- VNS Health (Manhattan, NY)
- …navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations of our ... to, Provider Relations, Claims, Medical Director, third party administrator, pharmacy benefit manager , to achieve resolution of appeals and grievances. + Ensures… 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 (Costa Mesa, CA)
- **Nurse Appeals - Licensed RN Nurse** **Location:** This position will work in a hybrid model (remote and office). Ideal candidates will live in the state of ... locations. **Shift:** Monday to Friday from 8:00am-5:00pm PST The **Nurse Appeals ** is responsible for investigating and processing medical necessity appeals… more
- State of Colorado (Chaffee County, CO)
- …Work/Counselor IV) Drug & Alcohol Therapeutic Community Manager - Buena Vista Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4731931) Apply ... - (Social Work/Counselor IV) Drug & Alcohol Therapeutic Community Manager - Buena Vista Salary $7,087.00 - $9,922.00 Monthly...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Grand Junction, CO)
- Civil Engineering Project Manager II, Roadway Construction - Grand Junction Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4717485) Apply ... Civil Engineering Project Manager II, Roadway Construction - Grand Junction Salary $90,686.00...may result in your application being rejected. Notifications: All correspondence regarding your status in the selection/examination process will… more
- State of Colorado (Canon City, CO)
- CDOC PROJECT MANAGER I - Fleet Safety Manager Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4761845) Apply CDOC PROJECT MANAGER I - ... OF COLORADO RESIDENTS ONLY. Description of Job As project manager , this position provides critical and essential fleet services...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Durango, CO)
- Local Agency Project Manager - Durango Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4774132) Apply Local Agency Project Manager - ... Job About the Work Unit This Local Agency Project Manager , classified as Project Manager I, is...may result in your application being rejected. Notifications: All correspondence regarding your status in the selection/examination process will… more
- State of Colorado (Pueblo, CO)
- …duties or tasks, which will be evaluated at the discretion of the Manager . Prepares correspondence , documentation, reports and slide decks using Microsoft Office ... for the Director of Admissions to ensure timely approval of contracts, reports, correspondence , etc., and responds to inquiries and works on assignments. Assists in… more
- State of Colorado (Arapahoe County, CO)
- CDOC - Office Manager I (Parole Office) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4781914) Apply CDOC - Office Manager I (Parole ... establish an eligible list for referral to the hiring manager for final consideration. Be sure the "Work Experience"...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Lakewood, CO)
- Financial Grant Manager Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4773497) Apply Financial Grant Manager Salary $70,140.00 - ... guidelines prior to funding meetings. Recommends to the program manager any necessary corrections that need to be made...Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel… more
- State of Colorado (Golden, CO)
- Office of Public Safety Communications Microwave Manager Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4772302) Apply Office of Public ... Safety Communications Microwave Manager Salary $115,740.00 - $170,964.00 Annually Location Golden, CO...Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board rules and Personnel… more
- State of Colorado (Denver, CO)
- …progressive discipline; records management; recruitment; responding to grievances, appeals , charges of discrimination; reorganization issues; retention; selection ... and selection appeals ; settlement advice; strategic planning and overall HR guidance...may also serve as an advisor, advising appointing authorities, manager , supervisors and employees on issues that fall within… more
- State of Colorado (Rifle, CO)
- Aviation Projects Manager (Center of Excellence) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4779657) Apply Aviation Projects Manager ... Administrative Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel Director's Administrative… more
- Clark County, NV (Las Vegas, NV)
- MANAGER INFORMATION TECHNOLOGY Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4768094) Apply MANAGER INFORMATION TECHNOLOGY Salary ... Technology Department is seeking a dynamic and experienced Information Technology Manager to assist in leading innovation and driving digital transformation within… more
- State of Colorado (Denver, CO)
- Disaster Housing Recovery Program Manager (Community & Economic Development V) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4768148) Apply ... Disaster Housing Recovery Program Manager (Community & Economic Development V) Salary $89,520.00 -...Bellew, DOLA ADA Coordinator at ###@state.co.us. Email Address: All correspondence regarding your status in the selection/examination process will… more
- GAP Solutions Inc (Arlington, VA)
- …and waiver determinations, all of whom draft decisions. This Division considers appeals of claims for uniformed service member pay and allowances (including travel, ... transportation, retired pay, and survivor's benefits), and appeals of claims of transportation carriers for amounts deducted from them for loss or damage.… more
- Sharp HealthCare (La Mesa, CA)
- …California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification; Accredited Case ... Degree in Nursing or equivalent degree. + Master's Degree + Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED + Accredited… more
- Priority Health Care (Marrero, LA)
- …reimbursement for our clients. + Process assigned AR work lists provided by the manager in a timely manner. + Write appeals using established guidelines to ... knowledge of Insurance Contracts and notify the Revenue Cycle Manager of any problems or deviations. + Maintain up-to-date...Processes and follows up on appeals . Files appeals on claim denials. + Scan correspondence … 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 ... but not limited to: insurance billing, collections, patient account resolution, appeals /denials, customer service, cash applications, revenue integrity, etc. The … more
- State of Colorado (Denver, CO)
- …Description of Job About the Position: This position provides program assistance to the Branch Manager and serves as a liaison between the Branch Manager and the ... Completing data entry and tracking of various information, and creating/ reports, correspondence and other documents using MSWord, Excel and PowerPoint. + Scheduling… more