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...
Gainwell Technologies
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Fairfield,CA
It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...
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...
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,...
Oregon Staffing
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Fairfield,CA
Registered Nurse As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities...
Remote Staffing
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Fairfield,CA
Job Summary Provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical...
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)...
Stryker
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Fairfield,CA
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions...
WJM Professional Services LLC
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Fairfield,CA
Telehealth Registered Nurse I Join a winning, innovative team. WJM Professional Services, LLC is a leading healthcare management firm with 20 years of experience providing healthcare personnel, and administrative...
AcuityMRI
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Fairfield,CA
A leading healthcare provider is urgently seeking experienced Clinical Documentation Specialists for remote positions. Ideal candidates must be RN graduates from an approved nursing program and possess prior CDI experience, preferably in acute...
CommUnityCare
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Fairfield,CA
Overview The RN Triage position is responsible for conducting triage assessments for patients by seeking advice and medical services and assists in determining predictable healthcare needs of patients in a community...
Elevance Health
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Fairfield,CA
A leading health company is seeking a Transitions of Care RN to participate in patient education and disease management interventions. The role is focused on health coaching for members with chronic diseases. Candidates must have an AS in nursing...
CircleLink Health
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Fairfield,CA
This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...
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...
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...
UnitedHealth Group
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Fairfield,CA
Receive calls from patients and/or family members and respond appropriately and assess problems focusing on the delivery of high quality, patient-focused, compassionate care. Assess patient status and intervene as indicated by the patient's...
Partnership HealthPlan of California
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Fairfield,CA
Overview The incumbent utilizes clinical judgement in providing utilization management services. The focus is to provide high quality, cost-effective care which will enable patients to achieve maximum medical improvement...
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...
Maine Staffing
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Fairfield,CA
Martin's Point Health Care Utilization Review Nurse 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...
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...
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,...
Columbus Staffing
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Fairfield,CA
Job Opportunity Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations...
Fidelis Care
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Fairfield,CA
A healthcare organization is seeking a registered nurse or nurse practitioner for a care management position based in Onondaga County, New York. This role involves assessing high acuity patients, developing personalized care plans, and...
