Molina Healthcare
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Chula Vista,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 regulations...
SCRIPPS HEALTH
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San Diego,CA
Scripps Memorial Hospital La Jolla, Level I Trauma Center, is seeking a Trauma Nurse Registrar to join its Trauma Administration team. The ideal candidate will have at least 3 years of experience in trauma, critical care or emergency nursing.
UC San Diego
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San Diego,CA
La Jolla 9500 Gilman Drive, San Diego, CA 92093, United States #138718 (RN) Registered Nurse - Same-Day Oncology Clinic Filing Deadline: Wed 3/18/2026 Apply Now UC San Diego values and welcomes people...
St. Paul's Senior Services
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San Diego,CA
San Diego's St. Paul's PACE program (Program of All-Inclusive Care for the Elderly). This innovative program is for individuals 55 years or older, who are living with chronic illness, or disabilities and need coordinated medical care to continue...
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...
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...
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...
Providence Service
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San Diego,CA
Description Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued – they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of...
UC San Diego
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San Diego,CA
Encinitas 1200 Garden View Road, Encinitas, CA 92024, United States #138389 (RN) Registered Nurse - Encinitas Infusion Extended Deadline: Fri 3/20/2026 Apply Now UC San Diego values and welcomes people...
Acentra Health, LLC
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San Diego,CA
Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...
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...
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...
Titan Placement Group
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San Diego,CA
Hybrid Intake Registered Nurse (RN) Manhattan, New York We're hiring a Hybrid Intake Registered Nurse in Manhattan, New York who wants strong work-life balance while playing a key role coordinating...
Family Health Centers of San Diego
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San Diego,CA
For more than55 years, Family Health Centers of San Diego's (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and...
VITAS Healthcare
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San Diego,CA
Job Description The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families...
Paradigm
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San Diego,CA
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of...
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...
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...
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...
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...
Aurora San Diego
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San Diego,CA
Work as member of multi-disciplinary treatment team reviewing patient care and treatment options for both inpatient and outpatient services. Proactively monitor and optimize reimbursement for external reviewers/third party payers. *Pay...
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...
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,...
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...
