Senior RN - Medicare Appeals & Grievances (Hybrid)
Blue Shield of CA
Blue Shield of CA is seeking a Medicare Appeals RN Senior in Los Angeles, CA. This role involves reviewing member appeals and grievances, ensuring compliance with Medicare/National guidelines. The ideal candidate holds a Bachelor of Science in Nursing and a current California RN License with at least five years of relevant experience. The position allows for hybrid virtual work, balancing remote responsibilities with in-office requirements as needed for business operations. #J-18808-Ljbffr Blue Shield of CA
- Blue Shield of CA in Los Angeles is seeking an Appeals and Grievances RN Senior responsible for clinically reviewing member appeals and grievances... ...using established guidelines and ensure compliance. This hybrid role allows virtual work full-time with on-site requirements...SeniorFull time
- Your Role The Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals... ...The Medicare Appeals and Grievances RN Senior will report to Utilization... ...clinical issues strongly preferred Hybrid Virtual Work This role allows employees...SeniorFull timeWork at officeLocal area
- Your Role The Member Appeals and Grievances team is responsible for clinically... ...The Appeals and Grievances RN Senior will report to the Appeals... ...Knowledge of Commercial, ASO, Medicare Advantage and benefit... ...shared drives, TEAMS, PDF etc. Hybrid Virtual Work This role...SeniorFull timeWork at office
- L.A. Care Health Plan is seeking an Appeals and Grievances Specialist II in Los Angeles, CA. The role involves investigating member and provider... ...communication skills. This full-time position offers a hybrid work schedule and a comprehensive benefits package including...SeniorRemote jobFull time
- L.A. Care Health Plan is hiring an Appeals and Grievances Nurse Specialist RN II in Los Angeles. This role involves... ...experience, including 2 years in a Medicare/Medicaid environment. Must be an... ...California RN. The position offers a hybrid work schedule and a variety of...SuggestedRemote job
$88.85k
...Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location... ...with L.A. Care, Centers of Medicare and Medicaid Services (CMS) and regulatory... ...hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility...Full timeRemote workShift workWeekend work$102.18k
...that purpose. Job Summary The Lead Appeals and Grievances RN is responsible for assisting with the... ...management setting, At least 2 years in Medicare/ Medicaid in a managed care/ health... ...after hours, on weekends, holidays, a hybrid remote schedule, and occasional flexibility...Full timeRemote workShift workWeekend work$102.18k
Job Information RN Job Shift: Full Time Pay Range: $102,183.00 (Min.) - $132,83... ...Angeles, 90017 Job Description The Lead Appeals and Grievances RN is responsible for assisting with... ...management setting. At least 2 years in Medicare/ Medicaid in a managed care/ health...Full timeShift work$38.17 - $57.25 per hour
...026-07-01 Position Title: Nurse Appeals-RN (California) Job Description: Nurse... .... Please note that per our policy on hybrid/virtual work, candidates not within a... ...for approval. Ensures that appeals and grievances are resolved timely to meet regulatory...Full timeTemporary workWork experience placementWork at officeLocal area1 day per week- ...consulting projects to global clients. You must have a Bachelor’s or Master’s degree in Accounting or Finance and a minimum of ten years of relevant experience. Ryan LLC emphasizes an inclusive, dynamic work environment and offers hybrid work options. #J-18808-Ljbffr Ryan LLCSenior
- ...budgets. Candidates must have over 10 years of tax experience, a CPA or JD license, and strong management skills. This position offers a hybrid work model, blending remote and in-office work. Benefits information is available in the Benefits section. #J-18808-Ljbffr...SeniorWork at officeRemote work
$95.4k - $208.3k
...claims processing environment. The manager will implement streamlined processes, enhance workflows, and foster a supportive team culture. The position offers a flexible-hybrid work model and a salary range between $95,400 - $208,300 annually. #J-18808-Ljbffr UCLA HealthSeniorFlexible hours- ...Practitioner located in Los Angeles, CA, to provide exceptional care to senior Medicare patients. This is a full-time role, combining in-clinic and... ...and are passionate about quality care. The position offers a hybrid work model and various benefits including competitive...SeniorFull time
$105.7k - $234.5k
