Molina Healthcare
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National City,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...
24-MAG LLC
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San Diego,CA
About the job Remote | Nursing Clinical Review Expert - $65-$95/hour We are sharing a specialised part-time consulting opportunity for nursing professionals experienced in patient care, clinical monitoring, medication administration,...
Gainwell Technologies
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San Diego,CA
DRG 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.
Fairview Health Services
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San Diego,CA
Telephone Triage Nurse Line Advisor Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other! Are you ready...
Piedmont Healthcare
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San Diego,CA
Overview Experience the advantages of real career change Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and schedule flexibility that frees you to...
Optum
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San Diego,CA
Optum WA, (formerly The Everett Clinic) is seeking a RN Call Us First to join our team in Everett, WA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery...
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 ...
Virtual Vocations
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San Diego,CA
Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, analyzing care services, coding requirements, and resource utilization while collaborating...
Lancesoft
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San Diego,CA
OverviewPosition Type: Full timeJob Title: Care Review Clinician ILocation: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle),...
CVS Health
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San Diego,CA
Telephonic Registered Nurse 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...
UCHealth
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San Diego,CA
Description Location: UCHealth UCHlth Anschutz Inpatient Pavilion, US:CO:Aurora Department: Cellular Therapies Unit Work Schedule: Part Time, 48.00 hours per pay period (2 weeks) Shift: Nights Pay: $35.29 - $54.71 / hour. Pay is dependent on...
Northwell Health
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San Diego,CA
Description Position at Northwell Health PART TIME- 20 hours per week- Mon-Fri 8pm- 12am shift- Rotating weekends and holiday coverage expected! Northwell is the largest not-for-profit...
MINDPATH HEALTH
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Chula Vista,CA
Overview: Why Mindpath Health? Join Mindpath Health as we expand access to high quality mental health care in the communities we serve. We provide a well-supported outpatient practice setting where we treat mostly commercially insured patients of all...
CenterWell Home Health
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San Diego,CA
Become a part of our caring community $10,000 SIGN ON BONUS We are excited to expand our leadership team and are seeking experienced, motivated Clinical Managers to join our growing home health branches in Westbury, Hauppauge, and Riverhead, NY!
ECU Health
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San Diego,CA
Quality Nurse Specialist III Position Summary: Apply improvement methods to achieve successful outcomes: Use evidence-based structured improvement methods for all quality improvement projects. Promote the use of improvement methods and...
Virginia Department of Human Resource Management
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San Diego,CA
Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients'...
Gainwell Technologies
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San Diego,CA
Nurse Reviewer - Itemized Bill Review 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 know...
Raymond James Financial Services
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San Diego,CA
Registered Client Service Associate Supports Financial advisors and their prospective and existing clients and other branch staff team members. Demonstrates effective communication skills across multiple platforms (phone, email,...
Actalent
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San Diego,CA
Clinical Review Nurse Duals Program Details- Brand new program of 2026 for Centene Duals = Medicare + Medicaid line of business. Members have one combined card and one authorization covering both benefit types. The duals...
UnitedHealth Group
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San Diego,CA
Clinical Review Clinician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...
TeamHealth
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San Diego,CA
Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...
Houston Methodist Hospital
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San Diego,CA
ACPE Educator Position This ACPE Educator position requires a candidate that is fully bilingual in English and Spanish immediately upon hire. At Houston Methodist, the Educator Clinical Pastoral Education (CPE) PRN position is responsible...
Homewatch Caregivers
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San Diego,CA
Benefits: Competitive salary Flexible schedule Job Summary Making in-depth connected relationships within the home care environment is the greatest reward for becoming an...
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...
