- Ventura County (Ventura, CA)
- …or those struggling with mental illness, substance use, or both. THE POSITION Under general direction of the Senior Manager of Quality, the Behavioral Health ... the state and federal governing entities, and resolves, tracks, and monitors grievances , appeals and Notices of Actions. This position continually collaborates… more
- CareOregon (Portland, OR)
- …customer service, claims processing, prior authorizations, formulary exceptions, appeals , grievances , and project participation. Essential Responsibilities ... formulary exception decisions. + Perform prior authorization reviews with pharmacist oversight. Appeals and Grievances + Explain pharmacy appeal and … more
- State of Colorado (Sterling, CO)
- CDOC - Corrections Case Manager I (Sterling) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4483465) Apply CDOC - Corrections Case Manager ... is provided, New Hires are typically appointed at the minimum pay for Case Manager I positions of $5,279/month. How To Apply Please submit an online application for… more
- Pacific Medical Centers (Seattle, WA)
- …for all post service, network and benefit appeals . Acts as second level manager for grievances . Works with patients and or vendor to reach resolution. Refers ... maker for all post-services, network and benefit appeals . Acts as second-level manager for grievances . Works with patients or vendors to reach resolution.… more
- State of Colorado (Denver, CO)
- CDOC General Maintenance Supervisor CSTS I (Denver Complex) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4484960) Apply CDOC General ... Job The Correctional Support Trades Supervisor I (CSTS I) position is a General Maintenance Supervisor for the Colorado Department of Corrections (CDOC), at the… more
- Navy Exchange Services (NEX) (San Diego, CA)
- …discipline. Provides guidance and assistance to management on disciplinary actions, grievances , and appeals . Ensures appropriateness of charges and penalties. ... Title: DISTRICT HUMAN RESOURCES MANAGER Location: United States-California-San Diego Job Number: 2400016U...Human Resources Managers, works closely with District Vice President, General Managers and business heads in change management, management… more
- Iowa Department of Administrative Services (State Of Iowa, IA)
- …network of IowaWORKS Centers. Your key responsibilities will include: As a RESEA Operations Manager and under the general direction of the American Job Center ... detailing the number of cases assigned and completed, non-monetary decisions issued, appeals received and outcomes. The RESEA Operations Manager ensures RESEA… more
- State of Colorado (Canon City, CO)
- …supervision and direction for the Behavioral Health Programs, which includes general mental health and substance use disorder treatment services, at Centennial ... reviews, and evaluates the work of all behavioral health staff; + Covers general mental health, substance use treatment and sex offense specific treatment; +… more
- Universal Health Services (Riverside, CA)
- …Data Collection, conduct relevant QI studies, and coordinate CPPI. Review/respond to grievances and appeals , monthly medication inventory audit, and monitor any ... CPPI (California Physician Performance Initiative). 9. Review/respond to health plan or individual grievances and appeals in a timely manner. 10. Assist with… more
- Henry Ford Health System (Troy, MI)
- …opportunity. GENERAL SUMMARY: Responsible for addressing customer inquiries, grievances (complaints), identify appeals , process Individual plan cancellation ... Relationship Manager /Appeal and Grievance preferred. + A working knowledge of appeals , grievances , inquiries and the specific processes of how they should… more
- State of Colorado (Canon City, CO)
- …I (CSTS I). This position ensures the safety and security of the general public, staff and inmates. This position prepares inmates for community re-entry by ... hours and pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces offender idleness and creates real life… more
- State of Colorado (Sterling, CO)
- …but are not limited to: ensure the safety and security of the general public, staff and inmates; ensure efficient and effective operations of assigned physical ... pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces inmate idleness and...establish an eligible list for referral to the hiring manager for final consideration. Be sure the "Work Experience"… more
- State of Colorado (Limon, CO)
- …but are not limited to: ensuring the safety and security of the general public, staff and inmates; ensuring safe, efficient and effective electrical operations and ... completion of annual training; + Resolve conflict and informal grievances at the lowest level possible; + Ensure safe,...establish an eligible list for referral to the hiring manager for final consideration. Be sure the "Work Experience"… more
- State of Colorado (Canon City, CO)
- …CO. Primary responsibilities include: ensuring the safety and security of the general public, staff and inmates; ensuring safe, efficient and compliant HVAC System ... pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces inmate idleness and...establish an eligible list for referral to the hiring manager for final consideration. Be sure the "Work Experience"… more
- State of Colorado (Canon City, CO)
- …I (CSTS I). This position ensures the safety and security of the general public, staff and inmates. This position prepares inmates for community re-entry by ... hours and pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces offender idleness and creates real life… more
- State of Colorado (Denver, CO)
- …Position performs employee and labor relations to resolve formal grievances , progressive discipline, performance management disputes, labor relations issues under ... timelines to resolve incidents, and seeks legal guidance from the Attorney General 's Office when appropriate. Duties require collaboration with other HR units (eg,… more
- Transdev (Hyattsville, MD)
- …policy. + May be called upon to testify on behalf of the company at union grievances or safety appeals meetings. + Ensures all required reports are submitted in ... as necessary or requested by the assistant or contract manager . + Maintains an orderly work area. The work...department. The above statements are intended to describe the general nature and level of work being performed by… more
- Molina Healthcare (Albuquerque, NM)
- …Represents Member issues in areas involving member impact and engagement including: Appeals and Grievances , Member Problem Research and Resolution, and the ... Native American's access to healthcare coverage and educate communities about the general and value-added services provided by Molina Healthcare. You will be… more
- Beth Israel Lahey Health (Westwood, MA)
- …address information. Escalates calls to pharmacists for clinical inquiries and escalates grievances to supervisor. 7. Maintains new and existing patient profiles and ... Support health care providers with required prior authorization and required appeals . Manage all mail/delivery of Rx orders including addressing problems/issues with… more
- GKN Aerospace (El Cajon, CA)
- …identify opportunities to increase organizational effectiveness and productivity. Under the general direction of the Site Director/ Manager Human Resources, the ... of compliance issues, working conditions, disciplinary actions, employee and applicant appeals , discrimination allegations and union grievances . + Participates… more