• Nurse Appeals RN…

    Elevance Health (Costa Mesa, CA)
    ** Nurse Appeals RN - Quality of Care** **Location: California-Costa Mesa, Walnut Creek, or Woodland Hills** **Hybrid 1:** This role requires associates to ... Hours:** Monday-Friday, 8:00AM -5:00 PM Pacific Standard Time The ** Nurse Appeals ** is responsible for investigating and...and summarizes medical information for medical director. + Prepares nurse summaries for Quality of Care cases… more
    Elevance Health (10/16/25)
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  • Registered Nurse ( RN…

    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 (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 ... are at 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… more
    Sacramento County (07/22/25)
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  • Registered Nurse D/CF (Level I/II)

    Sacramento County (Sacramento, CA)
    …read and understood the above instructions. 02 Select the one box that best describes your Registered Nurse ( RN ) license issued by the State of California. + ... Registered Nurse D/CF (Level I/II) Print...examination will evaluate the relevance, level, recency, progression and quality of candidate's education, training and experience. The candidate's… more
    Sacramento County (07/22/25)
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  • Registered Nurse [Experienced…

    City and County of San Francisco (San Francisco, CA)
    …License: Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License ⚠️IMPORTANT: License status must be "Current" ... of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance...least one (1) year of experience working as a Registered Nurse . One-year fulltime employment is equivalent… more
    City and County of San Francisco (07/23/25)
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  • Appeals Nurse

    Evolent (Sacramento, CA)
    …**Required** + Minimum of 5 years in Utilization Management, health care Appeals , compliance and/or grievances/complaints in a quality improvement environment- ... for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a...part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of… more
    Evolent (10/11/25)
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  • Clinical Government Audit Analyst & Appeal…

    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 required ... the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government audits and denials. This position requires strong… more
    Stanford Health Care (10/10/25)
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  • Supervising Public Health Nurse

    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 ... examination will evaluate the relevance, level, recency, progression and quality of candidate's education, training and experience. The candidate's...to this class must possess and maintain a current Registered Nurse license and Public Health … more
    Sacramento County (07/22/25)
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  • Per Diem RN - Case Management - Sharp…

    Sharp HealthCare (La Mesa, CA)
    …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... care nursing experience or case management experience. + California Registered Nurse ( RN ) - CA...reduction in avoidable readmissions, improved patient experience, and other quality initiatives.In the emergency departments, the RN … more
    Sharp HealthCare (09/06/25)
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  • Clinical Nurse Specialist, Critical Care…

    City and County of San Francisco (San Francisco, CA)
    …and Certification: + Registered Nurse License: Possession of a valid California Registered Nurse ( RN ) license issued by the California Board of ... of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance...Registered Nursing; AND + Clinical Nurse Specialist Certificate: Possession of a valid Clinical … more
    City and County of San Francisco (07/25/25)
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