- VNS Health (Manhattan, NY)
- …triage tasks, including intake, classification, setup, and assignment of grievances and appeals . Additionally, provides administrative support to ... Prepares letters requesting Appointment of Representative (AOR) forms in grievances and appeals filed on behalf of...of Representative (AOR) forms in grievances and appeals filed on behalf of member representatives. Prepares letters… more
- Baylor Scott & White Health (Temple, TX)
- … and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written complaints, grievances ... Intakes and processes written and fax referred cases from member and provider appeals and complaints for all lines of business, ensuring compliance with applicable… more
- CVS Health (Baton Rouge, LA)
- …every day. **Position Summary** Responsible for intake, investigation and resolution of appeals , complaints and grievances scenarios for all products, which may ... responses from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance. Identify trends and emerging issues and report… more
- CoreCivic (California City, CA)
- …a responsibility to better the public good. We are currently seeking a **Grievance Coordinator ** who has a passion for providing the highest quality care in an ... making an impact for the people and communities we serve. The Grievance Coordinator oversees the inmate/resident grievance process and ensures that both informal and… more
- Centene Corporation (Tacoma, WA)
- …expectations and lead clinical quality initiatives. Review clinical information for appeals to determine medical necessity of services, prepare reviews for cases, ... act as the liaison for appeals and fair hearings. + Develop and implement the...and resolve behavioral health quality of care complaints and grievances + Performs other duties as assigned + Complies… more
- Healthfirst (NM)
- …including Contact Center Operations, Claims, DSE, and E&B to resolve member and provider appeals . + Ensures appeals and grievances are categorized and ... for clinical review. + Notifies team lead of identified patterns of appeals , claim errors, configuration issues or other systemic problems identified during appeal… more
- Elevance Health (Bloomington, IN)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + BA/BS degree ... **LTSS SERVICE COORDINATOR ** **Location:** Field associates spend 4-5 days per...Dubois, Greene, Knox, Martin or Pike.** The **LTSS SERVICE COORDINATOR ** is responsible for conducting service coordination functions for… more
- City of New York (New York, NY)
- …jurisdiction of the Department of Correction" - Investigate serious incidents - Review grievances from people in custody and staff - Evaluate the performance of the ... Associate will also perform other duties as determined by the General Counsel. Appeals Under the Board's Minimum Standards, whenever DOC decides to revoke or limit… more
- State of Colorado (Denver, CO)
- …employment laws; progressive discipline; records management; recruitment; responding to grievances , appeals , charges of discrimination; reorganization issues; ... retention; selection and selection appeals ; settlement advice; strategic planning and overall HR guidance...this position, please direct your inquiries to our ADAAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE… more
- State of Colorado (Denver, CO)
- …and guidance on issues that relate to performance management, progressive discipline, employee grievances and appeals , and civil rights. You will also be the ... and expertise to statewide ADA Coordinators. Serve as ADA Coordinator for headquarters employees' ADA inquiries. + Develop and...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
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