University of California
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San Diego,CA
UCSD Layoff from Career Appointment: Apply by 3/16/2026 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Reassignment Applicants: Eligible Reassignment clients...
Kaiser Permanente
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San Diego,CA
Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with...
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?
Conduent
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San Diego,CA
Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...
Maximus
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San Diego,CA
RN Clinical Assessor - (Hybrid Remote - Washington County, Maine) Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts...
American Recruiting and Consulting Group
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San Diego,CA
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...
Parkview Health
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San Diego,CA
Summary Independently plans and provides excellent professional nursing care for patients in accordance with physician orders, established hospital and departmental policies and procedures, American Nurses Association Standards of...
Home Helpers
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San Diego,CA
Benefits: 401(k) Company parties Competitive salary Flexible schedule Free food & snacks Paid time off Training & development Tuition assistance...
Valeris
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San Diego,CA
Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...
Humana
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San Diego,CA
Become a part of our caring community and help us put health first The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and coding for services rendered is complete,...
Mercy Health
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San Diego,CA
Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable,...
CareFirst BlueCross BlueShield
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San Diego,CA
Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...
VITAS Healthcare
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San Diego,CA
Job Description The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families...
Molina Healthcare
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San Diego,CA
JOB DESCRIPTION Job SummaryProvides 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...
CVS Health
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San Diego,CA
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...
Blue Cross Blue Shield of Wyoming
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San Diego,CA
Deep Roots. Solid Growth. Caring People. Rooted in Wyoming! We are Blue Cross Blue Shield Wyoming: a not-for-profit health insurer with offices throughout the state. Ever since a small group of caring,...
Lee Health
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San Diego,CA
Location: HealthPark Medical Center - 9981 So HealthPark Circle Fort Myers FL 33908 Department: Resource Nurse Team Work Type: Part Time Shift: Shift 1/7:00:00 AM to 7:30:00 PM Minimum to...
Providence Service
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San Diego,CA
Description Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued – they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of...
Paradigm
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San Diego,CA
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of...
Stormont-Vail Healthcare
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San Diego,CA
Position Status: Full time Shift: First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week: 40 Job Information Exemption Status: Non-Exempt A Brief Overview Provides...
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 and responsible for the provision and coordination of...
Actalent
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San Diego,CA
Immediate 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...
Pyramid Consulting
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San Diego,CA
Immediate need for a talented Registered Nurse Utilization Review - Onsite-Santa Clara, CA.This is a 03+ months contract opportunity with long-term potential and is located in U.S(Remote). Please...
St. Paul's Senior Services
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San Diego,CA
San Diego's St. Paul's PACE program (Program of All-Inclusive Care for the Elderly). This innovative program is for individuals 55 years or older, who are living with chronic illness, or disabilities and need coordinated medical care to continue...
