Clinical Appeals Audit Specialist jobs in Culver City, CA

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RN - Quality Management Specialist
Providence Health & Services - Santa Monica, CA 90407
Monitor clinical performance forimprovement and investigate problems identified concerning theorganization.Track and trendgrievances, appeals and quality issues...
Utilization Review Specialist
CLARE Foundation Inc - Santa Monica, CA
Audit charts for clinical criteria, log and track all cases on a daily bases. Uses advanced clinical knowledge and communication skills to efficiently and...
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Utilization Review Specialist

CLARE Foundation Inc - Santa Monica, CA
Audit charts for clinical criteria, log and track all cases on a daily bases. Uses advanced clinical knowledge and communication skills to efficiently and...
Easily apply

Senior Clinical Appeals Consultant RN

Kaiser Permanente - Pasadena, CA
The SR Clinical Appeals RN Consultant Review work of other Clinical Appeal Consultants and provided regular feedback....

Specialist, Appeals & Grievanc

Molina Healthcare - Long Beach, CA
Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of NCQA guidelines for appeals and denials....

Quality Management Specialist

Providence Health & Services - Mission Hills, CA 91346
Monitor clinical performance for improvement and investigate problems identified concerning the organization.Track and trend grievances, appeals and quality...

RN - Quality Management Specialist

Providence Health & Services - Santa Monica, CA 90407
Monitor clinical performance forimprovement and investigate problems identified concerning theorganization.Track and trendgrievances, appeals and quality issues...

Inpatient Nurse Reviewer, RN/LVN

Regal Medical Group - Northridge, CA 91325
The Clinical nurse reviewer is to focus on the specific clinical needs of members of the Burbank Region/Campus regardless of product line....
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Claims Appeals Specialist

Morgan Stephens - Long Beach, CA
A Claims Appeals Specialist performs detailed review and analysis to investigate audit requests from Medicare Recovery Audit Contractors....
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