• Supervisor, Appeals and Grievances Clinical…

    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 ... Required: Knowledge of state, federal and regulatory requirements in Appeals/Care/Case/ Utilization Management /Quality. Strong verbal and written communication… more
    LA Care Health Plan (09/20/24)
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  • Technical Consultant

    Abbott (Los Angeles, CA)
    …in Nursing from an accredited college or university or directly equivalent degree. + Registered Medical Technologist or Registered Nurse in state of ... our Rapid Diagnostics, Infectious Disease division. This is a remote , field-based position located in **Los Angeles, CA.** Abbott...Technologist in a clinical lab environment or as a Registered Nurse in a critical-care or infectious… more
    Abbott (10/15/24)
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  • Nurse Case Mgr II CA (US)

    Elevance Health (Los Angeles, CA)
    …experience preferred + Bilingual preferred. + Discharged planning experience preferred. + Utilization Management experience preferred. + Case Management ... ** Nurse Case Manager II** **Location** : Woodland Hills,...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
    Elevance Health (11/08/24)
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  • Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    …Plan members under the direct supervision and management of the A&G Nurse Specialist, RN and/or Medical Director. This position provides assistance to ... Customer Solution Center Appeals and Grievances Nurse Specialist LVN II Job Category: Clinical Department:...documentation in the A&G system of record. Work with Utilization Management and PNO to facilitate completion… more
    LA Care Health Plan (11/04/24)
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