- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Manager , Appeals & Grievances (A&G) & General Operations (Clinical) is responsible… more
- BronxCare Health System (Bronx, NY)
- …the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care services provided to ... identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and… more
- Elevance Health (Tampa, FL)
- **Nurse Appeals ** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law._ The **Nurse Appeals ** is responsible for investigating and processing and medical necessity appeals… more
- Elevance Health (Columbus, OH)
- **Nurse Appeals RN** **Location** : Ohio-Cincinnati, Columbus, Mason, or Seven Fields _(Must be within commutable distance to the listed locations.)_ **Virtual:** ... unless an accommodation is granted as required by law._ The **Nurse Appeals ** is responsible for investigating and processing and medical necessity appeals… more
- Elevance Health (Indianapolis, IN)
- …for system edits. + Coordinates research and responds to system inquiries and appeals . + Conducts research of claims systems and system edits to identify ... reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding and fee schedule updates....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- State of Colorado (Colorado Springs, CO)
- …(Health Professional VI) - Therapeutic Community Program Manager (Hybrid) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5154145) Apply CDOC ... (Health Professional VI) - Therapeutic Community Program Manager (Hybrid) Salary $7,971.00 - $11,159.00 Monthly Location Colorado...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Colorado Springs, CO)
- Client Manager /Parole Officer - Youth Service Counselor II - Southern Region Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5152457) Apply ... Client Manager /Parole Officer - Youth Service Counselor II - Southern...the importance of language, professionalism, and confidentiality in all correspondence . Parole Planning and Supervision: + Facilitate pre-parole staffing.… more
- State of Colorado (Denver, CO)
- Transit and Mobility Grants Project Manager - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5147729) Apply Transit and Mobility ... Grants Project Manager - Denver Salary $71,544.00 - $82,272.00 Annually Location...do, including hiring, employment, and advancement opportunities. Notifications: All correspondence regarding your status in the selection/examination process will… more
- Fallon Health (Worcester, MA)
- …those correspondence to providers. + Filing of individual provider appeals files in accordance with department standards. Maintain provider appeal database and ... on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance with… more
- State of Colorado (CO)
- DOLA - BoS HMIS Manager (Administrator V) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5163020) Apply DOLA - BoS HMIS Manager ... as a critical bridge to the HMIS team ensuring aligned operations. The HMIS Manager is responsible for the Balance of State Continuum of Care's portion of COHMIS,… more