- Elevance Health (Walnut Creek, CA)
- **Anticipated End Date:** 2024-10-04 **Position Title:** Nurse Appeals ( RN ) CA **Job Description:** ** Nurse Appeals - Licensed RN Nurse ** ... **Shift:** Monday to Friday from 8:00-5:00 pm PT 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 (Walnut Creek, CA)
- **Anticipated End Date:** 2024-09-18 **Position Title:** Nurse Appeals (Quality) CA **Job Description:** ** Nurse Appeals (Quality) - California ... skills and serves as a subject matter expert for appeals /grievances/quality of care issues and is a resource for...would provide an equivalent background. + Current active unrestricted RN license from the State of California required. **Preferred… more
- Alameda Health System (San Leandro, CA)
- …Heart Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. **Additional Information** ... SLH Case Manager RN , Full Time, Benefited, Days, 8hours, 1.0fte +...Case Management, Utilization Review, Home Health or Public Health Registered Nurse experience. Schedule: every other weekend… more
- Alameda Health System (Alameda, CA)
- …health preferred.** **Required Licenses/Certifications:** **Valid license to practice as a Registered Nurse in the State of California.** **Required ... AHD Case Manager RN + Alameda, CA + Alameda Hospital +...contacts with payers conducting phone reviews and initiates denial appeals as needed.** + **Conducts discharge planning assessments in… more
- Alameda Health System (Oakland, CA)
- …in a supervisory or lead role. **Required Licenses/Certifications:** Active licensure as a Registered Nurse in the State of California or licensed in Clinical ... and internal compliance studies. + Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals .… more
- Alameda Health System (Oakland, CA)
- …in a supervisory or lead role. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California or licensed in Clinical ... Medicare and internal compliance studies. -Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals… more