RightWay
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San Diego,CA
A healthcare solutions company is seeking a Clinical Guide Population Health RN to provide care coordination, clinical triage, and education to members. This role involves engaging with high-risk patients, assisting them in navigating the...
Houston Staffing
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San Diego,CA
Medical Claim Review Nurse The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit...
ThedaCare
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San Diego,CA
Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in...
University of Minnesota School of Nursing
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San Diego,CA
A leading healthcare organization is looking for a DRG/CVA Validation Auditor RN to audit inpatient claims by validating coding and reimbursement methodologies. The role offers flexibility to work remotely, requiring an Associates degree and...
Trinity Health
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San Diego,CA
Employment Type: Full time Shift: Day Shift Description: NEW PAY RATES! Nurse - RNII -Cardiology Office - Phone Triage - Albany, NY -...
UnitedHealth Group
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San Diego,CA
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care. Utilize both company and community-based resources to establish a safe and effective case...
Network Health Plan (Wisconsin)
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San Diego,CA
A leading health organization is seeking a RN Coordinator for Utilization Management in Wisconsin. This full-time position involves reviewing authorization requests for medical necessity and collaborating with various departments. Applicants...
Optum
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San Diego,CA
A healthcare organization is seeking a Registered Nurse in Massachusetts to conduct medical record audits and support patient care. The role involves collaborating with peers, communicating findings and requires an RN license and MDS...
Beth Israel Lahey Health
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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...
Reid Hospital & Health Care Services
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San Diego,CA
RN-Virtual-1 0100 Nursing Administration Schedule: Day shift.12 hours weekly. About the Position This position requires working onsite at our Richmond, Indiana location. The Virtual Registered...
Catholic Health Service
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San Diego,CA
Overview Registered Nurse (RN), Clinical Decision Unit Rockville Centre, NY Explore a career with Mercy Hospital, a 375-bed not-for-profit hospital and member...
Syneos Health
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San Diego,CA
Research Nurse (Per Diem) - Lexington, MA Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile research...
LaserAway
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San Diego,CA
Aesthetic Registered Nurse - $45/hr + $5/hr Weekend Differential Fixed Schedule | No Overnights | Comprehensive Training Provided About LaserAway: LaserAway is the nation's leader...
Prolific
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San Diego,CA
AI Trainer - Registered Nurses (Remote) Prolific is building the biggest pool of quality human data in the world. Over 35,000 AI developers, researchers, and organizations use Prolific to gather data from paid study participants with a...
Providence Service
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San Diego,CA
Description RN Utilization Review at Irvine, CA. This position is Part- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our...
Sentara Health
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San Diego,CA
City/State Norfolk, VA Work Shift Rotating Overview: Sentara Norfolk General Hospital is hiring a Registered Nurse Unit Coordinator for 7N Admission/Discharge Unit. This is a full-time rotating shift position. 7N is a 16 bed IMC/MS mixed unit.
TEKsystems
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San Diego,CA
*Pay: $28.50/hr (Fixed rates, no opportunity for negotiation)* *Shift: *Monday- Friday- 8-4:30PM EST, MUST have flexibility twice a month to start as early as 7 and end as late as 7PM * * *Overview* We're hiring Clinical Quality...
Stryker
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San Diego,CA
Company Overview At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...
American Recruiting and Consulting Group
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San Diego,CA
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...
Sedgwick
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San Diego,CA
A leading risk and claims administration partner is seeking a part-time RN for clinical consultation roles in a flexible, remote environment. Ideal candidates will apply their nursing knowledge to triage calls, assess patient needs, and direct...
Conduent
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San Diego,CA
Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...
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...
Intermountain Health
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San Diego,CA
Job Description: The RN Transition and Triage Care Manager offers comprehensive, time-limited services to patients and their families, ensuring continuity of care as they move across healthcare settings and clinicians. This role aims to...
Hirebridge
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San Diego,CA
A healthcare provider is looking for a Home Infusion Registered Nurse in Atlanta, GA. This fully remote position allows RNs to provide infusion therapies in patients' homes, fostering strong relationships through personalized care. Ideal...
