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Your search generated 765 results
Blue Shield of CA

Manager, Clinical Quality Review - RN

Long Beach, California

Blue Shield of CA

Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...

Job Type Full Time
Blue Shield of CA

Manager, Clinical Quality Review - RN

Rancho Cordova, California

Blue Shield of CA

Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...

Job Type Full Time
Blue Shield of CA

Manager, Clinical Quality Review - RN

Los Angeles, California

Blue Shield of CA

Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...

Job Type Full Time
Blue Shield of CA

Manager, Clinical Quality Review - RN

Lodi, California

Blue Shield of CA

Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...

Job Type Full Time
Blue Shield of CA

Manager, Clinical Quality Review - RN

Woodland Hills, California

Blue Shield of CA

Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...

Job Type Full Time
Blue Shield of CA

Manager, Clinical Quality Review - RN

San Diego, California

Blue Shield of CA

Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...

Job Type Full Time
Blue Shield of CA

Manager, Clinical Quality Review - RN

Oakland, California

Blue Shield of CA

Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...

Job Type Full Time
Blue Shield of CA

Manager, Clinical Quality Review - RN

El Dorado Hills, California

Blue Shield of CA

Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...

Job Type Full Time
Christus Health

Appeals and Grievance Registered Nurse II-Clinical Appeals-TLRA

Houston, Texas

Christus Health

Description Summary: Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This a...

Job Type Full Time
Davita Inc.

Clinical Coordinator

Fort Worth, Texas

Davita Inc.

Posting Date06/02/2025 1000 Saint Louis Ave, Ste 101,Fort Worth,Texas,76104,United States of America DaVita is seeking a Clinical Coordinator who is looking to give life in an outpatient dialysis center. You can make an exceptional differen...

Job Type Full Time

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