• Appeals Nurse Reviewer I

    Elevance Health (Los Angeles, CA)
    ** Appeals Nurse Reviewer I**...Outreach to providers with appeal process instructions. + Clinical review for the RBM and Surgical solution on a ... set of clinical domains, including radiology, cardiology and oncology. The ** Appeals Nurse Reviewer I** is responsible for conducting preauthorization, out… more
    Elevance Health (09/26/25)
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  • Appeals And Grievances Registered…

    Actalent (Sacramento, CA)
    Job Title: Appeals and Grievances Registered Nurse Job Description We are seeking a skilled professional to join our team and handle member appeals and ... receive appropriate care. This position reports directly to the Nurse Manager and plays a key role in providing...appeals and grievances related to healthcare services. + Review medical records and documentation to evaluate appeals… more
    Actalent (10/04/25)
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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 (09/09/25)
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  • Supervising Registered Nurse D/CF

    Sacramento County (Sacramento, CA)
    Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply  Supervising Registered Nurse D/CF Salary ... 5:00 pm on: 2/3/25, 4/7/25, 6/2/25, 8/4/25, 10/6/25, 12/1/25 Supervising Registered Nurse - Detention/Correctional Facility is the first level supervisory class in… more
    Sacramento County (07/22/25)
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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 $127,576.80 - $155,096.64 ... 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 (07/22/25)
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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 (07/22/25)
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  • Supervising Public Health Nurse

    Sacramento County (Sacramento, CA)
    Supervising Public Health Nurse Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/600083) Apply  Supervising Public Health Nurse Salary ... One year of experience as a Senior Public Health Nurse in Sacramento County service. Or: Two years of...improperly rejected may request the Employment Services Division to review its decision to reject the application. If the… more
    Sacramento County (07/22/25)
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  • Registered Nurse D/CF (Level I/II)

    Sacramento County (Sacramento, CA)
    Registered Nurse D/CF (Level I/II) Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/454059) Apply  Registered Nurse D/CF (Level I/II) ... at 5:00 pm on: 5/8/2025, 7/3/2025, 9/4/2025, 11/6/2025 Registered Nurse D/CF Level I: $61.27 - $74.48 hourly Registered...improperly rejected may request the Employment Services Division to review its decision to reject the application. If the… more
    Sacramento County (07/22/25)
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  • Utilization Review RN

    Prime Healthcare (Ontario, CA)
    …for a Health Plan. + At least 3 years of experience in utilization review , referrals, authorizations, denials and appeals . + Current BCLS (AHA) certificate upon ... cost-effective outcomes and to perform a holistic and comprehensive review of the medical record for the medical necessity,...accredited school of nursing and a current state Registered Nurse license. + Minimum 3 years RN Utilization Manager… more
    Prime Healthcare (10/05/25)
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  • Anesthetist - Department of Public Health

    City and County of San Francisco (San Francisco, CA)
    …this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis' ... anesthesia; and performs related duties as required. The Certified Registered Nurse Anesthetist (CRNA) requires responsibility for: carrying out established methods… more
    City and County of San Francisco (09/20/25)
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