Jobs near Long Beach: 11,659
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Relevance Score ranked on: APPEALS
Clinical Appeals Nurse (RN)
Long Beach
Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance standards. KNOWLEDGE/ SKILLS/ ABILITIES The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals request has been ...
Search Terms: Clinical, Appeals, Nurse, Officer, Healthcare
91.1
0mi
Updated: December 04
Senior Appeals & Grievances Analyst
Los Angeles
As the Senior Appeals and Grievances Analyst, you will be responsible for:Assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. Assisting the unit Supervisor in overseeing the appeals and grievances process, ensuring that members and provi...
Search Terms: Appeals, Analyst, Senior, Technology, Healthcare
82.7
14mi
Updated: November 14
Senior Appeals & Grievances Analyst
Los Angeles
As the Senior Appeals and Grievances Analyst, you will be responsible for:Assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. Assisting the unit Supervisor in overseeing the appeals and grievances process, ensuring that members and provi...
Search Terms: Appeals, Analyst, Senior, Technology, Healthcare
82.7
14mi
Updated: November 14
Appeals and Grievances Analyst
Los Angeles
As the Appeals and Grievances (A&G) Analyst, you will be responsible for assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. You will: Manage various weekly/monthly deadlines effectively due to the time constraints imposed by CMS on Medi...
Search Terms: Appeals, Analyst, Operations, Administrative, Healthcare
82.7
14mi
Updated: November 14
Senior Appeals & Grievances Analyst
Los Angeles
As the Senior Appeals and Grievances Analyst, you will be responsible for: Assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. Assisting the unit Supervisor in overseeing the appeals and grievances process, ensuring that members and prov...
Search Terms: Appeals, Analyst, Senior, Technology, Healthcare
82.7
14mi
Updated: November 14
Appeals and Grievances Analyst
Los Angeles
As the Appeals and Grievances (A&G) Analyst, you will be responsible for assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. You will:Manage various weekly/monthly deadlines effectively due to the time constraints imposed by CMS on Medic...
Search Terms: Appeals, Analyst, Operations, Administrative, Healthcare
82.7
14mi
Updated: November 14
Clinical Appeals RN - National Remote
Cypress
Review provider post-service appeals for Medicare and Retirement Gather clinical information including medical records and coverage criteria as it pertains to Medicare guidelines Discuss cases with medical directors when applicable Ability to communicate and collaborate with other teams in order to g...
Search Terms: RN, Appeals, Clinical, Medical Director, Remote
80.8
9mi
Updated: November 26
Audit and Appeals Specialist
Los Angeles
Contribute to the success of a world-class healthcare organization by ensuring compliance in regulatory audits and appeals. Leverage your expertise to support UCLA Health’s commitment to accuracy and quality in claim processing. As an Audit and Appeals Specialist, you will: Facilitate responses to re...
Search Terms: Appeals Specialist, Audit, Appeals, Specialist, Healthcare
75.5
14mi
Updated: November 06
Supv, Care Management : California
Long Beach
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ens...
Search Terms: Management, Behavioral Health, Healthcare, Case Manager, Staff
0
0mi
Updated: December 04
Supervisor Field Production
Long Beach
Toyota Logistics Services (TLS) is looking for a passionate and highly motivated Production Supervisor. The primary responsibility of this role is to team with other supervisors to oversee the daily activities at our Vehicle Distribution Center in Long Beach, CA. What You'll Be Doing. Oversee vehicle...
Search Terms: Field, Production, Supervisor, Team Member, Processing
0
0mi
Updated: December 04
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