Actalent
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San Diego,CA
Urgent Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...
4062 Aetna Resources, LLC
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San Diego,CA
Job Summary The Care Manager—Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as social...
Hireops Staffing Llc
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San Diego,CA
Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to...
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:...
BJC
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San Diego,CA
Remote Registered Nurse Position Join a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all units/staff (commercial, behavioral health,...
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...
American Recruiting and Consulting Group
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San Diego,CA
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...
Metropolitan Jewish Health System
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San Diego,CA
Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...
GovernmentJobs.com
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Coronado,CA
Job Summary The ideal candidate: Licensed public health nurse with strong clinical assessment and health education skills. Experienced in providing preventive and community-based nursing services across diverse settings. Skilled in health...
Adventist Health
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San Diego,CA
Quality Improvement Coordinator Our home health and hospice agencies are located throughout California, Hawaii, Oregon and Washington. They serve the entire community and offer personalized in-home care, and many have been recipients of...
Engage Consulting
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San Diego,CA
Job Type Full-time Description REMOTE RN MDS CONSULTANT-Full Time Engage Consulting is seeking an experienced Registered Nurse (RN) with strong MDS, Case Mix, and Quality Measure experience to...
Humana
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San Diego,CA
Utilization Management Registered Nurse The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration...
UnitedHealth Group
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San Diego,CA
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental...
Guideway Care
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San Diego,CA
Registered Nurse Remote Triage Professional Guideway Care is The Patient Activation Company™. We don't just "engage" patients; we activate them. By utilizing our proprietary Motivational Patient Guidance (MPG) model and AI-powered...
Concierge Home Care
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San Diego,CA
Utilization Review Specialist (RN) - Work From Home (Florida-Based Candidates Only) $65K-$85K | OASIS & Coding Certified | Florida RN License Required Concierge Home Care | Work From Home...
Actalent
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San Diego,CA
Quick Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...
Rady Childrens Hospital
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San Diego,CA
Hours are full time during the school year. JOB SUMMARY: Under the direction of department leadership, provides a comprehensive health management program for assessment, evaluation, maintenance, and improvement of the...
Northeast Georgia Health System
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San Diego,CA
Job Category: Executive Leadership, Revenue Cycle Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. ...
Cohere Health
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San Diego,CA
Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...
The Judge Group
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San Diego,CA
Prior Authorization RN - Contract Role Location Requirement: Candidate must reside in NJ, PA, NY, CT, or MD Work Model: WFH, but must be able...
Carisk Partners
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San Diego,CA
About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors...
Vitability Health
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San Diego,CA
Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...
US-Department-of-Veterans-Affair
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San Diego,CA
The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible for providing sex‑specific direct Veteran care and care coordination within the Primary Care Department.Basic RequirementsEnglish Language Proficiency –...
North Carolina
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San Diego,CA
Nurse Consultant II (NS) This is a home-based position in the Central/Western Region and individuals should reside in Wake, Guilford, Alamance, Mecklenburg, Forsyth, Durham, Chatham, Randolph, Johnston, Harnett, Lee, Moore, Franklin,...
National University
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San Diego,CA
Family Nurse Practitioner National University's School of Health Professions, in collaboration with the School of Education, invites applications for a uniquely rewarding Family Nurse Practitioner (FNP) position within a long-term,...
