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...
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...
CGS ADMINISTRATORS
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Fairfield,CA
A prominent healthcare administration firm seeks a Supervisor for the Medical Review team. The ideal candidate will lead a team, ensuring compliance with healthcare standards, and will have a background in nursing or related fields.
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)...
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...
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,...
Providence Health and Services
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Napa,CA
Description RN - Electrophysiology at Providence Queen of the Valley Medical Center in Napa, CA. This position is Per Diem and will work 10-hour Day shifts. Providence Queen of the Valley Medical Center is committed to delivering top-notch...
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...
Mississippi 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...
Napapostacute
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Napa,CA
Registered Nurse page is loaded## Registered Nurselocations: Napa Post Acutetime type: Full timeposted on: Posted 6 Days Agojob requisition id: JR158693**Now Hiring: Registered Nurses (RN)** **Napa Post Acute Night Shift (NOC)**Napa Post Acute is...
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...
Hispanic Alliance for Career Enhancement
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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...
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...
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,...
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...
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...
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,...
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...
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...
Corewell Health
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Fairfield,CA
About Outpatient Clinics Corewell Health operates over 300 outpatient clinics across Michigan, bringing a multitude of care options to the communities that we serve. There are over 40 different types of primary care and specialty...
FRESENIUS
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Pittsburg,CA
Transitional Care Unit Registered Nurse PURPOSE AND SCOPE: Functions as part of the Home Therapies dialysis health care team. Ensures provision of quality...
