• Manager II Grievances and Appeals

    Elevance Health (Seattle, WA)
    ** Manager II Grievance / Appeals ( RN )** **Location** : **Hybrid 2:** This role requires associates to be in-office **3** days per week, fostering ... locations may be considered. **Expected Work Hours:** Monday-Friday; 8am-5pm PST The ** Manager II Grievance / Appeals ** is responsible for management oversight… more
    Elevance Health (05/23/25)
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  • Clinical Appeals Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …experience is required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact ... for Care Management. We are looking for an experienced RN leader in the greater Baltimore metropolitan area who...experience. Master's in Science Nursing or related field, Legal Nurse Consultant, Certified Case Manager . **Knowledge, Skills… more
    CareFirst (05/04/25)
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  • Nurse Appeals - Medicare

    Elevance Health (Mason, OH)
    ** Nurse Appeals - Medicare** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... to some shifts from Tuesday to Saturday and coverage on certain holidays. The ** Nurse Appeals - Medicare** is responsible for investigating and processing and… more
    Elevance Health (06/14/25)
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  • LTSS Director - Planning & Strategy Lead (Strategy…

    Elevance Health (Cincinnati, OH)
    …provide an equivalent background. Preferred Skills, Capabilities and Experiences: + Licensed Registered Nurse ( RN ) or Licensed Independent Social Worker ... including assessments, service planning, care coordination, transition planning, member appeals , state hearings, and member and caregiver education and training.… more
    Elevance Health (06/13/25)
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