nurse case manager salaries in los angeles, california

A trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals, claim denials, medical terminology and CPT codes. Previous Grievance and Appeals experience preferred. Ability to communicate with providers and members is essential. If interested, please apply with an updated resume.salary: $19.99 - $22 per hourshift: Firstwork hours: 8 AM - 6 PMeducation: High SchoolResponsibilities Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and provider complaints, grievances and appeals Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research. Manage large volumes of documents including copying, faxing and scanning incoming mail SkillsClaim DenialsCPT CodesQualificationsYears of experience: 1 yearExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).Applications accepted on ongoing basis until filled. Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

This position requires previous Grievance and Appeals experience. Position is remote but candidates must reside in the state of California.  Schedule: Must be available to work an 8 hour shift anytime between 8am-6pm PST Pay rate: $22/hour Work equipment: Will be provided and shipped out  Education requirement: High School Diploma  salary: $21.99 - $22 per hourshift: Firstwork hours: 8 AM - 6 PMeducation: High SchoolResponsibilities speaking with healthcare providers and members utilizing different material and navigating through systems communicating with internal and external parties formulating responses in writing to members SkillsGrievance and Appeals QualificationsYears of experience: 1 yearExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).Applications accepted on ongoing basis until filled. Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

If you’re looking for an opportunity to learn and grow – both personally and professionally, this is it. You'll be surrounded by dedicated and passionate Nurses, Physicians, and many others who all work together toward our common goal: To deliver quality healthcare for all. Professional achievements come when you are at your healthiest and happiest. Our best care is given when our employees are at their best. If this sounds like an opportunity you'll like to experience, then take the first step by applying to be a Medical Office Receptionist for a top rated health care provider in California!Salary: $24 per hourWork hours: 9 AM - 5:30 PMeducation: High SchoolResponsibilitiesHere’s what you’ll be doing: Scheduling both in/outpatient appointments at the hospital, obtain insurance information, and/or co-paysAnswer patient calls, field questions, and assist patients in making new medical appointmentsPrepare charts for patientsServe as a front desk associate for the medical clinic  Here’s what you’ll have: 1 year or more experience working in a women's health or family medicineEPIC, EMR experienceGED or High School Diploma  Here’s what you’ll get: An awarding winning healthcare organization awarded the IHA Excellence in HealthcareAbove market level base compensationSupportive management invested in your success  Shift: 9am-5:30pm, M-FSkills Medical TerminologyReceptionist DutiesGreeting CustomersAdministrative DutiesEHR/Epic Qualifications Years of experience: 1 yearExperience level: Entry Level Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).Applications accepted on ongoing basis until filled. Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.