4 appeals nurse jobs at 4 companies in Stanton, CA
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Clinical Appeals RN
Santa Ana, California, United States
$52-$62/hrOnsitePart Time
Orange County Global Medical Center: Private acute-care hospital serving Orange County patients with emergency, trauma, stroke, maternity, and specialty medical services.
2+ YOEActive California RN license and at least 2 years each in managed care and utilization management; experience applying payer medical guidelines and using MCG or InterQual required.
CalOptima Health: Public county-organized health system providing health insurance and coordinated care to low-income Orange County residents.
5+ YOEHigh school diploma and 5 years of healthcare or managed care experience required; California RN and LVN licenses, bilingual ability, appeals or utilization management experience, analytical and project management skills preferred.
Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint
Business Office Manager - Skilled Nursing Facility
Van Nuys, California, United States
$40-$45/hrOnsiteFull Time
California Healthcare and Rehabilitation Center: Private skilled nursing and rehabilitation facility serving long-term and post-acute patients in Van Nuys, California.
Proven leadership and long-term care experience required, with knowledge of Medicare, Medicaid, HMOs, appeals, payor verification, Medi-Cal TARS, authorizations, nursing home guidelines, and trust fund management.
Prime Healthcare: Private hospital system delivering community-focused healthcare services.
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.