• Nurse Appeals ( RN )

    Elevance Health (Palo Alto, CA)
    ** Nurse Appeals - Licensed RN Nurse ** **Location:** This position will work in a hybrid model (remote and office). Ideal candidates will live in the ... our PulsePoint locations. **Shift:** Monday to Friday from 8:00am-5:00pm PST The ** Nurse Appeals ** is responsible for investigating and processing medical… more
    Elevance Health (12/04/24)
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  • Care Management Clinical Appeals Specialist

    Alameda Health System (San Leandro, CA)
    …at a medical group or health plan. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California, Active BLS - Basic Life ... Care Management Clinical Appeals Specialist + San Leandro, CA + Finance...based on identified criteria and ensures the patient is registered at the appropriate level of care; Utilizes McKesson… more
    Alameda Health System (11/19/24)
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  • San Leandro Hospital Case Manager RN , Full…

    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** ... San Leandro Hospital Case Manager RN , Full Time, Benefited, Days, 8hrs, 1.0fte +...Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
    Alameda Health System (12/06/24)
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  • Pediatric ED Complex Care Manager (LCSW) - Social…

    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
    Stanford Health Care (11/29/24)
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