64 jobs matching your criteria
Job Search by
Grievance & Appeals Specialist
access_time Posted 21 days 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 ...
Remote, Appeals & Grievances Nurse, RN
access_time Posted 8 days ago
account_balance North American Staffing Group, Inc.
location_on Los Angeles
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 in Medicare/ Medicaid in a ...
Supervisor, QI
access_time Posted 3 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 ...
Medical Management Services Manager - RN Required (on-site)
access_time Posted 1 month ago
account_balance CalViva Health
location_on Fresno
Coordinate preparation for the Appeals and Grievances Work Group including draft agenda & minutes ... LICENSES: * RN license as appropriate * Current driver's license EXPERIENCE: * Five years ...
Deputy/Associate Chief Medical Officer
access_time Posted 5 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 1 month 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 1 month 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 ...
Medical Biller
access_time Posted 2 months ago
account_balance VICTORY HEMATOLOGY AND ONCOLOGY INC
location_on Los Angeles
Candidates must have a strong understanding and working knowledge of the appeals and denials ... Handles and resolves patients' complaints/grievance as per policies and procedures For ...
NURSING MANAGER - MEDICAL SURGICAL
access_time Posted 23 days 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 28 days 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 ...
Care Manager RN
access_time Posted yesterday
account_balance Swedish Health Services
location_on Edmonds
Description Care Manager RN Swedish Edmonds Full Time (40 Hour Week) Day Shift 8 Hour Shift $10,000 ... Researches clinical denial claims and writes appeal letters. Documents findings in patient medical ...
Want new jobs like this by email?
Sign up for our job alerts and never miss the latest medical grievance and appeals nurse jobs!
Job Alert Created!
Your first email alert will be in your inbox within 24 hours.
Unable to Create Alert
error_outlineThis is because you either:
- Unsubscribed in the past 30 days
- Has resubscribed more than 3 times
- Manually unsubscribed as a complaint
- Did not specify City, State, or Zip