• Registered Nurse - Clinical…

    Cognizant (Sacramento, CA)
    …need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or 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)
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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 ... (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)
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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 ... and post-service concerns, reviewing medical records and documentation to evaluate appeals , conducting timely and accurate first-level clinical reviews using… more
    Actalent (10/04/25)
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  • 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 (07/22/25)
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  • Clinical Nurse Specialist, Critical…

    City and County of San Francisco (San Francisco, CA)
    … Registered Nurse (RN) license issued by the California Board of Registered Nursing; AND + Clinical Nurse Specialist Certificate: Possession of a ... assists with designing and implementing plans for meeting such needs. The Clinical Nurse Specialist performs other related duties as assigned/required. Minimum… more
    City and County of San Francisco (07/25/25)
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  • 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 (09/27/25)
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  • 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 (07/22/25)
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  • 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 (07/22/25)
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  • Associate Manager, Clinical Health Services…

    CVS Health (CA)
    …licensure in non-compact states as needed. + 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of ... and other key stakeholders such as Medical Directors, account teams/ clinical liaisons, etc.) to ensure consistency in clinical... Appeals experience in Utilization Management + Must have experience… more
    CVS Health (10/08/25)
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  • 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 (07/22/25)
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