Grievance & Appeals Nurse: Advocate for Members’ Care
Inland Empire Health Plans
Inland Empire Health Plans in Rancho Cucamonga, CA is seeking a Grievance & Appeals Nurse for a short-term assignment. You will work directly with IPAs, hospitals, IEHP departments, and the grievance team to ensure cases are processed per policy and regulatory requirements. This role emphasizes timely, quality care coordination with members’ PCPs and provider networks. You will serve as a resource to IEHP personnel and external practitioners, triaging cases, and assigning them to meet deadlines. #J-18808-Ljbffr Inland Empire Health Plans
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Grievance & Appeals Nurse: Advocate for Members’ Care in Rancho Cucamonga, CA vacancy
$63.9k - $83.08k
...opportunity to an authentic experience! The Grievance & Appeals Nurse is responsible for working directly... ...and Department of Managed Health Care (DMHC)/ Department of Health Care Services... ...and NCQA. Coordinate care of Members in conjunction with the Member’s PCP and...SuggestedTemporary workImmediate startFlexible hoursInland Empire Health Plan
Rancho Cucamonga, CA1 day ago$28.25 - $30.25 per hour
...Grievance & Appeals Nurse (LVN) Location: Rancho Cucamonga, CA Hourly Rate: $28.25–$30.25 Requirements... ...management, experience in an HMO or managed care setting is preferred. HS diploma or... ...knowledge and understanding of: Member and Provider legal rights to access the...SuggestedHourly payJM Staffing
Rancho Cucamonga, CA18 hours ago- ...opportunity to anauthentic experience! The Grievance & Appeals Nurse is responsible for working directly... ...and Department of Managed Health Care (DMHC)/ Department of Health Care Services... ...and NCQA. Coordinate care of Members in conjunction with the Member’s PCP and...SuggestedTemporary workFlexible hours
$30.72 per hour
...Grievance and Appeals Nurse (LVN) Position Type: Full-time Schedule: (Hybrid) M-F, 8:00 am - 5 pm;... ...Procedures and Department of Managed Health Care (DMHC)/ Department of Health Care... ...regulations and NCQA. Coordinate care of Members in conjunction with the Member's PCP...SuggestedFull timeImmediate startWork from home- ...Empire Health Plan in Rancho Cucamonga seeks a Grievance & Appeals Nurse to manage grievance cases, ensuring... ...regulations. Responsibilities include investigating member grievances, resolving medical issues, and coordinating care with various teams. The ideal candidate will...Suggested
$31 per hour
...Grievance And Appeals Nurse Position Type: Full time Schedule: (Hybrid) M-F, 8:00 am - 5 pm; Mon./Fri. work from home, Tues./Wed./Thurs. onsite Pay: $31 The Grievance & Appeals Nurse is responsible for working directly with the IPAs, Hospitals, internal departments...Full timeWork from homeAlura Workforce Solutions
Rancho Cucamonga, CA18 hours ago- Lancesoft is seeking a Grievance & Appeals Nurse in Rancho Cucamonga, CA. The role involves managing grievance and appeal cases while ensuring compliance with state and federal guidelines. Candidates must possess an active LVN license and have at least two years of experience...Temporary workFlexible hours
$63.9k - $83.08k
Inland Empire Health Plan is seeking a Grievance & Appeals Nurse to oversee grievance and appeal cases, ensuring compliance with state and federal guidelines. This role requires an active Vocational Nurse license and two years of case management experience. The position...- J M STAFFING is seeking a Grievance & Appeals Nurse (LVN) in Rancho Cucamonga, CA. The ideal candidate must have a minimum of 2 years of case management... ...should exhibit an understanding of grievance and appeals processes in managed care settings. #J-18808-Ljbffr J M STAFFING
$18.5 per hour
...here. ( ALL ABOUT SERVICE & ENGAGEMENT Advocates of guest experience who welcome, thank,... ...At Target , we believe in our team members having meaningful experiences that help... ...timeframes We are an awesome place to work and care about our teams, so we want to make sure...Hourly payWork at officeLocal areaImmediate startFlexible hoursShift workNight shiftDay shiftTarget
Rancho Cucamonga, CA1 day ago- ...models, offering extensive programs to support seniors and adults with disabilities. This role focuses on comprehensive assessments and care planning to sustain independence and quality of life. The position requires an MSW or related master’s degree with geriatrics...
