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...
Family Health Centers of San Diego
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San Diego,CA
Accompany Business Development Representative to initial home contact meeting. Evaluate for safety and stability of home environment and assess that prospective participant is appropriate for PACE using established criteria and guidelines. Determine...
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...
Pyramid Consulting
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San Diego,CA
Immediate need for a talented Clinical Documentation Improvement (CDI) Specialist. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job...
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...
Humana
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San Diego,CA
Behavioral Health Care Manager The Behavioral Health Care Manager (Care Manager, Telephonic Behavior Health 2) in a telephonic environment, assesses and evaluates members' needs and requirements. This is done to achieve and/or maintain...
Virtual Vocations
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San Diego,CA
To support a high-profile team, the full-time Clinical Analyst Appeals will manage clinical appeals and audit processes for both commercial and government services in a remote setting, ensuring compliance with federal and state regulations related...
Sharp HealthCare
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San Diego,CA
Description Physician Opening-San Diego, California Sharp Rees-Stealy Medical Group/Sharp Mary Birch Hospital for Women and Newborns 1.0FTE Full-Time Pediatric Hospitalist Join a...
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...
Viking Therapeutics
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San Diego,CA
The Drug Safety Associate provides operational and documentation support for the company's clinical safety and pharmacovigilance activities. Working closely with the Drug Safety Manager, this role helps ensure timely, accurate, and compliant...
Sharp Corporation
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La Mesa,CA
## Case Manager I - Case Management - Sharp Grossmont Hospital - FT - DaysApplylocations: La Mesa, CAtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR207040**Hours:****Shift Start Time:**8 AM**Shift End Time:**4:30 PM**AWS...
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,...
The CKHobbie Group
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San Diego,CA
Job Opportunity Position Overview: We are seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. This role involves claims analysis, provider...
La Mesa-Spring Valley School District
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La Mesa,CA
Dual Merged (2627-02)Under the direction of an assigned supervisor and under supervision of a Licensed Credentialed School Nurse, provides a variety of health services to assigned students including first aid and emergency care; under direction and...
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...
W3R Consulting
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San Diego,CA
Behavioral Health Care Coordinator Remote, Illinois Job Type: Contract Pay Rate: $39.2 This role can be REMOTE only (in IL). It is a field based role we are interested in candidates that could travel to Joliet,...
UW Health
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San Diego,CA
Job Description Work Schedule: 100% FTE, working 7:00 am - 5:00 pm, Seven days on and seven days off. This will include every other weekend and will include holidays as scheduled. This will be a hybrid...
Virtual Vocations
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San Diego,CA
Supporting the clinical business intelligence team, the contractor Clinical Informatics Data Consultant will leverage 3+ years of experience in clinical informatics and healthcare data analysis to translate clinical concepts into structured code...
State of Montana
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San Diego,CA
Facility Inspector 2 The Montana Department of Public Health and Human Services (DPHHS) has a career opportunity within the Office of Inspector General. This position is responsible for surveying health care centers with Medicare 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...
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...
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...
