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Clinical Review Clinician Appeals

Los Angeles,CA

2115 Clinical Review Clinician Appeals jobs in Los Angeles,CA

New, Posted 9 hours ago
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Behavioral Health Clinical Program Manager - Remote

UnitedHealth Group

Los Angeles, CA 90071

$91,700-$163,700/yr
RemoteRetirement Benefit

  • Licensed Mental Health Clinician with a master's degree in psychology, social work, counseling or marriage, or family counseling, licensed Ph.D., or an RN with 2+ years of experience in behavioral health
  • Valid independent clinical license
  • 5+ years of behavioral health experience post licensure
  • 5+ years of management and/or leadership experience
  • Proficient with computer and Windows PC applications (e.g. Word, Excel, PowerPoint, One Note, Outlook) which includes the ability to learn new complex computer system applications and programs
  • Proven solid written, verbal and interpersonal skills
  • Ability to use various computer applications and move through computer screens while talking with members
  • Ability to work 8:45am - 5:15 Pacific Time weekdays (M-F)
  • Ability to provide on-call clinical support to after hours staff on a rotating basis
  • Ability to keep all company sensitive documents secure
  • Must reside in the state of California
  • Required to have a dedicated work area established that is separated and closed off from other living areas and provides information privacy
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
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Occupational Medicine Full Time Opportunity ($100,000 Sign on Bonus)

Kaiser Permanente – Southern California Permanente Medical Group

Los Angeles, CA 90011

$388,375/yr
$100,000 bonus
New, Posted 10 hours ago
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Manager, Clinical Faculty Operations

American Career College

Los Angeles, CA 90071

Onsite

  • Current active California license as a Licensed Vocational Nurse (LVN) or Registered Nurse (RN)
  • Knowledge of state, federal and local laws/regulations relating to programs, governmental compliance and other regulatory standards such as BVNPT
  • 2 years nursing experience as a RN or LVN within the last 5 years
  • 6 years nursing experience as LVN and RN combined or 6 years of either
  • Must meet one of the following: OPTION 1 (must align with Education for OPTION 1 below) – Baccalaureate degree from accredited school recognized by DOE. Completion of a course or courses offered by an approved school with instruction in teaching; OR CA teaching cert. Completion of a course or courses offered by an approved school with instruction in teaching; OR Completion of at least a minimum of (1) year FT teaching experience in a state-accredited or approved registered nursing or vocational or practical nursing school within the last 5 years. OPTION 2 (must align with Knowledge/Experience for OPTION 2 below) – Meet community college or state university educational minimums (ADN) teaching requirements in CA.
  • May be required by our clinical partners and/or clinical sites to obtain certain vaccinations, vaccination boosters, drug screening tests, or comply with other prerequisites as mandated by them.
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New, Posted 4 hours ago
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Clinical Research Associate

Cedars-Sinai

Beverly Hills, CA 90209

New, Posted 11 hours ago
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Medical Assistant (MA) Family Medicine

PIH Health

Los Angeles, CA 90017

OnsiteBilingual Preferred

  • Current AHA BLS certification required.
  • Must possess a valid California Driver's License if hiring into Medical Assistant Float Pool
  • Formal training will be indicated by a high school diploma or equivalent and graduation certificate from an accredited Medical Assistant program
  • Minimum six (6) months of front and back medical office experience required
  • Knowledge of Electronic Health Record (EHR) computerized practice management and other record keeping systems
  • Knowledge of medical terminology, infection control and patient safety measures
  • Strong computer skills (data entry and typing)
  • Strong verbal and written skills; fluent in English
  • Bilingual, Spanish preferred
  • Must have good visual acuity and motor coordination
  • Must be able to work in a fast paced environment which may include a considerable amount of walking, and physical assistance for patients
  • Adaptability and accuracy
  • Honest, dependable, and conscientious
  • Basic math skills and ability to handle cash transactions
  • Strong clinical skills
  • Candidate must be able to resolve biophysical, psychological, educational and environmental needs of patient and significant other when administering care
  • Knowledge of EHR and other record keeping systems
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Patient Access Representative (Hospital Registration)

Adecco

West Hollywood, CA 90069

$27.71/hr
~ 17 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

  • High School Diploma or GED is strictly required
  • 1 to 2 years of Hospital Registration experience is required
  • Must have recent, hands-on experience handling in-hospital financial eligibility
  • Strong PC knowledge
  • Experience navigating insurance eligibility websites
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Director Nursing Perioperative Services

California Hospital Medical Center

Los Angeles, CA 90011

$76.20-$113.34/hr
OnsiteUrgently Hiring

  • Bachelor's Degree in Nursing (e.g. BSN) or equivalent education and experience and Master's degree in nursing or other-related field (e.g., MSN/MBA/MHA) required.
  • Minimum of three (3) years of nursing experience required.
  • Minimum of two (2) years of leadership experience required.
  • Registered Nursing License (RN) in CA required.
  • Basic Life Support (BLS) required.
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New, Posted 11 hours ago
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Manager / Sr. Manager, Clinical Operations - FSP West Region

Thermo Fisher Scientific

Los Angeles, CA

RemoteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

  • Previous experience that provides the knowledge, skills, and abilities to perform the job (comparable to 5+ years).
  • 1+ year of leadership responsibility
  • Demonstrated understanding of or ability to learn the company's SOPs, WPDs, and relevant regulations (e.g. ICH/GCP, FDA guidelines)
  • Advanced mentoring/leadership/supervisory skills
  • Excellent clinical trials monitoring skills; Remote and on-site
  • Demonstrated ability to evaluate medical research data
  • Strong organizational and negotiation skills
  • Strong attention to detail
  • Advanced written and oral communication skills
  • Good knowledge of English language and grammar
  • Demonstrated use of computer to include data entry, archival and retrieval
  • Ability to travel as needed
  • Education and Experience Requirements: Previous experience that provides the knowledge, skills, and abilities to perform the job (comparable to 5+ years).
  • Team has a strong preference for candidates on the West Coast
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New, Posted 18 hours ago
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Clinical Research Center Supervisor - Ophthalmology

University of California - Los Angeles Health

Los Angeles, CA 90001

$86,400-$135,600/yr
New, Posted 14 hours ago
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Claims Examiner, General Liability Claims

Gallagher

Torrance, CA 90501

RemoteFlexible ScheduleHealth InsurancePaid Time OffRetirement Benefit

  • Required: High school diploma and 5 years related claims experience required.
  • Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements.
  • Extensive knowledge of accepted industry standards and practices.
  • Computer experience with related claims and business software.
SmartExplore AI is experimental.
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  1. Los Angeles,CA Jobs
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  3. Clinical Review Clinician Appeals Jobs

What companies are hiring Clinical Review Clinician Appeals jobs in Los Angeles,CA?

  1. UnitedHealth Group
  2. Kaiser Permanente – Southern California Permanente Medical Group
  3. American Career College
  4. Cedars-Sinai
  5. PIH Health
  6. Adecco
  7. California Hospital Medical Center
  8. Thermo Fisher Scientific
  9. University of California - Los Angeles Health
  10. Gallagher

What is the hourly salary range for Clinical Review Clinician Appeals jobs in Los Angeles,CA?

The hourly salary range is $27.71 - $113.34.

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