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...
Elevance Health
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Fairfield,CA
A healthcare company is looking for a Triage Nurse I responsible for determining care management programs for members. Candidates must have an active RN license and 2 years of acute care experience. This role offers virtual work with some...
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,...
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.
CareSource
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Fairfield,CA
Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discharge planning activities (i.e. DME, home health services)...
Elevance Health
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Fairfield,CA
A health company is seeking a DRG Clinical Validation Auditor to audit inpatient medical records, ensuring proper clinical documentation and coding. Candidates must hold an active RN license and possess extensive experience in claims auditing and...
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...
Northwell Health
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Fairfield,CA
Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care provided. Responsible for concurrent inpatient...
Stryker
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Fairfield,CA
A leading health solutions company is seeking a Remote Telephonic Case Manager in Denver, CO. This role requires a Registered Nurse with 5+ years of experience and expertise in areas such as Oncology and Specialty Pharmacy. Candidates must...
Remote Staffing
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Fairfield,CA
Triage Nurse Opportunity Explore opportunities with Shared Services, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated...
OhioHealth
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Fairfield,CA
We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover...
Beth Israel Lahey Health
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Fairfield,CA
Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...
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...
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,...
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...
Tekwissen
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Fairfield,CA
Overview: TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. Our client is a health insurance company. It offers...
Baptist Health System
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Fairfield,CA
Job Posting Summary Baptist Health is looking to add a Registered Nurse (RN) to our Hospital at Home team. Baptist Health is opening an innovative Hospital at Home program that allows patients to...
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...
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...
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...
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...
