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...
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...
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)...
Trinity Health
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Fairfield,CA
Employment Type: Part timeShift: 12 Hour Night Shift Description: Saint Joseph Health System is proud to offer Daily Pay. Work Today, Get Paid...
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...
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...
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...
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,...
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...
National Nurse Triage
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Fairfield,CA
THIS IS A REMOTE POSITION Part Time/Contract Position DUTIES: -Assess patient health problems over the phone and via secure video -Schedule appointments and refer patients -Advise and monitor...
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.
Grossman Roth Yaffa Cohen
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Fairfield,CA
A leading nursing advocacy organization seeks a committed Nursing Practice and Policy Specialist to drive nursing practice, collective advocacy, and healthcare policy initiatives. The role demands a passion for patient care, strong analytical...
North Dakota Staffing
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Fairfield,CA
Job Opportunity at Highmark Inc. This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,...
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...
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...
ICONMA
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Fairfield,CA
Our Client, a Health Insurance company, is looking for a Case Manager-RN for their Remote location. Responsibilities: The Case Manager RN leads the coordination of a multidisciplinary team to deliver a...
Blue Cross Blue Shield of Arizona
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Fairfield,CA
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families,...
South Dakota Staffing
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Fairfield,CA
Job Opportunity At Highmark Inc. Job Summary: This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource...
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:Based on John Muir Health Nursing's Vision of being the innovative leader for the professional role of the registered nurse. Through evidence-based practices and relevant patient care models, the nursing culture...
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...
