- AmeriHealth Caritas (Philadelphia, PA)
- **Job Summary** As the Supervisor , Appeals and Grievances you will oversee daily operations, staffing, and performance for a remote team of 15 Appeals & ... Services, Legal, and Compliance to ensure Consistent resolution of appeals and grievances **Education and Experience** +...to ensure Consistent resolution of appeals and grievances **Education and Experience** + Associate Degree in Health… more
- LA Care Health Plan (Los Angeles, CA)
- Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... that purpose. Job Summary The Lead Customer Solution Center Appeals and Grievances RN is responsible for...achieve regulatory standards. Acts as a back-up to the Supervisor in leading meetings and handling escalations as required.… more
- Point32Health (MA)
- …(https://www.point32health.org/) . **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… more
- Point32Health (Canton, MA)
- …(https://www.point32health.org/) . **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… more
- Fallon Health (Worcester, MA)
- …other applicable regulatory requirements and member and provider expectations. The FH Appeals and Grievances Triage Administrator serves to administer the FH ... standards. The Triage Administrator is responsible for triaging and assigning all incoming appeals and grievances addressed to the Member Appeals &… more
- CareFirst (Baltimore, MD)
- …for collecting, organizing and tracking information to facilitate and expedite processing of appeals and grievances received from a variety of sources. We are ... and verbal communications to assist in responses of all appeals and/or grievances based on State and...stakeholders, without breaching confidentiality of medical information. + Assists Supervisor and Appeals Specialist II and III… more
- State of Colorado (Denver, CO)
- Correctional Youth Security Supervisor III - Mount View Youth Service Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5187397) Apply ... Correctional Youth Security Supervisor III - Mount View Youth Service Center Salary $5,637.00 Monthly Location Denver, CO Job Type Full Time Job Number IKA 05373… more
- State of Colorado (Delta, CO)
- CDOC General Maintenance Supervisor CSTS I (Delta) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5194409) Apply CDOC General Maintenance ... Supervisor CSTS I (Delta) Salary $5,031.00 - $7,043.00 Monthly...pay, creates schedule and assigns tasks and resolves informal grievances ; inspects work and performs inmate evaluations; reduces inmate… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Experience: Minimum 3 years of relevant experience in healthcare, quality assurance, appeals , or grievances . + Previous supervisory experience preferred. + ... **Position Summary:** The Quality Auditing Supervisor is responsible for overseeing the day-to-day operations...updates. + Manage audit disputes through all levels of appeals . + Collaborate with Service Coordination leadership and training… more
- State of Colorado (Delta, CO)
- CDOC Work Crew Supervisor CSTS I (Delta) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5194408) Apply CDOC Work Crew Supervisor CSTS I ... to fill future vacancies at this location. Description of Job This Correctional Support Trades Supervisor I (CSTS I) is a Labor Crew Supervisor for the Delta… more
- State of Colorado (Sterling, CO)
- CDOC Licensed HVAC Supervisor CSLTS I (Sterling) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5187516) Apply CDOC Licensed HVAC ... Supervisor CSLTS I (Sterling) Salary $5,283.00 - $7,395.00 Monthly...pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces inmate idleness and… more
- State of Colorado (Golden, CO)
- Correctional Support Trades Supervisor I - Campus at Lookout Mountain Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5198914) Apply ... Correctional Support Trades Supervisor I - Campus at Lookout Mountain Salary $2,360.77...This supervision entails assigning and evaluating work, handling informal grievances , initiating corrective and disciplinary actions, and participating in… more
- Commonwealth of Pennsylvania (PA)
- Clerical Supervisor 2 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5192881) Apply Clerical Supervisor 2 Salary $45,907.00 - $69,201.00 ... Compensation (UC), Support Operations Division, has an exciting opportunity for a Clerical Supervisor 2. In this leadership role, you will supervise the work of a… more
- Modivcare (AR)
- …may be the right fit for you! Modivcare is looking for an experienced Supervisor - Success & Investigative Services to join our team. This role is responsible ... to ensure a high level of customer service and reduce complaints and grievances . This role focuses on identifying trends, supporting staff through coaching and… more
- State of Colorado (Pueblo, CO)
- …and reporting. Other duties include: Organizational Management and Supervision: + Unit supervisor for 10 staff members, including direct supervision of 3 individual ... disciplinary actions; approves leaves; assigns work schedules; resolves informal grievances ; establishes acceptable work standards; sets priorities; initiates hiring… more
- State of Colorado (Fremont County, CO)
- …makes recommendations to hire, promote or transfer; + Manages informal grievances , provides documentation to support corrective actions when needed; + Oversees ... and adjusts deadlines and plans of work accordingly, communicates concerns with supervisor as needed; + Compiles all required incident documentation including but… more
- State of Colorado (Aurora, CO)
- …+ Complete PMP's, status changes, implement progressive discipline and respond to grievances as required + Follows standardized recipes and prepares all aspects of ... as needed and special occasions + Assist food service supervisor in inventorying supplies and foods (perishables and nonperishables),...if your application is eliminated. You will find the appeals process, the official appeal form, and how to… more
- WellSpan Health (Lewisburg, PA)
- …+ Resolves simple or informal complaints and refers formal grievances or appeals to appropriate officials. + Intercedes with supervisor on behalf of team ... all Technician level tasks. + Provides feedback to Logistics & Distribution Supervisor on co-worker's performance. Provides input to supervisor for performance… more
- State of Colorado (Grand County, CO)
- …during work hours to maintain fitness levels as directed by the supervisor . Mitigation, Fuels Treatment and Resource Management Projects + While providing for ... to hire, promote or transfer; + Assists with informal grievances , provides documentation to support corrective actions when needed;...of multiple years of experience as a first level supervisor or work lead, and will be proven leaders… more
- State of Colorado (Pueblo, CO)
- …and restrictions pertinent to patient treatment and safety. Alerts the supervisor with recommendations for additional training/teaching when an increase in any ... + Addresses patient complaints/complaints of family and resolves patient grievances at the unit level. + Aware of patient...the unit, this position will consult with the nursing supervisor on the unit. + Knows all new policies… more
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