- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Manager , Appeals & Grievances (A&G) & General Operations (Clinical) is responsible… more
- BronxCare Health System (Bronx, NY)
- …the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care services provided to ... identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and… more
- Elevance Health (Indianapolis, IN)
- **Nurse Appeals ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... between those hours, including holidays on a rotational basis. The **Nurse Appeals ** is responsible for investigating and processing and medical necessity appeals… more
- Elevance Health (Tampa, FL)
- **Nurse Appeals ** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law._ The **Nurse Appeals ** is responsible for investigating and processing and medical necessity appeals… more
- Elevance Health (Columbus, OH)
- **Nurse Appeals RN** **Location** : Ohio-Cincinnati, Columbus, Mason, or Seven Fields _(Must be within commutable distance to the listed locations.)_ **Virtual:** ... unless an accommodation is granted as required by law._ The **Nurse Appeals ** is responsible for investigating and processing and medical necessity appeals… more
- Elevance Health (Indianapolis, IN)
- …for system edits. + Coordinates research and responds to system inquiries and appeals . + Conducts research of claims systems and system edits to identify ... reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding and fee schedule updates....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- State of Colorado (Colorado Springs, CO)
- …(Health Professional VI) - Therapeutic Community Program Manager (Hybrid) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5154145) Apply CDOC ... (Health Professional VI) - Therapeutic Community Program Manager (Hybrid) Salary $7,971.00 - $11,159.00 Monthly Location Colorado...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Colorado Springs, CO)
- Client Manager /Parole Officer - Youth Service Counselor II - Southern Region Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5152457) Apply ... Client Manager /Parole Officer - Youth Service Counselor II - Southern...the importance of language, professionalism, and confidentiality in all correspondence . Parole Planning and Supervision: + Facilitate pre-parole staffing.… more
- Fallon Health (Worcester, MA)
- …those correspondence to providers. + Filing of individual provider appeals files in accordance with department standards. Maintain provider appeal database and ... on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance with… more
- State of Colorado (CO)
- DOLA - BoS HMIS Manager (Administrator V) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5163020) Apply DOLA - BoS HMIS Manager ... as a critical bridge to the HMIS team ensuring aligned operations. The HMIS Manager is responsible for the Balance of State Continuum of Care's portion of COHMIS,… more
- City of New York (New York, NY)
- …and progress. Uses computers to maintain files and generate reports, correspondence , and other paperwork. - Investigates and advises the agency concerning ... contract disputes, and appeals on the rejection of equipment, materials, or workmanship;...community and members of the public. Prepares reports and correspondence for approval in dealings with contractors and the… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered ... Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; Master's… more
- Transdev (Dorchester, MA)
- Overview: Transdev in Boston, MA is seeking a Labor Relations Manager for its Boston Public Schools transportation contract. The Labor Relations Manager provides ... + Manage labor relations program of the property jointly with the General Manager . + Research, compile, and prepare data for use in grievance hearings, arbitration… more
- The County of Los Angeles (Los Angeles, CA)
- …quality assessment and assurance monitoring processes; and handle informal complainant appeals . Health Facilities Program Manager , Nursing positions are required ... HEALTH FACILITIES PROGRAM MANAGER , NURSING Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4626091) Apply HEALTH FACILITIES PROGRAM MANAGER… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or more of the following areas ... to: medical coding, insurance billing, collections, patient account resolution, appeals /denials, customer service, cash applications, revenue integrity, etc. This… more
- City of Norfolk, Virginia (Norfolk, VA)
- …process and appraisals to property owners, analyzes information presented during appeals of value, and resolves conflicts through discussion. The incumbent may ... equity, and accuracy. + Explains appraisals to property owners and defends appeals as needed. + Reviews properties receiving tax exemptions to determine eligibility… more
- State of Colorado (Aurora, CO)
- …the division upon requests of the program managers and employees with approval of manager . This position is the fuel coordinator for DMO employees and handles the ... makes copies, pulls files, collates pages, and creates manual reports and correspondence . + Take notes at meetings. + Produces Maintenance Division correspondence… more
- State of Colorado (Greeley, CO)
- …CDOT's Region 4. This position assists the Region Utility Engineering Program Manager in the administration and enforcement of the Colorado Department of ... use permit based upon review and consultation with the Utility Engineering Program Manager and collaboration with staff and legal counsel. + Determines the relevance… more
- State of Colorado (Sterling, CO)
- …a formalized apprenticeship program or degree through an accredited, non- correspondence vocational or trade school that resulted in demonstrated competencies ... establish an eligible list for referral to the hiring manager for final consideration. Use of artificial intelligence (AI)...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Canon City, CO)
- …in order to establish an eligible list for referral to the hiring manager for final consideration. Use of artificial intelligence (AI) tools, including language ... of the department's action. For more information about the appeals process, the official appeal form, and how to...your application; one that is checked daily astime sensitive correspondence WILL take place via email. You may receive… more