• Mental Health Worker-Licensed

    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 (10/21/25)
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  • Treatment Center Program Coordinator

    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
    Sacramento County (10/21/25)
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  • Health Facilities Evaluator III

    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
    The County of Los Angeles (12/06/25)
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  • RN* Health Compliance Inspector, Acute Care Hfems…

    State of Colorado (Denver, CO)
    …the work assigned to this position. and current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in the Enhanced ... Nurse Licensure Compact (eNLC). OR Education and Experience: A...and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information A… more
    State of Colorado (01/03/26)
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  • LVN Care Coordinator - Utilization Management…

    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
    Sharp HealthCare (12/14/25)
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  • LPN Care Coordinator - Hereditary Risk Program…

    Guthrie (Binghamton, NY)
    …in basket monitoring, overdue results, referrals, provider orders and support the nurse navigator role. Experience: A minimum of 2 years' experience preferred in ... state in which the position resides. Licenses: Licensed Practical Nurse in the state of position. Essential Functions: Patient...of coverage of ordered medications. + Coordinate and complete appeals for denials as needed + Monitor and Review… more
    Guthrie (12/09/25)
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  • Medical Management Auditor

    Centene Corporation (Jefferson City, MO)
    …Develop and maintain the audit process and tools related to: authorizations, appeals , quality events, and case management in CCMS; interrater reliability related to ... RESIDE IN MISSOURI **Ideal candidate will be a Licensed Practical Nurse (LPN) with auditing experience.** **Education/Experience:** Bachelor's degree in related… more
    Centene Corporation (01/06/26)
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  • NP / Physician Assistant

    Highland Hospital (Rochester, NY)
    …+ Complete clinical documentation, forms/paperwork requested by patients, prior authorization appeals , sign home care orders + Coordinate with other providers, home ... Requirements:** 1. Education: Fulfills the requirements to be licensed as a Nurse Practitioner in NYS 2. Experience: Home care, hospice/palliative care, inpatient… more
    Highland Hospital (12/09/25)
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  • Provider Quality Liaison

    Centene Corporation (Carson City, NV)
    …Systems), HOS (Health Outcomes Survey), CTMs (Complaints to Medicare), Disenrollments, Appeals , and Grievances. + Collaborates with Provider Relations and other ... + Driver's License required. + Pharmacy Technician, Medical Assistant Licensed Vocational Nurse , Licensed Practical Nurse , Social Work licensure preferred. Pay… more
    Centene Corporation (01/06/26)
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  • RN, Case Manager (Part time), Forbes

    Highmark Health (Monroeville, PA)
    …relationships across the organization in a community setting. **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care and manages ... contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials/ appeals and retrospective payer audit denials. Collaboratively formulates plans… more
    Highmark Health (01/06/26)
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