- Randstad US (Woodland Hills, CA)
- grievance and appeals coordinator . + woodland hills , california + posted may 8, 2024 **job details** summary + $19.99 - $22 per hour + temp to perm + high ... job details A trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Grievance and Appeals Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #660 Wednesday, June 5, 2024 Centers Plan for Healthy Living's goal is ... need for healthy living. JOB SUMMARY: As an integral part of the Grievance and Appeals (G&A) Department, the G&A Coordinator lends their support in… more
- Centene Corporation (PA)
- …**Position Purpose:** Analyze and resolve verbal and written claims and authorization grievance / appeals from providers and members. Resolve all State inquires ... appeal decisions. + Act as subject matter expert regarding grievances and appeals . + Lead Appeals and Grievance Committee + 10% travel for mandatory meetings… more
- Centene Corporation (Salem, OR)
- …member and provider complaints, grievances and appeals + Maintain files on individual appeals and grievances + May coordinate the Grievance and Appeals ... High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals , claims or related managed care experience. Strong oral, written,… more
- CVS Health (Columbus, OH)
- …solutions to make health care more personal, convenient and affordable. Position SummaryCreated grievance and appeals cases in the G&A system and sends ... acknowledgement letters to members and providersRequired QualificationsData Entry SkillsPreferred QualificationsOrganized, ability to multi-task, Detail orientedEducationHigh Scholl Diploma or GED Pay Range The typical pay range for this role is: $17.00 -… more
- CoreCivic (Eloy, AZ)
- …and a responsibility to better the public good. We are currently seeking a ** Grievance Coordinator ** who has a passion for providing the highest quality care ... dedicated to making an impact for the people and communities we serve. The Grievance Coordinator oversees the inmate/resident grievance process and ensures… more
- MTC (Jacksboro, TX)
- …their road back to a healthy, productive life. **Essential Duties:** 1. Ensure grievance forms are readily available to all offenders. 2. Create, plan and coordinate ... grievance function for assigned facilities. 3. Travel to all...8. Assist offenders with the submission of grievances and appeals when requested by an offender. **Qualifications:** + Bachelor's… more
- Magellan Health Services (San Diego, CA)
- …case management and processes appeal requests. In some cases may be combined with Grievance Coordinator functions. + Maintains a caseload and monitors day to day ... documents meet standards and are accurate. General Job Information Title Appeals Coordinator Grade 19 Work Experience - Required Customer Service Work Experience… more
- HCA Healthcare (Asheville, NC)
- …for over sight of the Contract Liaison, HIMS Clerk and Service Delivery, Appeals and Grievance (SDAG) Coordinator . Essential Accountabilities: + Develops ... and guides the development and implementation of the annual quality plan. + Manages Internal and External Audit Activity. + Responsible for maintaining compliance with Federal and State regulatory requirements and audit processes. + Tracks and trends data that… more
- CVS Health (Harrisburg, PA)
- …health care more personal, convenient and affordable. Position Summary The Medicare Grievance Sr. Coordinator will fully research and resolve beneficiary ... complaints. Candidates can live anywhere US These complaints can include various issues and may require coordination with various departments to fully reach resolution. Responses must be timely and include member focused solutions in both written and oral… more
- Bassett Healthcare (Cooperstown, NY)
- …Medical Group, and staff leadership; compiles adhoc reports as requested. Coordinates grievance appeals with the Network Medical Directors. Participates on ... 2022! What you'll do The Patient Representative Services (PRS) Program Coordinator is responsible for developing a Patient Representative Services Program for… more
- CVS Health (Fresno, CA)
- …carrying a modified case load including but not limited to:-Research incoming electronic appeals , complaints and grievance to identify if appropriate for unit ... and reroute inappropriate work items that do not meet appeals , complaints and grievance criteria. -Research Standard Plan Design or Certification of Coverage… more
- Scripps Health (San Diego, CA)
- …accordance with regulatory requirements. v Maintains accurate and timely documentation of appeals , grievance , possible quality issues, and peer review responses ... have been with Scripps Health for over 10 years. This RN Quality Coordinator will primarily be responsible for the review, analyzing, preparation and response of… more
- Washington County Mental Health Services (Barre, VT)
- …on compliance with AHS and DAIL regulations as pertains to Master Grant requirements, grievance and appeals , and the DAIL/DDS System of Care Plan; Monitor and ... Position Title: Administrative Coordinator Division: Community Developmental Services (CDS) Supervised by:...Services (CDS) Supervised by: CDS Director Summary of Administrative Coordinator : The Admin Coordinator will; provide ongoing… more
- Missouri State University (Springfield, MO)
- …and use of University assets, issue permits, process parking tickets and appeals , etc. Description of Primary Duties The Administrative Specialist II works in ... use of University assets, issue permits, process parking tickets and appeals , etc. Minimum Acceptable Qualifications Education/Experience: A high school diploma or… more
- Missouri State University (Springfield, MO)
- …and use of University assets, issue permits, process parking tickets and appeals , etc. Description of Primary Duties This position will be responsible for ... the Armed Forces of the United States of America. The University maintains a grievance procedure incorporating due process available to any person who believes he or… more
- State of Colorado (Golden, CO)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... facility and throughout CYSOs + Functions as the training Coordinator for the facility. Train staff in DYS Policy...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Greeley, CO)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... facility and throughout CYSOs + Functions as the training Coordinator for the facility. Train staff in DYS Policy...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Adams County, CO)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... 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 , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE… more
- State of Colorado (Denver, CO)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... 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 , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE… more