Lead RN, Appeals & Grievances - Hybrid Leader
L.A. Care Health Plan
L.A. Care Health Plan in Los Angeles seeks a Lead Customer Solution Center Appeals and Grievances RN to lead a clinical unit responsible for managing appeals and grievances. This role entails reviewing complex clinical cases, ensuring compliance with healthcare regulations, and mentoring staff. Candidates should possess at least 8 years of experience in clinical appeals and grievances, along with a valid California RN license. Benefits include paid time off, tuition reimbursement, and medical plans. A hybrid work model is in place. #J-18808-Ljbffr L.A. Care Health Plan
$102.18k
...Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position... ...work after hours, on weekends, holidays, a hybrid remote schedule, and occasional flexibility in hours...SuggestedFull timeRemote workShift workWeekend work- ...Appeals And Grievances Lead 3 Key Consulting is recruiting an Appeals and Grievances Lead for a consulting engagement with our direct client,... ...with all levels including but not limited to members, peers, leaders, physicians, executives, and regulatory entities....SuggestedFlexible hoursWeekend work
- ...provide support in all aspects of Employee Relations, handling grievances, disciplinary actions, and workplace investigations. This role... ...representation in meetings, and participation in labor negotiations. A hybrid working schedule is available, along with a competitive...Suggested
- AHMC HealthCare is seeking a Denials Case Manager, RN in San Gabriel, CA. This role involves appealing denials, working with revenue cycle teams, and ensuring compliance with medical necessity standards. Requires a graduate of an accredited RN School and experience in Utilization...Suggested
- ...Angeles, California. In this role, you will lead a team of clinicians to ensure safe and... ...outcomes. Ideal candidates should hold an active RN license, have at least 7 years of relevant... ...capabilities. This position allows for hybrid virtual work, requiring office visits...SuggestedWork at office
$100k - $105k
Claims Team Lead - Workers Compensation (HYBRID - West Hills, CA) Primary Purpose of the Role: Oversees multiple teams of examiners and technical staff... ...high‑cost or complex claims. Acts as a second‑level appeal authority for client and claimant issues, implementing final...Work at officeFlexible hours$100k - $105k
Claims Team Lead - Workers Compensation (HYBRID - West Hills, CA) Responsibilities Supervises multiple teams of examiners and technical operations... ...for high-cost or complex claims. Acts as a second‑level appeal authority for client and claimant issues, implementing...Local areaFlexible hours- Intercare Holdings Insurance Services seeks a Workers' Compensation Claims Supervisor for a hybrid position in Glendale. You will lead a team of 7, including Claims Adjusters and Assistants, providing coaching and ensuring exceptional claim handling. The role emphasizes...
- Riot Games is looking for a Growth Marketing Analytics Lead to join their Publishing team in Santa Monica, CA. This hybrid role involves establishing and optimizing marketing analytics for campaigns, driving player engagement, and collaborating across multiple teams. The...
$86.03k - $98.94k
...Hirsch Mental Health Services is seeking an Assistant Program Director for its Teen Line. This is a hybrid position based in Los Angeles. The successful candidate will lead program operations, supervise clinical staff, and ensure delivery of quality mental health...- A leading marketing firm is seeking a Merch Lead in Los Angeles to create appealing merchandise that enhances the identity of creators. The ideal candidate will have a strong portfolio, an eye for design, and a passion for building connections through thoughtfully crafted...
- Cedars-Sinai is seeking an Admissions Team Lead to oversee daily operations of the admissions unit, optimize patient flow, and ensure... ...procedures to support financial and customer service goals. In this hybrid role, you will mentor team members, monitor performance, and...
- Southern California Edison (SCE) is seeking a Cybersecurity Advisor to lead CSOC program management, governance, and incident response... ..., vendor management, and strategic risk reduction within a hybrid work model based in Rosemead, CA. #J-18808-Ljbffr Southern California...
- Sunbit in Santa Monica is looking for a Social Media Manager to lead organic growth strategies. You'll create engaging content, manage... ...and a proven ability to develop large audiences. This hybrid role offers competitive pay, unlimited PTO, and comprehensive health...
- ...firm in Los Angeles seeking an experienced Collections Manager to lead its collections function. This role involves managing a team to... ...law firm, and strong leadership skills. This position offers a hybrid work environment and a competitive compensation package. #J-188...
