- 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 ... and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with… more
- State of Colorado (Grand County, CO)
- …of notice or knowledge of the action: Colorado State Personnel Board/State Personnel Director , Attn: Appeals Processing, 1525 Sherman Street, 4th Floor, Denver, ... needed + Based on general guidance from the DFPC Director , by and through the WFMS Chief, assists the...to hire, promote or transfer; + Assists with informal grievances , provides documentation to support corrective actions when needed;… 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, ... clinic in a fiscally minded manner. Main contact with the DYS Medical Director for consultation and collaboration on individual cases. Oversees the general function… 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, ... hire. + Resolve problems, performance issues, disputes, and informal grievances and initiate corrective action or recommend discipline as...Board or request a review by the State Personnel Director . An appeal or review must be submitted on… 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, ... practice. Ensure that youth are provided confidential access to grievances , medical assistance and mental health assistance as needed/requested...Board or request a review by the State Personnel Director . An appeal or review must be submitted on… 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, ... pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces inmate idleness, and...Board or request a review by the State Personnel Director . An appeal or review must be submitted on… more
- State of Colorado (Chaffee 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, ... employee evaluations and plans; conducts performance evaluations, resolves informal grievances ; creates schedules, assigns tasks, inspects work; approves time,… more
- State of Colorado (Sterling, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces inmate idleness and...Board or request a review by the State Personnel Director . An appeal or review must be submitted on… more
- State of Colorado (CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... state licensing authority over dealers, wholesale dealers and salespersons. The Executive Director for the Department of Revenue is the state licensing authority… more