• Alameda Health System (Oakland, CA)
    …background. Required Licenses/Certifications : Valid license to practice as a Registered Nurse in the State of California. Preferred Licenses/Certifications ... of quality improvement initiatives. Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals more
    job goal (12/08/25)
    - Related Jobs
  • Clinical Appeals Nurse

    HCA Healthcare (Nashville, TN)
    …TN, TX, UT, VA). Do you want to join an organization that invests in you as a Clinical Appeals Nurse RN ? At Parallon, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Clinical Appeals Nurse RN...trends and process improvements. + Currently licensed as a registered nurse ( RN ) in the… more
    HCA Healthcare (12/13/25)
    - Related Jobs
  • Appeals Nurse

    Humana (St. Paul, MN)
    **Become a part of our caring community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals . The Appeals ... independent determination of the appropriate courses of action. The Appeals Nurse 2 reviews documentation and interprets...unrestricted RN license + 3 years of clinical RN Experience + Appeals more
    Humana (12/11/25)
    - Related Jobs
  • 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 & ... + Excellent verbal, written communication and presentation skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and… more
    LA Care Health Plan (12/09/25)
    - Related Jobs
  • Registered Nurse I, RN I…

    State of Colorado (Grand Junction, CO)
    Registered Nurse I, RN I - Grand Mesa Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5157862) Apply  ... Registered Nurse I, RN I...including physical, psychiatric and dental maintenance. Specific Job Duties: Clinical Duties: Initial nursing assessments and triage of requests… more
    State of Colorado (12/03/25)
    - Related Jobs
  • CDOC Registered Nurse ( Nurse

    State of Colorado (CO)
    CDOC Registered Nurse ( Nurse I) Print...RN license. 07 Do you possess an active RN license issued by an Enhanced Nurse Licensure ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5123731) Apply  CDOC Registered Nurse ( Nurse I) Salary $7,591.00 - $10,627.00 Monthly… more
    State of Colorado (11/11/25)
    - Related Jobs
  • 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...+ Use and care of medical equipment used in clinical and infirmary settings + Basic medical indications of… more
    Sacramento County (10/21/25)
    - Related Jobs
  • Grievance & Appeals Nurse

    Elevance Health (Mason, OH)
    ** Nurse Appeals -Licensed Nurse **...Medical Review requests. .Acts as a resource for both clinical and non- clinical teams, by managing and ... necessary and is dependent on court hearing schedules. The Nurse Appeals is responsible for investigating and...which would provide an equivalent background. .Current active unrestricted RN license to practice as a health professional within… more
    Elevance Health (12/12/25)
    - Related Jobs
  • Registered Nurse I - Nursing…

    State of Colorado (Pueblo, CO)
    Registered Nurse I - Nursing Residency Program - CMHHIP - Pueblo Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5145740) Apply  ... Registered Nurse I - Nursing Residency Program...updates on CDHS recruiting events! CDHSCareers Description of Job RN Residency Program Objective: This position will provide novice… more
    State of Colorado (11/19/25)
    - Related Jobs
  • Nurse Appeals RN

    Elevance Health (Columbus, OH)
    ** Nurse Appeals RN ** **Location** :.../grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting ... an accommodation is granted as required by law._ The ** Nurse Appeals ** is responsible for investigating and...would provide an equivalent background. + Current active unrestricted RN license to practice as a health professional within… more
    Elevance Health (12/03/25)
    - Related Jobs