iHire
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San Diego,CA
A leading healthcare provider is seeking an experienced Clinical Appeals Nurse (RN) to manage internal appeals clinical processes, ensuring compliance with federal and state regulations. You will conduct clinical reviews and present cases for...
Florida Staffing
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San Diego,CA
Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...
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...
UnitedHealth Group
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San Diego,CA
Provide support to all units within Claims to ensure all clinical components are met for CMS, NCQA, URAC, DOL, DOI, and all other State and Federal entities. Identify business priorities and necessary processes to triage and deliver work. Use...
Ochsner Health
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San Diego,CA
Join Ochsner Health We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken, and...
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...
UMass Med School
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San Diego,CA
A prominent medical institution is seeking a Nurse Rev II to conduct clinical assessments and evaluations for individuals in nursing facilities. This hybrid role includes statewide travel and offers flexible scheduling with no weekends or...
Ohioleaguefornursing
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San Diego,CA
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 with the care, pharmacy benefits, data...
Georgia Staffing
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San Diego,CA
Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...
DaVita
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San Diego,CA
Full-Time Rn Case Manager (Rn) Opportunity DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) to join us in Fresno, CA. As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you will...
Wyoming Staffing
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San Diego,CA
Telephonic Case Manager 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...
Vetted
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San Diego,CA
Vetted is seeking a RN - Clinical for a travel job in San Diego, California. The job was posted 8 days ago. The assignment starts on ASAP and is 13 weeks long with 8 hour shifts 5 days a week.You must live 60 miles away from the facility in order to...
Remote Staffing
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San Diego,CA
Clinical Claims Review At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.
Supplemental Health Care
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San Marcos,CA
Supplemental Health Care is seeking a travel nurse RN Home Health for a travel nursing job in San Marcos, California. Job Description & RequirementsSpecialty: Home...
ResPro Health
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San Diego,CA
A healthcare provider is looking for a Registered Nurse to support patients remotely in their respiratory needs. The role involves educating patients, coordinating care, and creating personalized care plans. Candidates should hold an active RN...
Texas Staffing
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San Diego,CA
Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...
California Staffing Corporation
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San Diego,CA
RN Clinic - Family Medicine - Hybrid (Remote & 4S Ranch) This is a benefited, full-time position generally working Monday-Friday from 8:30am-5pm with occasional weekend coverage as needed. Hours may vary as needed. The role is hybridboth...
Midwest Startups
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San Diego,CA
Company Overview: Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...
Columbus Staffing
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San Diego,CA
Care ManagerRegistered Nurse 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...
TEEMA Group
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San Diego,CA
Job Description Job Description Job Title : Registered Nurse (RN) Disease Manager Job Overview : The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of...
Phoenix Staffing Services
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San Diego,CA
Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...
Hispanic Alliance for Career Enhancement
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San Diego,CA
At CVS Health, we are 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 company, we reach millions of...
Legacy Health
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San Diego,CA
Overview: The Legacy nursing philosophy focuses on patients and their families. Our nurses embody this philosophy in everything they do, as advocates, communicators, problem-solvers and caregivers. Their expertise is sought after and respected by...
Greenlife Healthcare Staffing
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San Diego,CA
A Quality Improvement Consulting Company is seeking a RN Health Care Facility Surveyor. This is a 100% remote position requiring up to 75% travel. Responsibilities include conducting compliance surveys at healthcare facilities nationwide,...
