QTC Company
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San Diego,CA
Do you crave a career that truly makes an impact in people's lives? Do you thrive on problem-solving and finding solutions? Join a dedicated, tight-knit team that creates an immediate and meaningful impact every day. Leidos QTC Medical...
Broadway Ventures
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San Diego,CA
Remote Rn – Medical Claims Reviewer At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled...
Tailored Management
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San Diego,CA
Job Title: Government Programs RN Care Manager III Location: Fully Remote Eligibility: Candidates may work remotely from any U.S. state except NY, CA, HI, or AK Schedule:...
Pyramid Consulting
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San Diego,CA
Immediate need for a talented Clinical Documentation Specialist CDI in California. This is a 06+months contract opportunity with long-term potential and is located in California(Remote). Please review the job description below and contact me ASAP...
North American Partners in Anesthesia
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San Diego,CA
Quality Nurse The Quality Nurse will function in an enterprise-wide Quality support role. The Quality Nurse will serve as the focal point to align clinicians with quality initiatives and goals, and provide administrative alignment between...
Mary Lanning Healthcare
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San Diego,CA
RN-Clinical Documentation Improvement Specialist The RN-Clinical Documentation Improvement Specialist position is responsible for providing improvement in the overall quality and completeness of medical record documentation. This position...
The Johns Hopkins Hospital
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San Diego,CA
CD RN (Clinical Documentation Specialist)-Level 2 The Clinical Documentation Specialist (CDS) is responsible for distributing documentation information to respective departments; performing educational outreach to individual units and...
UnitedHealthcare At Home
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San Diego,CA
Job Title 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,...
National Nurse Triage
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San Diego,CA
Remote Position Part Time/Contract Position Duties: Assess patient health problems over the phone and via secure video Schedule appointments and refer patients Advise and monitor simple home treatment...
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...
Varite
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San Diego,CA
Duration: 12+ Months Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in her / his role and is responsible for managing...
Molina Healthcare
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Lemon Grove,CA
JOB DESCRIPTION Job Summary Leads and manages multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term...
MRINetwork
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San Diego,CA
Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity criteria to provide quality care...
San Ysidro Health Center
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San Diego,CA
PACE Admissions RN Under the direct supervision of the PACE Admissions RN Supervisor, the PACE Admissions RN is responsible for the development and timely submittal of the Level of Care (LOC) tool to the organizational shared drive and...
CommuniCare Family of Companies
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San Diego,CA
Job Address: 10123 Alliance Road, Suite 320Blue Ash, OH 45242 Telehealth Administrator on Call (Registered Nurse), Remote Position The PHP Telehealth Administrator on Call has a passion for providing remote...
University of Rochester
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San Diego,CA
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the...
Le CYR Consulting
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San Diego,CA
Complex Medicare Claims Review Complex Medicare claims/prior authorization requests require the review of medical record documentation to determine the reasonableness and necessity of the billed service in accordance with Medicare rules...
County of San Diego
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San Diego,CA
This is a promotional opportunity open to current County of San Diego employees only. Temporary employees, with the exception of Certified Temporary employees, are not eligible for promotional recruitments.First interviews and second interviews...
Humana
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San Diego,CA
Join Our Caring Community As a CenterWell Home Health nurse, reporting to the Clinical Manager, you will provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Working with a dedicated...
Takeda Pharmaceuticals
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Lemon Grove,CA
Medical Support Specialist (Plasma Center Nurse) Please take this virtual tour to get a sneak peek of one of our Plasma Donation Centers. Every day, the donors you meet will motivate you. The high-quality plasma you collect will become...
CorVel
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San Diego,CA
Quality Assurance Nurse The Quality Assurance Nurse is responsible for case management quality assurance and mentorship of operations staff, providing tools and calibrating processes, while ensuring consistent delivery of CorVel's case...
Northeast Georgia Health System
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San Diego,CA
Job Category: Allied Health Work Shift/Schedule: Varies Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role:...
Southeast Georgia Health System
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San Diego,CA
Interested in working for the Golden Isles' healthcare provider and employer of choice? Throughout the many locations that make up the Southeast Georgia Health System network, there is a common thread that pulls everything...
Carle Health
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San Diego,CA
Overview The Nurse Navigator acts as an advocate to assist patients in navigating throughout internal and external systems in order to facilitate the diagnosis and treatment process. Applies the nursing process through...
Adventist HealthCare
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San Diego,CA
Remote If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire a Clinical Documentation Specialist who will embrace our...
