Appeals & Grievances RN: Clinical Reviewer & Advocate
Wollborg Michelson Recruiting
Wollborg Michelson Recruiting is looking for a Commercial Appeals and Grievance Registered Nurse (RN) in Oakland, California. This nurse will review and process member-generated appeals, ensuring quality access to healthcare while collaborating with medical teams to provide clear determinations. Applicants must possess a valid RN license and have at least 2 years of managed care experience. Proficiency in Excel and Microsoft Office is essential, along with excellent communication and analytical skills. #J-18808-Ljbffr
$130k - $150k
...benefits such as health insurance and paid time off. The ideal candidate will be committed to defending clients in criminal matters, particularly appeals and habeas corpus cases. This full-time position requires admission to the California State Bar. #J-18808-Ljbffr...SuggestedFull time$22 per hour
...compassionate and organized Patient Services Advocate (PSA) to assist new and established... ...agencies, including assistance with appeals and addressing issues with eligibility.... ...social services or administrative roles in a clinical or social services setting. Strong...SuggestedFull timeWork at officeFlexible hoursWeekend workAfternoon shift$70.33k - $188.8k
...bargaining and assist with contract negotiations. The ideal candidate will showcase a strong work ethic with experience in processing grievances and presenting data. With a competitive salary ranging from $70,332 to $188,796 depending on experience, candidates can expect...SuggestedContract work$25 per hour
...homelessness in our communities. Position Summary Under the supervision of the Hope Center Men’s Shelter Program Manager, the Resident Advocate will provide operational and support services to all Men’s Shelter clients. Essential Duties and Responsibilities Work with the...SuggestedContract workWork at officeLocal areaAll shifts$90.86k - $136.29k
...Clinical Quality Reviewer – Nurse, Senior The Clinical Quality Team is responsible for reviewing and abstracting medical records to capture data... ...Your Knowledge and Experience: Requires current CA RN license Bachelor of Science in nursing or advanced degree...SuggestedFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week- ...Your Role The Clinical Quality Team is responsible for reviewing and abstracting medical records to capture data and to ensure accuracy and completeness.... ...Knowledge and Experience Requires current CA RN license Bachelor of Science in nursing or advanced...Full timeWork at office
$26 per hour
...Residential Advocate (Solara House) - PT In-Person Part-Time Position in Oakland, CA (Non-Exempt) Who We Are Ruby's Place dba... ...continue. Instances where staff cannot be approved to drive will be reviewed on a case by case basis to determine if employment can continue...Hourly pay16 hoursPart timeLocal areaImmediate startFlexible hoursShift work$68k
...homelessness to long-term stability. Position Summary The Resident Advocate Supervisor oversees the daily operations and supervision of... ...Monitor facility safety, cleanliness, and maintenance concerns. Review reports, logs, and case notes for quality and compliance....Daily paidPermanent employmentInterim roleImmediate startAll shiftsFlexible hoursShift workNight shiftAfternoon shift- ...Family Advocate (Early Childhood Impact Program) - Oakland/Berkeley At the YMCA of the East Bay, our Family Advocate plays a pivotal... ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor....Full timeFlexible hours
$31.25 - $36.05 per hour
...JOB TITLE: Shelter Client Advocate (SCA) DEPT/PROGRAM: SCA... ...Advocate helps clients navigate the shelter grievance and arbitration process and works to resolve... .... # Close visual acuity required for reviewing and analyzing documents, data, and...Hourly payFull timeWork experience placementWork at officeLocal areaRemote workMonday to FridayAfternoon shift3 days per week- ...Collaboration Essential Functions: Exhibit professional and respectful communication with patients, family members, colleagues, and clinical staff Provide auxiliary support to the Adolescent Intensive Outpatient Program (IOP) and Partial Hospitalization Program (PHP)...Work at officeDay shift
$21.48 per hour
...Customer Care Advocate The Customer Care Advocate provides customer service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status. Has minimum necessary access to Protected Health Information (PHI) and Personally...Local area$25 per hour
...On Call Resident Advocates Compensation: $25/hour Hiring On Call Resident Advocates for the following shifts: -Day: 8am-4pm -Swing: 4pm-12am -Overnight: 12am-8am Company Overview: For more than 50 years, Insight Housing has provided a comprehensive range of...Contract workWork at officeLocal areaAll shiftsFlexible hoursShift workNight shift- An environmental organization is seeking dedicated supporters for volunteer roles focused on social media engagement. Volunteers will help elevate truthful content to counter climate misinformation, with responsibilities including weekly engagement with social media and...
