- Elevance Health (Woodbridge, NJ)
- ** Manager II Grievance / Appeals ** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of ... unless an accommodation is granted as required by law._ The ** Manager II Grievance & Appeals ** responsible for management oversight of grievances and … more
- LA Care Health Plan (Los Angeles, CA)
- …all due dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist.; submit all Grievances and Appeals response letters ... Authorization Technician II (12 Month Assignment) Job Category: Clinical Department:...required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …referrals generated to care management programs + Provides administrative support to the grievance and appeals process within the + Medical Services department ... assigned to non-care managers are monitored by the care manager + The care manager provides feedback...+ Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Prioritizes… more
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