- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …clients, ensuring high-quality, clinically sound decision-making. The Clinical Appeal and Grievance Nurse is responsible for conducting daily clinical and benefit ... and ERISA + Proficiency in Clinical Appeals, Utilization Review, and Grievance processes including benefit interpretation, contract language, and medical policy… more
- Highmark Health (Raleigh, NC)
- …oversight and enhancement of all Service Excellence efforts including complaint, grievance , and internal investigations of patient and family concerns. Duties ... service recovery and resolution of complaints, management of complaint and grievance process, patient and family advocacy, tracking and trending, reporting and… more
- Novant Health (Winston Salem, NC)
- …Specialist is primarily responsible for coordinating and managing the complaint/ grievance process including formal written correspondence with patients and their ... remarkable care and service. Patient Partnership Specialists analyzes complaint and grievance data to identify and report trends/themes within assigned facility.… more
- North Carolina Central University (Durham, NC)
- …discrimination based on sexual orientation cannot grieve beyond the University's internal grievance process. In keeping with this policy, and to further the ... appraisal, disciplinary actions, benefits, transfers, separations, reduction in force, grievance procedures, company-sponsored training, education, tuition assistance, and social… more
- North Carolina Central University (Durham, NC)
- …discrimination based on sexual orientation cannot grieve beyond the University's internal grievance process. In keeping with this policy, and to further the ... appraisal, disciplinary actions, benefits, transfers, separations, reduction in force, grievance procedures, company-sponsored training, education, tuition assistance, and social… more
- North Carolina Central University (Durham, NC)
- …discrimination based on sexual orientation cannot grieve beyond the University's internal grievance process. In keeping with this policy, and to further the ... appraisal, disciplinary actions, benefits, transfers, separations, reduction in force, grievance procedures, company-sponsored training, education, tuition assistance, and social… more
- North Carolina Central University (Durham, NC)
- …discrimination based on sexual orientation cannot grieve beyond the University's internal grievance process. In keeping with this policy, and to further the ... appraisal, disciplinary actions, benefits, transfers, separations, reduction in force, grievance procedures, company-sponsored training, education, tuition assistance, and social… more
- North Carolina Central University (Durham, NC)
- …discrimination based on sexual orientation cannot grieve beyond the University's internal grievance process. In keeping with this policy, and to further the ... appraisal, disciplinary actions, benefits, transfers, separations, reduction in force, grievance procedures, company-sponsored training, education, tuition assistance, and social… more
- North Carolina Central University (Durham, NC)
- …discrimination based on sexual orientation cannot grieve beyond the University's internal grievance process. In keeping with this policy, and to further the ... appraisal, disciplinary actions, benefits, transfers, separations, reduction in force, grievance procedures, company-sponsored training, education, tuition assistance, and social… more
- Humana (Raleigh, NC)
- …Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their ... assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational… more