Cherokee Federal
-
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...
Cherokee Federal
-
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...
John Muir Health
-
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,...
CareSource
-
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)...
CommUnityCare
-
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...
WellStar Health System
-
Fairfield,CA
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and...
US Tech Solutions
-
Fairfield,CA
Duration: 3+ Months (Possible contract to hire) Job Description: Onsite training for the first 1-2 weeks remote position after training. Monday through Friday, 8:30am-5:00pm ...
Catholic Hospice
-
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...
Bon Secours
-
Fairfield,CA
Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 0.01 Work Shift: Days (United States of America) Abstraction Specialist RN Summary of Primary Function/General...
BlueCross BlueShield of South Carolina
-
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,...
RYZ Labs
-
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...
Providence Health and Services
-
American Canyon,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...
Highmark Health
-
Fairfield,CA
Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care...
The University of Miami
-
Fairfield,CA
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...
Blue Cross Blue Shield of Arizona
-
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,...
VyncaCare
-
Fairfield,CA
Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We're more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we...
Reid Hospital & Health Care Services
-
Fairfield,CA
RN-Virtual-1 0100 Nursing Administration Schedule: Day shift.12 hours weekly. About the Position This position requires working onsite at our Richmond, Indiana location. The Virtual Registered...
Centene Corporation
-
Fairfield,CA
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...
Renown Health
-
Fairfield,CA
Position Purpose The Transfer Center & Virtual Care RN provides leadership, accountability, and comprehensive nursing services to ensure optimal patient care, resource utilization, and seamless patient flow. This role is challenged...
Houston Methodist Hospital
-
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...
Rising Medical Solutions
-
Fairfield,CA
As our Telephonic Nurse Care Manager, you will coordinate all aspects of patient care for high-risk individuals. You will evaluate each patient while directing treatment plans, discuss claims, benefits, and eligibility, and manage resources while...
Metropolitan Jewish Health System
-
Fairfield,CA
Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...