- BroadPath Healthcare Solutions (Tucson, AZ)
- …activity _Responsibility C: Participates in the Utilization Management process_ + Delivers administrative support for the UM program by collecting member and ... to announce that we are hiring **Work from Home Appeals and Grievance Specialists** . The Appeals ...support communication between Spanish-speaking members and non-bilingual clinical staff while being mindful of cultural nuances and applying… more
- Adventist Health (Yuba City, CA)
- …Provider Engagement: Foster collaborative relationships with healthcare providers, medical staff , and allied health professionals. Support recruitment, ... Adventist Health Rideout is seeking a Market Medical Director to support our ambulatory clinics in the Yuba County area of Northern CA. This position will play a… more
- CHRISTUS Health (Beaumont, TX)
- …TX! Roles and Responsibilities Overview The Physician Advisor is an administrative physician role serving CHRISTUS St. Elizabeth hospital and its affiliates ... and advising both the Care Management Department and the medical staff on matters regarding physician practice patterns, documentation, over- and under-utilization… more
- Florida Atlantic University (Boca Raton, FL)
- …lists, wait lists, and cancellations, collaborating closely with Information Systems staff for data extraction. + Provide support during recruitment ... policies and procedures to optimize these functions, as well as interpreting administrative rules and regulations related to admissions and registration. Summary of… more
- Tutor Perini (Fresno, CA)
- …projects - to ensure public safety, maintain a quality of life and support a healthy economy. For more than a century, Tutor Perini Corporation's family ... any safety issues or deficiencies. + Oversees and manages on-site Safety Staff , which includes, Safety Coordinators, Safety Apprentices and Safety Administrative … more
- LA Care Health Plan (Los Angeles, CA)
- …Develop and implement short and long-term strategies to improve team results, reducing administrative expenses. + Manage staff , including, but not limited to: ... Registered Nurse (RN) Manager, Appeals and Grievances General Operations (Clinical) Job Category:...County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.… more
- State of Colorado (Denver, CO)
- …or ongoing monitoring. + Experience preparing for or participating in administrative appeals , fair hearings, or interactions with Administrative ... of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at… more
- Nuvance Health (Danbury, CT)
- *Description* Summary: Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician Advisors (PAs) and ... for the Nuvance Health network. The role also provides support for all administrative and clerical duties...compiling data for performance metrics and audit readiness. 2. Support onboarding new staff by organizing orientation… more
- Dignity Health (Rancho Cordova, CA)
- **Job Summary and Responsibilities** The Appeals and Grievances LVN is a critical role responsible for managing and resolving all medical necessity appeal requests ... identifying necessary documentation for investigations, preparing files for regulatory appeals , and maintaining a detailed activity log for leadership review.… more
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... Coding and CDMP Managers for education of the medical staff , clinical documentation professionals and the coding professionals on...and apply appeal arguments and draft appeal letters to support and defend the codes assigned by the coding… more
- Humana (Lincoln, NE)
- …policies and medical necessity. The Medical Director will collaborate with clinicians and support staff to provide Humana members with optimal value based care ... relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work...Peer discussions with prescribers, participation in hearings involving an Administrative Law Judge, support for CMS audits,… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis ... descriptive codes from the AHA ICD-9-CM/ICD-10-CM/PCS diagnoses and/or procedures support the services/treatment rendered. JOB DUTIES AND RESPONSIBILITIES: + Conduct… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Administrative Support Assistant 3 Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5179111) Apply Administrative Support Assistant 3 ... a highly motivated, skilled, solution-oriented, and enthusiastic individual to join as an Administrative Support Assistant 3 within our Licensing Division at our… more
- The County of Los Angeles (Los Angeles, CA)
- …to this class function as administrative generalists in the central administrative staff organization of a County department analyzing and making ... at the level of Los Angeles County's Class of Staff Assistant I**, Administrative Assistant I ,...advisory capacity to line managers to provide program and administrative support . Work includes assisting and supporting… more
- State of Colorado (Denver, CO)
- …This position is best suited for an individual who has experience providing administrative support , an attentive learner and is passionate about serving the ... matters that arise. The successful candidate will provide legal administrative support to the work unit, including...and CDOT staff ; providing backup for other support staff work in the Section during… more
- Idaho Division of Human Resources (Boise, ID)
- …End Date: 2026/01/16 Category: Administrative Asst Sub Category: Office and Administrative Support Work Type: Full Time Location: Boise, ID, United States ... Administrative Assistant (State Appellate Public Defender) Posting Begin...(SAPD) is a first-rate public defense agency specializing in appeals and death penalty litigation for indigent clients. The… more
- CUNY (Brooklyn, NY)
- … staff meetings and other meetings relating to Student Affairs. + Supervise support staff , including hourly personnel as well as temporary employees. + ... CUNY Administrative Assistant, Level 2 (Permanent) - Enrollment &...February 19, 2025. **JOB SEARCH CATEGORY** CUNY Job Posting: Support Staff **EQUAL EMPLOYMENT OPPORTUNITY** CUNY encourages… more
- City and County of San Francisco (San Francisco, CA)
- …fit. The City and County of San Francisco is looking to hire multiple Senior Administrative Analysts to be part of the City workforce of nearly 40,000 staff ... of San Francisco has to offer. As a Senior Administrative Analyst, you will be responsible for directing and...role, you will lead projects, provide guidance to junior staff , and serve as a key resource for departmental… more
- Deschutes County (Bend, OR)
- Administrative Support Specialist Print (https://www.governmentjobs.com/careers/deschutes/jobs/newprint/5181012) Apply Administrative Support ... team. ABOUT THE JOB: Deschutes County is accepting applications for an Administrative Support Specialist. This position is responsible for performing moderately… more
- The County of Los Angeles (Los Angeles, CA)
- …work in an advisory capacity to line managers to provide program and administrative support . Work includes assisting and supporting administration by doing ... at the level of Los Angeles County's Class of Staff Assistant I**, Administrative Assistant I ,...advisory capacity to line managers to provide program and administrative support . + Yes + No 04… more
