Regulatory Grievance & Appeals Nurse - Hybrid
Alura Workforce Solutions
A healthcare services provider is seeking a Grievance and Appeals Nurse-LVN in Rancho Cucamonga, CA. This role involves investigating and resolving regulatory cases, ensuring compliance, and coordinating member care. Candidates must possess strong communication skills, knowledge of health plan regulations, and critical thinking abilities. The position offers a hybrid work schedule and a competitive salary. #J-18808-Ljbffr Alura Workforce Solutions
$30.72 per hour
Grievance and Appeals Nurse-LVN 25-00372 Base pay range $30.72/hr - $30.72/hr Position Type: Full time Schedule: (Hybrid) M-F, 8:00 am - 5 pm; Mon./Fri. Work From Home, Tue./Wed. Thursday/Onsite... ...of the Grievance & Appeals Regulatory Manager, the Grievance & Appeals Regulatory...RegulatoryFull timeWork at officeLocal areaWork from home- ...an experienced Associate Counsel to support the organization’s regulatory and compliance goals. The role involves legal research, strategy... ...-functional collaboration within a fast-paced environment. Hybrid work arrangement with onsite presence in Rancho Cucamonga, CA....Regulatory
- ...Remote Appeals Pharmacist Fair Medication Access... ...coverage appeals and grievances. Apply plan policies... ...based guidelines, and regulatory requirements to reach... ...Collaborate with physicians, nurses, and medical directors... ...? Fully remote or hybrid options available....RegulatoryRemote jobWork from home
$80.06k - $106.06k
...adherence to Federal, State, and contractual regulatory requirements. Identifies and assesses... ...Management, Care Management, and/or Grievances and Appeals Demonstrated experience, at a... ...Model Location This position is on a hybrid work schedule. (Mon & Fri - remote, Tues...RegulatoryTemporary workWork experience placementRemote workFlexible hours- ...outcomes. The role involves leading cross-functional teams, handling regulatory audits, and ensuring quality management within the medical... ...of Medicine. This position offers a competitive salary and a hybrid work schedule with comprehensive benefits. #J-18808-Ljbffr IEHPRegulatory
- IEHP is seeking a Quality Program Nurse (QPN) to implement Quality Management policies under the direction of the Manager, Quality Management Nurses. You will ensure DHCS regulatory requirements for Facility Site Review and Medical Record Review are met and support the...Regulatory
$280.84k - $393.18k
...activities including quality management, grievance and appeals, delegation oversight, and population... ...position is responsible for leading regulatory audits for all its relevant domains.Commitment... ...Model LocationThis position is on a hybrid work schedule. (Mon & Fri - remote,...RegulatoryTemporary workLocal areaRemote work- ...coordination with stakeholders, and data-driven decision making. You will analyze trends, prepare dashboards, and ensure regulatory compliance in a hybrid California role. The position emphasizes contract oversight, permits, data management, and cross-functional...RegulatoryContract work
$55 - $65 per hour
...Home Infusion Nurse Rancho Cucamonga, California, United States See Your Work In A New Light At LUX Infusion, we're reimagining... ...Maintain accurate documentation in accordance with clinical, regulatory, and company standards Support staffing coordination while...RegulatoryDaily paidPart timeFlexible hours$91.25k - $120.91k
...education, review/develop policy, and interpret regulatory/accreditation requirements. Develop... ..., and unencumbered Registered Nurse (RN) license issued by the California BRN... ...project groups. Benefits Competitive salary Hybrid schedule State‑of‑the‑art fitness center...RegulatoryTemporary workWork at officeLocal areaFlexible hours$280.84k - $393.18k
...medical leader for quality management, grievance and appeals, delegation oversight, and population... ...improvement activities. The position also leads regulatory audits for all relevant domains. Key... ...) Benefits Competitive salary Hybrid schedule State‑of‑the‑art fitness...RegulatoryTemporary workLocal areaFlexible hours$154.13k - $204.21k
...support the organization’s operational, legal, compliance and regulatory goals. The Associate Counsel is a business partner, engaging with... ...IEHP and apply TODAY!Work Model LocationThis position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho...RegulatoryTemporary workLocal areaRemote work- ...records, lead the ERCP portfolio, and liaison with ASD and QA/QC audits to ensure alignment with regulatory requirements and continuous improvement initiatives. In this hybrid role, you will drive cross-functional collaboration, implement best practices, and develop KPIs...Regulatory
$91.25k - $120.91k
...experience! Under the direction of the Manager, Quality Management Nurses, Quality Program Nurses (QPN) are responsible for the... ...Management policies, procedures, and activities. QPN’s enforce DHCS regulatory requirements as pertaining to Facility Site Review (FSR) and Medical...RegulatoryRemote jobTemporary workFlexible hours- ...Refinancing Pet Insurance Employee Assistance Program The Medication Nurse is responsible for supervising and assisting in the... ...prevent the spread of COVID‑19 or other communicable diseases, per regulatory guidelines. Oakmont Management Group is an Equal Opportunity...RegulatoryImmediate startRelocationFlexible hoursShift work
- LeadStack Inc. in Chino, CA is seeking a candidate to support regulatory reporting and lead safety management initiatives. Responsibilities... ...Systems. Strong communication and analytical skills are essential for this hybrid position. #J-18808-Ljbffr LeadStack Inc.Regulatory
- ...ensuring compliance with regulations, and supports the FWA Program. Candidates should have a bachelor's degree or equivalent professional experience. The position offers a hybrid work schedule and includes benefits like medical and retirement plans. #J-18808-Ljbffr...
