- Evolent (Sacramento, CA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a meaningful impact ... as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to… more
- Centene Corporation (Sacramento, CA)
- …preferred. Knowledge of utilization management processes preferred. **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required or ... Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to...+ LVN - Licensed Vocational Nurse required or + RN… more