- VNS Health (Manhattan, NY)
- …triage tasks, including intake, classification, setup, and assignment of grievances and appeals . Additionally, provides administrative support to ... Prepares letters requesting Appointment of Representative (AOR) forms in grievances and appeals filed on behalf of...of Representative (AOR) forms in grievances and appeals filed on behalf of member representatives. Prepares letters… more
- Baylor Scott & White Health (Temple, TX)
- … and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written complaints, grievances ... Intakes and processes written and fax referred cases from member and provider appeals and complaints for all lines of business, ensuring compliance with applicable… more
- CoreCivic (California City, CA)
- …a responsibility to better the public good. We are currently seeking a **Grievance Coordinator ** who has a passion for providing the highest quality care in an ... making an impact for the people and communities we serve. The Grievance Coordinator oversees the inmate/resident grievance process and ensures that both informal and… more
- Centene Corporation (Tacoma, WA)
- …expectations and lead clinical quality initiatives. Review clinical information for appeals to determine medical necessity of services, prepare reviews for cases, ... act as the liaison for appeals and fair hearings. + Develop and implement the...and resolve behavioral health quality of care complaints and grievances + Performs other duties as assigned + Complies… more
- Elevance Health (Richmond, VA)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals and state audits. **Minimum Requirements:** + Requires BA/BS ... The **LTSS Concierge Coordinator ** is Responsible for supporting the LTSS Coordinator (or contracted provider) in completing components of the person-centered… more
- Healthfirst (NM)
- …including Contact Center Operations, Claims, DSE, and E&B to resolve member and provider appeals . + Ensures appeals and grievances are categorized and ... for clinical review. + Notifies team lead of identified patterns of appeals , claim errors, configuration issues or other systemic problems identified during appeal… more
- Elevance Health (Bloomington, IN)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + BA/BS degree ... **LTSS SERVICE COORDINATOR ** **Location:** Field associates spend 4-5 days per...Dubois, Greene, Knox, Martin or Pike.** The **LTSS SERVICE COORDINATOR ** is responsible for conducting service coordination functions for… more
- City of New York (New York, NY)
- …jurisdiction of the Department of Correction" - Investigate serious incidents - Review grievances from people in custody and staff - Evaluate the performance of the ... Associate will also perform other duties as determined by the General Counsel. Appeals Under the Board's Minimum Standards, whenever DOC decides to revoke or limit… more
- State of Colorado (Denver, CO)
- …employment laws; progressive discipline; records management; recruitment; responding to grievances , appeals , charges of discrimination; reorganization issues; ... retention; selection and selection appeals ; settlement advice; strategic planning and overall HR guidance...this position, please direct your inquiries to our ADAAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE… more
- State of Colorado (Denver, CO)
- …and guidance on issues that relate to performance management, progressive discipline, employee grievances and appeals , and civil rights. You will also be the ... and expertise to statewide ADA Coordinators. Serve as ADA Coordinator for headquarters employees' ADA inquiries. + Develop and...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …Quality and Standards Division within BHA and reports directly to the Grievances and Enforcement Manager. The Quality and Standards Division oversees the licensing ... on behalf of the BHA and receives and investigates grievances submitted to the BHA through complaints and critical...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …requirements. + Reviews and analyzes data within individual counties regarding client grievances and how any identified trends can be used as training opportunities ... of the department's action. For more information about the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE… more
- The County of Los Angeles (Los Angeles, CA)
- …personnel in their unit and effectively recommending the adjustment of grievances and disciplinary problems. Other positions are assigned such functions as: ... first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises the activities of all… more
- State of Colorado (Denver, CO)
- …actions, signing performance plans and appraisals, and resolving informal grievances . Positions start the hiring process, interview applicants, and recommend ... of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
- State of Colorado (Denver, CO)
- …conflicts, investigates and problem solves internal and external complaints and grievances from staff, youth, family, and other customers. Scheduling of clinic ... of the department's action. For more information about the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE… more
- State of Colorado (Colorado Springs, CO)
- …at facilities and in lease space to include offender and personnel grievances , existing building conditions, building renovation plans and development of transition ... for projects; + Certified American with Disabilities Act (ADA) coordinator . Only applicants who meet the minimum and special...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …supervisors and managers; resolves informal and formal disputes and grievances and provides oversight for progressive discipline processes including corrective ... this position, please direct your inquiries to our ADAAA Coordinator , at dora_###@state.co.us . Check out our excellent benefits...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Centene Corporation (Sacramento, CA)
- …available services. + Researches and prepares conflict resolution documentation to support Appeals and Grievances . + Prepares and submits monthly and quarterly ... a fresh perspective on workplace flexibility. **Position Purpose:** The Public Programs Coordinator is responsible for triaging and resolving member access to care… more
- University of Colorado (Aurora, CO)
- …university leadership. + Address faculty concerns regarding professionalism, grievance procedures, and appeals processes and serve as a neutral party and advisor in ... faculty grievances , promotion disputes, performance reviews, and departmental conflicts. + Ensure transparency and clarity in faculty affairs policies, governance,… more
- City of New York (New York, NY)
- …with beneficiaries to answer questions and clarify Medicare Advantage plan specifics. Appeals and Grievances Support: - Assist beneficiaries in understanding ... on Medicare Advantage plans, policies, and relevant Medicare regulations. COMMUNITY COORDINATOR - 56058 Qualifications 1. A baccalaureate degree from an accredited… more