- Dignity Health (Rancho Cordova, CA)
- …This position is hybrid in-office and work from home.** **Position Summary:** The Appeals and Grievances Coordinator is responsible for supporting the ... regulatory requirements - facilitating timely and effective resolution of appeals and grievances . Acting a subject matter...grievances . Acting a subject matter expert (SME), the Coordinator will work closely with internal teams and external… more
- Centene Corporation (Harrisburg, PA)
- …and authorization appeals from providers and pursue resolution of formal grievances from members.** + Gather, analyze and report verbal and written member and ... provider complaints, grievances and appeals + Prepare response letters for member and provider complaints, grievances and appeals + Maintain files on… more
- CVS Health (Columbus, OH)
- …the AOR process on required cases. **What you will do** + Reviews, and processes appeals and grievances filed by patients. + Assists with adherence to regulatory ... and metrics to evaluate the effectiveness and efficiency of the appeals and grievances process. + Documents patient billing questions and concerns. + Prepares… more
- CoreCivic (Mason, TN)
- …a responsibility to better the public good. We are currently seeking a **Grievance Coordinator ** who has a passion for providing the highest quality care in an ... making an impact for the people and communities we serve. The Grievance Coordinator oversees the inmate/resident grievance process and ensures that both informal and… more
- Elevance Health (Cleveland, OH)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Concierge Coordinator (Case Manager)** **Hiring statewide across Ohio** **This...and supports, and psychosocial needs. The **LTSS Transition Concierge Coordinator ** is responsible for supporting the LTSS Transition … more
- Cedars-Sinai (Beverly Hills, CA)
- …the payor + Investigates, processes and assists with the resolution of provider grievances and appeals in accordance with contractual requirements and corporate ... About What You Will be Doing** The RN Care Coordinator is responsible for the case management of patient...the Inpatient Specialty Program (ISP) hospitalists, the RN Care Coordinator will assist patients from the time they are… more
- Army National Guard Units (Camp Murray, WA)
- …team goals Resolve simple, informal complaints from SAPR VAs and refer formal grievances and appeals to the appropriate management official. Inform the ... Guard Title 5 Excepted Service Technician position: SEXUAL ASSAULT RESPONSE COORDINATOR (SARC) Location: Washington Joint Support Services CAMP MURRAY, Washington… more
- Elevance Health (Plainfield, IN)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + BA/BS degree ... **LTSS Service Coordinator (Case Manager)** **Location:** Seeking candidates to work...client needs, and direct, hands-on engagement. The **LTSS Service Coordinator (Case Manager)** is responsible for conducting service coordination… more
- Elevance Health (OH)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Service Coordinator (Case Manager)** **Candidates should live in one...services and supports, and psychosocial needs. The **LTSS Service Coordinator ** is responsible for managing service coordination for a… more
- Elevance Health (Viroqua, WI)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Service Coordinator (Case Manager)** **$5,000 Sign-on Bonus** **Hiring near...employment, and contributing to their communities. The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for… more
- City of New York (New York, NY)
- …and administer the contractual grievance process. Serve as Hearing Officer for grievances and disciplinary appeals . Represent the agency at hearings before ... play a key role in managing internal labor relations investigations, union grievances , and collective bargaining agreements and engagement with Union Partners, and… more
- The County of Los Angeles (Los Angeles, CA)
- …personnel in their unit and effectively recommending the adjustment of grievances and disciplinary problems. Other positions are assigned such functions as: ... first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises the activities of all… more
- State of Colorado (Golden, CO)
- …hygiene practice. Ensure that youth are provided confidential access to grievances , medical assistance and mental health assistance as needed/requested without staff ... of the department's action. For more information about the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE… more
- University of Utah Health (Salt Lake City, UT)
- …policy-aligned documentation including but not limited to corrective actions, terminations, appeals . + Interpret and apply policies, procedures, and employment laws ... Risk Mitigation** + Analyze ER data, including case trends, grievances , turnover, and absenteeism, to identify patterns and recommend...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- Sioux City Community School District (Sioux City, IA)
- …and develop communication for donor stewardship including thank you letters, appeals , newsletters, social media, impact reports, and other communications. + Plan ... sex in its programs, activities, or employment. Inquiries or grievances under Section 504 and Title II of the...to Dr. Dora Jung, Director of Student Services/Title IX Coordinator at 627 4th Street, Sioux City, IA 51101,… more