- UCLA Health (Los Angeles, CA)
- Description The Appeals & Grievance Intake Coordinator serves as the primary point of contact for receipt of member-initiated complaints and Health Plan ... grievances and appeals . The Grievance and Appeals Intake Coordinator is responsible for managing...Medical Group initial point of contact for all internal complaint and health plan-initiated member appeals and… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Appeals and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written ... complaints, grievances and requests for appeals that involve complex matters submitted by Members and...knowledge of all regulatory requirements as they apply to complaint , grievance and appeal processes. + Proficient in Microsoft… more
- CVS Health (Springfield, IL)
- …affordable. **Position Summary** Coordinate effective resolution of member or provider/practitioner appeals . Responsible for managing to resolution of appeals , ... may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach...reroute inappropriate work items that do not meet appeal, complaint and grievance criteria as well as identify trends… more
- University of Colorado (Aurora, CO)
- **Director of Investigations and Deputy Title IX Coordinator ** **Description** **University of Colorado Denver | Anschutz Medical Campus** **Department:** **Office ... of Equity** **Job Title:** **Director of Investigations and Deputy Title IX Coordinator ** **Position #:** **00746937 - Requisition #: 35898** **Job Summary:** as… more
- State of Colorado (Denver, CO)
- Case Management Eligibility Coordinator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4871135) Apply Case Management Eligibility ... of diverse backgrounds and abilities. We are looking for a Case Management Eligibility Coordinator to join ourOffice of Community Living team! As part of the State… more
- Mohawk Valley Health System (Utica, NY)
- Registered Nurse - MDS Coordinator - Per Diem - Days Department: UTILIZATION SERVICES Job Summary The RN - MDS Coordinator will play a crucial role in ensuring ... Medicare documentation and Medicare (re)certifications. + Initiates and monitors appeals to Livanta. + Prepares CMI (Case Mix Index)...and civil rights, including the right to wage a complaint , are well established and maintained at all times.… more
- Louisiana Department of State Civil Service (Lake Charles, LA)
- …Performance Reports for review and submission. + Gathers stakeholder input through complaint management and questionnaires received by DD Division. Follow Customer ... Complaint Operational Instructions and timelines for all service delivery...information and summary of evidence for nursing home admission appeals . Maintains accounting of time involvement in PASRR-related activities… more
- City of New York (New York, NY)
- …when warranted and along with SADC and MLTC send notifications of complaints, complaint status, notice of appeals or perfects its appeal. Develop special ... The director manages a team consisting of one Registration Coordinator and two Associate Investigators who track complaints and...NYC Council Members, and other entities as needed. Identify complaint trends and issues related to the Office. -… more
- State of Colorado (Denver, CO)
- …to ensure relevant and impactful reporting + Summarize data for complaint reviews, investigations, litigation, education, outreach, and annual reports + Ensure ... of the department's action. For more information about the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAAA Coordinator , Julie Christopher at ###@coag.gov. The State of Colorado… more
- State of Colorado (Denver, CO)
- …work occasional evening, night, weekend, or holidays depending upon circumstances of survey or complaint . + Must be able to lift and carry up to 45lbs. of equipment ... Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel...this position, please direct your inquiries to our ADAAA Coordinator , Dan McKenna, ###@state.co.usor call ###, option 5. The… more
- State of Colorado (CO)
- …to hire 3 rd party consultants and experts to assist in investigations. Complaint Response : + Interview the complainant, look at available data, decide what ... of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
- State of Colorado (Denver, CO)
- …that the deficiency should be cited under. + Investigates complex complaint allegations, analyzes the data gathered during the investigation, determines whether ... work occasional evening, night, weekend, or holidays depending upon circumstances of survey or complaint . + Must be able to lift and carry up to 45lbs. of equipment… more
- State of Colorado (Denver, CO)
- …this is an entry-level position, significant internal training is required. Complaint Investigation Under the guidance and direction of the supervisor: Investigate ... of the United States. + TRAVEL: 35% Travel for inspections and complaint investigations throughout the state. Travel will often require evening and overnight… more
- Veterans Affairs, Veterans Health Administration (Huntington, WV)
- Summary The Social Worker works closely with the Caregiver Support Program Coordinator / Caregiver Support Program Senior Social Worker and/or designee to complete ... Include: The Social Worker works closely with the Caregiver Support Program Coordinator / Caregiver Support Program Senior Social Worker and/or designee to complete… more
- The County of Los Angeles (Los Angeles, CA)
- …One position provides first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises ... E-mail:###@ph.lacounty.gov Exam Number:PH5704C California Relay Services Phone: ### ADA Coordinator Phone: ### Teletype Phone: ### Alternate Teletype Phone: ###… more
- University of Miami (North Miami, FL)
- …illnesses. + Takes a thorough history, including but not limited to: chief complaint , vitals, pain score, mechanism of injury, past medical history, and review of ... direction and serve as liaison between patient, surgeon, and surgical coordinator . + Communicates with patients, other staff, and providers regarding patient… more
- State of Colorado (Grand Junction, CO)
- …work occasional evening, night, weekend, or holidays depending upon circumstances of survey or complaint . + Must be able to lift and carry up to 45lbs. of equipment ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information A… more
- State of Arkansas (Little Rock, AR)
- …Location: Little Rock, AR, US, 72201 Category: OFC OF PROSECUTOR COORDINATOR Anticipated Starting Salary: $64,000.00 Position Information Summary The Deputy ... within the judicial district for consideration of prosecution. + Prepares complaint affidavits for filing in misdemeanor prosecutions. + Maintains misdemeanor case… more
- UCLA Health (Los Angeles, CA)
- …agency standards. Additional areas of responsibility include tracking and trending complaint and grievance data to identify and report aberrant trends. Key ... responsibilities include: + Analyze and resolve complaints/ appeals : Gather and organize key information, ensuring a thorough review. Consult with Medical Directors… more
- University of Miami (North Miami, FL)
- …illnesses. + Takes a thorough history, including but not limited to: chief complaint , vitals, pain score, mechanism of injury, past medical history, and review of ... direction and serves as a liaison between patient, surgeon, and surgical coordinator . Communicates with patients, other staff, and providers regarding patient care… more