- Elevance Health (Walnut Creek, CA)
- ** Nurse Appeals - Licensed RN Nurse ** **Location:** This position will work in a hybrid model (remote and office). Ideal candidates will live in the ... **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)
- ** Nurse Appeals - California candidates only** **Location: This is a virtual position and prefer candidates reside within 50 miles of an Elevance Health ... Tuesday - Saturday 9:00am to 5:30 pm PST.** The ** Nurse Appeals ** is responsible for investigating and...would provide an equivalent background. + Current active unrestricted RN license from the State of California required. **Preferred… more
- City and County of San Francisco (San Francisco, CA)
- …may result in dismissal and/or termination of employment. * California Registered Nurse ( RN ) Licenses (http://www. rn .ca.gov/) ... Clinic/Unit. LICENSE: Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License issued by the California Board of … more
- Stanford Health Care (Palo Alto, CA)
- …**This is an onsite Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN ) will be responsible for ensuring the ... patient outcomes and manage healthcare costs. 4. Denials and Appeals Management: Address and manage denials by reviewing cases,...systems and other healthcare software. **Licenses and Certifications** + Nursing\ RN - Registered Nurse -… 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
- City and County of San Francisco (San Francisco, CA)
- …required. + Administers nursing care to patients according to physician's and Registered Nurse 's instructions and approved nursing and departmental policies and ... an online application Under supervision and according to physicians' or registered nurses' instructions, prepares, administers and records ordered medications and… more
- Stanford Health Care (Palo Alto, CA)
- …+ Master's degree in nursing (MSN) + Current unrestricted license as a Registered Nurse issued by the state of California. + National certification ... identify and resolve problems in a timely manner. **Licenses and Certifications** + ACM + CA Registered Nurse - Valid license as a Registered Nurse … 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
- City and County of San Francisco (San Francisco, CA)
- …shifts may be required. ** Under the direction of a licensed physician, registered nurse , or clinical supervisor, the Psychiatric Technician performs responsible ... to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- Stanford Health Care (Palo Alto, CA)
- …+ LCSW - Licensed Medical Social Worker - State Licensure or + Nursing / RN - Registered Nurse - State Licensure and/or Compact State Licensure ... Health Care Resource Management/ Clinical Cost Efficiency, Financial Assistance/Referrals, Appeals Management, Entitlement Program Coordination, Patient Benefits Coordination: CCS/GHPP/Medicare/Medi-Cal/SSI… more