- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II...assisting the Appeal and Grievances Compliance, Training and QA Manager to develop a successful and cohesive unit with… more
- City of Norfolk, Virginia (Norfolk, VA)
- Assistant Commonwealth Attorney I, II , and III Print (https://www.governmentjobs.com/careers/norfolk/jobs/newprint/2506461) Apply Assistant Commonwealth Attorney ... I, II , and III Salary See Position Description Location Norfolk,...Attorney I: + Prepares cases for trial by reviewing case reports, identifying the relevant facts of the … more
- LA Care Health Plan (Los Angeles, CA)
- Technical Applications Manager II Job Category: Information Technology Department: IT Solutions Delivery Location: Los Angeles, CA, US, 90017 Position Type: Full ... the safety net required to achieve that purpose. Job Summary The Technical Application Manager II reports to the Senior Manager Information Technology IT… more
- Town of Gilbert (Gilbert, AZ)
- …The primary job duties of Planner II include: + Function as the case planner/project manager to facilitate and coordinate the planning review process with ... Planner II & Planner Senior Print (https://www.governmentjobs.com/careers/gilbert/jobs/newprint/5036814) Apply Planner II & Planner Senior Salary $72,775.00 -… more
- State of Colorado (Greeley, CO)
- Behavioral Health Specialist, Social Work/Counselor II - Platte Valley Youth Services Center Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5067786) Apply Behavioral Health Specialist, Social Work/Counselor II - Platte Valley Youth Services Center Salary $74,940.00… more
- LA Care Health Plan (Los Angeles, CA)
- …log and keep track all due dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist.; submit all Grievances and Appeals ... Authorization Technician II Job Category: Clinical Department: Utilization Management Location:...required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in… more
- State of Colorado (Denver, CO)
- Senior Paralegal (Legal Assistant II ) - Workers' Compensation Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5042905) Apply Senior Paralegal ... (Legal Assistant II ) - Workers' Compensation Salary $71,893.50 - $88,560.00 Annually...The Unit manages litigation from inception through hearings and appeals , including fully contested claims, challenges to specific disability… more
- State of Colorado (Denver, CO)
- Administrative Assistant II (State Services) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5054852) Apply Administrative Assistant II ... is looking for administrative professionals to join their team! These Administrative Assistant II positions will join a collaborative team with a wide range of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the Health Plan Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. + Navigates and utilizes corporate applications; core claims ... assigned to non-care managers are monitored by the care manager + The care manager provides feedback...+ Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Prioritizes… more
- Highmark Health (Monroeville, PA)
- …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... to employees. Forbes Hospital is a 315 bed, Level II trauma hospital located in the community of Monroeville....- American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for … more
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