- Providence (Torrance, CA)
- **Description** ** Appeals RN - Care Manager...Degree Nursing. + Upon hire: California Registered Nurse License. + 2 years Direct patient care ... Per Diem and will work 8-hour, Day shifts.** The Care Management Recovery Advocate (CMRA) is responsible...management certification. + Experience working with denials and appeals in/for an acute care setting. +… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse ( RN ) Manager, Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances ... + Excellent verbal, written communication and presentation skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and… more
- LA Care Health Plan (Los Angeles, CA)
- …the ability to manage multiple training initiatives simultaneously. Licenses/Certifications Required Licensed Registered Nurse ( RN ) - Active, current and ... Lead Customer Solution Center Appeals and Grievances RN Job Category:... appeals and grievances experience in a managed care , utilization management and/or case management… more
- Cedars-Sinai (Beverly Hills, CA)
- …innovation. **A Little More About What You Will be Doing** The RN Care Coordinator is responsible for the case management of patient while hospitalized and ... collaboration with the Inpatient Specialty Program (ISP) hospitalists, the RN Care Coordinator will assist patients from...nursing (Medical Surgical/Tele/ICU) with 2 or more year of care management experience (UM or DC Planning).… more
- Genesis Healthcare (Los Angeles, CA)
- …for the clinical, administrative, and financial oversight of the territory's center-based care management staff. This position oversees the personnel and ... educational tools and materials that are needed to achieve care management goals. 9. Works collaboratively with...and outstanding clinical accounts as needed and generates clinical appeals when necessary. 15. Assists with and completes special… more
- The County of Los Angeles (Los Angeles, CA)
- …LICENSE: A valid, active license (without limitations or restrictions) to practice as a Registered Nurse issued by the State of California Board of Registered ... ensure the License and Certificate Section of the application is completed for the Registered Nurse License. Provide the title of your required license and… more
- Elevance Health (Los Angeles, CA)
- …resources. + Applies clinical knowledge to work with facilities and providers for care -coordination. + May also manage appeals for services denied. + Serves ... **Manager II Medical Management ** **Location:** This role requires associates to be...policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, programs… more