Jobs near Costa Mesa: 7,440
RS
Relevance Score ranked on: APPEALS
Manager II Grievances and Appeals (RN)-CA
COSTA MESA, 3080 BRISTOL ST, STE 200
Primary duties may include, but are not limited to:Coordinates Grievance and Appeals Committee Meetings and Member Panel Hearings. Leads grievance and appeals in regulated audits. Serves as a resource for complex issues and interpretation of claims, provider contracts and data, eligibility, member co...
Search Terms: Manager, Appeals, Benefits, Administrative, Healthcare
87.1
0mi
Updated: November 06
Nurse Appeals (RN) CA
COSTA MESA, 3080 BRISTOL ST, STE 200
Conducts investigations and reviews of member and provider medical necessity appeals. Reviews prospective, inpatient, or retrospective medical records of denied services for medical necessity. Extrapolates and summarizes medical information for medical director, consultants and other external review....
Search Terms: Appeals, Nurse, Medical Director, Skills, Healthcare
85.2
0mi
Updated: October 31
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
82.2
12mi
Updated: November 26
Lamination Operator - 2nd Shift
Costa Mesa
Must be able to perform all Lamination functions. Nature of Duties: This position will require experience in the following areas: Plasma area and Hyoki clean and planarization machine Operate Multi-Bond machine. Lay-up rigid flex and flex product. Operate TMP presses. Loading and unloading product us...
Search Terms: Operator, 2nd Shift, Manufacturing
0
0mi
Updated: November 26
framer
Costa Mesa
Adhere to Standard Operating Procedures (SOP’s) and Company programs to ensure compliance to applicable laws and requirements; execute Company policies and standards. Embrace and execute personal designer by using Elevated ABC Deliver to build relationships with all customers while creating Custom Fr...
Search Terms: Retail, Business Services
0
0mi
Updated: November 26
Part Time Retail Employee - Early Morning
Costa Mesa
Works merchandise processing during early morning or evenings (based on the schedule), unloading trucks, lifting boxes, merchandising products, climbing ladders, and working at a safe but fast pace. Welcomes and greets all customers either as Host in the front entrance or throughout the store. Connec...
Search Terms: Retail, Employee, Part Time, Customer Experience, Insurance
0
0mi
Updated: November 26
Part Time Retail Employee
Costa Mesa
Welcomes and greets all customers either as Host in the front entrance or throughout the store. Connects with our customers throughout the store suggesting solutions to their organizational challenges. Designs and sells custom closets and other storage and organization solutions. Serves as a register...
Search Terms: Retail, Part Time, Customer Experience, Employee, Insurance
0
0mi
Updated: November 26
Peer Support Specialist - Mental Health 189
Costa Mesa
We have over 300 Peer roles at Telecare. We value this lived experience and this is what we are trying to grow within the organization. We have a career ladder specific to our Peer Workforce. What You Will Do to Change Lives Peer Support Specialists engage, inspire, and facilitate meaningful conversa...
Search Terms: Support Specialist, Mental Health, Mental, Behavioral Health, Support
0
0mi
Updated: November 26
Inside Sales Ambassador
Costa Mesa
This position is a key member of Community Leadership team Promote Silverado programs and services to prospective residents, clients, and their families from the first call through the initiation of service, including permanent placement in a Silverado community, short-term (respite) stays, day servi...
Search Terms: Inside Sales, Ambassador, Sales
0
0mi
Updated: November 26
South Coast Plaza Boutique | COMING SOON
Costa Mesa
Parfums Christian Dior's South Coast Plaza Boutique will open in Spring 2025. The team will soon commence recruiting for the following roles:Boutique Management Positions | Full Time. Esthetician (licensed) | Full Time. Operation Associates | FT/ PT - Key Holder, Beauty Consultants | FT - Beauty & Fr...
Search Terms:
0
0mi
Updated: November 26
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