RN II: Clinical Policy & Coding Specialist
L.A. Care Health Plan
L.A. Care Health Plan is seeking a Clinical Policy Clinical Coder RN II to ensure accurate coding and compliant claims processing. The role involves analyzing clinical policies, translating them into coding logic, and working with various teams to ensure compliance with regulations. Candidates should have extensive experience in clinical nursing (minimum 8 years) and expertise in medical coding. The position offers a comprehensive benefits package including paid time off, medical, dental, and vision insurance. #J-18808-Ljbffr L.A. Care Health Plan
$88.85k
...Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management... ...compliant with established clinical policies and regulatory standards. This... ...supports billed services, coding is accurate and aligned with authorization...PolicyFull time- Working Nurse in Los Angeles is seeking a Clinical Policy Clinical Coder RN II to ensure accurate medical coding and compliance with regulations. The role requires collaboration with stakeholders to implement policies and oversee utilization management. The ideal candidate...PolicyFull timeShift work
$88.85k
...Clinical Policy Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full... ...a liaison to ensure the ongoing maintenance of clinical coding for the authorization matrix. Duties Assess federal,...PolicyFull timeLocal area$102.18k
Clinical Policy Clinical Coder RN II Shift: Full Time Pay Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Location: Los Angeles... ...and utilization management policies to ensure accurate coding, appropriate authorization requirements, compliant claims...PolicyFull timeShift work- ...Job Title Revenue Cycle Specialist II Job Description Align yourself with an organization... ...and following established practices, policies, and guidelines, provides commercial... ...the department and properly uses activity codes. Correctly enters data in fields. Maintains...PolicyShift work
- ...Program Specialist II The Office of the Chief Trial Counsel (OCTC) is the enforcement arm of the attorney discipline system. OCTC is... ...the knowledge, interpretation, and application of State Bar policies, rules, regulations, and procedures. Reviews processes and...PolicyWork at office
$22.88 - $37.08 per hour
...Fleet Vehicle Specialist II/III The Aerospace Corporation is the trusted partner to the nation's space programs, solving the hardest problems... ...washed, and maintained/repaired in accordance with Corporate Policy and industry standards for safe, reliable vehicle operation...PolicyHourly payFull timeWork at officeImmediate startRemote workRelocation packageFlexible hours- Senior Information Governance Specialist II At Kirkland & Ellis, we don’t just meet the standard for legal excellence — we set it. Our culture... ...(IT), and senior Risk Management leaders to ensure policies, client requirements, and applicable laws are applied consistently...PolicyLocal areaWorldwideFlexible hours
- Revenue Integrity Specialist II | Cedars‑Sinai Apply for the Revenue Integrity Specialist II... ...revenue gaps. Perform accurate and timely coding charge posting (CPT, ICD-10, HCPCS,... ...individual physician coding practices. Follow policies and procedures pertinent to CRI & PFS...Policy
$27.22 per hour
...community of students, faculty, staff, and visitors. The Culinary Specialist II is responsible for preparing fresh, high‑quality meals and... ...Maintain personal and professional tools in accordance with policies and procedures. Report any maintenance issues to the unit...PolicyHourly payTemporary work$28.8 - $35 per hour
...Member Experience Specialist II Join SkyOne Federal Credit Union as a Full-Time Member Experience Specialist II in the vibrant city... ...to our mission of delivering exceptional service. Adhering to policies and procedures while meeting individual and team performance...PolicyHourly payFull timeLocal area$60.78k
Appeals and Grievances Specialist II Job Category: Customer Service Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition... ...and integrity, reporting noncompliance, adhering to company policy and procedures, including accreditation requirements,...PolicyFull timeLocal areaRemote workShift workWeekend work- ...is hiring a Utilization Management Claims Review Nurse RN II responsible for conducting clinical reviews of medical claims. The position requires a... ...ensure accuracy and compliance with established clinical policies. L.A. Care offers benefits including Paid Time Off, medical...Policy
$130.1k - $160.85k
...integration techniques. Working knowledge of government processes and procedures. Knowledge of Section 8 and Public Housing programs, policies, and procedures. Ability to prepare, analyze, verify, evaluate, interpret, and assemble data related to user practices of multi...PolicyDaily paidContract workTemporary workCasual workLocal areaRemote workFlexible hours$88.85k - $142.17k
L.A. Care Health Plan is seeking a Clinical Policy Nurse RN II in Los Angeles, CA. This position involves researching and evaluating healthcare policies related to regulatory compliance and health outcomes. The ideal candidate will have over 5 years in Clinical Nursing,...PolicyFull time$92.82k - $120.12k
...Lead method transfers to support accelerated timelines for early clinical pipelines and internal product lines, partnering with cross-... ...Monitor GMP laboratory systems to ensure compliance with documented policies, procedures, and regulatory requirements. Provide on-the-job...PolicyFor contractorsLocal areaFlexible hours- ...Transplant Coordinator II - RN Join Us in... ...Coordinator (PTC-II) is the clinical professional responsible... ...the donor requirements, policies & procedures,... ...RTS (Referral Triage Specialist), CRS (Clinical Resource... ...California Health and Safety codes and current American...PolicyFull timeWork at officeShift workNight shift
$95.68k - $158.23k
Responsibilities As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to... ...to the standard policy for maintaining the CDM... ...is consistent with all coding and billing regulations... .... Registered Nurse (RN) (CA Board of Registered...PolicyRemote jobFull time- ...throughout the procedure. The ideal candidate will have a minimum of 2 years of Acute Care Nursing experience, an unrestricted California RN License, and the ability to educate patients about their procedures. Cedars-Sinai is committed to enhancing patient happiness in a...
