- LA Care Health Plan (Los Angeles, CA)
- …The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse ( RN ) II provides direct assistance to member's with ... Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category:...agencies. Good working knowledge of regulatory requirements/standards. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Select Medical (Los Angeles, CA)
- …UCLA Health and Select Medical Century City / Los Angeles, CA Case Manager (CM) - Registered Nurse ( RN ) or Social Worker (LCSW) - Per Diem **Pay Rate ... and valid state licensure in Social Work required or Current state licensure as a Registered Nurse required. + Masters Degree in Social Work preferred; OR BSN in… more
- LA Care Health Plan (Los Angeles, CA)
- …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Supervisor, Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017… more
- Select Medical (Los Angeles, CA)
- …/ Los Angeles, CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) **Schedule: Sun - ... overseeing negotiations of continued stay rationale, length of stays, and appeals process. Initiates activities to develop positive business relationships with… more
- Molina Healthcare (Los Angeles, CA)
- …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in Nursing. ... contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The **Delegation Oversight Nurse ** is responsible for ensuring that Molina Healthcare's UM… more
- UCLA Health (Los Angeles, CA)
- Description The Quality Management Nurse Specialist serves as the key resource for the investigation of member complaints, grievances, quality of care and ... studies through data collection, data input and report development. The QM Nurse Specialist will adhere to NCQA, State, Federal and other Regulatory agency… more
- The County of Los Angeles (Los Angeles, CA)
- …when needed to carry out job-related essential functions. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing** ... ensure the License and Certificate Section of the application is completed for the Registered Nurse License. Provide the title of your required license and… more
- The County of Los Angeles (Los Angeles, CA)
- …LICENSE: A valid, active license (without limitations or restrictions) to practice as a Registered Nurse issued by the State of California Board of Registered ... ensure the License and Certificate Section of the application is completed for the Registered Nurse License. Provide the title of your required license and… more