- Magellan Health Services (San Diego, CA)
- …ensuring documents meet standards and are accurate. General Job Information Title Appeals Coordinator Grade 19 Work Experience - Required Customer Service ... Coordinates appeals process as assigned, attends to risk management...requests. In some cases may be combined with Grievance Coordinator functions. + Maintains a caseload and monitors day… more
- Sharp HealthCare (San Diego, CA)
- …appropriate Medical Group Physician Representative. Collaborates with SCMG Medical Group Appeals when necessary. + Chart ReviewDocuments Initial discharges follow up ... three days (or sooner depending on the case) after the Initial Screen by the Case Manager and continues to follow up every three days for the duration of hospitalization.Discusses with hospitalist the discharge plan and barriers in rounds, in person or by… more