- The County of Los Angeles (Los Angeles, CA)
- …LICENSE: A valid, active license (without limitations or restrictions) to practice as a Registered Nurse issued by the State of California Board of Registered ... ensure the License and Certificate Section of the application is completed for the Registered Nurse License. Provide the title of your required license and… more
- Sacramento County (Sacramento, CA)
- …Psychiatrist, Psychologist, Licensed Clinical Social Worker, Marriage and Family Therapist, or Registered Nurse . AND Either: Two years of experience coordinating ... Psychologist, Licensed Clinical Social Worker, Marriage Family Therapist, or Registered Nurse . Note: Failure to maintain a...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
- Children's Mercy Kansas City (Kansas City, MO)
- …Utilization Review, and Performance Improvement Leadership + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required ... and evaluates decisioning making by tracking and assessing overturned appeals , physician decision trends related to level of care...upon hire + One of the following: Licensed RN - Kansas, Registered Nurse … more
- State of Colorado (Sterling, CO)
- …Report changes in patient skin condition and patient health care complaints to shift registered nurse ; + Empty catheter bags; offer fluids and record Intake and ... pulse oximetry under the supervision and direction of a registered nurse ; + Maintain appropriate tool and...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Sacramento County (Sacramento, CA)
- …the State of California to practice as a: Either: 1. Psychiatric Technician Or: 2. Registered Nurse Or: 3. Vocational Nurse Note: The word "experience" ... 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 +… more
- Children's Mercy Kansas City (Kansas City, MO)
- …1-2 years experience + Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon ... functions utilizing InterQual and/or MCG screening guidelines, and clinical denials/ appeals oversight. Participates in department and hospital performance improvement...hire + One of the following: Licensed RN - Kansas, Registered Nurse … more
- Ochsner Health (Lafayette, LA)
- …medical management, or other related MCO departments/functions. **Certifications** Required - Current registered nurse ( RN ) license in state of practice. ... regulations, compliance and quality metrics. Experience managing denials and appeals of all payer cases in a timely and...*MSW accepted in lieu of registered nurse ( RN ) licensure. Preferred… more
- State of Michigan (Lansing, MI)
- …Psychologist (LLP); Fully Licensed Psychologist (LP); Licensed Master Social Worker (LMSW); Registered Nurse ( RN ); Licensed Professional Counselor (LPC) + ... Inclusion . Reviews, coordinates and represents the Department on statewide appeals of preadmission screenings/annual resident reviews Medicaid recoveries before the… more
- State of Colorado (Denver, CO)
- …six (6) months of hire. + Applicant must have two years experience as a Registered Nurse , andsix months of gender affirming care experience, which may include, ... must possess current, valid licensure as an Advanced Practice Nurse / Nurse Practitioner from the Colorado...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …groups and clinical committees. Essential Qualifications + Active and unrestricted license as a Registered Nurse ( RN ). + Bachelor's degree in nursing, (or ... team consisting of Clinicians and Non-Clinical support staff from Intake through Appeals processing. The ideal candidate will have a strong clinical background… more