- State of Colorado (Colorado Springs, CO)
- …Appeal Rights MINIMUM QUALIFICATIONS Six (6) years of relevant experience in grievances , investigations or legal standards and processes. -OR- A combination of ... in order to establish an eligible list for referral to the hiring manager for final consideration. Use of artificial intelligence (AI) tools, including language… more
- Sharp HealthCare (San Diego, CA)
- …as needed.Completes and/or supervises the completion of all clinical appeals and grievances . Collaborates with Customer Care Manager to identify trends in ... needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its'...plan functions that interface with medical management such as provider relations, member services, benefits and claims management, IT… more
- State of Colorado (Denver, CO)
- …weekends, and holidays. The duties include but are not limited to: + Provide assistance to the telehealth provider by scheduling regional medical appointments ... and maintaining medical supplies for store rooms and examination rooms; + Coordinate grievances by logging and mailing back responses. Complete flow sheets of all… more
- TEKsystems (Honolulu, HI)
- Description Conducts critical analysis of highly complex and sensitive member and provider appeals , inquiries and grievances and applies internal policies ... and presents a full explanation of the member's or provider 's position and concerns to management and decision makers....member education needs, or trends and report these to manager , as well as recommend resolution. Takes a proactive… more
- State of Colorado (Durango, CO)
- …the MUTCD and provides advance warnings and traffic control throughout work zones to provide a safe work area on a daily basis for all signing/striping operations ... actions; conducts and signs performance plans and appraisals; resolves informal grievances ; interviews applicants and recommends hires, promotions and transfers. +… more
- State of Colorado (Sterling, CO)
- …procedures and security protocol. + Resolve informal staff and/or inmate grievances and initiating corrective/disciplinary action if needed + Ensure safe, code ... project function, design and blueprints, coordinating with project supervisors and plant manager and delegating required work based on safety and security factors… more
- State of Colorado (Denver, CO)
- …and assists with steam and hydronic boilers. This position exists to provide operations and maintenance functions for the facilities' physical plant equipment ... heat plant project work, and sets work expectations to provide the highest levels of customer service. + Coordinates...levels of customer service. + Coordinates with the Operations Manager and area supervisors in re-allocating plant personnel for… more
- State of Colorado (Denver, CO)
- …projects, reviewing plans and coordinating with contractors, Physical Plant Manager , Custody/Control and other facility supervisors to ensure efficiency, security ... Orders and ensuring completion of mandatory annual training. + Resolving informal grievances This position may participate in the Duty Officer rotation; is subject… more
- State of Colorado (Colorado Springs, CO)
- …health supervisors; assure compliance with clinical standards and procedures; + Provide clinical guidance for the identification, treatment, and continuity of care ... infirmaries, Intellectual and Developmental Needs Programs and CMHIP); + Provide clinical supervision and direction, evaluate professional performance, and… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …and resolution of facts and issues in matters affecting disciplinary actions, grievances , appeals , and complaints, refers complex matters to HR Employee ... policy clarification; makes on-site visits to program sites to provide face-to-face HR availability to employees in the work...Relations Specialist or Senior Manager of Employee Relations as required + Participates in… more
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