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,...
Cherokee Federal
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Fairfield,CA
This position requires an active Public Trust clearance or the ability to obtain a Public Trust clearance to be considered. As required by our governmental client, this position requires being a US Citizen. Accurately advises...
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...
BlueCross BlueShield of South Carolina
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Fairfield,CA
Summary We are currently hiring for a Quality Nurse Navigator to join BlueCross BlueShield of South Carolina. In this role as a Quality nurse Navigator, you will monitor/implement quality improvement/management activities,...
Partnership HealthPlan of California
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Fairfield,CA
Overview To work with a dedicated and committed team, the RN Quality Investigator I is responsible for assessing and improving the quality of care provided by the providers serving our members.
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...
Highmark Health
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Fairfield,CA
Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care...
Jobgether
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Fairfield,CA
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Clinical Documentation Specialist - REMOTE. In this role, you will play a crucial part in ensuring accurate and comprehensive clinical...
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...
TEEMA Solutions Group
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Fairfield,CA
Overview Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the...
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...
The University of Miami
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Fairfield,CA
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...
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...
Sentara Healthcare
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Fairfield,CA
City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Health is now hiring an Ambulatory Integrated Care Manager for Pediatric care! Hours:...
Health Care District
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Fairfield,CA
Job Description Leads nursing and medical operations in crisis stabilization and emergency psychiatric settings, ensuring delivery of safe, high-quality, trauma-informed care. Oversees nursing personnel, medication...
Evolent Health
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Fairfield,CA
Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces...
Zoll Medical
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Fairfield,CA
Acute Care Technology At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services...
John Muir Health
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Concord,CA
Job Description:Job Profile Summary The RN - Manager - Cardiovascular Services shares 24-hour responsibility and accountability for the management and operation of the Cath Lab, Cardiac Nurse Navigators, and the STEMI/ Chest...
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,...
Martin's Point Health Care
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Fairfield,CA
Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...
Magellan Health
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Fairfield,CA
Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are performed virtually or...
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...
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...