$22.34 - $27.92 per hour
...Starting Hourly Range-$22.34-$27.92 YOUR ROLE The Air Export Specialist is responsible for managing and coordinating international air... ...and within the timeframe consistent with the account and company policy. Process other duties required for compliant release and timely...PolicyHourly payContract workTemporary workWork at officeFlexible hours- ...Paraprofessional Specialist The job of Paraprofessional Specialist is done for the purpose of assisting in the supervision and instruction... ...'s Office for Civil Rights or both. The nondiscrimination policy and grievance procedures are located on the Gilbert Public Schools...PolicyHourly paySecond jobWork at officeImmediate start
$95.68k - $158.23k
Overview Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE... .... Assists the Revenue Cycle in annual coding review and processing of updates.... ...Verdugo Hills) follow the standards and policies of Keck Medical Center of USC. Performs...PolicyRemote jobFull time- ...Pool Registered Nurse (FPRN) II The Float Pool Registered Nurse... ...and experienced professional RN who is competent to work... .... The FPRN II is an expert clinical nurse who utilizes the nursing... ...team, carries out established policies, procedures and standards to meet...PolicyFull timeFlexible hoursShift workNight shift
- ...educators to transform clinical insights into tangible... ...neuropathy. Senza®, Senza II®, Senza Omnia™, and... ...Associate Interventional Specialist will work together with... ...the company's quality policy and procedures. Essential... ...spirit of the company Code of Conduct, the AdvaMed...PolicyLocal areaNight shift
$45.16 - $66.4 per hour
...Title: Registered Nurse II - Full Time: 3 shifts per... .... The Registered Nurse, RN, coordinates care to... ...and performance in the clinical setting. The RN must... ...not limited to monitors, code equipment, crash cart checks... ...state employed and facility policies and procedures. Uses...PolicyFull timeRelocation packageShift workWeekend work- ...career and customer-oriented Information Technology/Assurance Specialist II I to join our team in El Segundo, CA. The Information... ...maintained, and disposed of in strict accordance with security policies. Providing leadership, mentoring, and quality assurance...PolicyWork at office
$49.87 - $73.32 per hour
...Job Title: Float RN II - Float Pool RN II: Competent to float to... ...practice and performance in the clinical setting. The Float Pool RN must... ...but not limited to monitors, code equipment, crash cart checks and... ...state employed and facility policies and procedures. Uses clear,...PolicyFull timeTemporary workRelocation packageShift workWeekend work- ...you ready to bring your clinical competencies to a world... ...primary care and specialist physicians provide excellent... ...role? A Clinical Nurse II (CN II) is a competent... ...by following approved policies and procedures. Qualifications... ...Valid CA RN State License required...PolicyWork experience placement
$99.21k - $148.5k
...REGISTERED NURSE II (Non-competitive) Print (... ...network of community partner clinics – DHS annually provides... ...a preceptor: expert or specialist who gives practical... ...accordance with departmental policies. Essential Job... ...the Los Angeles County Code, selective certification...PolicyFull timeTemporary workWork experience placementWork at officeImmediate startShift workNight shiftAfternoon shift$89.7k - $124.24k
...Port Police Specialist Annual salary is $89,700- $124,236. Annual salary is at the start... ...safety sensitive, in accordance with City Policy, a drug and alcohol screening test may be... ...Fair Employment and Housing Act and Title II of the Americans with Disabilities Act, the...PolicyRemote workTrial period
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