• 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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  • RN Medical Surgical

    CommonSpirit Health (Westminster, CO)
    …pre-and post-operative care for orthopedic, abdominal, and general surgeries. 5 West appeals to anyone interested in broadening their skillset as we receive overflow ... and achieve professional fulfillment united in humankindness. As a Registered Nurse (RN) you will assume responsibility and accountability for: + Facilitating,… more
    CommonSpirit Health (01/07/26)
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  • Prior Auth Service Coordinator

    Fallon Health (Worcester, MA)
    …authorization information in QNXT because of determinations made by Authorization Coordinators, Nurse Reviewers and/or Nurse Care Specialists. + Handles an ... contract information, benefits, etc.), including authorization details when requested for appeals . + Distributes departmental facsimiles; checks Right Fax no less… more
    Fallon Health (01/07/26)
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  • Behavioral Health Team Leader - Department…

    City and County of San Francisco (San Francisco, CA)
    …of experience as a Licensed Psychiatric Technician or a Licensed Vocational Nurse providing psychiatric nursing care in a skilled facility or psychiatric acute ... permanent or temporary (including an interim permit) California Licensed Vocational Nurse License or Licensed Psychiatric Technician License. Applicants must meet… more
    City and County of San Francisco (01/07/26)
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