UCLA HEALTH-Los Angeles, CAEstimated: $64,000 - $85,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Claims Operations Program, Coordination of Benefits, Appeals and Overpayment Recoveries, Audit/Quality Control, Claims Edit Business Rules/Configuration,...

Care1st Health Plan-Monterey Park, CAEstimated: $52,000 - $66,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The CCS Case Manager is responsible for performing clinical nurse review activities for California Children’s Services....

Tri-Counties Regional Center-Oxnard, CA $19 an hour

Individuals with dual diagnosis, and cases requiring clinical expertise. Self-determination and Medicaid Waiver cases, Social Security/Medi-Cal problems that...

Network Medical Management-Signal Hill, CAEstimated: $68,000 - $90,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Experience with clinical issues, clinical guidelines, case management, & managed care. Applies the appropriate clinical criteria/guideline, policy, EOC/benefit...

Regal Medical Group-Northridge, CA

Our clinical staff. Responsible to work with clients to develop project briefs and creative briefs, while ensuring that communications are designed to meet...

L.A. Care Health Plan-Los Angeles, CAEstimated: $44,000 - $62,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Serves as Supervisor of the Grievance & Appeals Team in monitoring the timelines for handling member grievances and provider appeals....

CEDARS-SINAI-Los Angeles, CAEstimated: $53,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Utilizes electronic data base to track reason for denial, result of denial review as it relates to ability to appeal, date of appeal actions, outcome of appeal...

Los Robles Hospital and Medical Center-Thousand Oaks, CA

Minimum 5 years of clinical nursing experience. Manages the process to review and, as appropriate, appeal denials received from payors....

LM Consulting-Los Angeles, CA $50,000 - $60,000 a year

Conduct basic appeal for denied claims, including requests for medical records, obvious cases of underpayments, etc....

Regal Medical Group-Northridge, CA

Our clinical staff. Assist with the resolution of provider grievances and appeals in accordance with contractual requirements and corporate policy....

AIDS Healthcare Foundation-Los Angeles, CAEstimated: $91,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Maintain accurate documentation of all reviews, interventions, clinical activities and communications....

KORE1 Technologies-Los Angeles, CAEstimated: $41,000 - $59,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Obtains and/or verifies demographic, clinical, financial, insurance information, service eligibility, consent forms, and patient/guarantor information for pre...

California Rehabilitation Institute-Los Angeles, CAEstimated: $91,000 - $130,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Clinical Interventions/Discharge and Care Planning Management; Is responsible for developing and maintaining effective interdisciplinary working relationships...

L.A. Care Health Plan-Los Angeles, CAEstimated: $29,000 - $42,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The Authorization Technician collects information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management...


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