State of California
-
Chula Vista,CA
This is an exciting opportunity to join our team at the California Department of Veterans Affairs (CalVet), where we proudly serve California's 1.6 million veterans. We advocate with purpose and passion every day for our state's veterans and their...
Molina Healthcare
-
San Diego,CA
Clinical Member Services Reviewer Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance...
315 health
-
San Diego,CA
We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...
Intermountain Health
-
San Diego,CA
Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing process by...
Fort Worth Staffing
-
San Diego,CA
Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...
Virginia Staffing
-
San Diego,CA
Explore Opportunities With Agency Name As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each...
Actalent
-
San Diego,CA
Job Title: Prior Authorization NurseJob Description The Prior Authorization Nurse plays a critical role in analyzing prior authorization requests to determine the medical necessity of services and the appropriate level of care. This position...
Georgia Staffing
-
San Diego,CA
Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...
CoreCivic
-
San Diego,CA
CoreCivic is seeking a Registered Nurse (RN) Correctional for a nursing job in San Diego, California. Job Description & Requirements Specialty: CorrectionalDiscipline: RNDuration:...
UCHealth
-
San Diego,CA
Description Location: UCHealth Anschutz Inpt Pavilion - Aurora Department: Virtual Health Center - The centralized sitter RN role is a new, innovative role, to support system oversight of in person and virtual sitters The role will involve...
Mass General Brigham Health Plan
-
San Diego,CA
A healthcare provider is seeking a Utilization Management Clinical Manager for analyzing medical service requests. The ideal candidate will possess an RN license and extensive experience in prior authorization in managed care. Responsibilities...
Humana
-
San Diego,CA
A leading healthcare company is seeking a Prior Authorization RN to support its Wisconsin Medicaid Market team. This remote position involves reviewing prior authorization requests to ensure compliance with medical guidelines. Candidates must be...
SSM Health
-
San Diego,CA
It's more than a career, it's a calling WI-REMOTE Worker Type: PRN Job Highlights: SSM is looking for an experienced nurse with Home Health, Hospice or Case...
Washington Staffing
-
San Diego,CA
Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...
AIS Healthcare
-
San Diego,CA
A healthcare provider located in Atlanta, GA is seeking a Home Infusion Registered Nurse. This fully remote role involves providing infusion therapies in patients' homes, allowing nurses to create one-on-one relationships with their patients.
Family Health Centers of San Diego
-
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...
CVS Health
-
San Diego,CA
A leading health solutions company is seeking a fully remote Case Manager - Registered Nurse (RN) to join their National Medical Excellence team. The position involves assessing and coordinating care for members to enhance overall wellness.
VITAS Healthcare
-
San Diego,CA
VITAS Telecare RN 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 needing...
Solace
-
San Diego,CA
RN Healthcare Advocate Solace is a healthcare advocacy marketplace that connects patients and families to experts who help them understand and take charge of their personal health. About the Role As an RN Healthcare...
One Stop Recruiting
-
San Diego,CA
Introduction: We are seeking a dedicated and compassionate Admissions Registered Nurse (RN) to join our growing team. This role offers the opportunity to provide high-quality, patient-centered hospice care in a supportive and collaborative...
Genie Healthcare
-
San Diego,CA
Genie Healthcare is seeking a travel nurse Correctional for a travel nursing job in San Diego, California. Job Description & Requirements Specialty: CorrectionalDiscipline: RNStart...
Beth Israel Lahey Health
-
San Diego,CA
Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) 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...
U.S. Navy
-
Bonita,CA
To be eligible to enlist in the U.S. Navy, candidates must be between the ages of 18-34 The greatest reward for nearly every nurse is the joy of serving others. But in the Navy Nurse Corps, when you...
UnitedHealth Group
-
San Diego,CA
Perform telephonic outreach to members identified by the Advance Practice Clinician for specific referral related issues. Ensure member has scheduled appointment with Primary Care Provider (PCP)/specialty provider; help scheduling appointment, if...
Providence Swedish Medical Center
-
San Diego,CA
A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and...
