• Customer Solution Center Appeals

    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 ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II… more
    LA Care Health Plan (03/04/25)
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  • Supervisor, Appeals and Grievances

    LA Care Health Plan (Los Angeles, CA)
    Supervisor, Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... the safety net required to achieve that purpose. Job Summary The Supervisor of Appeals and Grievances Clinical Operations (A&G) RN is responsible for executing… more
    LA Care Health Plan (12/20/24)
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  • Quality Management Nurse Specialist

    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
    UCLA Health (03/06/25)
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  • Health Facilities Evaluator III

    The County of Los Angeles (Los Angeles, CA)
    …personnel in their unit and effectively recommending the adjustment of grievances and disciplinary problems. Other positions are assigned such functions as: ... first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises the activities of all… more
    The County of Los Angeles (03/06/25)
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