- VNS Health (Manhattan, NY)
- …criteria. + Enters data and assists with compiling reports and analysis on the grievance and appeals process. + Participates in special projects and performs ... and current registration to practice as a registered professional nurse in New York State required Education: + Bachelor's...care, including a minimum of two years in a grievance and appeals or related area such… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Appeals and Grievance Specialist performs reviews, within operational aspects, of the member and provider complaints, appeals and ... of cases; review, research and coordination of complaints, grievances, appeals and reconsiderations consistent with statutory and federal regulatory guidelines.… more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Clinical Appeals Specialist is responsible for adhering to a member/provider appeal and ... grievance process that meets state, federal, accreditation and other...knowledge of clinical nursing and medical practices, the Clinical Appeals Specialist will review medical necessity requests,… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …determined within appropriate timeframes. This position will serve as a liaison to the Grievance and Appeals Department for Medicare Advantage appeals . The ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to determine… more
- Montana State University (Bozeman, MT)
- …please contact: Laura Larsson ###@montana.edu ### Classification Title Student Support Specialist Working Title CO-OP Student Success Specialist Brief Position ... for Our Own Program (CO-OP), the CO-OP Student Success Specialist is responsible for guiding students from prospective status...leadership, and Doctor of Nursing Practice with focus in nurse midwifery, family nurse practitioner or psych-mental… more
- State of Colorado (CO)
- …are performed on-site; + Accountable for the work product of Nurse Practitioners and Physician Assistants. Accountability involves direct line authority, clinical ... referrals and consultations, medical reporting, medical co-signature and inmate grievance requirements are completed in accordance with DOC Administrative… more
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