- 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 ... more
- Centene Corporation (Sacramento, CA)
- …initial and ongoing training in necessary skills and knowledge base and will assist Manager of Grievance and Appeals to establish and maintain procedures ... more
- UCLA Health (Los Angeles, CA)
- Description The Appeals & Grievance Intake Coordinator serves as the primary point of contact for receipt of member-initiated complaints and Health Plan ... more
- Point32Health (MA)
- …members, partners, colleagues and communities. **Job Summary** Under the direction of the A&G Manager , the Appeals & Grievances QA Auditor audits the quality of ... more
- Point32Health (MA)
- …direction of the Senior Manager of Appeals and Grievances the Appeals and Grievance Supervisor, through the use of general knowledge of Plan benefits ... more
- HCA Healthcare (Rochester, NH)
- …set us apart from any other healthcare provider. We are seeking aCase Manager to join our healthcare family. **Benefits** Frisbie Memorial Hospital, offers a total ... more
- State of Colorado (Denver, CO)
- CDOC Corrections Case Manager I (Denver) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4849012) Apply CDOC Corrections Case Manager I ... more
- CareOregon (Portland, OR)
- Job Title Delegation and Quality Oversight Manager Exemption Status Exempt Department Health Share of Oregon Manager Title Director, Compliance and Quality ... more
- Sacramento County (Sacramento, CA)
- Human Services Division Manager Range A/B Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/2234944) Apply Human Services Division Manager ... more
- Corewell Health (Grand Rapids, MI)
- …experience Extensive knowledge of CMS regulations and process + Previous experience with grievance and appeals processes About Corewell Health As a team member ... more
- VNS Health (Manhattan, NY)
- …eligibility. + Coordinates with other departments, eg Care Management, Legal Affairs, Grievance and Appeals , Compliance, Membership Eligibility Unit, Quality as ... more
- Sharp HealthCare (San Diego, CA)
- …to Plan policy as needed.Completes and/or supervises the completion of all clinical appeals and grievances. Collaborates with Customer Care Manager to identify ... more
- State of Colorado (Denver, CO)
- …referrals and consultations, medical reporting, medical co-signature and inmate grievance requirements are completed in accordance with DOC Administrative ... more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …and brings employee relations matters to final resolution. Manage the staff appeals processes. * Partner with the Office of General Counsel, Institutional ... more
- Somatus (Mclean, VA)
- …+ Oversee new client pre-delegation audits, annual client audits, development of grievance and appeals workflow processes, and other regulatory requirements. + ... more
- LA Care Health Plan (Los Angeles, CA)
- …collects information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory ... more
Related Job Searches:
Appeals,
Appeals Manager,
Grievance,
Grievance Appeals,
Manager,
Manager Grievance Appeals RN,
Manager II Grievance Appeals