- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, ... required to achieve that purpose. Job Summary The Supervisor of Appeals and Grievances Clinical Operations (A&G) RN is responsible for executing the… more
- Insight Global (Los Angeles, CA)
- …by management: * Write determination letters regarding the outcome of non- clinical reviews/claim denials and send to the applicable participant/provider. Correspond ... by the examiners or Participant Services Representatives when necessary. * Assist Appeals Coordinator with preparation of Benefits Committee appeal cases. * Develop… more