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...Description
Nurse Appeals - Licensed Nurse
Location: *The ideal candidate must reside in the state of California and live within 50 miles of our Woodland Hills Pulse Point.
This position will work a hybrid model (remote and office). Ideal candidates will live...
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...JOB TITLE: Appeals and Grievance Coordinator FLSA STATUS: Non-Exempt
DEPARTMENT: Appeals and Grievances
REPORTS TO: Supervisor, Appeals & Grievances
JOB SUMMARY: Responsible for reviewing and resolving member complaints and appeals and communicating resolution...
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Job Title:Grievance and Appeals Coordinator 12 openingsContract Duration: 6+ mont contract with potential to convert to full-timePay Rate: $20-22/hrLocation: Remote/Hybrid - must be local to Woodland Hills, CA (may need to come in for meetings)Work Hours:M-F anywhere between...
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...Duties
WHAT IS THE INDEPENDENT OFFICE OF APPEALS DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following specialty areas: Independent Office of Appeals, Collection Appeals
The following are the duties of this...
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...description of the business units can be found at:
Vacancies will be filled in the following specialty areas:
Independent Office of Appeals: Specialized Exam Programs & Referrals/Area 10
The following are the duties of this position at the full working level. If this...
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...Duties
WHAT IS THE APPEALS (AP) DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following specialty areas:
Independent Office of Appeals: Case & Operations Support/Policy Planning Quality & Analysis/ Collection...
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...The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct assistance to member's with health care access or benefit coordination issues, ensuring that clinical grievances, complaints and complex issues are investigated...
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...Duties
WHAT IS THE "APPEALS (AP)"DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following specialty areas:
Office of Appeals Case and Operations Support Policy Planning Quality & Analysis AQMS
The following...
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$80k - $110k
...PURPOSE AND SCOPE:
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including...
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...The Government Collector/Appeals Specialist will manage patient accounts from the point of discharge through billing edits to contract management account net down to final collection of the expected contract amount. Possess and maintain governmental payer knowledgeable...
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...PURPOSE AND SCOPE:
Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures...
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...PURPOSE AND SCOPE:
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including...
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...directed by the management.
Qualifications:
1. Graduate from an accredited Registered Nursing Program; RN preferred.
2. Minimum of five years in prior-authorization, appeals & grievance, or health plan compliance.
3. Proven experience in project development,...
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Many nurses find the joy of serving others to be incredibly rewarding. This is especially true in the Navy Nurse Corps. When you work to improve the lives of others, you can vastly improve your own as well - both professionally and personally. As a Navy Nurse, you will...
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...influence process improvements.
Qualifications:
1. Graduate from an accredited Registered Nursing Program; RN preferred.
2. Minimum of five years in prior-authorization, appeals & grievance, or health plan compliance.
3. Proven experience in project development,...
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...Adhere to compliance guidelines throughout processes (OSHA, FDA, HIPAA)
Qualifications
Must be a Registered Professional Nurse with current licensure
CPR, ACLS, and BCLS Certification
Knowledge of OSHA, FDA, and HIPAA compliance
Candidate must be able...
Come join an exciting and innovative company that puts the “care” back in healthcare!
Why do Registered Nurses want to work here? At KabaFusion, we are committed to building a culture of collaboration and teamwork where we put the needs of the patient at the forefront...
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...guide participant care, which is key to WelbeHealth values, team culture, and mission.
At the direction of the Medical Director, the Nurse Practitioner works collaboratively with WelbeHealth Physicians and the IDT, providing assessments, planning and primary care, and...
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...Location Outpatient; All Ages
Job ID 60098
Job Description
A Los Angeles based client is seeking a motivated and compassionate Nurse Practitioner to be the street medicine team lead for the area s homeless and unsheltered population. Experience treating individuals...
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Locum
...The Telemetry Registered Nurse is specially trained in the detection of cardiac dysrhythmias, monitoring, and therapeutic equipment to provide specialized medical and/or surgical nursing care to patients with significant heart disease, heart failure or dysrhythmia. Manages...
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