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,...
Advocate Aurora Health
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San Diego,CA
Department: 39105 Home Care Divisional - Home Health Liaisons Status: Part time Benefits Eligible: No Hours Per Week: 0 Schedule Details/Additional...
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...
Prime HealthCare
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National City,CA
Bonus Amount $15,000.00 Bonus Information Sign-On Bonus Available for Qualified Candidates. Eligibility and payout terms apply. Details discussed during the interview process. Overview Paradise Valley Hospital is the...
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...
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...
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...
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...
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...
Ingenesis
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San Diego,CA
RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City :...
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,...
Critical Connections
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San Diego,CA
Setting: Outpatient Clinic / Ambulatory Care Schedule: Full-Time | Day Shifts (Typically No Nights) About the Opportunity We are seeking a Registered Nurse (RN)...
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...
wps
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San Diego,CA
Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to...
Option Care Health
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San Diego,CA
Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home...
Humana
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San Diego,CA
Become a part of our caring community and help us put health first Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to...
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...
Optum
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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...
Valley Health
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San Diego,CA
Department WMH FRIMA-RHC - 259441Worker Sub Type RegularWork Shift First Shift (United States of America) Pay Grade Job Description Job...
Washington University in St. Louis
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San Diego,CA
Scheduled Hours 40 Position Summary Coordinates the care of patients for a designated service throughout the continuum of care; serves as a clinical resource in area of specialty or...
Randstad
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San Diego,CA
Randstad Healthcare is hiring for a Utilization Management Clinical Consultant - Registered Nurse to work remotely. ***Must be licensed as a RN in Arizona or hold a compact license to be considered*** The Utilization...
SAN DIEGO AMERICAN INDIAN HEALTH CENTER
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San Diego,CA
We are an FQHC community health center dedicated to embodying the values central to American Indian cultures. This includes respect for our patients, acknowledgement of the whole person, and a focus on working together to ensure health for the...
McLeod Health
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San Diego,CA
Job Description Registered Nurse - Full Time - Home Health (Florence County) *$15,000 with 2 years commitment Sign On Available! Responsibilities ...
Blue Shield of CA
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San Diego,CA
Your Role The Utilization Management team manages accurate and timely prior authorization and inpatient stays reviews for our members and correctly applies the guidelines for nationally recognized levels of care for our...
