CareSource
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San Diego,CA
Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discharge planning activities (i.e. DME, home health services)...
B2B Staffing Services
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San Diego,CA
B2B Staffing Services, Inc. is seeking a travel nurse RN OR Scrub RN for a travel nursing job in San Diego, California. Job Description & Requirements Specialty: OR Scrub RN Discipline: RN Start Date: 02/22/2026 Duration: 13 weeks 36 hours per week...
Catholic Hospice
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San Diego,CA
Per-Diem Hours: Sundays 12am to 8am Summary & Objective The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care...
BlueCross BlueShield of South Carolina
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San Diego,CA
Summary We are currently hiring for a Quality Nurse Navigator to join BlueCross BlueShield of South Carolina. In this role as a Quality nurse Navigator, you will monitor/implement quality improvement/management activities,...
Blue Cross Blue Shield of Arizona
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San Diego,CA
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families,...
Health Care District
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San Diego,CA
Job Description Leads nursing and medical operations in crisis stabilization and emergency psychiatric settings, ensuring delivery of safe, high-quality, trauma-informed care. Oversees nursing personnel, medication...
Rising Medical Solutions
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San Diego,CA
As our Telephonic Nurse Care Manager, you will coordinate all aspects of patient care for high-risk individuals. You will evaluate each patient while directing treatment plans, discuss claims, benefits, and eligibility, and manage resources while...
Stanford Health Care
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San Diego,CA
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This...
Evolent Health
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San Diego,CA
Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces...
Houston Methodist Hospital
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San Diego,CA
At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally...
ICONMA
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San Diego,CA
Our Client, a Health Insurance company, is looking for a Registered Nurse-Review Analys for their Remote location. Requirements: 2 years acute care experience with an unrestricted Registered Nurse license,...
Berkley
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San Diego,CA
Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is...
CareSource
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San Diego,CA
Job Summary: The Clinical Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, clinical guidelines, and contractual obligations. Essential...
Franciscan Health
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San Diego,CA
Work From Home Work From Home Work From Home, Indiana 46544 The CDI Education Specialist is critical for conducting CDI training and developing training content and materials for the CDI program. In this role you will ensure...
Acrisure LLC
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San Diego,CA
Remote from home- with local presence for occasional visits. Providing quality service and accurate results supports Ascential Care Partner's primary mission as a trusted adviser to our clients. As Nurse Case Manager (full, or hybrid), you will be...
Pinnacle
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San Diego,CA
Are you looking to make a difference in patients' lives with a company that values your expertise? Join us in our mission of delivering compassionate healthcare where it matters most -- at home. Pinnacle Home Care, Florida's largest...
Inspire Hospice & Palliative Care
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San Diego,CA
Join the Inspire Hospice Team - Remote Triage Nurse Opportunity Are you a compassionate RN looking to make a meaningful impact-without leaving home? Inspire Hospice and Palliative Care is seeking a dedicated,...
Included Health
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San Diego,CA
We're looking for a Pediatric Behavioral Health Nurse Care Manager to join our Care and Case Management team-someone passionate about supporting children, adolescents, and their families holistically through their healthcare journey with deep...
Sioux Empire Society for Human Resource Management
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San Diego,CA
A healthcare provider is seeking a full-time Clinical Informatics System Analyst, RN, to improve clinical information systems. This role involves optimizing EMR applications, providing user support, and collaborating with clinical staff.
Optum
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San Diego,CA
A healthcare organization is seeking a Registered Nurse in Massachusetts to conduct medical record audits and support patient care. The role involves collaborating with peers, communicating findings and requires an RN license and MDS...
Y Axis
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San Diego,CA
A healthcare organization in Dallas, Texas is seeking an Area Director of Education (RN) to lead clinical education strategies. This role involves designing and delivering training programs, enhancing onboarding, and ensuring compliance with...
Florida Cancer Specialists
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San Diego,CA
Date Posted: 2026-01-23 Country: United States of America Location: St. Petersburg Bayfront WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe...
Magellan Health
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San Diego,CA
Independently coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties performed are...
Aware Recovery Care
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San Diego,CA
Position Summary: The Ambulatory Detox & MAT (Medicated Assisted Treatment) Nurse provides direct and indirect patient care and coordination of care to Aware Recovery Care clients. The Ambulatory Detox & MAT Nurse in collaboration with the...