- ...strategic consulting to enhance clean energy initiatives and ensure regulatory compliance. You will develop long-term strategies, coordinate... ...efficiencies while ensuring public safety. This is a hybrid position requiring interaction at SCE facilities and remote work...RegulatoryRemote work
- ...Refinancing Pet Insurance Employee Assistance Program The Wellness Nurse is a licensed nurse responsible for coordinating resident care... ...the spread of the COVID-19 or other communicable diseases, per regulatory guidelines. Oakmont Management Group , based in Irvine,...RegulatoryRelocationShift work
- ...Director to lead clinical operations in San Bernardino, CA. This hybrid role involves medical leadership, care planning, mentorship for... ...to ensure high-quality patient care. The position emphasizes regulatory compliance, program oversight, and relationships with community...RegulatoryPart time
- ...legal advisor to advise on product development, compliance, and regulatory issues. The ideal candidate will possess a Juris Doctor degree... ...with product teams to ensure compliance. This role may involve hybrid working conditions and offers a dynamic work environment. #J-18...RegulatoryRemote jobContract work
- ...ResponsibilitiesCollaborate with physicians, nurses, and care coordinators to... ...prior-authorization and appeals processes when needed.Educate... ...with health-plan and regulatory standards.Participate in quality... ....Many organizations offer hybrid or fully remote options.Competitive...RegulatoryRemote work
- ...legal advisor on product development and strategy and insurance regulatory and compliance issues. The incumbent will be responsible for... ...position based in a professional office environment or remote/hybrid setting, depending on company policy. Standard business hours apply...RegulatoryContract workWork experience placementWork at officeRemote work
$135.2k - $179.13k
...agenda aligning business strategy and goals. The BRM will work regulatory, statutory & strategic programs and policies in collaboration with... ...IEHP and apply TODAY!Work Model LocationThis position is on a hybrid work schedule. (Monday & Friday - remote, Tuesday - Thursday...RegulatoryWork experience placementRemote workMonday to FridayFlexible hours- ...Infusion Registered Nurse Are you ready for one on one patient care? We are looking for great talent to join our team! We are currently... ...Clean background and criminal record Understands regulatory compliance with state and federal regulations Adhere to HIPAA...RegulatoryHourly payWeekly payCurrently hiringLocal areaFlexible hoursWeekend workAfternoon shift
- Pacific Eye Institute is seeking a Registered Nurse Manager for its Ambulatory Surgery Center in Upland, California. The role involves... ...operations. Responsibilities include direct staff management, regulatory compliance, and quality assurance. Ideal candidates will have 5...Regulatory
- Jobtailor is seeking an experienced Registered Nurse Case Manager in California to manage a caseload and coordinate medical and behavioral... ...team meetings, and drive quality improvement while ensuring regulatory compliance and patient‑centered care. #J-18808-Ljbffr...Regulatory
- ...Bachelor's degree in a healthcare-related field, active RN license issued by California BRN, and preferably a Master's degree. The position offers a competitive salary, hybrid schedule, and benefits including medical insurance and retirement plans. #J-18808-Ljbffr IEHP
$25 - $30 per hour
...seeking a compassionate and experienced Licensed Vocational Field Nurse (LVN) to join our team as a shift healthcare employee. This... ...according to their specific health needs, while also adhering to all regulatory and ethical standards. Compensation- Shift Care: * Routine...RegulatoryHourly payRelocation packageShift workDay shiftAfternoon shift- ...Communicate clinical updates clearly and timely to physicians, nursing staff, and care teams. Provide empathetic, culturally... ...(EHR) in accordance with organizational, CMS, and California regulatory standards. Maintain accurate charting to support billing, coding...RegulatoryWork at office
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