Molina Healthcare
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San Diego,CA
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...
FRESENIUS
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San Diego,CA
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable...
FRESENIUS
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San Diego,CA
The schedule for this role is MWF, 5a-6p PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic...
Molina Healthcare
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San Diego,CA
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...
San Diego Community College District
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San Diego,CA
Posting DetailsPosting Details (Default Section)Closing Date:Open Until Filled NoClassification Title NURSE: Adjunct / Substitute Instructor or Non-Instructor POOL (college credit)Working Title Adjunct FacultyRecruitment LimitsLocation District...
Cross Country Healthcare
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San Diego,CA
Cross Country Nurses is seeking a travel nurse RN Clinic for a travel nursing job in San Diego, California. Job Description & RequirementsSpecialty:...
Disability Solutions
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Coronado,CA
Registered Nurse (RN) | Home HealthLocation: San Diego, CAAgency: United Health Care Staffing, Inc.Pay: $2,600 to $2,900 per weekShift Information: Days - 5 days...
Molina Healthcare
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San Diego,CA
JOB DESCRIPTION Job Summary Leads and manages multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term...
University of Utah
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San Diego,CA
Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...
Premier Health
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San Diego,CA
Position: Virtual Nurse-RN Department: Virtual Nursing Facility: Premier System Support Shift: Full-time 7:00am-7:30pm/ 72 Hours Per Pay *This is...
North Carolina
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San Diego,CA
Nurse Consultant II (NS) This is a home-based position in the Central/Western Region and individuals should reside in Wake, Guilford, Alamance, Mecklenburg, Forsyth, Durham, Chatham, Randolph, Johnston, Harnett, Lee, Moore, Franklin,...
Virtual Vocations
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San Diego,CA
Providing clinical review support on an as-needed basis, the part-time PRN Clinical Review Specialist will review medical records for medical necessity, level of care, and authorization compliance while ensuring timely appeal submissions and...
UNIVERSITY OF VIRGINIA
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San Diego,CA
The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...
Mission Healthcare Services
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San Diego,CA
Completes an initial assessment of the patient and family to determine home care needs. Provides a complete physical assessment and history of current and previous illness(es). Initiates the plan of care and makes necessary revisions as patient...
Cherokee Federal
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San Diego,CA
**A government contract requires that this position be restricted to U.S. citizens or legal permanent residents. You must provide documentation that you are a U.S. citizen or legal permanent resident to qualify. Provides...
St Vincent Hospital
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San Diego,CA
Utilization Management Position Provide health care services regarding admissions, case management, discharge planning and utilization review. Review admissions and service requests within assigned unit for prospective, concurrent...
UnitedHealth Group
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San Diego,CA
Ssbv Clinical Claims Review Rn Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...
Varite
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San Diego,CA
Job Description: • Participates in the development and ongoing implementation of QM Work Plan activities. • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet...
Virtual Vocations
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San Diego,CA
Focused on auditing outpatient and specialty claims, the full-time Clinical Auditor RN will utilize coding and clinical chart validation expertise to ensure accuracy, medical necessity, and appropriateness of services delivered, while working in a...
Family Health Centers of San Diego
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San Diego,CA
Family Health Centers of San Diego is looking for a Coordinator, Quality Assurance RN to ensure the quality of care in their PACE program in San Diego, California. This role focuses on coordinating quality assurance activities and requires a...
