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Temporary Grievance & Appeals Nurse (LVN)
Job Description
Work location: Rancho Cucamonga, CA 91701
Payrate: $30.72 /HR
Duration: Six-month Assignment
Requirements:
- Standard Background & Drug Screen
- +Professional license verification
- + MVR (driving record)
Responsibilities:
Qualifications:
Education & Requirements
- Two (2) years or more case management, utilization management in managed care setting or related experience in a health care delivery setting
- Experience in an HMO or experience in managed care setting preferred
- High school diploma or GED required
- Associate s degree from an accredited institution preferred
- Minimum possession of an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians required
- Must have a valid California Driver's License
- Working knowledge and understanding of:
- Member and Provider legal rights to access the grievance and appeals resolution process, within the respective Provider Organization, DHCS, DMHC, and Client and IEHP
- Outside agencies and resources such as CCS, Client, DMHC, or DHCS
- Regulatory guidelines surrounding grievances and appeals per Client, DHCS, and DMHC and NCQA
- Microcomputer applications: spreadsheet, database, and word processing. Excellent written and verbal communication skills
- Proven ability to:
- Demonstrate critical thinking and strong problem-solving capability
- Demonstrate a commitment to incorporate LEAN principles into daily work
- Possess strong attention to detail
- Prioritize work to ensure adherence to project deadlines
- Effectively escalate issues as identified, following established protocols
- Maintain a positive attitude and ability to work in a team setting
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Staffing Leader of the Year Anju Abel
CEO, LanceSoft
LanceSoft is proud to announce that its Chief Executive Officer, Anju Abel, has been honored with the prestigious "Staffing Leader of the Year" award at the 2025 TIARA Staffing Awards US. The award recognizes her visionary leadership and significant contributions to improving staffing processes, employee engagement, and workforce outcomes.
Anju Abel's leadership has been instrumental in transforming LanceSoft's global staffing operations. Her focus on innovation, employee satisfaction, and client-centric delivery has led to higher retention rates, a motivated workforce, and enhanced operational efficiency.
"This award is a testament to the incredible team at LanceSoft and our unwavering commitment to redefining staffing solutions," said Anju Abel. "I'm honored to receive this recognition and proud of the impact we continue to make in the lives of our clients and talent worldwide."
The judging panel highlighted Anju's ability to consistently deliver outstanding client success stories, exceed expectations, and foster professional development within her team. Her active community involvement and dedication to advancing the staffing industry were also key factors in her selection.
TIARA Awards are known for celebrating excellence, innovation, and achievement in the talent acquisition sector, and this accolade places Anju among the top leaders reshaping the future of workforce solutions.