• Appeals And Grievances…

    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 ... receive appropriate care. This position reports directly to the Nurse Manager and plays a key role in providing...healthcare services for our members. Responsibilities + Handle member appeals and grievances related to healthcare services.… more
    Actalent (10/04/25)
    - 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 ... + Excellent verbal, written communication and presentation skills. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted… more
    LA Care Health Plan (09/09/25)
    - Related Jobs

  • CIC Registered Nurse - Hybrid

    Commonwealth Care Alliance (Boston, MA)
    …that require intensive care management and care delivery. Within the CIC Program, the Registered Nurse (RN) serves as an integral member of an interdisciplinary ... fluctuating needs of the defined panel of members, the Registered Nurse will engage in regular assessments,...community supports as approved + Supports escalation of member grievances and appeals + Supports the procurement… more
    Commonwealth Care Alliance (10/02/25)
    - 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 ... Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days...must submit a copy of both my current valid Registered Nurse license AND my Nurse… more
    Sacramento County (07/22/25)
    - Related Jobs

  • Health Facilities Evaluator III

    The County of Los Angeles (Los Angeles, CA)
    …when needed to carry out job-related essential functions. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing** ... in their unit and effectively recommending the adjustment of grievances and disciplinary problems. Other positions are assigned such...Certificate Section of the application is completed for the Registered Nurse License. Provide the title of… more
    The County of Los Angeles (09/21/25)
    - Related Jobs