- Insight Global (Tustin, CA)
- Job Description An employer is looking for a remote Appeals & Grievances Coordinator who will be responsible for managing and resolving appeals and ... teams and external stakeholders. Key Responsibilities - Review, research, and process appeals and grievances in compliance with company policies and regulatory… more
- Dignity Health (Rancho Cordova, CA)
- …This position is hybrid in-office and work from home.** **Position Summary:** The Appeals and Grievances Coordinator is responsible for supporting the ... regulatory requirements - facilitating timely and effective resolution of appeals and grievances . Acting a subject matter...grievances . Acting a subject matter expert (SME), the Coordinator will work closely with internal teams and external… more
- Centene Corporation (Harrisburg, PA)
- …and authorization appeals from providers and pursue resolution of formal grievances from members.** + Gather, analyze and report verbal and written member and ... provider complaints, grievances and appeals + Prepare response letters for member and provider complaints, grievances and appeals + Maintain files on… more
- CVS Health (Columbus, OH)
- …the AOR process on required cases. **What you will do** + Reviews, and processes appeals and grievances filed by patients. + Assists with adherence to regulatory ... and metrics to evaluate the effectiveness and efficiency of the appeals and grievances process. + Documents patient billing questions and concerns. + Prepares… more
- CoreCivic (Mason, TN)
- …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
- Cedars-Sinai (Beverly Hills, CA)
- …the payor + Investigates, processes and assists with the resolution of provider grievances and appeals in accordance with contractual requirements and corporate ... About What You Will be Doing** The RN Care Coordinator is responsible for the case management of patient...the Inpatient Specialty Program (ISP) hospitalists, the RN Care Coordinator will assist patients from the time they are… more
- Elevance Health (Cape Coral, FL)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Service Coordinator ** **Location** _:_ This is primarily a field...law._ **Schedule** _:_ Monday-Friday 8am-5pm EST The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for… more
- Army National Guard Units (Camp Murray, WA)
- …team goals Resolve simple, informal complaints from SAPR VAs and refer formal grievances and appeals to the appropriate management official. Inform the ... Guard Title 5 Excepted Service Technician position: SEXUAL ASSAULT RESPONSE COORDINATOR (SARC) Location: Washington Joint Support Services CAMP MURRAY, Washington… more
- Elevance Health (OH)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Service Coordinator (Case Manager)** **Candidates should live in one...services and supports, and psychosocial needs. The **LTSS Service Coordinator ** is responsible for managing service coordination for a… more
- Elevance Health (Viroqua, WI)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Service Coordinator (Case Manager)** **$5,000 Sign-on Bonus** **Hiring near...employment, and contributing to their communities. The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for… more