- BayCare Health System (Clearwater, FL)
- …1 day in office required Equal Opportunity Employer Veterans/Disabled **Position** Grievance Specialist -Health Plan **Location** Clearwater:Park Place | Business ... records. Triage, plan, and execute intake of Appeals and Grievance submissions. + Keeping track of deadlines, ensuring all...and contribute to the development of best practices for grievance and appeal resolution. + Adhere to HIPAA requirements,… more
- AmeriHealth Caritas (Philadelphia, PA)
- …. **This position is hybrid in Philadelphia, PA** **Job Summary** The Appeals & Grievance Case Resolution Specialist is responsible for the full life cycle of ... assigned member and/or provider appeals and grievance cases. Working under general supervision, this role conducts case intake, investigation, and documentation to… more
- Healthfirst (FL)
- …+ Independently manage a caseload of grievances through the full case lifecycle, from written acknowledgement to investigation, resolution, and written member ... resolution letters. + Conduct detailed research by collaborating cross-functionally with internal departments (eg, Member Services, Provider Operations, Clinical, Enrollment, Pharmacy) to identify root causes and recommend appropriate resolutions. + Partner… more
- LA Care Health Plan (Los Angeles, CA)
- …all due dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist .; submit all Grievances and Appeals response letters to ... Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the… more
- State of Indiana (Pendleton, IN)
- …youths. Role Overview: This role serves as the facility's policy coordinator, grievance specialist , PREA coordinator, legal liaison, security coordinator, and ... public information officer. It ensures compliance with IDOC policies, ACA accreditation standards, PREA requirements, and regulatory agency rules while communicating policy updates and maintaining accurate electronic records. The position oversees youth… more
- University of Southern California (Los Angeles, CA)
- The Patient Safety & Resolution Specialist plays a key role in responding to patient concerns, adverse events, and care-quality issues across Keck Medicine of USC. ... Finance within the Office of Integrated Risk Management, the Specialist conducts thorough and impartial investigations; facilitates clear, empathetic communication… more
- Tufts Medicine (Boston, MA)
- …research breakthroughs to life. **Job Overview** The Senior Employee & Labor Relations Specialist serves as a trusted subject matter expert and strategic partner to ... role may delegate and oversee the work of the Employee & Labor Relations Specialist . This position requires deep knowledge of both employment and labor laws (eg,… more
- Howard University Hospital (Washington, DC)
- …outcomes. Howard University Hospital seeks to hire a Labor & Employee Relations Specialist who will embrace our rich and historic tradition of excellence. If you ... $67,482 - $107,971 based on experience Labor and Employee Relations Specialist : Investigates and research labor relations matters, employee and union complaints,… more
- GE Aerospace (Evendale, OH)
- …Manager and the Human Resources team at the Evendale campus. The HR/UR Specialist will own the contractual internal movements for our hourly population in Evendale ... the UAW and IAM populations. + Has oversight for grievance process administration, ensuring data is up to date...administration, ensuring data is up to date in the grievance tracking system and that physical files contain all… more
- University of Rochester (Rochester, NY)
- …policy, procedures, program and labor contract interpretation, complaint and grievance handling, corrective discipline, dispute resolution and union recruitment. ... coordinates work of lower level staff. **ESSENTIAL FUNCTIONS** + Conducts formal grievance investigations and hearings and writes third step grievance responses… more
- New York State Civil Service (Tupper Lake, NY)
- …People With Developmental Disabilities, Office for Title Human Resources Specialist 1 Labor Relations/Trainee 1/2 Occupational Category Administrative or General ... Description PRIMARY DUTIES AND RESPONSIBILITIES: Under the supervision of a Human Resources Specialist 2 (LR), the Human Resources Specialist 1 (LR) in this… more
- Corewell Health (Dearborn, MI)
- …a meaningful impact in healthcare? Join Corewell Health as a Patient Relations Specialist Associate and become the voice of compassion and advocacy for our patients. ... comment card and survey responses, and other duties. + Grievance : Provide access to a centrally located positive patient...access to a centrally located positive patient feedback and grievance process: + Receive complaints and grievances from the… more
- UPMC (Pittsburgh, PA)
- UPMC Medical Education (ME) is hiring a full-time GME Program Specialist to join their team in Pittsburgh, PA! In this role, you will work Monday-Friday from ... Resources. Monitor compliance of all requirements and actions specified in the grievance procedures. Maintain grievance and compliance records and files. Provide… more
- Highland Hospital (Rochester, NY)
- **17350BR** **Title:** Risk Leader Specialist **Department/Cost Center:** 776 - Quality Assurance **Job Description:** Highland Hospital is seeking an experienced ... Risk Leader Specialist to work part time (24 hours a week)....skills for risk assessment and trend analysis. Experience with grievance management systems and professional practice evaluation processes. Demonstrated… more
- Hilton (Coronado, CA)
- The iconic Hotel del Coronado is looking for a **Labor & Employee Relations Specialist ** to join the team\! Joinone of the last surviving wooden Victorian beach ... **What will I be doing?** As the Labor and Employee Relations Specialist , you will be responsible forpreliminary andadministrativedutiesof the Labor and Employee… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Human Resources Specialist 1 (Labor Relations), Human Resources Specialist Trainee 1 (NY HELPS) Box ... Human Resources Management (OHRM) is seeking candidates to fill a Human Resources Specialist 1 (Labor Relations) position in the Labor Relations Unit. The OHRM… more
- New York State Civil Service (Syracuse, NY)
- …People With Developmental Disabilities, Office for Title Human Resources Specialist 1/Trainee 1/2 Occupational Category Administrative or General Management Salary ... State NY Zip Code 13212 Duties Description Under the direction of a Human Resources Specialist 2, the Human Resources Specialist 1 will perform and support a… more
- V2X (Reston, VA)
- …and professionalism. Responsibilities What You'll Do: + The Labor Relations Specialist will assist in developing and implementing labor relations strategies in ... alignment with the applicable V2X Leadership Team. The Labor Relations Specialist may interface with division leaders, company legal counsel, local union… more
- State of Colorado (Pueblo, CO)
- Intake and Support Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5167606) Apply Intake and Support Specialist Salary ... university policy. Description of Job The Intake and Support Specialist assists the Director of Civil Rights Compliance &...under Title IX, as well as the services and grievance procedures available to them and coordinate training to… more
- CUNY (New York, NY)
- Legal Specialist - Paralegal **POSITION DETAILS** The CUNY School of Medicine (SoM) located in the heart of Harlem, New York, is the only medical school in the City ... diversity of our student body. The SoM is currently seeking a Legal Specialist . The successful candidate will provide administrative and legal research support to… more