• Member Appeal & Grievance

    Fallon Health (Worcester, MA)
    …Appeals & Grievances Coordinator is responsible for the presentation of the member appeal to the FH Medical Director, Center for Medicare/Medicaid Services, ... Coordinator serves to administer the FH Appeals and Grievance process as outlined in the Member ...appeals, which includes, educating the member and/or member representative about the grievance / appeal ,… more
    Fallon Health (05/29/25)
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  • Appeals and Grievance Specialist

    Commonwealth Care Alliance (Boston, MA)
    …completion of member verbal and written correspondence. + Thoroughly document all member appeal and grievance related interactions and interventions into ... member services. + Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator ...needed. + Supports the maintenance of updated data in Appeal / Grievance application of the member more
    Commonwealth Care Alliance (05/21/25)
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  • Appeals and Grievance Coord

    Baylor Scott & White Health (Temple, TX)
    **JOB SUMMARY** The Appeals and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written ... Intakes and processes written and fax referred cases from member and provider appeals and complaints for all lines...of all regulatory requirements as they apply to complaint, grievance and appeal processes. + Proficient in… more
    Baylor Scott & White Health (05/06/25)
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  • Clinical Nursing Director I

    The County of Los Angeles (Los Angeles, CA)
    …as needed. + Evaluates the performance of subordinates and resolves problems involving grievance and discipline. + Advises nurse managers and other nursing staff on ... their own user ID and password. Using a family member or friend's user ID and password may erase...password may erase a candidate's original application record. ADA COORDINATOR PHONE ### CALIFORNIA RELAY SERVICES PHONE ### DEPARTMENT… more
    The County of Los Angeles (04/10/25)
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