Walgreens
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San Diego,CA
Job Description: Job Summary: Responsible for patient focused programs which may include but is not limited to: collaborating with health care team in providing direction for maintaining high quality...
Gainwell Technologies
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San Diego,CA
Nurse Reviewer - Itemized Bill Review 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. We know...
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...
Pacer Group
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San Diego,CA
Medical Review RN IV – Commercial Appeals & Grievance Nurse Location: Remote – Candidate Must Reside in California Duration: 6+ Months Contract-to-Hire Schedule: Monday-Friday | 9:00 AM – 5:00 PM Pay Range:...
Urrly
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San Diego,CA
Work from home and earn $600-$720 per day delivering telehealth visits on your schedule. Role: Telehealth Nurse Practitioner Location/Type: Georgia • Remote...
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...
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...
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.
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...
Varite
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San Diego,CA
Duration: 8 months contract (with possible extension) Job Summary The Clinical Reviewer, Precertification RN, is a licensed Registered Nurse that is expected to function independently in her / his role...
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...
Ascension
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San Diego,CA
Your Future Role At A Glance Location: Remote - Must be within 1 hour of Milwaukee, WI Department: Transfer Center Schedule: Night shift | 7pm - 7am | Full Time Salary: $40.41 - $57.05 (per hour) Life At...
UnitedHealthcare At Home
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San Diego,CA
Clinical Review Clinician 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...
Sutter Health
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San Diego,CA
We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone...
Universal Health Services
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San Diego,CA
Full-Time Remote RN Clinical Documentation Integrity Specialist Southwest Healthcare is seeking a Full-Time Remote RN Clinical Documentation Integrity Specialist position. This position provides clinically based concurrent and...
Denver Health
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San Diego,CA
We are recruiting for a mission-driven RN Educator, Clinical Documentation Integrity - Must Reside in Colorado to join our team! We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something...
Bestica Healthcare
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Chula Vista,CA
Traveler Position November 24 start. Traveler must be willing to work 2 out of 3 holidays, including Eves. Pending license ok if we have an ETA from licensing of when it will post. Must be willing to float locations. Will be mostly at...
Sentara Healthcare
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San Diego,CA
City/State Virginia Beach, VA Work Shift Second (Evenings) Overview: Sentara is hiring Registered Nurses for the Innovative Inpatient Care Model in the Brand-New Centralized Virtual Acute...
McLeod Health
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San Diego,CA
Job Description Licensed Practical Nurse - Home Health - (Horry County) *15,000 Sign On Available! Essential Functions Maintains a professional...
Virtual Vocations
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San Diego,CA
Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, analyzing care services, coding requirements, and resource utilization while collaborating...
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...
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...
ECU Health
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San Diego,CA
Quality Nurse Specialist III Position Summary: 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...
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...
