What are the responsibilities and job description for the LVN Grievance and Appeals Nurse position at Healthcare Support Staffing, Inc?
LVN Grievance and Appeals Nurse
HealthCare Support is actively seeking a LVN Grievance and Appeals Nurse to fill an opening with a Fortune top 25 Managed Care Company in Rancho Cucamonga, CA.
**This is a remote role, but you must come onsite in Rancho Cucamonga, CA for training. Expected at least 2-3 weeks.**
Daily Responsibilities for LVN Grievance and Appeals Nurse:
Required Qualifications for LVN Grievance and Appeals Nurse:
Benefits for LVN Grievance and Appeals Nurse:
Pay Details: $30.72 an hour
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to dennis.lorence@healthcaresupport.com with your phone number, the position title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
#Mng #slvlvn325
HealthCare Support is actively seeking a LVN Grievance and Appeals Nurse to fill an opening with a Fortune top 25 Managed Care Company in Rancho Cucamonga, CA.
**This is a remote role, but you must come onsite in Rancho Cucamonga, CA for training. Expected at least 2-3 weeks.**
Daily Responsibilities for LVN Grievance and Appeals Nurse:
- 6 month contract, eligible to apply to internal positions after 6 month contract is complete
- M-F, 8-5 PST
- The Grievance & Appeals Nurse is responsible for working directly with the IPAs, Hospitals, internal departments, and the grievance team to ensure grievance and appeal cases are processed per the Grievance Policy & Procedures and Department of Managed Health Care (DMHC)/ Department of Health Care Services (DHCS)/ Center for Medicare and Medicaid Services (CMS) regulations and NCQA.
- Coordinate care of Members in conjunction with the Member’s PCP and IPA and/ or Team Members to provide continuous quality care and assist in the development of quality initiatives.
Required Qualifications for LVN Grievance and Appeals Nurse:
- High school diploma or GED (Bachelors preferred)
- Clear and active LVN license in CA (RN preferred)
- 2 years of experience with case management, utilization management in managed care setting or related experience in a health care delivery setting
- Grievance and Appeals knowledge required
- 1 year in an HMO or MCO setting required
- Must have a valid California Driver's License.
Benefits for LVN Grievance and Appeals Nurse:
- Immediate enrollment in Health Insurance
- Dental Insurance
- Life Insurance
- Employee Assistance Program (EAP)
- Access to Investment Accounts
- Career and educational tools within our Ingenovis ACT (Advocacy) Program
Pay Details: $30.72 an hour
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to dennis.lorence@healthcaresupport.com with your phone number, the position title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
#Mng #slvlvn325
Salary : $31
