• Nurse Appeals Lead

    Elevance Health (Walnut Creek, CA)
    ** Nurse Appeals Lead ( RN )** **Location** : This role requires associates to be in-office **1-2 days per week** , fostering collaboration and ... considered. **Shift:** Monday to Friday from 8:00am-5:00pm **PST** The ** Nurse Appeals Lead ** is responsible...provide an equivalent background. + Current active valid unrestricted RN license to practice as a health professional within… more
    Elevance Health (05/06/25)
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  • Manager, Care Management

    Alameda Health System (Oakland, CA)
    …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 ... listed are necessarily performed by each individual in the classification. + Lead and manage a team of utilization review professionals providing guidance, training,… more
    Alameda Health System (05/06/25)
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