• Appeals Licensed Practical…

    Evolent (Sacramento, CA)
    …for the mission. Stay for the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a meaningful impact ... as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to… more
    Evolent (05/16/25)
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  • RN Clinical Review Clinician - Appeals

    Centene Corporation (Sacramento, CA)
    …preferred. Knowledge of utilization management processes preferred. **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required or ... Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to...+ LVN - Licensed Vocational Nurse required or + RN… more
    Centene Corporation (04/04/25)
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  • UM LVN Delegation Oversight Nurse Remote…

    Molina Healthcare (Long Beach, CA)
    …Completion of an accredited Licensed Vocational Nurse (LVN), or Licensed Practical Nurse (LPN) Program **Required Experience** + Minimum two ... Productivity is important with quick turnaround times. Experience with Appeals , Auditing, and Compliance /Quality will be a good...State Licensed Vocational Nurse or Licensed Practical Nurse in good… more
    Molina Healthcare (05/10/25)
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