- Fallon Health (Worcester, MA)
- …of Coverage, departmental policies and procedures, and regulatory standards. The Member Appeals & Grievances Intake Administrator is responsible for triaging and ... assigning all incoming appeals and grievances...* Identifying the need for Personal Representative Authorization form, Medical Record Release Authorization form, or Provider Payment Waiver… more
- State of Colorado (Limon, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... I-IV qualify as "Safety Officers" and are eligible for increased PERA benefits. + Medical and dental health plans + Short and long term disability coverage + Paid… more
- State of Colorado (Denver, CO)
- …Personnel Director 's Administrative Procedures , Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under Rules. Supplemental Information After ... CDOC Health Care Tech I / Medical Assistant - (DENVER) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5118315) Apply CDOC Health Care Tech I… more
- State of Colorado (Golden, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... security/control functions, educational support services, daily programming, recreation, meals, medical referral and follow-up, and customer service. Responsible to… more
- State of Colorado (Denver, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... security/control functions, educational support services, daily programming, recreation, meals, medical referral and follow-up, and customer service. Responsible to… more
- LA Care Health Plan (Los Angeles, CA)
- …due dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist.; submit all Grievances and Appeals response letters to ... required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory time lines by… more
- State of Colorado (Colorado Springs, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... Officers" and are eligible for increased PERA benefits; + Medical and dental health plans; + Short and long...MINIMUM QUALIFICATIONS Six (6) years of relevant experience in grievances , investigations or legal standards and processes. -OR- A… more
- State of Colorado (Golden, CO)
- …the facility clinic in a fiscally minded manner. Main contact with the DYS Medical Director for consultation and collaboration on individual cases. Oversees the ... up on recommendations made by those providers. Collaborates directly with the DYS Medical Director and/or other providers to determine referrals to other… more
- State of Colorado (Denver, CO)
- …the facility clinic in a fiscally minded manner. Main contact with the DYS Medical Director for consultation and collaboration on individual cases. Oversees the ... up on recommendations made by those providers. Collaborates directly with the DYS Medical Director and/or other providers to determine referrals to other… more
- State of Colorado (Colorado Springs, CO)
- …of notice or knowledge of the action: Colorado State Personnel Board/State Personnel Director , Attn: Appeals Processing, 633 17th Street, Suite 1320, Denver, CO ... I-IV qualify as "Safety Officers" and are eligible for increased PERA benefits; + Medical and dental health plans; + Short and long term disability coverage; + Paid… more