$20 - $22 per hour
...Peer Advocate Sycamores provides a spectrum of equitable mental health services through various programs to multicultural populations of all acuities. Although it serves a variety of consumers, the agency focuses primarily on providing care to low-income, high at-risk...Hourly payPart timeWork experience placementLocal areaFlexible hours$28.75 per hour
...organized, and family-centered individuals who believe that no family should navigate mental health challenges alone. As a Family Advocate, you will provide education, emotional support, resource navigation, and advocacy to caregivers throughout Alameda County while helping...Hourly payFull timeContract workWork at officeLocal areaMonday to FridayFlexible hoursShift workAfternoon shift- Buck Mason is seeking a Customer Experience team member to provide outstanding service and support, turning customers into promoters. This role involves handling customer queries via phone, email, and chat, offering tailored advice on style and fit, and utilizing data analysis...
$25 per hour
A community support organization is hiring On-Call Resident Advocates in Berkeley, California. The role involves providing operational and support services to homeless clients at the Men's Shelter. Responsibilities include supervision, meal service, documentation, and facilitating...Flexible hoursNight shiftDay shiftAfternoon shift$26 per hour
...SFS Customer Success Advocate Location: Oakland CA (Remote) Pay Rate: $26.00/hour Shift: 40 hours - Full time position (40 per wk.) Duration: 3-month assignment with a possibility of extension Job Description Duties: Effectively solve customer inquiries via...Full timeRemote workShift work- Insight Housing in Berkeley, California, is looking for a Resident Advocate to deliver support and operational services at the Men’s Shelter. This role involves supervising clients, maintaining shelter properties, and facilitating intake processes. Applicants should have...Work at officeAfternoon shift
$20.4 - $20.9 per hour
Ross Stores is hiring a Loss Prevention Specialist in Emeryville, California. This role requires ensuring store safety, deterring theft, and providing excellent customer service. Candidates should have a high school diploma, with a preference for those with retail supervisory...$20.25 per hour
...Roundel is seeking a Seasonal Guest Advocate in Berkeley, CA. The role involves providing exceptional service, stocking products, and maintaining a clean and organized sales floor. Key responsibilities include ensuring guest satisfaction, accurately handling transactions...Hourly paySeasonal workFlexible hours- ...ensuring compliance with State and National standards. Candidates should have experience in clinical nursing, a Bachelor’s degree in Nursing is preferred, and must hold valid RN licensure in California. The position offers a competitive salary and comprehensive benefits...
- Motivating-Inspiring-Supporting-and-Serving-Sexua in Oakland, CA is seeking a Human Resources Generalist. This role involves overseeing recruitment, employee relations, and ensuring compliance with HR best practices in a nonprofit setting focused on supporting Black girls...
- An animal welfare organization in Berkeley is seeking a Foster Program Manager to lead foster care and volunteer engagement programs. This role requires a compassionate leader who connects volunteers with vulnerable animals, creating impactful community pathways. Responsibilities...
- A nonprofit organization is seeking a Resident Advocate Supervisor in Berkeley, CA. This role involves overseeing operations and staff at the shelter, ensuring a safe environment, and managing schedules for 24/7 coverage. Candidates should possess strong communication...
$165k - $195k
...initial case assessment through trial and appeal. Minimum billable hours are 1610/yr.... ...to draft persuasive legal documents and advocate effectively in court Excellent analytical... ...interview, but we can promise that we will review all submitted resumes. About Hire Counsel...Permanent employmentContract workTemporary workWork at office$165k - $195k
...of litigation, from initial case assessment through trial and appeal. We believe in rewarding hard work. Our attorneys have a minimum... ...with a proven ability to draft persuasive legal documents and advocate effectively in court. ~ Excellent analytical, research, and...Work at office$27 per hour
...0 Companies LLC is seeking a Territory Manager in Oakland, California. This full-time role involves visiting multiple retailers, advocating brand products, and ensuring merchant satisfaction. The position offers $27 per hour plus a 10% monthly bonus, travel reimbursements...Hourly payFull time- ...inception through resolution. Handle court appearances and depositions regularly. Draft pleadings, discovery demands, motions, and appeals. Communicate with clients and provide status reports. Conduct thorough case assignments and assist with legal strategies. Requirements...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Appeals & Grievances RN: Clinical Reviewer & Advocate. Be the first to apply!
- pediatric rn Oakland, CA
- home health rn Oakland, CA
- nurse rn Oakland, CA
- med surg medical surgical rn registered nurse Oakland, CA
- non clinical rn Oakland, CA
- registered nurse pharmacy Oakland, CA
- rn network Oakland, CA
- public health registered nurse Oakland, CA
- travel clinic rn Oakland, CA
- registered nurse nursing home Oakland, CA


