We interpreted Burbank, CA as Burbank, CA. Other options include: Burbank (Santa Clara County), CA
- 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)
- …the Los Angeles Fair Chance Initiative for Hiring. **Req ID** : 12949 **Working Title** : Registered Nurse - ISP Care Coordinator - PER_DIEM 8 Hour Days ... Science degree in Nursing required **License/Certifications:** + Valid CA RN license required + Certified Case Management ...nursing (Medical Surgical/Tele/ICU) with 2 or more year of care management experience (UM or DC Planning).… more
- University of Southern California (Arcadia, CA)
- …and accurate information to payers. The role integrates and coordinates utilization management , care facilitation, and discharge planning functions. The Case ... of pre-certification and payer authorization processes, facilitation of the collaborative management of patient care across the continuum, intervening as… 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)
- …when needed to carry out job-related essential functions. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing** ... supervision to a field staff responsible for surveying health care facilities and enforcing licensing and certification standards in...Certificate Section of the application is completed for the Registered Nurse License. Provide the title of… 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
- Molina Healthcare (Los Angeles, CA)
- …skills. * Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Registered Nurse ( RN ). License must be active and ... JOB DESCRIPTION **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement...to overarching strategy to provide quality and cost-effective member care . We are looking for LVN's with at least… more
- Molina Healthcare (Los Angeles, CA)
- …skills. * Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Registered Nurse ( RN ). License must be active and ... agreements. Contributes to overarching strategy to provide quality and cost-effective member care . The **Delegation Oversight Nurse ** is responsible for ensuring… 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
- University of Southern California (Arcadia, CA)
- …years' experience in clinical disciplines ( RN , MD, FMG) or utilization review/case management in an acute care facility, with clinical knowledge. + Strong ... coexisting/comorbidities area complete reflection of the patient's clinical status and care . + Other duties as assigned. JOB REQUIREMENTS Education Minimum… more