Grievance And Appeals Nurse Specialist

Job Title: Grievance and Appeals Nurse SpecialistCalOptima Health is seeking a highly motivated an experienced TEMP - Grievance & Appeals Nurse Specialist to join our team.The Grievance and Appeals Nurse Specialist participates in managing CalOptima Healths medical appeals and state hearing reviews for all lines of business, including handling expedited and...

Job DescriptionJob DescriptionPosition SummaryProgram AssistantUnder general supervision, the Program Assistant will assist with specialized services relevant to the Grievance and Appeals Resolution Services (GARS) department. The incumbent will work independently, exercising discretion and judgment and may assist in coordinating a function for the program...

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity, and accountability.Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.Maintains...

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity, and accountability.Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.Maintains...

**Client: CalOptima Health**: - **Job Title: Program Assistant**: - **Duration: 06 Months**: - **Start Date: ASAP**: - **Location: Orange, CA, 92868**: - **Position Type: Contract**: - **Interview Type: In Person/Web Interview**: - **Job ID: 21** **Description**: CalOptima Health is seeking a highly motivated an experienced TEMP - Program Assistant...

Job DescriptionJob DescriptionDuties & Responsibilities:* 80% - Program Support* Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.* Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term...

OVERVIEW: Under the direction of the Director of Nursing, supervises the nursing personnel and the day-to-day nursing activities of the facility during an assigned tour of duty. Such supervision must be in accordance with accepted professional standards and current federal, state and local regulations to ensure the highest degree of quality care is always...

**QI Nurse Specialist (Facility Site Review Nurse Auditor)** **CalOptima** **CalOptima Health** is seeking a highly motivated an experienced **QI Nurse Specialist** to join our team. The QI Nurse Specialist (Facility Site Review Nurse Auditor) will be responsible for performing Department of Health Care Services (DHCS), Facility Site Reviews (FSR) and...

Green Hill Senior Living and Rehabilitation - OVERVIEW: Under the direction of the Director of Nursing, supervises the nursing personnel and the day-to-day nursing activities of the facility during an assigned tour of duty. Such supervision must be in accordance with accepted professional standards and current federal, state and local regulations to ensure...

Job DescriptionJob DescriptionJob Description :The client’s Health is seeking a highly motivated an experienced Program Specialist to join our team. Under general supervision, the Program Specialist (Coordinator) will support the client’s compliance with cultural and linguistic (C&L) state and federal regulatory requirements. The incumbent will assist...

Green Hill Senior Living and Rehabilitation - ******Sign on BONUS available****** OVERVIEW: Under the direction of the Director of Nursing, supervises the nursing personnel and the day-to-daynursing activities of the facility during an assigned tour of duty. Such supervision must be in accordancewith accepted professional standards and current federal, state...

Registered Nurse (RN) RATE: $35-$37 BENEFITS: • Competetive Rates • Same Day Pay!! • Generous Sign-on Bonus!! • Refer a friend Bonus!! • Weekly Employee Appreciation Event- “Thankful Thursday” • Monthly Gift Giveaways!! • Exciting Attendance Program!! • Medical, Dental & Vision Insurance • Life Insurance • Disability Insurance •...

Green Hill Senior Living and Rehabilitation - ******Sign on BONUS available****** OVERVIEW: Under the direction of the Director of Nursing, supervises the nursing personnel and the day-to-daynursing activities of the facility during an assigned tour of duty. Such supervision must be in accordancewith accepted professional standards and current federal, state...

Job DescriptionJob DescriptionProgram SpecialistUnder general supervision, the Program Specialist (Coordinator) will support compliance with cultural and linguistic (C&L) state and federal regulatory requirements. The incumbent will assist in the development and/or implementation of cultural and linguistic services/activities, such as:1) coordinate internal...

The Claims Recovery Specialist is responsible for recovering incorrect claims payment to providers. Coordinates and ensures all outstanding over payments are being pursued for recovery purposes. Communicate and explain incorrect claims payments to external providers. With approximately 9,000 physicians to serve our 260,000 members, Prospect Medical Systems...

Job DescriptionJob DescriptionProject Coordinator/Program Specialist Job Description Under general supervision, the Program Specialist (Coordinator) will support compliance with cultural and linguistic (C&L) state and federal regulatory requirements. The incumbent will assist in the development and/or implementation of cultural and linguistic...

Job DescriptionJob DescriptionProgram Assistant/Specialist Job Description Under general supervision, the Program Specialist (Coordinator) will support compliance with cultural and linguistic (C&L) state and federal regulatory requirements. The incumbent will assist in the development and/or implementation of cultural and linguistic services/activities, such...

Job DescriptionJob DescriptionProgram Assistant/Specialist Job Description Under general supervision, the Program Specialist (Coordinator) will support compliance with cultural and linguistic (C&L) state and federal regulatory requirements. The incumbent will assist in the development and/or implementation of cultural and linguistic services/activities, such...

About Morada Senior Living:Morada Senior Living, proudly part of the Discovery Senior Living family of operating companies, manages care- and lifestyle-focused senior living communities in Texas, Oklahoma, New Mexico, and Colorado. Our company, which was built on our "Pillars of Excellence," employs thousands of vital Team Members and is committed to...

Job DescriptionJob DescriptionWe are seeking a Medical Surgical Registered Nurse to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients.Responsibilities:Administer nursing care to ill, injured, or disabled patientsDiagnose and establish patient treatment plansMonitor and report changes in patient...