- Elevance Health (Los Angeles, CA)
- ** Nurse Appeals - Licensed RN Nurse ** **Location:** This position will work in a hybrid model (remote and office). Ideal candidates will live in the ... **Shift:** Monday to Friday from 8:00-5:00 pm PT The ** Nurse Appeals ** is responsible for investigating and...which would provide an equivalent background. Current active unrestricted RN license to practice as a health professional within… more
- Elevance Health (Los Angeles, CA)
- ** Nurse Appeals (Quality) - California candidates only** **Location: This is a virtual position and prefer candidates reside within 50 miles of an Elevance ... skills and serves as a subject matter expert for appeals /grievances/quality of care issues and is a resource for...would provide an equivalent background. + Current active unrestricted RN license from the State of California required. **Preferred… more
- 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
- Elevance Health (Los Angeles, CA)
- ** Nurse Medical Management I** **Location:** Las Vegas, NV; Seattle, WA & Woodland Hills, CA. This position will work a hybrid model (remote and office) and ... may be required to work some weekend shifts. The ** Nurse Medical Management I** will be responsible to collaborate...of care and accurate claims payment. May also manage appeals for services denied. **How you will make an… more