Nurse Case Manager Jobs in San Diego, CA

Lead the charge in delivering outstanding technical support and case management for complex escalated issues, ensuring customer success and trust while collaborating with teams to provide timely, high...

Unlock potential by designing and managing a robust Splunk environment that handles vast data ingestion, enhancing operational effectiveness through proactive monitoring and troubleshooting within a d...

Drive impactful solutions by leading the development of scalable systems that enhance marketplace efficiency, improve provider utilization, and increase patient access while collaborating with cross-f...

Unlock new business opportunities by collaborating with regional teams to drive the adoption of our innovative healthcare technologies while navigating hospital approvals and engaging key stakeholders...

Optimize provider network strategies to enhance medical drug reimbursement, aligning with market teams on analytics and contracting. Drive performance improvements and ensure compliance while building...

Accelerate progress at our fast-paced startup by driving revenue growth through exceptional business development. Engage with elective medical practices, showcasing the value of our innovative financi...

Accelerate progress at the forefront of clinical research. Lead Phase 1-3 studies, collaborate with cross-functional teams, and drive innovations in biomarker strategies to enhance drug development fo...

Optimize clinical research strategies and lead Phase 1-3 studies by collaborating with cross-functional teams. Assess external innovation and ensure medical oversight of Drug Safety activities while d...

Lead the charge in expanding our medical device program in Eastern Canada. Collaborate across teams, educate healthcare professionals, and drive sales growth while maintaining strong relationships wit...

Accelerate progress at client satisfaction by serving as a strategic advisor, fostering key relationships, and driving improvements to optimize revenue cycle outcomes. Engage cross-functionally to enh...

Lead the charge in driving revenue growth and clinical excellence by developing strategic partnerships, expanding utilization, and enhancing physician training within your territory...

Transform clinical operations by driving innovative strategies and performance improvements that enhance member health outcomes and engagement at scale. Lead cross-functional teams to optimize prevent...

Shape cutting-edge AI solutions by leading platform development and integration. Collaborate with teams to enhance applications on Microsoft Azure while ensuring security and compliance standards. Con...

Serve in a vital clinical role that ensures access to quality behavioral health services through effective utilization management, critical decision-making, and collaboration with care providers to en...

Join our team to lead regulatory strategies across major programs, driving impactful submissions and fostering collaboration within a challenging and dynamic environment. Embrace the opportunity to in...

Lead the development of critical backend systems that enhance case execution workflows, focusing on eligibility and batching, while collaborating across teams to ensure data accuracy and system reliab...

Champion strategic growth by navigating complex capital sales processes across regions, engaging executive stakeholders, and enhancing adoption of innovative healthcare technologies. Collaborate with...

Join a team that's shaping the future of AI by designing and maintaining core infrastructure for innovative agent capabilities, while enhancing developer relations and training across the organization...

Champion the operations of a fast-paced Anesthesiology Department by providing high-level administrative support to the Chair, managing complex calendars, and ensuring efficient communication across v...

Take ownership of litigation claims management. Oversee investigations, evaluations, and negotiations of auto claims disputes while collaborating with internal teams to improve processes and reporting...

Discover and provide expert pharmaceutical care, ensuring safe medication practices and compliance with healthcare standards, while collaborating with multidisciplinary teams to optimize patient outco...

Lead compliance initiatives and enhance security governance within healthcare. Ensure adherence to ISO 27001, HIPAA, and manage audits, risk assessments, and policies while fostering collaboration acr...

Empower efficiency in provider dispute resolution by leading onshore and offshore teams, ensuring compliance, and developing strategic initiatives across Commercial, Medi-Cal, and Medicare lines to en...

Shape the future of healthcare by developing impactful, evidence-based medical content. Collaborate cross-functionally to ensure clarity and accuracy while engaging and educating members on advanced h...

Join an essential leadership role overseeing utilization management strategies, ensuring optimal patient care while minimizing denials and maximizing reimbursement through education, collaboration, an...