...Onsite or Remote Fixed Hybrid Work Schedule... ...UCLA Health is seeking a Senior Manager of Managed Care Payer... ...Centers of Excellence agreements, Medicare Advantage, Medi-Cal, hospital,... ...misconduct; or have filed an appeal of a finding of substantiated...SeniorContract workRemote workMonday to Friday- A leading healthcare provider in California is seeking a nursing professional for patient care roles. This position involves direct patient responsibility, requiring a valid California Vocational Nurse License with IV therapy certification. Candidates should possess essential...Senior
$76.2 - $129.74 per hour
...Description Senior Principal Software Engineer IS - Hybrid The Senior Principal Software Engineer takes end-to-end ownership for development and quality of solutions and services that delight caregivers and add strategic value to Providence St. Joseph Health. They...SeniorMinimum wageFull timeLocal areaShift work$150k - $180k
...should have over 7 years of law firm experience along with strong managerial skills and a proactive attitude. The position offers a hybrid working arrangement and a competitive salary ranging from $150,000 to $180,000 annually, along with comprehensive benefits. #J-1880...Senior- A civil engineering firm is seeking a Senior Geotechnical Engineer / Project Manager in Los Angeles, California. This hybrid role involves leading multidisciplinary teams and managing complex transportation projects. The candidate must possess a PE license in California...Senior
$170k - $190k
A leading dating application in Los Angeles is seeking a Senior Product Manager to lead the strategy for user notifications. This hybrid role requires close collaboration with multiple teams to enhance messaging systems that engage users. Ideal candidates will possess over...Senior- ...Palsy of Georgia is seeking a Manager II GBD Special Programs for Community Based Adult Services (CBAS) in Woodland Hills, CA. This hybrid position emphasizes collaboration in the office and flexibility for work-life balance. Key responsibilities include overseeing...SeniorWork at office
- Ericsson is hiring a Senior Business Development Manager in Santa Fe Springs, California. This hybrid role focuses on driving new business growth across the Mobile Financial Services portfolio in North America. Responsibilities include managing complex sales cycles, developing...Senior
- American Heart Association, Inc. is seeking a Senior Executive Director for Development & Community Health to lead health engagement and revenue strategy in Los Angeles County. This hybrid role offers competitive compensation and opportunities for professional development...Senior
- Bright Vision Technologies is hiring a Corporate Tax Senior Manager in Los Angeles, CA. This hybrid role (minimum 3 days onsite) is perfect for professionals with strong corporate tax compliance expertise. The position offers the opportunity for career advancement to Partner...Senior
$90k - $105k
Talent Elite Group is looking for a Senior Accountant to manage the financial reporting and closing processes in Santa Fe Springs, California. This hybrid role requires a deep understanding of accounting principles and exceptional skills in month-end closing, reconciliation...Senior- A leading recruitment firm is seeking a Senior Wireless Communication Systems Engineer to manage wireless technology projects from planning... ..., 7+ years of experience, and extensive RF knowledge. This hybrid role requires U.S. Citizenship and offers the opportunity to work...Senior
$250k
A prominent boutique law firm is seeking a Senior Litigation/Trial Attorney with over 10 years of experience in real estate, civil, and landlord/tenant law. This hybrid position in North Hollywood offers a competitive salary exceeding $250k, a comprehensive benefits package...Senior$90k - $105k
A leading healthcare organization is seeking a skilled SR Accountant to join their team in Monterey Park, California. This hybrid role requires overseeing the month-end and year-end closure processes and preparing financial statements in accordance with GAAP. The candidate...Senior$110k - $120k
...candidate has substantial fundraising experience, strong interpersonal skills, and exceptional communication abilities. The position includes a compensation range of $110,000 to $120,000 and operates in a hybrid work environment. #J-18808-Ljbffr ADL (Anti-Defamation League)Senior- ...merchandise solutions. The ideal candidate has 3+ years of B2B sales experience, excellent consultative selling skills, and will thrive in a hybrid work environment. This role offers competitive compensation, equity, and comprehensive benefits, as well as a chance to shape a...Senior
- ...performance management, driving engagement strategies, and overseeing HR processes. Ideal candidates have 7-10 years of progressive HR experience and strong analytical skills. The position is hybrid, offering competitive benefits. #J-18808-Ljbffr Live Nation InternationalSenior
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