- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Manager , Appeals & Grievances (A&G) & General Operations (Clinical) is responsible… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered ... Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; Master's… more
- The County of Los Angeles (Los Angeles, CA)
- …quality assessment and assurance monitoring processes; and handle informal complainant appeals . Health Facilities Program Manager , Nursing positions are required ... HEALTH FACILITIES PROGRAM MANAGER , NURSING Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4626091) Apply HEALTH FACILITIES PROGRAM MANAGER… more
- University of Southern California (Alhambra, CA)
- …checks on paper and electronic claims; process tracers, denial and related correspondence ; initiate appeals ; compose and submit appeal letters specific ... as needed. Communicates identified billing issues and trends to Supervisor and Billing Manager in a timely manner. Communicates issues with claim scrubber edits to… more
- University of Southern California (Alhambra, CA)
- …determining the need for appeal. Performs all 1st and 2nd level coding-related denial appeals . All tasks & duties to be perform in compliance with federal & state ... Financial Services (PFS) Dept. Researches, responds, and documents findings, correspondence , and notes regarding coding-related 'claims denials' and 'claims… more
- Sharp HealthCare (La Mesa, CA)
- …**Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered ... Nursing **Preferred Qualifications** + Bachelor's Degree in Nursing + Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED… more
- Transdev (San Francisco, CA)
- …Description Division:Paratransit Location:San Francisco, CA Position:Eligibility Analyst Reports to: Manager of Eligibility Programs Salary Range:$21.54 - $25.50per ... Paratransit Eligibility Analyst. Position Description:Under the direction of the Manager of Eligibility Programs, the ADA Paratransit Eligibility Analyst performs… more