- 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 ... required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory time lines by… more
- Johns Hopkins University (Baltimore, MD)
- …Office of Employee and Labor Relations. This position will report, to the Director of Employee Relations and Labor Relations (ER/LR). This position will provide a ... actions and make sound recommendations to management. + Manage the grievance process, including fact finding, reviewing evidence, serving as hearing officer,… more
- MTA (Jamaica, NY)
- …other labor relations related tasks as deemed appropriate. Responsibilities: + Manage grievance and disciplinary cases appealed by the various unions to the Labor ... or modify decisions made by Department Heads/designees related to such appeals . Represent the LIRR at contract interpretation and disciplinary arbitrations. Prepare… more
- State of Colorado (Pueblo, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... referrals and consultations, medical reporting, medical co-signature and inmate grievance requirements are completed in accordance with DOC Administrative… more
- CVS Health (Downers Grove, IL)
- …obtain crucial or required information from Providers, such as HEDIS, Revalidation, Grievance and Appeals , SIU, etc. Coordinate provider status information with ... to support staff. + Process Improvement: Work with Sr. Managers and Director to develop and implement strategies to streamline, policies, procedures, provider… more
- Missouri State University (Springfield, MO)
- …and Records Assistant resolves student registration issues, processes changes due to appeals and grade changes, verifies GPAs to assure accuracy of the electronic ... the Armed Forces of the United States of America. The University maintains a grievance procedure incorporating due process available to any person who believes he or… more
- New York State Civil Service (Albany, NY)
- …case law. The incumbent serves as the Chancellor's representative in hearing appeals of disciplinary and contract grievances pursuant to the collective bargaining ... of the Assistant Vice Chancellor for Employee Relations, the Assistant Director of Employee Relations performs the following:- Supervises the administration of… more
- CUNY (New York, NY)
- …immigration. The Special Counsel serves as hearing officer of disciplinary and grievance proceedings and represents the College at higher levels of the disciplinary ... and grievance processes. The Special Counsel also serves as the...of College programs, units and College faculty, and the Director of Hunter College Campus Schools. Responsibilities include, but… more
- Trinity Health (Norristown, PA)
- …risk assessments, including the Failure Mode and Effects Analysis + Facilitate the grievance and appeals process. + Develop and implement audit tools for ... and compliance activities. Working closely with the Quality and Compliance Director , you'll ensure adherence to regulatory standards and foster a culture… more
- University of Connecticut (UConn) (Storrs, CT)
- …and faculty services. + Participates in processes related to faculty counseling, faculty grievance , and appeals related to the SON operations. + Promotes ... leading processes and initiatives supporting the SON faculty. In coordination with the Director of Teaching and Learning provides a culture of scholarship within the… more