Houston Staffing
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San Diego,CA
RN Care Review Clinician The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...
Ochsner Health
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San Diego,CA
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...
Maxim Healthcare Services
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San Diego,CA
Hourly Pay: $40 / per hour Maxim Healthcare is seeking a Novice Nurse - Registered Nurse (< 12 months of experience) The Novice Nurse Training Program at Maxim Healthcare Services is designed to provide a unique training opportunity...
Martin's Point Health Care
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San Diego,CA
Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...
BlueCross BlueShield of South Carolina
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San Diego,CA
life insurance, paid time off, 401(k), remote work United States, South Carolina Jan 17, 2026 Internal Reference Number: R1048727 Summary We are currently hiring for an RN Appeals Analyst to join BlueCross BlueShield of...
Owensboro Health
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San Diego,CA
Entity: Owensboro Health Regional Hospital | Department: Virtual Care | Work Hours: 7P - 7:30A | Weekend Requirements: One | 0.9 FTE Job Summary: Provides direct nursing care in accordance with established policies,...
Sutter Health
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San Diego,CA
We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: Aids patients in obtaining the correct level of care with...
CareFirst BlueCross BlueShield
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San Diego,CA
Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...
University of Minnesota School of Nursing
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San Diego,CA
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 company, we reach millions...
Remote Staffing
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San Diego,CA
Pre-Access Utilization Management Registered Nurse Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance clients. This person will be responsible for...
CVS Health
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San Diego,CA
Weu2019re building a world of health around every individual u2014 shaping a more connected, convenient and compassionate health experience. At CVS Healthu00ae, youu2019ll be surrounded by passionate colleagues who care deeply, innovate with...
Walker Healthforce
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San Diego,CA
RN - Utilization Review Nurse | 3+ Years of Experience | Remote in IL | Contract Walker Healthforce is seeking a RN - Utilization Review Nurse with 3+ Years of Experience to support a Healthcare Payor Client based out of IL.
CAPITAL HEALTH SERVICES
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San Diego,CA
A leading healthcare provider in New Jersey seeks a tech-savvy Registered Nurse (RN) for a Virtual Nurse role in their Hospital at Home program. This remote position emphasizes virtual care delivery, requiring collaboration with in-home clinical...
The CKHobbie Group
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San Diego,CA
Job Description Are you a registered nurse ready to take your career in an exciting new direction-one where your expertise truly makes a difference? Join Pennsylvania's premier Quality Improvement Organization and step into a...
Legacy Concierge
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San Diego,CA
About the Company Legacy Concierge delivers premier in-home nursing and caregiving across Southern California, bringing hospital-caliber clinical oversight into the comfort of home. Our clients and families choose Legacy for...
ResPro Health
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San Diego,CA
ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With a...
South Dakota Staffing
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San Diego,CA
Telephonic Case Manager We're building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply,...
Renown Health
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San Diego,CA
Position Purpose The Transfer Center & Virtual Care RN provides leadership, accountability, and comprehensive nursing services to ensure optimal patient care, resource utilization, and seamless patient flow. This role is challenged...
Stryker
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San Diego,CA
A leading health solutions company is seeking a Care Manager-Registered Nurse in Connecticut. This role requires developing and coordinating care plans for members with multiple chronic conditions while ensuring effective telephonic engagement.
Hazelwood School District
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San Diego,CA
In order to have an accurate count of participants, we need you to register for the Recruitment Fair on the District's website. Please select "apply for this position" under the heading to the right labeled "Apply Now". Interviews slots will fill up...
Fuze Health
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San Diego,CA
A healthcare innovator in California is seeking a Registered Nurse to provide remote care as part of a telehealth team. Responsibilities include conducting assessments, educating patients, and ensuring compliance with healthcare regulations.
InnovAge
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San Diego,CA
Responsibilities The Phone Triage Registered Nurse provides skilled nursing telephone triage for participants experiencing medical concerns during nights, holiday and weekends in accordance with InnovAge...
Valley Children's Healthcare
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San Diego,CA
Job Summary: The Clinical Nurse Specialist is an advanced practice nurse who functions in the role of expert clinician, educator, leader, consultant and researcher. In collaboration with the healthcare team, the CNS...
CERIS Health
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San Diego,CA
The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position. ESSENTIAL...
