- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Coordinator I(Temp) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Coordinator I supports the Customer Solution Center … more
- Sharp HealthCare (San Diego, CA)
- …with the Chief Medical Officer (CMO) who is responsible for all decisions regarding clinical appeals and grievances and the Chief Operations Officer (COO) who is ... responsible for non- clinical appeals and grievances. **Required Qualifications** + 3 years' experience in claims, utilization review, appeals or member… more
- Sharp HealthCare (San Diego, CA)
- …with the Chief Medical Officer (CMO) who is responsible for all decisions regarding clinical appeals and grievances and the Chief Operations Officer (COO) who is ... responsible for non- clinical appeals and grievances. **Required Qualifications** + 3 years' experience in claims, utilization review, appeals or member… more
- Sacramento County (Sacramento, CA)
- Treatment Center Program Coordinator Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/1180508) Apply Treatment Center Program Coordinator ... management with emphasis on health occupations + Principles and techniques of clinical interviewing, diagnosis, and treatment + Most current version of the Diagnosis… more
- Elevance Health (Fresno, CA)
- …to client needs, and direct, hands-on engagement. The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for a defined ... + Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more
- Select Medical (Los Angeles, CA)
- …(CM) - Full Time (on-site) - 8 hr shifts Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) **Pay Rate: $50 - $58.65 depends on experience** $7,500 Sign ... process. The primary job functions in Case Management include: Clinical Interventions/Discharge and Care Planning Management; Fiscal Management; and Payer/Referral… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... I Accountant II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services Assistant I Financial… more
- City and County of San Francisco (San Francisco, CA)
- …other related duties as assigned/required. When assigned to an Outpatient Clinical Setting: + Schedules appointments, acts as receptionist, refers patients to ... (3) years. + Substitution: Completion of a recognized Certified Unit Clerk/ Coordinator Program or completion of a recognized Medical Assistant/Clerical Training… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... the job application process, please contact the testing accommodation coordinator listed on the job posting. Hearing impaired applicants...to be a valid reason for an extension of appeals rights period. + I understand the above information.… more
- City and County of San Francisco (San Francisco, CA)
- …Pharmacy + Zuckerberg San Francisco General Hospital & Trauma Center (ZSFG) 340B Program Coordinator + San Francisco County Jails, both in San Francisco and in San ... issues, lab orders, In Basket messages, and properly document clinical interventions in the EHR system using provided guidelines....may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
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