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...
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...
HealthMap Solutions LLC
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Fairfield,CA
Registered Nurse, Quality Assurance Reviewer The Registered Nurse, Quality Assurance Reviewer will work in conjunction with the Quality Manager and will be responsible for completing quality reviews for the Clinical Services and Provider...
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...
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,...
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...
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...
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...
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...
The University of Miami
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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...
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...
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:...
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...
INTEGRIS Health
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Fairfield,CA
Job Description INTEGRIS Health Portland, Oklahoma's largest not-for-profit health system has a great opportunity for a Manager, Nursing Virtual Care in Oklahoma City, OK. In this position, you'll work days with our Clinical...
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...
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,...
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...
The Joint Commission
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Fairfield,CA
An established industry player is seeking a dedicated Home Health and Hospice Care Registered Nurse Surveyor for a remote opportunity. This role involves nationwide travel to survey health care organizations, ensuring compliance with standards and...
CommonSpirit Health
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Fairfield,CA
A prominent healthcare organization is seeking a dedicated RN Rehabilitation Nurse to work at St. Mary Medical Center in Long Beach, CA. This full-time position involves restoring patients health and providing essential education and care to...
Presbyterian Healthcare Services
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Fairfield,CA
Location Address: Remote Office , Santa Fe, New Mexico 87501, United States of America Compensation Pay Range: Minimum Offer $: 51209.6 Maximum Offer for this position is up to $:...
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...
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.
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...
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...
