• Utilization Review Denials Nurse

    UNC Health Care (Kinston, NC)
    …the Physician Advisors and subject matter experts for all audit and appeals work activities. Assists with documentation review to support the clinical documentation ... overturn, proactively gathers required clinical documentation and formulates appropriate appeals . Coordinates with the Physician Advisor and Case management… more
    UNC Health Care (11/20/25)
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  • Comprehensive Cancer Grant Manager - Term Limited

    State of Colorado (Denver, CO)
    …be submitted on the official appeal form, signed by you or your representative. Appeals to the State Personnel Board or the State Personnel Director must be received ... or postmarked within the filing period: Appeals shall be filed with the Board no later...project lead, overseeing the work of the Comprehensive Cancer Specialist . You will have to assign work, monitor workflow… more
    State of Colorado (11/26/25)
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  • Front Desk Coordinator (Term - Limited) - Office…

    State of Colorado (Denver, CO)
    …, Criminal Appeals ,State Services (http://www.coloradoattorneygeneral.gov/departments/state\_services) ... authority for enforcement of consumer protection laws, prosecution of criminal appeals , antitrust laws, and certain natural resource and environmental matters and… more
    State of Colorado (11/25/25)
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  • Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    …and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of ... throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as a liaison with payers… more
    Mohawk Valley Health System (10/07/25)
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  • IPAT Analyst

    HCA Healthcare (Aventura, FL)
    …to join an organization that invests in you as an Inpatient Authorization Review Specialist ? At Parallon you come first. HCA Healthcare has committed up to $300 ... We are looking for a dedicated Inpatient Authorization Review Specialist like you to be a part of our...the facilities, physicians' offices and/or insurance companies to resolve denials/ appeals + Adhere to time and attendance policies +… more
    HCA Healthcare (11/21/25)
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  • CPW Area Wildlife Biologist (Wildlife Manager III)…

    State of Colorado (Rio Blanco County, CO)
    …vehicle APPEAL RIGHTS: It is recommended that you contact the Human Resources Specialist listed below to resolve issues related to your possession of minimum ... of the department's action. For more information about the appeals process, the official appeal form, and how to...of this announcement will be reviewed by an HR Specialist against the Minimum Qualifications in this announcement. +… more
    State of Colorado (11/20/25)
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  • Health Facilities Evaluator III

    The County of Los Angeles (Los Angeles, CA)
    …first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises the activities of all ... -OR- a certificate or pocket license as a Registered Environmental Health Specialist issued by the California State Department of Public Health PHYSICAL CLASS:… more
    The County of Los Angeles (11/24/25)
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  • SNAP Performance Team Lead

    State of Colorado (Denver, CO)
    …position has direct control over day to day activities of SNAP Program Specialist IIIs to include assigning tasks, monitoring progress and workflow, scheduling work, ... client feedback, and complaints. Develops with the SNAP Program Specialist IIIs a system for regular and on-going performance...if your application is eliminated. You will find the appeals process, the official appeal form, and how to… more
    State of Colorado (11/26/25)
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  • Financial Fraud Investigator (Special Agent III)

    State of Colorado (Denver, CO)
    …marital status. Your application will be reviewed by a qualified Human Resources Specialist to determine if you meet the minimum qualifications for this position. If ... of the department's action. For more information about the appeals process, the official appeal form, and how to...have any questions regarding this position, please contact HR Specialist Daisy Zepeda ###@coag.gov The State of Colorado offers… more
    State of Colorado (11/26/25)
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  • Social Work III - Clinical Services Fort Logan

    State of Colorado (Denver, CO)
    …referrals to potential discharge locations. + Must work closely with the Benefits Specialist and Reintegration Specialist and assist in completion and monitoring ... by the State Personnel Director if your application is eliminated. You will find the appeals process, the official appeal form, and how to deliver it on the State… more
    State of Colorado (11/21/25)
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