Piedmont Healthcare
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San Diego,CA
Overview At Piedmont Healthcare, you'll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness...
BlueCross BlueShield of South Carolina
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San Diego,CA
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or...
Virtual Vocations
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San Diego,CA
Providing clinical review support on an as-needed basis, the part-time PRN Clinical Review Specialist will review medical records for medical necessity, level of care, and authorization compliance while ensuring timely appeal submissions and...
US Department of Veterans Affairs
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San Diego,CA
Job Title Job Description Duties include, but are not limited to: Interacts regularly with the Executive Leadership Team to coordinate and plan Clinical Process Improvement. Works with the Quality Chief,...
Sentara Healthcare
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San Diego,CA
Integrated Case Manager, RN Sentara Health in Harrisonburg, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Harrisonburg and surrounding areas as travel is...
Johns Hopkins Hospital
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San Diego,CA
Overview Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Our employees are the...
Mary Washington Healthcare
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San Diego,CA
Start the day excited to make a difference...end the day knowing you did. Come join our team. Job Summary: The Virtual Registered Nurse (VRN) is responsible for providing professional nursing care with collaboration from the...
Brown University Health
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San Diego,CA
Telephonic Triage And Document Review Services Provides telephonic triage and document review services that require clinical judgement and interpretation and acts as a liaison between the patient, care team(s), and their primary care...
U.S. Navy
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San Diego,CA
Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...
UC San Diego Health
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San Diego,CA
Overview Position: Patient Sitter - East Campus Medical CenterLocation: East Campus Medical Center (Alvarado Road) • Department: EC Nursing Administration • Appointment Type: Career • Appointment Percent: 90%Filing Deadline: Fri...
Hireops Staffing Llc
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San Diego,CA
Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to...
MVP Health Care
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San Diego,CA
Join Us in Shaping the Future of Health Care At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we...
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...
Comagine Health
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San Diego,CA
Why Comagine Health? Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years. We are leaders in...
The CKHobbie Group
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San Diego,CA
Job Opportunity Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the...
MedWatch LLC
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San Diego,CA
Medical Review Specialist Scope: The Medical Review Specialist is a Registered Nurse who conducts the Utilization Review process by obtaining medical information and confirming the medical necessity of hospital admissions and/or...
Children's Health System of Texas
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San Diego,CA
Prospective Review RN Department: Utilization Management Location: Children's Health- Trinity Towers Shift: Full-time, Monday through Friday Job Type: Remote, with some occasional onsite attendance required Why...
VITAS Healthcare
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San Diego,CA
Admissions Nurse Salary Range: $50 -$55 / Hour Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty—one that blends clinical expertise with deep human connection? Just like cardiology or...
U.S. Navy
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San Diego,CA
Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...
Metropolitan Jewish Health System
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San Diego,CA
Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...
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'...
Walgreens
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San Diego,CA
Job Description: Job Summary: Responsible for patient focused programs which may include but is not limited to: collaborating with health care team in providing direction for maintaining high quality...
Actalent
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San Diego,CA
Urgent 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...
UnitedHealth Group
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San Diego,CA
Registered Nurse Opportunity Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations...
