Regulatory Nurse Case Manager

MedPOINT Management

Regulatory Nurse Case Manager

Sherman Oaks, CA
Full Time
Paid
  • Responsibilities

    Benefits:

    401(k)

    401(k) matching

    Bonus based on performance

    Company parties

    Dental insurance

    Employee discounts

    Free food & snacks

    Health insurance

    Opportunity for advancement

    Paid time off

    Parental leave

    Savings bank

    Training & development

    Vision insurance

    Wellness resources

    About the Role:

    MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented and driven Regulatory Case Manager to join our growing team. In this critical role, you'll help ensure compliance and streamline regulatory processes that directly impact patient care and organizational success. If you thrive in a fast-paced healthcare environment and have a passion for precision, this is the opportunity for you.

    Responsibilities:

    Manage and oversee regulatory cases from initiation through resolution, ensuring timely and compliant outcomes

    Review, analyze, and process regulatory submissions, appeals, and grievances in accordance with state and federal guidelines

    Coordinate with internal departments, providers, and external agencies to gather documentation and facilitate case resolution

    Monitor regulatory deadlines and maintain accurate case tracking logs and reporting systems

    Prepare written correspondence, case summaries, and regulatory reports for internal and external stakeholders

    Ensure adherence to DMHC, CMS, and other applicable healthcare regulatory requirements

    Identify trends in regulatory cases and recommend process improvements to enhance compliance operations

    Requirements:

    2+ years of experience in regulatory affairs, healthcare compliance, or case management

    Strong knowledge of healthcare regulations, including DMHC, CMS, or managed care guidelines

    Excellent written and verbal communication skills with the ability to draft clear, professional correspondence

    Proficiency in case management systems and Microsoft Office Suite

    Strong organizational skills with the ability to manage multiple deadlines simultaneously

    Bachelor's degree in Healthcare Administration, Business, or a related field preferred

    Detail-oriented, analytical mindset with a commitment to accuracy and compliance

    About Us:

    MedPOINT Management is a leading Independent Physician Association (IPA) management company based in Sherman Oaks, CA, dedicated to supporting healthcare providers and delivering high-quality managed care services. Our clients trust us for our deep expertise, responsive service, and commitment to operational excellence. Our team members enjoy a collaborative work culture, opportunities for professional growth, and the satisfaction of making a meaningful impact in the healthcare industry.

    This is a remote position.