- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... the safety net required to achieve that purpose. Job Summary The Supervisor of Appeals and Grievances Clinical Operations (A&G) RN is responsible for executing… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor (RN) directs and coordinates the accurate implementation of the clinical appeal process ... the activities and serves as a resource for associates within the Clinical Appeals and Analysis unit supporting Government Programs lines of business. We are looking… more
- Glens Falls Hospital (Glens Falls, NY)
- …**Job:** **Allied Health - Health Information Management* **Title:** *Coding Reimbursement Appeals Supervisor - Health Information Management (HIM) * ... **Location:** *NY-Glens Falls* **Requisition ID:** *2203X* more
- Point32Health (TX)
- …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
- State of Indiana (Indianapolis, IN)
- …analyze facts and draw logical conclusions. + Ability to work independently and with appeals supervisor and support staff. + Able to perform essential functions ... Appeals Referee Date Posted: Jan 21, 2025 Requisition ID: 454084 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State of… more
- RWJBarnabas Health (Oceanport, NJ)
- …activities are performed accurately, completely and timely to limit financial risk. The supervisor is responsible for submitting appeals of insurance denials in ... Supervisor , Financial Clearance (Surgical and Oncology Authorizations), Hybrid,...2 Crescent Place, Oceanport, NJ 07757 Job Summary: The Supervisor of Centralized Scheduling supports clinic and outpatient chemotherapy… more
- LA Care Health Plan (Los Angeles, CA)
- Lead Customer Solution Center Appeals and Grievances Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los ... to achieve that purpose. Job Summary The Lead of Customer Solution Center Appeals and Grievances is responsible for assisting with the development of a successful… more
- R1 RCM (Salt Lake City, UT)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Appeals and Denials Manager** , you will serve as an expert on ... clinical appeals and denials management. Every day you will support...Denials Manager** + Responsible for the oversight of department supervisor (s) and overall department vision. + Mentors, supports, and… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member… more
- Genesis Healthcare (Seven Fields, PA)
- …our Clinicians in Action professional development program. Responsibilities The Denials and Appeals Specialist is responsible for the follow up of denied claims from ... based on the response from the payer and takes appropriate action, including appeals , based on the type of denial. Documents all necessary elements; reason for… more
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... executes the appeal process for all AHS facilities clinical appeals and third party audits. **DUTIES & ESSENTIAL JOB...Initiates the appeal process, at the direction of the Supervisor and/or physician advisors, until the case is overturned,… more
- Bronx County District Attorney's Office (Bronx, NY)
- Assistant District Attorney-Mental Hygiene Supervisor Summary Title:Assistant District Attorney-Mental Hygiene Supervisor ID:902 - 2024481 Career Opportunity ... Type:Lateral Legal Staff Bureau: Appeals Bureau Functional Title:Assistant District Attorney Salary Range:N/A Division:General Counsel Division Description JOB… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …and refers others, such as possible disciplinary actions, formal grievances and appeals , to the supervisor . Communicates team consensus and recommendations to ... on work in progress, and reviews completed work to see that the supervisor 's instructions on work priorities, methods, deadlines, and quality have been met. Serves… more
- City of New York (New York, NY)
- …seeks an experienced attorney to help oversee post-conviction litigation, including direct appeals , motion responses, and federal writs of habeas corpus, and to help ... run a busy appeals bureau. The Office seeks a well-qualified staff whose...not limited to the following: - Brief and argue appeals and other post-conviction matters in New York State… more
- City and County of San Francisco (San Francisco, CA)
- …looks like in action. Under general direction, the Medical Social Work Supervisor works for the Department Disability and Aging Services Hub. This position ... 2940 Protective Services Worker staff. Along with supervision, this supervisor provides consultation concerning the most difficult cases and...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- State of Colorado (Denver, CO)
- Assistive Technology Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4796376) Apply Assistive Technology Supervisor Salary ... to the office one (1) day per week and at the discretion of the supervisor and according to business need. The Department of Labor and Employment keeps Colorado… more
- State of Colorado (Golden, CO)
- CORRECTIONAL, YOUTH, SUPERVISOR III at CALM Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4800887) Apply CORRECTIONAL, YOUTH, SUPERVISOR ... regards to Critical Incidents + Assists and oversees Shift Supervisor duties + Ensures staff are assigned to appropriate...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Arapahoe County, CO)
- CORRECTIONAL, YOUTH, OR CLINICAL SECURITY SUPERVISOR III - Marvin W. Foote YSC - Englewood, CO Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4797351) Apply CORRECTIONAL, YOUTH, OR CLINICAL SECURITY SUPERVISOR III - Marvin W. Foote YSC - Englewood,… more
- Lane County (Lane County, OR)
- …issuing marriage licenses and domestic partnerships, and supporting the Property Value Appeals Board. As the Recording Supervisor , your primary responsibility ... Elections and Recording Supervisor Print (https://www.governmentjobs.com/careers/lanecountyor/jobs/newprint/4787720) Apply Elections and Recording Supervisor … more
- State of Colorado (CO)
- CDOC Nurse Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4764859) Apply CDOC Nurse Supervisor Salary $8,204.00 - $11,487.00 ... Denver, Limon, Pueblo, Rifle, Sterling and Trinidad). The Nurse III (Nurse Supervisor ) position supervises, guides, and directs professional skilled nursing care for… more
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