- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse ( RN ) Manager, Appeals and Grievances General Operations ( Clinical ) Job Category: Clinical Department: CSC Appeals & ... & grievance process. Create a best in clinical appeals process that is efficient and...Excellent verbal, written communication and presentation skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Commonwealth Care Alliance (Boston, MA)
- …**Supervision Exercised:** No **Essential Duties & Responsibilities** Processing of Grievances & Appeals : + Responsible for the progress of grievance and appeal ... strict deadlines. + When necessary collaborate with care teams, clinical staff, family members, and other involved in providing...dental, reporting, and member services. + Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator… 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 ... for employment, unless an accommodation is granted as required by law._ The ** Nurse Appeals ** is responsible for investigating and processing and medical… 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 ... and research scholarship with colleagues in the academic and clinical setting. + Ensures that appropriate strategies and policies...(Ph.D., EdD, or equivalent) in Nursing. + Current Connecticut RN license (valid at date of hire). + 3-5… more