• Appeals Nurse

    Evolent (Sacramento, CA)
    …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialty Appeals 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 Evolent and… more
    Evolent (12/24/25)
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  • Registered Nurse (RN) Manager,…

    LA Care Health Plan (Los Angeles, CA)
    Registered Nurse (RN) Manager, Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... the safety net required to achieve that purpose. Job Summary The Manager, Appeals & Grievances (A&G) & General Operations (Clinical) is responsible for the daily… more
    LA Care Health Plan (12/09/25)
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  • Clinical Appeals Specialist

    TEKsystems (San Bernardino, CA)
    Clinical Appeals Nurse - Revenue Cycle Management We are looking for a Clinical Appeals Nurse to join our Revenue Cycle Management team. In this role, ... + Prepare comprehensive clinical documentation and narratives to support appeals . + Submit and track appeals through...to support appeals . + Submit and track appeals through the designated work queue system. + Collaborate… more
    TEKsystems (12/19/25)
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  • Appeals and Grievances LVN

    Dignity Health (Rancho Cordova, CA)
    …and maintaining patient confidentiality (HIPAA) are also essential. Ultimately, the Appeals and Grievances Nurse monitors denial trends, recommends corrective ... **Job Summary and Responsibilities** The Appeals and Grievances LVN is a critical role...relevant documentation is presented to the Medical Director. The nurse must meticulously track and document all appeal activities,… more
    Dignity Health (12/05/25)
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  • Lead Customer Solution Center Appeals…

    LA Care Health Plan (Los Angeles, CA)
    Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Lead Customer Solution Center Appeals and Grievances RN is responsible for assisting with the development of a… more
    LA Care Health Plan (11/11/25)
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  • Clinical Registered Nurse - Utilization…

    Cognizant (Sacramento, CA)
    …to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... + Maintain working knowledge of applicable health insurers' internal claims, appeals , and retro-authorization as well as timely filing deadlines and processes.… more
    Cognizant (12/23/25)
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  • Nurse Practitioner All Specialties…

    City and County of San Francisco (San Francisco, CA)
    …Recruitment ID: CCT-2328-H00175 [REF56288W] Note: If you previously applied to a DPH Nurse Practitioner position before 9/26/25, you need to apply again to be added ... general nursing and medical direction, utilizing standardized procedures, the Nurse Practitioner functions within an organized system for the...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
    City and County of San Francisco (11/08/25)
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  • Nurse Practitioner

    Sacramento County (Sacramento, CA)
    Nurse Practitioner Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/1780920) Apply  Nurse Practitioner Salary $132,483.60 - $161,026.56 ... 9/26/2025, 10/24/2025, 11/26/25, 12/26/25, 1/23/26, 2/27/26, 3/27/26, 4/24/26, 5/22/26, 6/26/26 Nurse Practitioners provide a range of health care services involving… more
    Sacramento County (10/21/25)
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  • Supervising Public Health Nurse *Revised

    Sacramento County (Sacramento, CA)
    Supervising Public Health Nurse *Revised Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/600083) Apply  Supervising Public Health Nurse ... One year of experience as a Senior Public Health Nurse in Sacramento County service. Or: Two years of...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
    Sacramento County (10/21/25)
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  • Licensed Vocational Nurse D/CF

    Sacramento County (Sacramento, CA)
    Licensed Vocational Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448956) Apply  Licensed Vocational Nurse D/CF Salary ... 4/3/2026, 7/2/2026, 10/2/2026 In a detention/correctional facility, the Licensed Vocational Nurse D/CF performs a wide variety of vocational nursing duties,… more
    Sacramento County (10/21/25)
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