- Modern Floristry Inc. in Los Angeles, CA is seeking an experienced floral professional to lead daily operations at our Los Angeles location. This hybrid role combines hands-on floral design, delivery coordination, and team leadership. You will supervise a small team, ensure...
- ...join its Federal Marketing team. The Proposal Specialist III will lead proposal efforts for Federal clients across various sectors and collaborate with teams to ensure high-quality submissions. This hybrid position allows flexibility, including remote work and office...Work at officeRemote work
- ...is seeking a skilled Business Analyst in Los Angeles to enhance operational efficiency. This hybrid role involves 2 to 3 days onsite, where collaboration with teams will lead to actionable insights and improved project outcomes. Your strong analytical and communication...
- A leading recruitment agency is seeking an Implementation Specialist/Director in Southern California to lead a significant Brightree implementation... ...matter expert post-implementation. Competitive compensation and hybrid work options are offered. #J-18808-Ljbffr AT Recruitment (ATR)
$200k - $240k
...permanent role offers a base salary between $200,000 and $240,000 annually, plus performance bonuses, with hybrid work arrangements and global resources. The attorney will lead complex coverage matters for domestic and international insurer clients, handling high-stakes...Permanent employmentFull time- Cordoba Corporation is seeking a Civil 3D/AutoCAD Manager to lead CAD/BIM teams for large transportation projects in Los Angeles. You... ...leadership presence and industry experience are essential, with a hybrid work environment and competitive compensation. #J-18808-Ljbffr...
- ...to transform data into strategic insights. This role requires leading data analysis, testing hypotheses, and developing impactful recommendations... ...analytics and be comfortable with advanced data platforms. A hybrid working model is offered alongside comprehensive benefits...
- Houlihan Lokey, a leading global investment bank, is seeking a Workday Project Manager to lead planning and execution across multiple... ...projects and strong stakeholder management skills. This role is hybrid, requiring in-office presence once a week, enhancing collaborative...Work at office1 day per week
- Southern California Edison (SCE) seeks an IT Procurement Manager to lead a team in developing sourcing strategies that align with enterprise technology goals. This hybrid position allows part of the work to be done remotely. The successful candidate will possess significant...Contract workRemote work
- SmithGroup seeks a Proposal Specialist in Los Angeles to lead the coordination, writing, editing and production of proposals and marketing... ...and a keen eye for layout and storytelling. SmithGroup offers a hybrid work environment and generous benefits. #J-18808-Ljbffr...Work at office
- ...is seeking an Architectural Project Manager for sports venues to lead multidisciplinary teams from design through construction. You... ...record of managing complex projects with strong client satisfaction. Hybrid work model and competitive compensation are offered. #J-18808-...
- ...Edison is seeking a Compliance Investigations Senior Advisor to lead the most complex internal investigations across regulatory requirements... ...training, and strategic input on regulatory challenges, with a hybrid work mode and relocation not #J-18808-Ljbffr Southern...Relocation
- A leading creative agency is seeking a talented Vertical Project Manager to drive project success near Culver City, CA. The role involves... ...and strong leadership skills. This full-time position offers hybrid work opportunities and requires applicants to be authorized to...Full time
- 33 USA Inc. is seeking an Event Division Lead to oversee the planning, production, and execution of high-impact entertainment events... ...and a passion for pop culture. Benefits include a health care plan, paid time off, and a hybrid work model. #J-18808-Ljbffr 33 USA Inc.
$99k - $126k
...inventories, managing provider recruitment and negotiations, and leading operational improvements. Qualified candidates will have a... ...experience, and strong project management skills. The position offers a hybrid work structure and an annual salary of $99,000 - $126,000. #J-1...Contract work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Lead RN, Appeals & Grievances - Hybrid Leader. Be the first to apply!
- rn manager Los Angeles, CA
- icu rn Los Angeles, CA
- part time clinic rn Los Angeles, CA
- clinic registered nurse rn Los Angeles, CA
- prn rn Los Angeles, CA
- registered nurse office Los Angeles, CA
- fema rn Los Angeles, CA
- aesthetic rn Los Angeles, CA
- rn case manager Los Angeles, CA
- new grad rn work from home Los Angeles, CA

