- Humana (Denver, CO)
- …Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on problems of diverse ... scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- State of Colorado (Golden, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... Clinical Director - Summit Youth Services Center in Golden...& group contact; Management of delinquent behavior; Liaison to medical and psychiatric services; Formal supervision for BH staff;… more
- Highmark Health (Denver, CO)
- …medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances , and other reviews as assigned. Compose clear ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- State of Colorado (Golden, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... security/control functions, educational support services, daily programming, recreation, meals, medical referral and follow-up, and customer service. Responsible to… more
- State of Colorado (Lakewood, CO)
- …hygiene practice. + Ensures that youth are provided confidential access to grievances , medical assistance and mental health assistance as needed/requested ... Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes,… more
- State of Colorado (Arapahoe County, CO)
- …meals as required. Ensure that youth are provided confidential access to grievances , medical and behavioral health services as needed/requested. Distribute youth ... Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes,… more
- State of Colorado (Denver, CO)
- …meals as required. Ensure that youth are provided confidential access to grievances , medical and behavioral health services as needed/requested. Distribute youth ... Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes,… more
- State of Colorado (Denver, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... Defined Contribution Plan plus 401K and 457 plans; + Medical and dental health plans; + Short and long...pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces inmate idleness and… more
- State of Colorado (Golden, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, follow up and appropriate action Shift Supervision +… more
- State of Colorado (Denver County, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... is responsible for supervision including performance management, resolving informal grievances , documentation to support corrective and disciplinary actions, and… more