- ...Registered Nurse ResCare Community Living, a part of the Sevita... ...assessments, implementing health care plans, and monitoring patients... ...tirelessly to identify and advocate for their wellbeing. If you're... ...years. And today, our 40,000 team members continue to innovate and...Full timeFlexible hours
Sevita
Rancho Cucamonga, CA2 days ago - ...people in need by providing comprehensive, integrated, compassionate care that includes primary medical care, mental health services, and... ...coordination with primary care clinics. The On-Call Client Advocate actively seeks ways to enhance departmental efficiency and...Temporary work
- ...Events in Rancho Cucamonga is searching for a dedicated Customer Service Event Representative. In this role, you will be a crucial team member, engaging with event attendees and addressing their inquiries while promoting our services. This position offers flexible hours and...Flexible hours
- ...CARE FIRST HOME HEALTH CARE INC is seeking a Registered Nurse for home health services in Upland, California. The ideal candidate will be a licensed RN responsible... ..., creating care plans, and supervising team members. Candidates should possess valid CPR certification...Flexible hours
CARE FIRST HOME HEALTH CARE INC
Upland, CA1 day ago $25 per hour
...Registered Nurse (RN) Opportunity at University Nursing Center Shift Schedules: FT Days... ...Leadership: Promote teamwork within the care team to exceed the needs of our residents... ...C.A.R.E. values to our residents, family members, customers and staff. Equal Opportunity Employer...Full timePart timeShift workNight shiftWeekend workAfternoon shiftEagleCare LLC
Upland, CA2 days ago- ...Healthcare Services is seeking a Registered Nurse (RN) to assume responsibility and... ...nursing process and the delivery of patient care. The Registered Nurse (RN) demonstrates the... ...interprets data and information from health care members and documents actual and/or potential...Weekly payContract work
Maxim Healthcare Service
Rancho Cucamonga, CA2 days ago $44.8 - $57.95 per hour
...Hospital Rancho is a 55-bed long-term acute care hospital offering the same in-depth care... ...and indirect patient care through the nursing process of assessment, planning, intervention... ...to patients. Assigns nursing care team members in accordance with patient needs, team...Full timeNight shiftScionHealth
Rancho Cucamonga, CA1 day ago$129.25k - $180k
...active law license to practice in the state of California and a member in good standing with the State Bar of California Additional... ...benefits designed to give you the flexibility you need to take care of you and your family! Get Paid! On top of our...Full timeWork at officeLocal areaImmediate startState Farm
Pomona, CA1 day ago- ...Graduate of an accredited school of nursing or an approved RN or LVN... ...Experience in a long-term care setting, preferred Strong qualities... .... Treats residents/family members with dignity and respect.... ...(s) and assists in resolving grievances. Records grievances per facility...Shift work
Park Avenue Healthcare & Wellness Centre
Pomona, CA3 days ago - Join Pallatus Healthcare as a compassionate registered nurse specializing in hospice care. We're seeking a dedicated RN to provide expert nursing care... ...to expect Coordinate care with interdisciplinary team members including physicians, social workers, and chaplains...Flexible hours
$1,814.4 - $2,016 per week
...Registered Nurse - Labor and Delivery (L&D) Upland, CA Job Type: Contract Specialty... ...hospitals, outpatient clinics, sub-acute care & rehab hospitals, correctional and long-term care facilities, and more. Our team members will match you with the facility that corresponds...Hourly payDaily paidContract workTemporary workFlexible hours- ...regulations. The attorney will handle due process hearings and appeals. Responsibilities Represent clients in special education due... ...Requirements Juris Doctor (J.D.) from an accredited law school Member of the State Bar of California Strong understanding of...
- ...provide exceptional quality, comfort, and care with five-star services and amenities.... ...relationships with residents, families, and team members by developing a winning culture and... ...Employee Assistance Program The Wellness Nurse is a licensed nurse responsible for...RelocationShift work
$100k
...If you are motivated to join a law firm that will afford you immediate opportunities to manage your own caseload, from inception to appeal, including gaining trial experience and resources to help develop your skill set, Estelle & Kennedy is the law firm to choose. If...Full timeImmediate start$9,803 per month
...: Baltimore, Maryland Facility: Ventura Employment Type: Temporary Contract Length: 13 weeks Job Description Coordinates total nursing care for patients. Participates in patient and family teaching. Provides leadership by working cooperatively with ancillary nursing and...Contract workTemporary workFlexible hoursShift work$50 per hour
...Hospital Medical Center is a 106-bed acute care, not-for-profit community hospital,... ...? Montclair Hospital Medical Center is a member of Prime Healthcare, offers incredible opportunities... .... Responsibilities The Registered Nurse is responsible for the delivery of safe...Daily paidFull timePart timeLocal areaShift workMontclair Hospital Medical Center
Montclair, CA1 day ago$43.25 - $59.37 per hour
...committed to serving the community’s health care needs with top-rated emergency care as... ...Healthcare? Chino Valley Medical Center , a member of Prime Healthcare, offers incredible... ...focused. Responsibilities The Registered Nurse is responsible for the delivery of safe...Full timePart timeLocal areaShift workNight shiftChino Valley Medical Center
Chino, CA2 days ago- ...Registered Nurse - Icu Registered Nurse Rancho Cucamonga, California Per Diem Concentric is currently seeking candidates in Registered Nurse profession with focus in Registered Nurse (Intensive Care Unit) for a 1 week contract in the Rancho Cucamonga, CA area. Concentric...Daily paidFull timeContract workTemporary work
Concentric Healthcare
Rancho Cucamonga, CA4 days ago - ...Night nurse needed for twins. Must have experience with newborns and be available during nights. Provide nurturing care, feeding, diaper changes, and ensure babies’ comfort. Assist with sleep training and establish a routine. Knowledge of soothing techniques and ability...Night shift
Wyndy LLC
Rancho Cucamonga, CA3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Grievance & Appeals Nurse: Advocate for Members’ Care. Be the first to apply!
