- A-Line Staffing Solutions (Sacramento, CA)
- Grievance and Appeals Coordinator opening available with a major Healthcare Corporation in the Sacramento CA 95834 area! Highlights: Schedule: Monday-Friday ... Medical management, utilization management or experience running Doctors office preferred Grievance and Appeals Coordinator , grievance and appeals ,… more
- TEKsystems (Woodland Hills, CA)
- Hiring For Grievance and Appeals Coordinator TekSystems is currently hiring for Grievance and Appeals Coordinator for one of top healthcare ... grievances and appeals Maintain files on individual appeals and grievances May coordinate the Grievance ...individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-performance… more
- Randstad US (Columbus, OH)
- grievance and appeals coordinator . + columbus , ohio + posted april 10, 2024 **job details** summary + $19.99 - $20 per hour + temp to perm + high school + ... A trusted client of Randstad's has an immediate opening for an experienced Grievance and Appeals Coordinator . This is a hybrid role located in Columbus, OH.… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Grievance and Appeals Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #660 Friday, May 3, 2024 Centers Plan for Healthy Living's goal is to ... need for healthy living. JOB SUMMARY: As an integral part of the Grievance and Appeals (G&A) Department, the G&A Coordinator lends their support in… more
- Randstad US (Los Angeles, CA)
- grievance and appeals coordinator (ca residents). + los angeles , california (remote) + posted 9 days ago **job details** summary + $21.99 - $22 per hour + ... support occupations + referenceAB_4523235 job details This position requires previous Grievance and Appeals experience. Position is remote but candidates… more
- Centene Corporation (Phoenix, AZ)
- …**Position Purpose:** Analyze and resolve verbal and written claims and authorization grievance / appeals from providers and members. Resolve all State inquires ... + Act as subject matter expert regarding grievances and appeals . + Lead Appeals and Grievance Committee **Education/Experience:** Bachelor's degree in… more
- Centene Corporation (Phoenix, AZ)
- …member and provider complaints, grievances and appeals + Maintain files on individual appeals and grievances + May coordinate the Grievance and Appeals ... High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals , claims or related managed care experience. Strong oral, written,… more
- Apex Health Solutions (Houston, TX)
- …safety, cost efficiency and a commitment to the Continuous Quality Improvement Process. The Appeals & Grievance Coordinator will interact on a daily basis ... Job Title: Appeals & Grievances Coordinator Department: Appeals and Grievances Supervisor: Manager, Appeals & Grievances FLSA Status: Nonexempt Summary… more
- Magellan Health Services (Boise, ID)
- …case management and processes appeal requests. In some cases may be combined with Grievance Coordinator functions. + Maintains a caseload and monitors day to day ... documents meet standards and are accurate. General Job Information Title Appeals Coordinator Grade 19 Work Experience - Required Customer Service Work Experience… more
- CVS Health (Fresno, CA)
- …carrying a modified case load including but not limited to:-Research incoming electronic appeals , complaints and grievance to identify if appropriate for unit ... and reroute inappropriate work items that do not meet appeals , complaints and grievance criteria. -Research Standard Plan Design or Certification of Coverage… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Human Resource Support Specialist - Public Service Coordinator I Augusta , Maine , United States | Human Resources | Full-time Apply by: May 17, 2024 Apply with ... of Attorneys, Labor Relations Specialists and the State EEO Coordinator . The Office of Employee Relations is responsible for...tasks. You will also: + Review, enter and complete grievance related transactions in order to ensure all … more
- Dignity Health (Rancho Cordova, CA)
- …members, providers and regulatory bodies. This position keeps accurate appeals and grievance intake and outcome. The UM coordinator takes minutes and help ... Under the direction of Utilization Management (UM) leadership, the UM Coordinator processes prior authorization with established criteria. Coordinates In-Patient and… more
- Highmark Health (Harrisburg, PA)
- …requires 1 Week A Month On-Site Work This job captures all inbound appeals and grievance requests from providers and/or subscribers. The incumbent assesses ... + Complete outbound calls when additional information is required. + Identify expedited appeals based on key terms/phrases. + Save medical information to disk. +… more
- Highmark Health (Charleston, WV)
- …+ Grievances and Appeals Process + Assist the member with the health plan's Grievance and Appeals process. + Attend all Appeals hearings to support the ... Work with members, providers and the member's case manager/care coordinator as needed to assist the member in obtaining...Services to support and educate the member through the Appeals Hearing process. + Monitor Grievances with Grievance… more
- Missouri State University (Springfield, MO)
- …Description of Primary Duties The Director of Composition serves as the coordinator and primary advocate for the Department of English's writing programs and ... courses. The Director also oversees the first-year-writing placement process including appeals and keeps abreast of recent developments in composition theory in… more
- State of Colorado (Greeley, CO)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... facility and throughout CYSOs + Functions as the training Coordinator for the facility. Train staff in DYS Policy...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)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... 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
- State of Colorado (Pueblo, CO)
- …details and interventions. Some of the duties are Facilitates Communication, incident/ grievance reports, coordinate daily unit functions, plan of care processes, ... 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
- ERP International (Tinker AFB, OK)
- …collect clinical data from inpatient and outpatient sources, provide documentation for appeals or grievance resolution, apply critical thinking skills and ... out. * Verifies with the Beneficiary Counseling and Assistance Coordinator (BCAC) that Line of Duty paperwork is on...Member Program (EFMP) and refers to the Special Needs Coordinator (SNC) as appropriate. * Must maintain a level… more
- Transdev (Dorchester, MA)
- …be called upon to testify on behalf of the Company during the Union grievance process, Accident Review Committee meetings, Safety appeals meetings, and other ... safety problems, and documents safety violations. + Assists DriveCam Manager and Coordinator by coaching Drivers in response to video recorded unsafe driving events.… more
