- Providence (Torrance, CA)
- **Description** ** Appeals RN - Care Manager...Degree Nursing. + Upon hire: California Registered Nurse License. + 2 years Direct patient care ... Per Diem and will work 8-hour, Day shifts.** The Care Management Recovery Advocate (CMRA) is responsible...management certification. + Experience working with denials and appeals in/for an acute care setting. +… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse ( RN ) Manager, Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances ... + Excellent verbal, written communication and presentation skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and… more
- LA Care Health Plan (Los Angeles, CA)
- …the ability to manage multiple training initiatives simultaneously. Licenses/Certifications Required Licensed Registered Nurse ( RN ) - Active, current and ... Lead Customer Solution Center Appeals and Grievances RN Job Category:... appeals and grievances experience in a managed care , utilization management and/or case management… more
- Sacramento County (Sacramento, CA)
- Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply Supervising Registered Nurse ... 5:00 pm on: 12/1/25, 2/2/26, 4/6/26, 6/1/26, 8/3/26, 10/5/26, 12/7/26 Supervising Registered Nurse - Detention/Correctional Facility is the first level… more
- Cognizant (Sacramento, CA)
- …expectations. **What you need to have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact... management experience with managed health care plan . 3 years' experience in health … more
- Stanford Health Care (Palo Alto, CA)
- …180 Days or + CCDS - Cert Clinical Document Spec required within 180 Days + RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred ... (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst...plays a critical role in the Revenue Cycle Denials Management Department by managing and resolving clinical appeals… more
- Sharp HealthCare (La Mesa, CA)
- …**Required Qualifications** + 3 Years Recent acute care nursing experience or case management experience. + California Registered Nurse ( RN ) - CA ... Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA...Cerner), and case management software (eg, Allscripts Care Management ).The RN CM will… more
- Cedars-Sinai (Beverly Hills, CA)
- …innovation. **A Little More About What You Will be Doing** The RN Care Coordinator is responsible for the case management of patient while hospitalized and ... collaboration with the Inpatient Specialty Program (ISP) hospitalists, the RN Care Coordinator will assist patients from...nursing (Medical Surgical/Tele/ICU) with 2 or more year of care management experience (UM or DC Planning).… more
- Genesis Healthcare (Los Angeles, CA)
- …for the clinical, administrative, and financial oversight of the territory's center-based care management staff. This position oversees the personnel and ... educational tools and materials that are needed to achieve care management goals. 9. Works collaboratively with...and outstanding clinical accounts as needed and generates clinical appeals when necessary. 15. Assists with and completes special… more
- Sacramento County (Sacramento, CA)
- …of Supervising Public Health Nurse : + Must possess and maintain a current Registered Nurse License and Public Health Nurse Certificate issued by the ... , growth, and development, including common illnesses + Case management techniques and the care and treatment...to this class must possess and maintain a current Registered Nurse license and Public Health … more
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