Maximus
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Fairfield,CA
Clinical Reviewer RN (Remote in TN) Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related...
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,...
Focused Staffing
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Santa Rosa,CA
Job Title: School Nurse Location: Santa Rosa, CA - ZIP Code: 95407 Rate: $70/hr Schedule: Start Date: September 2, 2025 End...
UW Health
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Fairfield,CA
UW Health is seeking a Registered Nurse (RN) Nurse Navigator for a nursing job in MADISON, Wisconsin. Job Description & Requirements Specialty: Nurse Navigator Discipline: RN Duration: Ongoing Employment Type: Staff Description: Work Schedule:...
Guidehealth
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Fairfield,CA
A healthcare services provider is seeking a Remote RN Case Manager to work from home in Chicago, Illinois. In this role, you will enhance member management, promote wellness, and assist in navigating the healthcare system. Responsibilities include...
North Dakota Staffing
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Fairfield,CA
Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...
STGi
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Fairfield,CA
A healthcare service provider is seeking a Registered Nurse - Case Review Specialist to provide remote support in reviewing cases for Federal Occupational Health. The ideal candidate will have at least 5 years of Nursing experience, a valid RN...
Oklahoma Staffing
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Fairfield,CA
Job Opportunity: Registered Nurse Schedule: Monday to Friday - Eastern Time Location: Remote About the Role: As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and...
Actalent
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Fairfield,CA
Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...
Humana
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Fairfield,CA
A health care organization in Hartford, CT is looking for a Registered Nurse (RN) to join their team. The RN will collaborate with health care givers to provide excellent service and review medical care against established guidelines. This role...
Equip Human Solutions
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Fairfield,CA
Job Description Equip Human Solutions is a boutique recruiting agency that specializes in healthcare placements. With decades of experience on our team, we are dedicated to connecting top talent with leading healthcare...
Columbus Staffing
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Fairfield,CA
Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...
AdventHealth Corporate
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Fairfield,CA
Job Title Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where...
Partnership HealthPlan of California
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Fairfield,CA
Under the direction of the Utilization Management (UM) Supervisor or above, this position willconduct audits of assigned areas, assist in department audit initiatives as well as perform auditsin accordance with the department audit plan. As an...
STG International
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Fairfield,CA
A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...
John Muir Health
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Walnut Creek,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...
Broadway Ventures, LLC
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Fairfield,CA
A healthcare consulting firm is seeking a Medical Reviewer (DME) to join their team. This remote position requires an active RN license and at least two years of clinical nursing experience. Responsibilities include conducting medical reviews for...
Spectrum Health
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Fairfield,CA
Registered Nurse Disease Managers (RNDM) Spectrum Healthcare Resources has an opportunity for a Registered Nurse Disease Managers (RNDM). These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be...
Wisconsin Staffing
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Fairfield,CA
CVS Health Aetna Case Manager RN 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...
Remote Staffing
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Fairfield,CA
Registered Nurse Care Manager As an advocate for the patient, the RN care manager will assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet an individual's health needs, using clinical and...
Examworks
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Fairfield,CA
A leader in medical examination services is seeking a Remote Clinical Quality Assurance Nurse Auditor. This role requires a Registered Nurse with critical care and ER experience. Responsibilities include evaluating clinical information, performing...
SHR (Spectrum Healthcare Resources)
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Fairfield,CA
A healthcare staffing organization is seeking a Registered Nurse Behavioral Health & Disease Management to work completely remote from home. This position involves performing assessments and care coordination for dependents of active-duty military...
Molina Healthcare
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Fairfield,CA
A leading healthcare company is seeking an experienced Registered Nurse for a role primarily supporting Medicare and Medicaid health populations in Cleveland, OH. The RN will be involved in care management, conducting face-to-face assessments, and...
