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,...
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...
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.
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...
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...
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...
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,...
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...
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...
Health Care District
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Fairfield,CA
Job Description Leads nursing and medical operations in crisis stabilization and emergency psychiatric settings, ensuring delivery of safe, high-quality, trauma-informed care. Oversees nursing personnel, medication...
Sentara Healthcare
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Fairfield,CA
City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Health is now hiring an Ambulatory Integrated Care Manager for Pediatric care! Hours:...
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: The Clinical Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, clinical guidelines, and contractual obligations. Essential...
Martin's Point Health Care
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Fairfield,CA
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 for people," Martin's Point employees are on a mission to...
Optum
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Fairfield,CA
A healthcare organization is seeking a Registered Nurse in Massachusetts to conduct medical record audits and support patient care. The role involves collaborating with peers, communicating findings and requires an RN license and MDS...
Pair Team
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Fairfield,CA
About Pair Team At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver...
John Muir Health
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Concord,CA
Job Description:Job Profile Summary The RN - Manager - Cardiovascular Services shares 24-hour responsibility and accountability for the management and operation of the Cath Lab, Cardiac Nurse Navigators, and the STEMI/ Chest...
Providence Health & Service
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Fairfield,CA
Overview Providence is calling for Revenue Cycle Auditor RN within our 7 footprints location: AK, WA, OR, CA, TX, NM, or MT. The Revenue Integrity Auditor is responsible for providing patient-focused, standardized, compliant revenue cycle...
Sioux Empire Society for Human Resource Management
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Fairfield,CA
A healthcare provider is seeking a full-time Clinical Informatics System Analyst, RN, to improve clinical information systems. This role involves optimizing EMR applications, providing user support, and collaborating with clinical staff.
Greenlife Healthcare Staffing
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Fairfield,CA
RN Health Care Facility Surveyor - Remote Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting...
