10 appeals nurse jobs at 5 companies in Paramount, CA
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Appeals RN - Care Management Per Diem - REMOTE
Torrance, California, United States
$57-$89/hrRemotePart Time
Providence: Provides comprehensive healthcare services through hospitals, clinics, and health plans.
4+ YOEAssociate's degree in nursing, California RN license, four years of acute hospital patient care and case management experience; case management certification and appeals experience preferred.
Providence: Provides comprehensive healthcare services through hospitals, clinics, and health plans.
4+ YOEAssociate's degree in nursing, California RN license, four years of acute hospital direct patient care, and four years of acute hospital case management experience. Case management certification preferred.
Providence: Non-profit health system providing comprehensive medical and social services.
4+ YOEAssociate's degree in nursing, California RN license, 4 years of acute hospital patient care and case management experience; case management certification and denials/appeals experience preferred.
Supervisor, Appeals and Grievances Clinical Operations RN
Los Angeles, California, United States
$102k-$163k/yrHybridFull Time
L.A. Care Health Plan: Public health plan providing coverage to Los Angeles residents.
8+ YOE2+ MgmtActive California RN license, 8+ years acute/clinical RN experience, 2+ years supervisory experience, knowledge of appeals/regulatory requirements, proficiency with Microsoft Word and Excel, strong communication and organizational skills.
Supervisor, Quality Performance & Grievance and Appeals
Montebello, California, United States
$73k-$92k/yrHybridFull Time
AltaMed: Provides comprehensive healthcare services to underserved Southern California communities.
3+ YOE1+ MgmtBachelor's in healthcare administration/public health/nursing or related; 3+ years in healthcare grievances/quality; 2+ years quality improvement (HEDIS/Stars preferred); PQI/QOC reviews; 1+ year supervisory; CA LVN license; valid BLS.
Providence: Non-profit health system providing comprehensive medical and social services.
4+ YOERequires an associate nursing degree, California RN license, four years of acute hospital direct patient care, and four years of acute hospital case management experience. Case management certification and nursing bachelor's or master's degree preferred.
Prime Healthcare Services: Operates a nationwide network of acute care hospitals.
1+ YOEMaster's in healthcare with 1 year denial management experience required; ECFMG/Bachelor's in Health and Human Services preferred; knowledge of nursing care, clinical measurement, appeals, and strong communication and critical thinking.
Business Office Manager - Skilled Nursing Facility
Van Nuys, California, United States
$40-$45/hrOnsiteFull Time
California Healthcare & Rehabilitation Center: Provides skilled nursing, subacute care, and rehabilitation services.
Experience managing billing and collections in long-term care, knowledge of Medicare/Medicaid/insurance, authorization and appeals, COVID-19 vaccination, and familiarity with MediCal TARS; experience with managed Medi-Cal collections preferred.
Business Office Manager - Skilled Nursing Facility
Van Nuys, California, United States
$40-$45/hrOnsiteFull Time
California Healthcare & Rehabilitation Center: Provides skilled nursing, subacute care, and rehabilitation services.
Fully vaccinated; knowledge of Medicare/Medicaid/HMOs, MediCal TARS, payer verification, authorizations, appeals, trust fund management; collections and long-term care billing experience; Point Click Care preferred.
Business Office Manager - Skilled Nursing Facility
Van Nuys, California, United States
$40-$45/hrOnsiteFull Time
California Healthcare & Rehabilitation Center: Provides skilled nursing, subacute care, and rehabilitation services.
Fully vaccinated (including booster). Knowledge of Medicare/Medicaid, managed care, payor verification, appeals, MediCal TARS, trust fund management, collections and authorizations; long-term care billing experience; Point Click Care preferred.