- Cedars-Sinai (CA)
- …as a condition of continued employment. **Req ID** : 13443 **Working Title** : Registered Nurse Care Coordinator- Inpatient Specialty Program - 8 Hour Days $5K ... Investigates, processes and assists with the resolution of provider grievances and appeals in accordance with contractual requirements and corporate policy. + Begins… more
- TEKsystems (Los Angeles, CA)
- …adjudication. This role is ideal for a Licensed Vocational Nurse (LVN) or Registered Nurse ( RN ) with hands-on experience in Utilization Management (UM) ... Participate in special projects related to claim denials and appeals Required Qualifications: + Active LVN or RN... appeals Required Qualifications: + Active LVN or RN license (California) + 2+ years of experience in… more
- UCLA Health (Los Angeles, CA)
- …self-directed individual with: * Bachelor's degree in health-related field, preferred * A Registered Nurse ( RN ) license or MD diploma (or equivalent) ... clinical validity, and to support denial prevention, analysis, and appeals across inpatient and outpatient settings; continuously communicating with department… more
- University of Southern California (Arcadia, CA)
- …effective verbal and written communication skills. + Able to compose coding appeals based on documentation, coding guidelines and Coding Clinic for coding denials ... impact DRG assignments. + Minimum of three years' experience in clinical disciplines ( RN , MD, FMG) or utilization review/case management in an acute care facility,… 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** ... -OR- a certificate or pocket license as a Registered Environmental Health Specialist issued by the...Certificate Section of the application is completed for the Registered Nurse License. Provide the title of… more