Molina Healthcare
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San Diego,CA
JOB DESCRIPTION Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...
BJC HealthCare
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San Diego,CA
BJC HealthCare is seeking a Registered Nurse (RN) Virtual Care for a nursing job in Saint Louis, Missouri. Job Description & Requirements Specialty: Virtual Care Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health, candidates...
BioLife Plasma Services
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Lemon Grove,CA
By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice...
Inland Empire Health Plan
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San Diego,CA
Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic...
UC Health
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San Diego,CA
Description Location: UCHealth UCHlth Med Ctr of the Rockies, US:CO:Loveland Department: MCR Care Management Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's...
Biolife Plasma Services Careers
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Lemon Grove,CA
By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line...
UnitedHealth Group
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San Diego,CA
Provide high-quality clinical services within scope of practice and infection control standards. Coordinate care with other members of the patient/client's care team from admission to discharge. Complete clinical nursing assessments per...
Actalent
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San Diego,CA
Urgent Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...
Johns Hopkins Hospital
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San Diego,CA
A leading healthcare provider is seeking a dedicated pediatric nurse to provide and supervise in-home care for children with complex conditions. Candidates must have at least three years of acute care experience and be skilled in administering...
UCHealth
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San Diego,CA
Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department: Emergency Dept Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Nights Pay: $35.29 - $54.71 / hour. Pay is dependent on applicant's...
AccessNurse
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San Diego,CA
Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...
Mayo Clinic
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San Diego,CA
Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in...
UC San Diego Health
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San Diego,CA
(RN) Per Diem Registered Nurse - Ambulatory - 137718 Join to apply for the (RN) Per Diem Registered Nurse - Ambulatory - 137718 role at UC San Diego Health. 1 day ago Be among the first 25 applicants. Payroll Title:...
VITAS Healthcare
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San Diego,CA
Job Description Salary Range: $50 -$55 / Hour Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty-one that blends clinical expertise with deep human connection?
U.S. Navy
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San Diego,CA
To be eligible to enlist in the U.S. Navy, candidates must be between the ages of 18-34 The greatest reward for nearly every nurse is the joy of serving others. But in the Navy Nurse Corps, when you...
Iowa Staffing
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San Diego,CA
RN Clinical Appeals Nurse Job Summary: The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory...
Actalent
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San Diego,CA
Remote Clinical Review Nurse – Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are seeking an experienced Registered Nurse to join our team...
UW Health
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San Diego,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:...
Elliot Health System
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San Diego,CA
A healthcare organization in Manchester, NH, seeks a Nursing professional to provide centralized medication access support. Responsibilities include reviewing medication requests, communicating with patients, and adhering to clinical guidelines.
STG
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San Diego,CA
Registered Nurse - Case Review Specialist STGi is currently seeking a Registered Nurse-Case Review Specialist. The position is remote and open to candidates nationwide. Job Summary: Provides direct support...
UC Health
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San Diego,CA
Description Location: UCHealth Anschutz Inpt Pavilion - Aurora Department: Virtual Health Center - The centralized sitter RN role is a new, innovative role, to support system oversight of in person and virtual sitters The role will involve...
BrightStar Care of Concord, Lexington, and Woburn
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San Diego,CA
A leading home health service provider in Massachusetts is seeking a Registered Nurse (RN) for home care services to manage clinical operations, develop care plans, and supervise nursing staff. Candidates must have an active RN license and 2-3...
315 health
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San Diego,CA
We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...
Mass General Brigham Health Plan
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San Diego,CA
A healthcare provider is seeking a Utilization Management Clinical Manager for analyzing medical service requests. The ideal candidate will possess an RN license and extensive experience in prior authorization in managed care. Responsibilities...
Liberty Healthcare
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San Diego,CA
Registered Nurses are encouraged to consider a part-time remote Nurse Reviewer position with Liberty Healthcare Corporation. Liberty Healthcare operates a statewide program in Idaho which assesses children and adults who are living with...
