- AmeriHealth Caritas (Philadelphia, PA)
- …more about us at www.amerihealthcaritas.com. **Responsibilities:** Reporting to the Supervisor, Appeals and Grievances , this position is responsible for the ... complaints/issues to management + Monitors to ensure that all problems with appeals / grievances presented by plan members/participants are resolved in accordance… 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
- Insight Global (Irvine, CA)
- Job Description An employer is looking for a remote Appeals & Grievances Coordinator that 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
- Centene Corporation (Indianapolis, IN)
- …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
- UPMC (Pittsburgh, PA)
- …in the greater Pittsburgh area. This position will track, trend, and manage member grievances , appeals , and IRE requests for the Medicare and SNP product lines. ... UPMC Health Plan is hiring a full-time Member C&G Coordinator I, Medicare/SNP. This position works Monday through Friday,...will ensure the efficient and effective resolution of member grievances , appeals , and IRE requests according to… 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
- State of Colorado (Jefferson County, CO)
- HEALTH CARE TECHNICIAN IV - Residential Coordinator for Secrest House Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5146487) Apply HEALTH ... CARE TECHNICIAN IV - Residential Coordinator for Secrest House Salary $50,724.00 - $71,016.00 Annually...reviews (PMPs). + Determines and responds to Step 1 grievances if staff supervised initiates a formal grievance. +… 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 (Steubenville, 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)** **Hiring near Cadiz, Coshocton, Gallipolis,...services and supports, and psychosocial needs. The **LTSS Service Coordinator ** is responsible for managing service coordination for a… more
- Elevance Health (Fort Lauderdale, 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
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