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...
Disability Solutions
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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,...
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,...
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...
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...
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...
Disability Solutions
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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...
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...
Cynet Health
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Fairfield,CA
Cynet Health is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Fairfield, CA. Shift: 3x12 hr days Start Date: 02/16/2026 Duration: 8 weeks Pay: $2506 / Week About Cynet...
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...
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...
medical solutions
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Vallejo,CA
Medical Solutions is seeking an experienced Psychiatric Registered Nurse for an exciting Travel Nursing job in Vallejo, CA. Shift: 5x8 hr PMs Start Date: ASAP Duration: 13 weeks A facility in Vallejo, CA is seeking its next amazing RN (Registered...
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...
Fusion Medical Staffing
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Fairfield,CA
Fusion Medical Staffing is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Fairfield, CA. Shift: Inquire Start Date: 02/16/2026 Duration: 8 weeks Pay: $2200 / Week Travel Labor and Delivery...
Vetted Health
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Concord,CA
Vetted is seeking a RN - Pediatrics for a travel job in Concord, California. Must have 2+ years of experience. This contract pays approximately $14,463/month gross. Assignment...
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...
Kansas Staffing
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Fairfield,CA
divh2Job Opportunity At Highmark Inc./h2pJob Summary: This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,...
CommuniCare Corporate
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Concord,CA
Rn Charge Nurses Southbrook Health Care Center, a member of the CommuniCare Family of Companies, is currently recruiting for RN Charge Nurses to join our team. Full Time & Part Time 12 Hour Shifts (7a-7p) (7p-7a) Now offering daily...
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...
Disability Solutions
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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...
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...
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)...
John Muir Health
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Walnut Creek,CA
Job Description:The RN - The Infection Prevention Practitioner coordinates the Infection Prevention Program activities by providing surveillance, education, and expert consultative services relative to the prevention,...
