• Registered Nurse - Clinical…

    Cognizant (Sacramento, CA)
    …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and utilization management experience with ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...clinic operations . Experience in utilization management to include Clinical Appeals and Grievances, precertification, initial and… more
    Cognizant (10/09/25)
    - Related Jobs

  • 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 ... (A&G) & General Operations ( Clinical ) is responsible for the daily oversight of clinical appeals and grievances functions within the Appeals & Grievances… more
    LA Care Health Plan (09/09/25)
    - Related Jobs

  • Clinical Appeals Specialist (LVN)

    TEKsystems (San Bernardino, CA)
    Description We are seeking a dedicated Clinical Appeals Nurse to join our Revenue Cycle Management team. The ideal candidate will be responsible for managing ... support appeals , and following up on submitted appeals . The Clinical Appeals Specialist...with a team of Licensed Vocational Nurses (LVNs) and Registered Nurses (RNs) to ensure comprehensive and accurate appeal… more
    TEKsystems (10/29/25)
    - Related Jobs

  • Registered Nurse D/CF (Level I/II)

    Sacramento County (Sacramento, CA)
    Registered Nurse D/CF (Level I/II) Print...+ Use and care of medical equipment used in clinical and infirmary settings + Basic medical indications of ... (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/454059) Apply  Registered Nurse D/CF (Level I/II) Salary $62.99 - $80.17 Hourly Location… more
    Sacramento County (10/21/25)
    - Related Jobs

  • Clinical Government Audit Analyst & Appeal…

    Stanford Health Care (Palo Alto, CA)
    …role in the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government audits and denials. This position ... regulations, payor policies, and industry best practices related to clinical appeals and denials management. Evaluate internal...Document Spec required within 180 Days + RN - Registered Nurse - State Licensure And/Or Compact… more
    Stanford Health Care (10/10/25)
    - Related Jobs

  • Nurse Practitioner All Specialties…

    City and County of San Francisco (San Francisco, CA)
    …experience. + One (1) year (equivalent to 2,000 hours) of experience as a Registered Nurse on a psychiatric inpatient unit, psychiatric emergency service clinic ... of the multidisciplinary health care team and performs specialized nurse practitioner duties in clinical settings. The...Practitioner (NP) license issued by the California Board of Registered Nursing; AND + LICENSE*: Possession of a current… more
    City and County of San Francisco (10/31/25)
    - Related Jobs

  • Nurse Practitioner

    Sacramento County (Sacramento, CA)
    …Employment Qualifications Minimum Qualifications Possession of a current valid license as a Registered Nurse and a Nurse Practitioner certification issued by ... of health care services involving diagnosis, assessment, treatment, and clinical management of patients in a public health center...must submit a copy of both my current valid Registered Nurse license AND my Nurse… more
    Sacramento County (10/21/25)
    - Related Jobs

  • Licensed Vocational Nurse D/CF

    Sacramento County (Sacramento, CA)
    …status. + None + Basic Life Support (BLS) / Cardiopulmonary Resuscitation (CPR) + Registered Nurse in California + Advanced Cardiac Life Support + Certified ... Licensed Vocational Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448956) Apply  Licensed Vocational...+ Use and care of medical equipment used in clinical and infirmary settings + Basic medical indications of… more
    Sacramento County (10/21/25)
    - Related Jobs

  • Treatment Center Program Coordinator

    Sacramento County (Sacramento, CA)
    …Psychologist, Licensed Clinical Social Worker, Marriage and Family Therapist, or Registered Nurse . AND Either: Two years of experience coordinating and/or ... Clinical Social Worker, Marriage Family Therapist, or Registered Nurse . Note: Failure to maintain a...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
    Sacramento County (10/21/25)
    - Related Jobs

  • Case Manager I - Scmg Integrated Care Mgmnt…

    Sharp HealthCare (San Diego, CA)
    …End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing; ... case management experience or equivalent experience in the healthcare setting. + California Registered Nurse (RN) - CA Board of Registered Nursing… more
    Sharp HealthCare (10/19/25)
    - Related Jobs