• Nurse Appeals ( RN )

    Elevance Health (Walnut Creek, CA)
    ** Nurse Appeals ( RN )** **Location** : This role requires associates to be in-office **1-2** days per week, fostering collaboration and connectivity, while ... may be considered. **Shift: Monday to Friday from 8:00am-5:00pm PST** The ** Nurse Appeals ** is responsible for investigating and processing medical necessity… more
    Elevance Health (05/06/25)
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  • Manager, Care Management

    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 (05/06/25)
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  • Director, Utilization Management

    Alameda Health System (Oakland, CA)
    …nursing background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Preferred ... of quality improvement initiatives. + Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals .… more
    Alameda Health System (05/06/25)
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