory standards, conducting...
Berkley
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Fairfield,CA
Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is...
CareSource
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Fairfield,CA
Job Summary: The Clinical Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, clinical guidelines, and contractual obligations. Essential...
Council of State and Territorial Epidemiologists
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Fairfield,CA
A leading cancer research organization in Seattle is seeking a Clinical Informatics Specialist III to drive IT integration to enhance clinician and patient experiences. This full-time role allows for remote work and involves leading clinical...
Qlarant
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Fairfield,CA
Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health,...
Pacer Group
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Fairfield,CA
Job Profile Summary Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to...
UnitedHealth Group
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Fairfield,CA
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care. Utilize both company and community-based resources to establish a safe and effective case...
Sioux Empire Society for Human Resource Management
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Fairfield,CA
A healthcare provider is seeking a full-time Clinical Informatics System Analyst, RN, to improve clinical information systems. This role involves optimizing EMR applications, providing user support, and collaborating with clinical staff.
Inspire Hospice & Palliative Care
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Fairfield,CA
Join the Inspire Hospice Team - Remote Triage Nurse Opportunity Are you a compassionate RN looking to make a meaningful impact-without leaving home? Inspire Hospice and Palliative Care is seeking a dedicated,...
Pair Team
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Fairfield,CA
About Pair Team At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver...
Powerful Medical
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Fairfield,CA
What you'll do About the Role You'll be a frontline clinical and commercial partner, helping bring our AI to clinicians and patients across the US. This role combines clinical knowledge with...
