Harris Health
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San Diego,CA
Harris Health is seeking a Utilization Management Review Nurse (UMRN) in Houston, Texas, to evaluate the necessity and efficiency of medical services. The ideal candidate will hold a Bachelor's in Nursing and a valid Texas RN license, with 5 years...
UC San Diego Health
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San Diego,CA
Work ScheduleDays, 8‑Hour Shifts, Monday‑Friday with occasional weekends.Payroll TitleVOC NURSE SRDepartmentAMBULATORY FLOAT TEAMHiring Pay Scale$32.45 - $44.65 / HourWorksiteLightwave AvenueAppointment TypeCareerAppointment Percent80%UnionEX...
Paradise Valley Hospital
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National City,CA
Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Paradise Valley Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your...
RCM Health Care Services
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San Diego,CA
Job Description Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if applicable): This role is eligible...
The Judge Group
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San Diego,CA
Prior Authorization RN - Contract Role Location Requirement: Candidate must reside in NJ, PA, NY, CT, or MD Work Model: WFH, but must be able...
Briljent
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San Diego,CA
Clinical Auditor Registered Nurse We are seeking a detail-oriented Clinical Auditor Registered Nurse to support medical record reviews, billing compliance audits for the Indiana Health Coverage Programs. This role is responsible for...
Bamboo Health
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San Diego,CA
Bamboo Health is looking for a Behavioral Health Licensed Care Manager to join our team. This role is essential for integrating behavioral health into physical health, engaging and navigating individuals facing mental health and substance use...
Azria Health Clarinda
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San Diego,CA
Quality Assurance Nurse Location: Remote with travel to facilities as needed. Des Moines, Kansas City, Omaha/Council Bluffs region Position Type: Full-Time Description We are seeking a dedicated Quality Assurance...
University of Missouri Health Care
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San Diego,CA
Shift: Monday - Friday, 8am - 5pm Work Arrangement: Remote - after training (up to one month) Department: MU Virtual Care Clinic Compensation: •...
Macpower Digital Assets Edge
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San Diego,CA
Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating...
e-solutions
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San Diego,CA
Registered Nurse (RN) – Epic Training & Instructional Design Location: Remote Purpose: Use clinical nursing expertise and Epic EHR knowledge to create effective training materials, improve user adoption, and support clinical...
HealthMap Solutions LLC
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San Diego,CA
Position SummaryThe Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective outcomes...
Belong Health
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San Diego,CA
RN Care Manager (DSNP) New York Hello, we're Belong. We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products. With a dual focus on data-driven, proactive clinical intervention and...
Beth Israel Lahey Health
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San Diego,CA
Clinical Documentation Improvement Specialist II When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local to New England...
Impresiv Health
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San Diego,CA
Location: Fully remote. Candidates must be able to work a schedule aligned with Pacific Time (PST) business hours. Description: Our client is seeking an experienced Concurrent Review Registered Nurse (RN) to...
SCRIPPS HEALTH
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San Diego,CA
Job OverviewFull‑Time RN position as a Care Manager of Inpatient Case Management at Scripps Mercy Hospital San Diego – Hillcrest. Day shift schedule of 10.25 hours on variable days, including weekends and holidays. Start time typically between...
Pager Health
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San Diego,CA
Pager Health℠ redefines how members navigate to care and wellness, validated by clinicians and powered by AI. Our solutions help people get the right care at the right time in the right place and stay healthy, while...
Rady Childrens Hospital
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San Diego,CA
Hours are full time during the school year. JOB SUMMARY: Under the direction of department leadership, provides a comprehensive health management program for assessment, evaluation, maintenance, and improvement of the...
Gainwell Technologies
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San Diego,CA
Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We...
Maximus
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San Diego,CA
Maximus is seeking a Registered Nurse, Clinical Assessor to join our growing team. As a Nurse Assessor, you will conduct person-centered assessments in accordance with contract directives, company processes, and contract requirements. You'll...
DirectShifts
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San Diego,CA
We are seeking CRNA's to join our team in several outpatient Plastic Surgery Centers within the San Diego area. Responsibilities: Perform comprehensive pre-anesthesia...
Vitality Senior Living
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San Diego,CA
Director of Wellness Transitions and Compliance (RN) Vitality Living is seeking a dynamic, compassionate leader of people to oversee Health and Wellness efforts for one of the area's best senior living communities. This critical...
ATX Learning
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San Diego,CA
RN Outpatient Clinic Location: San Ysidro Mobile Unit (Travel Bus), This bus travels all over San Diego, South San Diego, East and North San Diego Facility: San Ysidro Health Shift: Hours: Mon-Fri 8am-5pm Duration: 24...
Reliant Medical Group
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San Diego,CA
RN Clinical Care Coordinator At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the...
CenterWell Home Health
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San Diego,CA
Become a part of our caring community As a Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you will lead and support a team of dedicated clinicians who deliver compassionate, high‑quality care in the home setting.
