Appeals RN - Los Angeles

Hospitals are actively hiring Appeals RN in Los Angeles. · ...

You could be the one who changes everything for our members as a clinical professional on our Medical Management/Health Services team. · ...

The Grievance & Appeals Coordinator supports the resolution of member and provider grievances and appeals by analyzing claims, authorizations, and formal complaints. · ...

+The Grievance & Appeals Coordinator supports the resolution of member and provider grievances and appeals by analyzing claims, authorizations, and formal complaints. This role ensures timely, accurate case handling while maintaining high quality and compliance standards. · +- Re ...

The Appeals and Grievances Lead is responsible for assisting with the development of a successful and cohesive Appeals and Grievance unit. · Providing direction to the team. · Handling internal or external questions or issues raised in relation to Appeals or Grievances. · ...

The writs and appeals unit of the Federal Public Defender for the Central District represents indigent criminal defendants in their appeals to the Ninth Circuit Court of Appeals and the U.S. Supreme Court. · ...

The Grievance & Appeals Regulatory Manager is responsible for working directly with providers in investigating and resolving cases. · ...

As we expand into California, we're seeking an experienced Property Tax Advisor to guide our team on navigating regulatory and operational requirements. · This is a contract-based, hourly consulting role ideal for someone who's an expert within California's property tax protestin ...

We're seeking an experienced Property Tax Advisor to guide our team on navigating regulatory and operational requirements in California. · ...

The Customer Solutions Center Appeals and Grievance (A&G) Training Specialist II is responsible for providing ongoing training on the core processing system, · A&G processing procedures, · training regulatory changes which will affect established procedures, · working with the qu ...

The Senior Director and Grievance Officer (A&G), is responsible for leadership of L.A. · Care's grievance, appeal functions across all product lines.This position ensures all cases are processed accurately · and consistently with exceptional quality, · and within required timefr ...

+The Senior Director and Grievance Officer · ++• Proactively translates regulatory clinical service strategy into disciplined operational execution by setting clear expectations establishing consistent processes ensuring teams have the tools training data needed to perform at a ...

Leads and supervises team responsible for claims activities including reviewing and resolving member and provider complaints. · ...

The work you do here impacts the lives of millions of people for the better. · Come build the health care system of tomorrow, making it more responsive, affordable and optimized. · You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some t ...

Supports claims activities including reviewing and resolving member and provider complaints. · Facilitates comprehensive research and resolution of appeals. · Researches claims appeals using support systems to determine appropriate outcomes. · ...

Imperial is seeking an Appeals and Grievances coordinator to help with the exchange side of Medical. · ...

The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S) outside payers. · ...

Job summaryThe Supervisor Customer Solution Center Appeals and Grievances is responsible for direct supervision and support of the team responsible for the intake research resolution tracking trending and reporting within the Appeals and Grievances department. · Bachelor's Degree ...

This role enables associates to work virtually full-time with maximum flexibility and autonomy promoting productivity and work-life integration. · Supports clinicians to ensure timely and consistent responses to members and providers. · Provides guidance for clinical operational ...

The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services... · ...