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...
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...
Scene Health
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San Diego,CA
About Scene Health Scene is reimagining medication adherence with our 360° model of care, bringing the gold standard of Directly Observed Therapy into the digital age. Through personalized video coaching, engaging...
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...
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, patient-centered care in a...
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...
National Coalition of Healthcare Recruiters
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San Diego,CA
20 miles from Boston - surrounding areas (Only QUALIFIED Healthcare Professionals accepted) Case Manager - Are you ready to make a real difference in people's lives while enjoying a schedule that suits your lifestyle? We're on the lookout...
CareFirst BlueCross BlueShield
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San Diego,CA
Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...
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 regulations...
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...
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 Assumes...
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...
US Navy
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Chula Vista,CA
Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...
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...
UnitedHealth Group
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San Diego,CA
Explore Opportunities With [Agency Name] A part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their...
FRESENIUS
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Chula Vista,CA
* Paid one on one training and education provided. * Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state-of-the-art training programs and...
The CKHobbie Group
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San Diego,CA
Job Description Are you a registered nurse ready to take your career in an exciting new direction-one where your expertise truly makes a difference? Join Pennsylvania's premier Quality Improvement Organization and step into a...
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?
Corewell Health
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San Diego,CA
Shift and Status Full time, 12:00 p.m. to 12:30 a.m., variable days and every other weekend Hybrid: visiting patients in Mason, Lake, Osceola, Newaygo, Mecosta, Oceana, Muskegon, Ottawa, Kent, Ionia, Allegan, and...
CareSource
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San Diego,CA
Job Summary: The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach activities...
Stormont-Vail Healthcare
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San Diego,CA
Position Status: Part time Shift: 12 Hour Night Shift (United States of America) Hours per week: 24 Job Information Exemption Status: Non-Exempt A Brief Overview Member of the care delivery team will...
Hireops Staffing Llc
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San Diego,CA
$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...
