- City and County of San Francisco (San Francisco, CA)
- …Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License ⚠️IMPORTANT: License status must be "Current" according to ... one (1) year of experience working as a Registered Nurse . One-year fulltime employment is equivalent to 2,000 hours...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- Cedars-Sinai (CA)
- …Investigates, processes and assists with the resolution of provider grievances and appeals in accordance with contractual requirements and corporate policy. + Begins ... are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's...employment. **Req ID** : 13443 **Working Title** : Registered Nurse Care Coordinator- Inpatient Specialty Program - 8 Hour… more
- Elevance Health (Walnut Creek, CA)
- …will make an impact:** + Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive care. + Perform ... physician-level case review, following initial nurse review, of chemotherapy regimens. + Determine medical necessity...a subject matter expert. + Perform first level provider appeals as designated by the client for adverse determinations.… more
- The County of Los Angeles (Los Angeles, CA)
- …be accepted. DEFINITION: Plans, organizes, assigns, directs, and evaluates, through subordinate nurse evaluator supervisors, the work of a major section of the ... direction, through Supervising Health Facilities Evaluator, Nursing positions, to nurse evaluators responsible for surveying and investigating health care facilities… more
- Molina Healthcare (CA)
- …medical necessity. * Participates in and maintains the integrity of the appeals process, both internally and externally. * Responsible for investigation of adverse ... and recommends corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * Attends… more
- Alameda Health System (Oakland, CA)
- …of quality improvement initiatives. + Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals . ... background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Preferred Licenses/Certifications: UM / CM… more
- Sacramento County (Sacramento, CA)
- …of California to practice as a: Either: 1. Psychiatric Technician Or: 2. Registered Nurse Or: 3. Vocational Nurse Note: The word "experience" referenced in the ... Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days...hold to practice in: + Psychiatric Technician + Vocational Nurse + Registered Nurse + None 03… more
- Sacramento County (Sacramento, CA)
- …Licensed Clinical Social Worker, Marriage and Family Therapist, or Registered Nurse . AND Either: Two years of experience coordinating and/or supervising mental ... Two years of experience in the class of Mental Health Counselor, Psychiatric Nurse , Senior Mental Health Counselor, Senior Psychiatric Nurse , or Supervising… more
- The County of Los Angeles (Los Angeles, CA)
- …first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises the activities of all ... essential functions. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing**...Section of the application is completed for the Registered Nurse License. Provide the title of your required license… more
- Sharp HealthCare (San Diego, CA)
- …1 **Shift Start Time** **Shift End Time** Other; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** ... care. **Required Qualifications** + Other : Graduate of an accredited Licensed Vocational Nurse (LVN) program. + California Licensed Vocational Nurse (LVN) - CA… more