GovernmentJobs.com
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San Diego,CA
Grievance & Appeals Nurse Specialist Join Us in this Amazing Opportunity We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If...
BlueCross BlueShield of South Carolina
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San Diego,CA
Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including...
Dartmouth Health
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San Diego,CA
49942354 Overview Remote Registered Nurse (RN) DH Direct Triage Per Diem Position Summary The RN - DH Direct Triage provides high-quality, patient-centered care...
commence corporation
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San Diego,CA
Nurse Reviewer At Commence, we're the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient processes to program and patient health. We combine quality data-driven solutions that...
TeamHealth
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San Diego,CA
Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...
Actalent
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San Diego,CA
Clinical Review Nurse Duals Program Details- Brand new program of 2026 for Centene Duals = Medicare + Medicaid line of business. Members have one combined card and one authorization covering both benefit types. The duals...
LCMC Health
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San Diego,CA
Your job is more than a job RN Care Manager - PRN - Remote You overthink every care option and scenario because, as a Care Manager, you're the hub of your patient's case management and care plan. You assure quality through...
Trinity Health
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San Diego,CA
Employment Type: Full timeShift: Day Shift Description: Purpose Work Remote Position (Pay Range: $36.8795-$47.8193) The...
ECU Health
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San Diego,CA
Quality Improvement Project Manager Apply improvement methods to achieve successful outcomes: Use evidence-based structured improvement methods for all quality improvement projects. Promote the use of improvement methods and science...
McLeod Health
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San Diego,CA
Job Description Registered Nurse - Full Time - Home Health (Florence County) *$15,000 with 2 years commitment Sign On Available! Responsibilities ...
Northwell Health
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San Diego,CA
Job Description Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and...
Sentara Health
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San Diego,CA
City/State Norfolk, VA Work Shift Multiple shifts available Overview: Sentara Health Plansis hiring a Quality Improvement Coordinator /Registered Nurse (RN) - Remote in Virginia! ...
Family Health Centers of San Diego
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San Diego,CA
For more than 55 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 medically...
Dartmouth Health
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San Diego,CA
49942353 Overview Remote Registered Nurse (RN) DH Direct Triage Part-Time, 20 hours per week Position Summary The RN - DH Direct Triage provides high-quality,...
Fairview Health Services
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San Diego,CA
Telephone Triage Nurse Line Advisor Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other! Are you ready...
Virtual Vocations
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San Diego,CA
Providing remote patient monitoring and support, the full-time Telehealth Nurse (LPN/LVN) will conduct regular phone visits to educate members on managing chronic conditions such as hypertension and diabetes while ensuring accurate documentation...
CoreCivic
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San Diego,CA
Job Description Job Title: Software Engineer Location: Remote Job Type: Full-time We are looking for a talented software engineer to join our team. The ideal candidate will have experience in developing and...
Gainwell Technologies
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San Diego,CA
DRG Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible.
CHRISTUS Health
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San Diego,CA
Utilization Review Nurse Health Plans - Case Management US:NM:Alamogordo | Utilization Management | Full Time This position has a remote option for those living close and will be able to come into the hospital as needed.
Molina Healthcare
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San Diego,CA
Job Description JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established...
Cheer
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San Diego,CA
Actively Hiring Private Duty Registered Nurse, Per Diem Hourly Pay Rate: $45-80 based on experience Shifts: 12 Hour Day Shifts Are you looking to make a POSITIVE IMPACT in your community? Do you believe nursing is more than...
Varite
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San Diego,CA
Job Description: Participates in the development and ongoing implementation of QM Work Plan activities. Improve quality products and services, by using measurement and analysis to process, evaluate and make...
UC Health
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San Diego,CA
Description Location: UCHealth UCHlth Greeley Hospital, US:CO:Greeley Department: GH Clinical Resources Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Nights Pay: $42.90 - $66.50 / hour. Pay is dependent on applicant's...
Sentara Healthcare
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San Diego,CA
City/State Williamsburg, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Prevention Nurse Specialist- Williamsburg, Virginia Sentara Health Plans...
