- CVS Health (Oklahoma City, OK)
- …units. Ensure timely, customer focused response to appeals, complaints and grievance . Identify trends and emerging issues and report and recommend solutions. ... -Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon...work items that do not meet appeals, complaints and grievance criteria. -Research Standard Plan Design or Certification of… more
- Centene Corporation (Indianapolis, IN)
- …Maintain files on individual appeals and grievances + May coordinate the Grievance and Appeals Committee + Support the pay-for-performance programs, including data ... High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals, claims, related managed care experience, or relevant experience.… more
- Texas Health Resources (Plano, TX)
- …or regulatory complaints and responds to agencies as needed. * Serve as grievance coordinator for entity. * Facilitate required grievance committee ... as well as prepare annual reporting as outlined in the CMS Conditions of Participation. Since 1991, Texas Health Plano has served the communities of Plano, Frisco, Carrollton, Addison, Richardson, and McKinney. We're a 386-bed, full-service hospital serving… more
- Texas Health Resources (Fort Worth, TX)
- …or regulatory complaints and responds to agencies as needed. * Serves as grievance coordinator for entity. Facilitates required grievance committee as ... well as prepare annual reporting as outlined in the CMS Conditions of Participation. * Document 100% of complaints and grievances received. Provides data for centralized database of patient complaints/grievances and assists with reporting of patient… more
- Trinity Health (Columbus, OH)
- …Directors on case-specific issues. + Coordinates with Claims, Member Services, Grievance Coordinator and other operational departments regarding case management ... issues. + Conducts inpatient concurrent review. + Documents and communicates to QM staff appropriately all identified quality concerns related to Members. + All other duties as assigned. **Position Highlights and Benefits:** + Mount Carmel Health System… more
- Cedars-Sinai (Los Angeles, CA)
- …Advocacy leadership in the Office of Patient Experience, the Patient Advocacy Coordinator is responsible for assisting in and carrying out the daily activities ... Administration and the complainant, or Health Plans, the Patient Advocacy Coordinator works closely with relevant collaborators from across the organization in… more
- Trinity Health (Boise, ID)
- …Under general supervision, supports the Patient Relations Manager by serving as a coordinator , liaison and educator in regards to the patient and family concerns and ... grievance process. Additionally, this position will provide support to...to process and outcomes of the patient concern and grievance response program + Assists the manager with management… more
- State of Colorado (Brighton, CO)
- Youth Center Rights Coordinator (CYSO III) - Prairie Vista Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5175977) Apply ... Youth Center Rights Coordinator (CYSO III) - Prairie Vista Youth Services Center...to youth grievances in accordance with DYS Policy 13.2 Grievance Procedures. Responsible for logging grievances on the tracking… more
- CVS Health (Sacramento, CA)
- …load including but not limited to:-Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business ... reroute inappropriate work items that do not meet appeals, complaints and grievance criteria. + Research Standard Plan Design or Certification of Coverage (Evidence… more
- ARAMARK (Denali National Park, AK)
- HR/Payroll Coordinator - Denali National Park (Doyon / JV) Requisition #: 619972 Location: Denali National Park & Preserv, AK, US, 99755 Career Area: Administration ... Description: **Job Description** The **HR & Payroll Coordinator ** supports all aspects of the employee lifecycle for...seniority rules, scheduling rules, job classifications, pay scales, and grievance procedures. + Serve as a first point of… more
- HCA Healthcare (Nashville, TN)
- …invested over 156,000 hours volunteering in our communities. As a Quality Nurse Coordinator - Patient Advocate with TriStar Centennial Medical Center you can be a ... organization. We are looking for an enthusiastic Quality Nurse Coordinator - Patient Advocate to help us reach our...and provide education to leaders and staff regarding the grievance and complaint process. + Maintain accurate records of… more
- North Carolina Central University (Durham, NC)
- …Details** Position Information **Position/Classification Title** Academic Support Center Coordinator **Working Title** Supplemental Instruction Coordinator II ... the latest technology. **Primary Purpose of Position** The Supplemental Instruction Coordinator II plans and facilitates instruction and remediation for students… more
- North Carolina Central University (Durham, NC)
- …Details** Position Information **Position/Classification Title** Academic Support Center Coordinator **Working Title** Assistant Coordinator for Faculty ... program activities and impact. **Required Knowledge, Skills, and Abilities** The Assistant Coordinator of the OFPD should have an extensive knowledge of andragogy… more
- Always Best Care Senior Services (Fletcher, NC)
- …benefits Job Overview We are seeking a dedicated, organized, and detail-oriented Operations Coordinator to join our growing team. This role is essential to ensuring ... high-quality support for office staff, clients, and caregivers. The Operations Coordinator will manage a variety of administrative and scheduling tasks, including… more
- SUNY Suffolk County Community College (Selden, NY)
- …#: 25-94 DATE: December 5, 2025 TITLE: Instructor/Assistant Professor/ Program Coordinator - Addiction Studies CAMPUS: Grant Campus in Brentwood START DATE: ... for a full-time, 10-month tenure-track faculty Instructor/Assistant Professor & Program Coordinator for Addiction Studies beginning in the Spring 2026 semester at… more
- Ramsey County (MN)
- Park Services Coordinator (Winter Seasonal) Print (https://www.governmentjobs.com/careers/ramsey/jobs/newprint/5125439) Apply Park Services Coordinator (Winter ... duties as assigned. Examples of Work Performed Park Service Coordinator in Winter + Assist in checking guests for...in the unclassified service have no right to a grievance appeal from discharge or other disciplinary action under… more
- University of Southern California (Los Angeles, CA)
- Student Conduct / Community Expectations Coordinator Office of Community Expectations (OCE) Application Process: Please include a cover letter with your resume/CV. ... and its resources. About the Opportunity The Community Expectations Coordinator is responsible for Investigating, processing and resolving reported incidents… more
- University of Southern California (Los Angeles, CA)
- …of conduct and conduct processes. Job Description The Academic Integrity Coordinator is responsible for Investigating, processing and resolving reported incidents of ... complete assigned outcomes. Provides information as needed to the appeals coordinator . + . Communicates and provides information about the disciplinary review… more
- State of Massachusetts (Boston, MA)
- …to transportation network drivers. The DLR is seeking a Mediator (Program Coordinator III) to provide public sector labor mediation services. The position requires ... ability to provide a range of mediation services, including contract mediation, grievance mediation, and unfair labor practice charge mediation, by employing various… more
- AmeriHealth Caritas (Allentown, PA)
- **Role Overview** As a Service Coordinator , you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as ... + Informs participants of their rights and assists with the complaint, grievance , and DHS Fair Hearing process + Collect additional necessary information, including… more
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