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Grievance & Appeals Specialist
access_time Posted 1 month ago
account_balance Dental Health Services
location_on Long Beach
... Medical Groups and Network Physicians. * Ensures timely resolution of cases even when additional discussions are required to assess submitted appeals and grievances and accurately documents all ...
Remote Grievance & Appeals Representative
access_time Posted 2 months ago
account_balance A-Line Staffing Solutions
location_on Los Angeles
Must have previous Grievance and Appeals exp, Medical management, Utilization management, and/or running a doctor's office * Analytical and research savvy * Must have at least 1 year of recent health ...
Grievance and Appeals Coordinator
access_time Posted 6 days ago
account_balance Cross Country Workforce Solutions Group
location_on Orange
Grievance & Appeals * Work Arrangement: Full Office Duties & Responsibilities: Program Support ... medical, in-home caregivers for the elderly enrolled in PACE programs. Currently, we have over 3 ...
Appeals and Grievance Coordinator
access_time Posted 5 days ago
account_balance Imperial Health Plan of California, Inc.
location_on Pasadena
Appeals and Grievance Coordinator FLSA STATUS: Non-Exempt DEPARTMENT: Appeals and Grievances ... Requests medical records, clinical notes, and responses from providers, vendors and internal ...
Remote, Appeals & Grievances Nurse, RN
access_time Posted 26 days ago
account_balance North American Staffing Group, Inc.
location_on Los Angeles
(California residence only) Direct-Hire, Remote Appeals & Grievances Nurse, RN (Must have unrestrictive California License) Required: * At least 5-7 years of experience in Clinical Nursing and 2 years ...
Supervisor, QI
access_time Posted 21 days ago
account_balance SAN JOAQUIN COUNTY HEALTH COMMISSION
location_on Placerville
Grievance and Appeals Nurses * QI Nurses Essential Functions * Plans and assigns work; monitors ... HEDIS medical record review process. * Oversees activities related to the Facility Site Review ...
Deputy/Associate Chief Medical Officer
access_time Posted 24 days ago
account_balance Tiburcio Vasquez Health Center
location_on Hayward
... grievances, appeals, and other medical management challenges. Directs and supervises assigned ... nurses. * Works closely with the COO to address and enhance operational flows. * Designs ...
Medical Director
access_time Posted 2 months ago
account_balance Health Plan of San Joaquin
location_on French Camp
The Medical Director is responsible for providing clinical oversight of the Health Plan ... The position supports the grievances and appeals team with clinical oversight of grievances and ...
Senior Manager, Operations
access_time Posted 2 months ago
account_balance Gold Coast Health Plan
location_on Camarillo
... appeals and grievances process for both members and providers and adherence to the agreements that exist for delegated entities · Work closely with Gold Coast Health Plan's (GCHP) Medical Director ...
Quality Assurance Lead
access_time Posted 4 days ago
account_balance Call the Car
location_on Diamond Bar
... appropriate grievance acknowledgement, resolution, and appeal letters are sent out within ... REQUIREMENTS: • 2+ years of relevant working experience in medical environment. • 1-1.5-year(s ...
NURSING MANAGER - MEDICAL SURGICAL
access_time Posted 1 month ago
account_balance Unity Works Staffing & Solutions
location_on Seattle
Hears and adjusts up to step-two grievances. Required Qualifications: Bachelor's Degree: BSN from ... Washington Registered Nurse License (Vendor Managed) Upon hire: National Provider BLS - American ...
MANAGER NURSING - MEDICAL SURGICAL
access_time Posted 1 month ago
account_balance JL4 Staffing
location_on Seattle
Hears and adjusts up to step-two grievances. Required Qualifications: * Bachelor's Degree: BSN from ... Washington Registered Nurse License (Vendor Managed) * Upon hire: National Provider BLS - American ...
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