- VNS Health (Manhattan, NY)
- …criteria. + Enters data and assists with compiling reports and analysis on the grievance and appeals process. + Participates in special projects and performs ... experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required +… more
- Robert Half Accountemps (Los Angeles, CA)
- Description A Medical IPA Company in Mid-Wilshire is seeking a dedicated and detail-oriented Grievance and Appeals Specialist to join our team. The ideal ... satisfaction and organizational efficiency. Requirements + Minimum 2-3 years of experience in grievance and appeals handling, case management, or a similar role… more
- Elevance Health (San Antonio, TX)
- …+ Triages clinical and non- clinical inquiries, grievances and appeals , prepares case files for member grievance committees/hearings. + Summarizes and ... and personalized support throughout the consumer's treatment journey. **Title:** Grievance / Appeals Representative II **Location:** Onsite at TX-SAN...presents essential information for the clinical specialist or medical director and legal… more
- CDPHP (Albany, NY)
- …share these values and invites you to be a part of that experience. The Clinical Appeals Specialist is responsible for adhering to a member/provider appeal ... and grievance process that meets state, federal, accreditation and other...of clinical nursing and medical practices, the Clinical Appeals Specialist will review… more
- BayCare Health System (Clearwater, FL)
- …and clinical excellence. **Summary:** + Handles and processes customer appeals and grievances in accordance with established guidelines, company policies, and ... must reside in Florida Equal Opportunity Employer Veterans/Disabled **Position** Intake Specialist Appeal and Grievance - Health Plan **Location**… more
- Missouri State University (Springfield, MO)
- Posting Details Position Information Position Title Administrative Specialist II, College of Education Administration Work Location Springfield Campus Department COE ... Type Full Time Regular Exempt/Non-Exempt Non-Exempt General Function The Administrative Specialist II works in depth with programs, processes, or services that… more
- State of Colorado (CO)
- …Job Number CAA Physician 01/2025 Department Department of Corrections Division Clinical and Correctional Services Opening Date 12/18/2024 Closing Date 6/30/2025 4:00 ... on-call assessment, diagnosis, and treatment of inmates in one or more prison clinical settings. Physicians are responsible for, but not limited to, the following: +… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the… more