- BayCare Health System (Clearwater, FL)
- …must reside in Florida Equal Opportunity Employer Veterans/Disabled **Position** Intake Specialist Appeal and Grievance - Health Plan **Location** ... systems. + Ensure accurate and timely processing of all intake information according to company and regulatory standards. +...first point of contact for customers who wish to appeal decisions or file grievances, ensuring that their concerns… more
- LA Care Health Plan (Los Angeles, CA)
- …classification of Clinical A&G, and Pharmacy requests and makes accurate judgment on appeal , grievance , Provider Claim Disputes, medical records or other issues ... Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC...The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct assistance to… more
- State of Colorado (Denver, CO)
- …other case management goals and objectives ensuring continuity of care from intake to release; + Deliver case management services utilizing motivational interviewing ... providing opportunities for offenders to receive feedback, crisis intervention, and grievance resolution; + Stresses results oriented direction in guiding offender… more
- LA Care Health Plan (Los Angeles, CA)
- …database inventory of referral authorizations, retrospective reviews, concurrent reviews and grievance / appeal requests, and prepares UM Activity and Weekly ... Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the… more