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...
HealthMap Solutions LLC
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Fairfield,CA
Registered Nurse, Quality Assurance Reviewer The Registered Nurse, Quality Assurance Reviewer will work in conjunction with the Quality Manager and will be responsible for completing quality reviews for the Clinical Services and Provider...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
CareFirst BlueCross BlueShield
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Fairfield,CA
A major healthcare provider is seeking a Clinical Advisor, RN for a remote position. This role involves analyzing population health data, delivering impactful presentations to clients, and making strategic recommendations to improve healthcare...
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.
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...
The Joint Commission
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Fairfield,CA
An established industry player is seeking a dedicated Home Health and Hospice Care Registered Nurse Surveyor for a remote opportunity. This role involves nationwide travel to survey health care organizations, ensuring compliance with standards and...
Y Axis
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Fairfield,CA
A healthcare organization in Dallas, Texas is seeking an Area Director of Education (RN) to lead clinical education strategies. This role involves designing and delivering training programs, enhancing onboarding, and ensuring compliance with...
Providence Health & Service
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Fairfield,CA
Overview Providence is calling for Revenue Cycle Auditor RN within our 7 footprints location: AK, WA, OR, CA, TX, NM, or MT. The Revenue Integrity Auditor is responsible for providing patient-focused, standardized, compliant revenue cycle...
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...
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...
Greenlife Healthcare Staffing
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Fairfield,CA
A leading healthcare staffing company is seeking a RN Health Care Facility Surveyor to work remotely, with travel up to 75%. Responsibilities include conducting on-site surveys of healthcare facilities to assess compliance with regulations.
