- Elevance Health (Palo Alto, CA)
- ** Nurse Appeals ( Quality ) - California candidates only** **Location: This is a virtual position and prefer candidates reside within 50 miles of an Elevance ... + Utilizes leadership skills and serves as a subject matter expert for appeals /grievances/ quality of care issues and is a resource for clinical and non clinical… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN) will be responsible for ensuring the efficient and effective ... use of healthcare resources while promoting quality patient care. Working in collaboration with Physician Advisors,...patient outcomes and manage healthcare costs. 4. Denials and Appeals Management: Address and manage denials by reviewing cases,… more