- 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 ... + Utilizes leadership skills and serves as a subject matter expert for appeals /grievances/ quality of care issues and is a resource for clinical and non clinical… more
- Elevance Health (Los Angeles, CA)
- ** Nurse Appeals - Licensed RN Nurse...skills and serves as a subject matter expert for appeals /grievances/ quality of care issues and is a resource ... locations. **Shift:** Monday to Friday from 8:00-5:00 pm PT The ** Nurse Appeals ** is responsible for investigating and processing medical necessity appeals… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve… more
- UCLA Health (Los Angeles, CA)
- …more at UCLA Health. You will play a key part in promoting high- quality , cost-effective medical care by applying clinical acumen and applicable policies and ... Criteria + Experience with Flesch-Kincaid readability scoring + Knowledge of the appeals process + Experience with audit preparation + Basic computer skills UCLA… more