- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Coordinator I(Temp) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Coordinator I supports the Customer Solution Center Appeals … more
- PeaceHealth (Vancouver, WA)
- **Description** **PeaceHealth is seeking a Referral /Pre-Auth Specialist for a Full Time, 1.00 FTE, Day position. Monday - Friday; 8:30am - 5:00pm.** The salary ... or Alaska.** **JOB SUMMARY:** Responsible for receiving, processing and documenting referral or prior authorization requests from the clinical areas. Provides… more
- City and County of San Francisco (San Francisco, CA)
- …may perform the following duties: QUALITY CONTROL, INVESTIGATIONS, OVERPAYMENTS, AND/OR APPEALS SPECIALIST Under general supervision, the Quality Control, ... Investigations, Overpayments or Appeals Specialist performs investigations in support of...decisions, and appropriateness of the services provided. + Finalizes referral acceptance or denial based on established criteria and… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration with clinical team...and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources and… more
- State of Colorado (CO)
- CDOC Addiction Specialist II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4963965) Apply CDOC Addiction Specialist II Salary $5,665.00 ... + Assures continuity of care for inmates by making appropriate referral and providing necessary information and documentation for receiving units, facilities,… more
- New York State Civil Service (Albany, NY)
- …Health Service Referrals, including researching issues involved, preparing EHS-707 and supporting referral data; managing appeals process for Section 72 ... HELP Yes Agency Civil Service, Department of Title Human Resources Specialist Trainee 1 (Labor Relations) Occupational Category Administrative or General Management… more
- State of Colorado (Denver, CO)
- Lead Licensing Specialist (Denver County) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5054005) Apply Lead Licensing Specialist (Denver ... educational, community, and recreational activities. + Observes and trains compliance specialist III to ensure reliability and consistency. + Analyzes the… more
- State of Michigan (Lansing, MI)
- Administrative Law Specialist 13-P15 - Central Office Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4946787) Apply Administrative Law ... Specialist 13-P15 - Central Office Salary $32.55 - $61.26...for responding to requests for legal research, court hearings, appeals and complex VR customer cases. Serves as a… more
- State of Colorado (Trinidad, CO)
- CDOC Electronics Specialist II (Trinidad) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057287) Apply CDOC Electronics Specialist II ... City. Description of Job This position is an Electronics Specialist II at a Correctional Facility with the Colorado...applicants in order to establish an eligible list for referral to the hiring manager for final consideration. Be… more
- State of Colorado (Pueblo, CO)
- …Work/Counselor III - Behavior Health Specialist - (Pueblo/Colorado Springs) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5058773) Apply ... CDOC Social Work/Counselor III - Behavior Health Specialist - (Pueblo/Colorado Springs) Salary $6,885.00 - $9,639.00 Monthly...applicants in order to establish an eligible list for referral to the hiring manager for final consideration. Use… more