- 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 state of ... our PulsePoint locations. **Shift:** Monday to Friday from 8:00am-5:00pm PST The ** Nurse Appeals ** is responsible for investigating and processing medical… more
- City and County of San Francisco (San Francisco, CA)
- …Department at Zuckerberg San Francisco General Hospital (ZSFG) seeks skilled 2328 Nurse Practitioners to join our Trauma Surgery and Neurosurgery teams. Under ... general nursing and medical direction, utilizing standardized procedures, the 2328 Nurse Practitioner (Trauma Surgery & Neurosurgery Specialty) functions within an… more
- City and County of San Francisco (San Francisco, CA)
- Are you a passionate, dedicated nurse seeking an exciting opportunity to kick-start your career or make a change? Look no further! Our team is actively seeking ... our exceptional team. Whether you're a recent graduate, a nurse with less than one year of experience, a...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- City and County of San Francisco (San Francisco, CA)
- …+ Administers nursing care to patients according to physician's and Registered Nurse 's instructions and approved nursing and departmental policies and procedures; as ... by nursing service policy. + The 2312 Licensed Vocational Nurse may perform other duties as assigned/required + LICENSE:...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- City and County of San Francisco (San Francisco, CA)
- …Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License (**IMPORTANT: Be sure to include your California RN license ... one (1) year of experience working as a Registered Nurse . One-year fulltime employment is equivalent to 2,000 hours...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)
- …Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN) will be responsible for ensuring the efficient and effective ... to optimize patient outcomes and manage healthcare costs. 4. Denials and Appeals Management: Address and manage denials by reviewing cases, gathering relevant data,… more
- Alameda Health System (Oakland, CA)
- …and internal compliance studies. + Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals . ... supervisory or lead role. **Required Licenses/Certifications:** Active licensure as a Registered Nurse in the State of California or licensed in Clinical Social Work… more
- Alameda Health System (Oakland, CA)
- …Medicare and internal compliance studies. -Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals ... a supervisory or lead role. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California or licensed in Clinical Social Work… more
- City and County of San Francisco (San Francisco, CA)
- …be required. ** Under the direction of a licensed physician, registered nurse , or clinical supervisor, the Psychiatric Technician performs responsible nursing and ... 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
- Alameda Health System (San Leandro, CA)
- …other documentation; contacts with payers conducting phone reviews and initiates denial appeals as needed. 3. Encourages patients to develop realistic plans. Makes ... in case management/community health preferred. Preferred Licenses/Certification: Public Health Nurse , Case Management, or Home Health. Required Licenses/Certifications: BLS… more
- Alameda Health System (Alameda, CA)
- …other documentation; contacts with payers conducting phone reviews and initiates denial appeals as needed. 4. Conducts discharge planning assessments in a timely and ... preferred. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Required Licenses/Certifications: BLS -… more
- City and County of San Francisco (San Francisco, CA)
- …of experience as a Licensed Psychiatric Technician or a Licensed Vocational Nurse providing psychiatric nursing care in a skilled facility or psychiatric acute ... permanent or temporary (including an interim permit) California Licensed Vocational Nurse License or Licensed Psychiatric Technician License. Applicants must meet… more
- City and County of San Francisco (San Francisco, CA)
- …General Hospital and Trauma Center.** Under direct supervision of a licensed nurse , the Certified Nursing Assistant (CNA) performs a variety of routine duties ... The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S… more
- Stanford Health Care (Palo Alto, CA)
- …Resource Management/ Clinical Cost Efficiency, Financial Assistance/Referrals, Appeals Management, Entitlement Program Coordination, Patient Benefits Coordination: ... Medical Social Worker - State Licensure or + Nursing / RN - Registered Nurse - State Licensure and/or Compact State Licensure **These principles apply to ALL… more