- Geisinger (Danville, PA)
- Job Summary Provides support in administration of the Appeals and Grievance process. Serves as a liaison between Members and the Plan with appeals regarding ... benefit issues and concerns regarding quality of care or service. PresentsMember appeals to the Plan Medical Staff and Center for Medicare/Medicaid Services… more
- Dignity Health (Bakersfield, CA)
- …and Sick Leave. **Responsibilities** This position is remote/ work from home ** **within California** **.** **Position Summary:** The Appeals and Grievances ... **Overview** This position is remote/ work from home ** **within California** **.**...Coordinator is responsible for managing and coordinating the appeals and grievance process within Dignity Health MSO. This… more
- University of Utah Health (Salt Lake City, UT)
- …Supervise the day-to-day activities of staff who process member and provider Grievance and Appeals . + Monitor and set goals for staff workloads. + Ensure that staff ... are processing Grievances and Appeals efficiently and in compliance with applicable policies, regulations,...strong leadership skills. + Ability to be self-motivated and work with moderate direct supervision. + Demonstrated familiarity with… more
- State of Michigan (Lansing, MI)
- …8-E10 - Criminal Appellate and Parole Appeals Division Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4814839) Apply Paralegal 8-E10 ... - Criminal Appellate and Parole Appeals Division Salary $23.70 - $34.28 Hourly Location Lansing, MI Job Type Permanent Full Time Job Number 1101-25-005 Department… more
- HCA Healthcare (Overland Park, KS)
- …and billing offices, third party Medicaid eligibility vendor and community agencies. The coordinator will work with patients and their families beginning with ... **Description** **Introduction** Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Financial … more
- ProMedica Health System (Toledo, OH)
- …documents payor authorizations for post-acute services (ie, placements, Home Health/ Home Care, DME, etc.). Escalates denials/ appeals , as appropriate. 11. ... physicians. Excellent customer service skills and the ability to work in a fast paced environment are a must....receive this honor. POSITION SUMMARY The Care Navigation Resource Coordinator works directly with unit RN Acute Care Navigator(s)… more
- CareOregon (Portland, OR)
- …the employee's personal vehicle, local transit or other means of transportation may be used Work Location: Work from home #MULTI Candidates of color are ... Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Ambulatory Care Clinical Coordinator Exemption Status Exempt Management Level n/a Direct Reports n/a Manager… more
- AbbVie (North Chicago, IL)
- …+ This positions hours are 10:30AM - 7:00PM CST, hybrid 3-days onsite 2-days work from home . Qualifications + Bachelor's degree or Associate Degree in health ... Facebook, Instagram, YouTube and LinkedIn. Job Description The Patient Care Coordinator Supervisor provides leadership, support, and supervision for the team. This… more
- UPMC (Erie, PA)
- …Western Behavioral Health at Safe Harbor is seeking a passionate **Service Coordinator Supervisor** to lead a new initiative focused on providing case management ... To address the growing complexity of housing instability, the **Service Coordinator Supervisor** will follow the Cultivating Health for Success (CHFS) model.… more
- Virtua Health (Swedesboro, NJ)
- …partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts ... the latest technologies, treatments, and techniques to provide exceptional care close to home . A Magnet-recognized health system ranked by US News and World Report,… more