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...
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...
Bon Secours
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San Diego,CA
Bon Secours Ambulatory Care Manager Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Summary of Primary Function In the capacity of a Registered Nurse (RN), the Ambulatory Care Manager will...
SCRIPPS HEALTH
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La Jolla,CA
PCA/ Nurse Assistant - Medical/Oncology - La Jolla - Nights This is a Full-Time (72 hours per pay period, every 2 weeks) with a 12-hour NIGHT shift, on variable days of the week including holidays and weekends. Located at Scripps Memorial...
Independent Health
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San Diego,CA
FIND YOUR FUTURE We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and...
County of San Diego California
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San Diego,CA
The County of San Diego is currently accepting applications for the position of. Licensed Vocational Nurse. Licensed Vocational Nurses (LVN's) provide skilled nursing care to patients and clients at public health clinics, behavioral health clinics...
Trinity Health
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San Diego,CA
Employment Type: Full time Shift: Description: ESSENTIAL FUNCTIONS Our Trinity Health Culture : Knows, understands, incorporates &...
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...
Molina Healthcare
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San Diego,CA
Job Description JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...
Americare
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San Diego,CA
Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services. To maintain open lines of communication with referral sources and within Americare...
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...
UnitedHealth Group
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San Diego,CA
Requisition number: 2368763 Job category: Nursing 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...
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...
BlueCross BlueShield of South Carolina
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San Diego,CA
Case Management Coordinator We are currently hiring for a Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role, care management interventions focus on improving care coordination and reducing the...
ChenMed
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San Diego,CA
We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire...
Corewell Health
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San Diego,CA
Job Summary Plans and prioritizes care for individuals and population of patients, focusing on strategies that will promote optimal health within populations. Demonstrates expertise, current knowledge in care and management of a caseload...
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:...
Humana
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San Diego,CA
Become a part of our caring community The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration...
Mercy Health
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San Diego,CA
Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a...
ARMS Staffing
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National City,CA
Per Diem Healthcare Professional Schedule 07:00 AM - 07:30 PM Assignment Duration This is a 13-week contract position. Job Description We are seeking a dedicated Per Diem Healthcare Professional to join...
Avosys Technology
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San Diego,CA
ABOUT AVOSYS Avosys is a growing integrator of professional, technological and management solutions services. Founded in 1998, Avosys provides services nationwide to Federal, Commercial, Local and State clients. We recognize the...
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...
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...
Centra Health
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San Diego,CA
Job Description The Clinical Appeals RN is responsible for the identification and resolution of technical and/or clinical based denials through appeals. The Appeals Nurse will work with Revenue Cycle staff, case management,...
