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Grievance RN (QI/UM) - Remote - Military Veterans

at Act One

ALL's WELL is proud to present:
Are you a Registered Nurse with experience in Quality Improvement or Utilization Management in a managed care setting, handling clinical grievance assessments? If so, we want to hear from you! Join our HMO team and help make a real difference in the lives of Medi-Cal beneficiaries.

Position Details:

  • Grievance RN (QI/UM) - Remote Position
  • Hourly Pay: $50.73
  • Location: Remote
  • Department: Quality Improvement
  • License Requirement: Active California RN License



What You’ll Do:
  • Perform clinical grievance assessments and write concise clinical summaries
  • Conduct QI activities and participate in site reviews, including record and chart abstractions
  • Collaborate closely with the medical director on grievance follow-ups and provider responses



What You Need:
  • Active California RN License
  • Minimum of 1 year of experience in a managed care setting, specifically in Quality Improvement or Utilization Management, handling healthcare grievances (required)
  • Associate Degree in Nursing (required)
  • BSN and 3 years of direct patient care experience (preferred)



Why You’ll Love This Role:
  • Remote Work: Enjoy the flexibility of working from home
  • Competitive Pay: Earn $50.73 per hour, reflecting your expertise



If you enjoy working in a remote setting and are skilled in handling clinical grievance assessments and writing clinical summaries, we want to hear from you! Apply Today!

EEO/AA Employer/Vet/Disabled.





The Know Your Rights poster is available here:


https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf





The pay transparency policy is available here:


https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf





For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.





We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.





ALL's WELL participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.


https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf





We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.


#8822

Experienced (Non-Manager)

Las Vegas, NV

Salary Range
$0 to $104,000
Act One

The ActOne Group is a global leader in the human resources industry that specializes in partnering with firms looking to optimize human resource talent management. For nearly 50 years, we have found success by focusing our energy on three distinct business categories: Workforce Solutions, Staffing Solutions and Business Solutions. Today, The ActOne Group has over 13,000 clients and 2,500 employees located throughout the United States, Canada, Puerto Rico, India, Brazil, South Korea, Germany, Denmark and the United Kingdom. We are a privately-held California corporation that bears the distinction of being the largest zero-debt, woman- and minority-owned workforce management company in the United States. WORKFORCE SOLUTIONS AgileOne combines best-of-breed talent acquisition technology with an experienced managed services team to create a valuable workforce technology solution. We help organizations streamline processes, from the automation of requisitions and time-card management, to supplier relationship support, accurate invoice processing and real-time, customized reporting. STAFFING SOLUTIONS We are one of the Staffing Firms in the U.S. and provide services under these brands: - AppleOne Employment Services - AllSTEM - All's Well Health Care Services - ActOne Executive Search BUSINESS SERVICES - A-Check America - AppleOne Payroll & Tax Filing - CTA Travel - full service travel agency - ActOne Government - ATIMS - AllCare

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