- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, ... required to achieve that purpose. Job Summary The Supervisor of Appeals and Grievances Clinical Operations (A&G) RN is responsible for executing the… more
- University of Utah Health (Salt Lake City, UT)
- …and set goals for staff workloads. + Ensure that staff are processing Grievances and Appeals efficiently and in compliance with applicable policies, regulations, ... + Provide education to staff and other departments on Appeals and Grievances . + Develop process improvement...standards and overall patient experience. In addition to our clinical delivery system, we have a School of Medicine,… more
- State of Colorado (Arapahoe County, CO)
- CORRECTIONAL, YOUTH, OR CLINICAL SECURITY SUPERVISOR III - Marvin W. Foote YSC - Englewood, CO Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4797351) Apply CORRECTIONAL, YOUTH, OR CLINICAL SECURITY SUPERVISOR III - Marvin W. Foote YSC -… more
- State of Colorado (Lakewood, CO)
- CORRECTIONAL, YOUTH, OR CLINICAL SECURITY OFFICER II - Betty K Marler YSC - Lakewood, CO Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4811880) Apply CORRECTIONAL, YOUTH, OR CLINICAL SECURITY OFFICER II - Betty K Marler YSC - Lakewood,… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …meets the standards for acceptable medical care. + Reviews and resolves retro reviews, appeals and grievances related to medical quality of care and actively ... participates in the functioning of the plan's grievance and appeals processes. + Along with the nurse supervisor and manager identify opportunities for… more
- State of Colorado (Canon City, CO)
- …of accuracy in order to meet legal requirements. This position serves as clinical administrative support to multi-disciplinary staff. Duties are as follows, but not ... health care information; + Execute, copies and distributes the release of clinical information from health records; + Request clinical information from… more
- State of Colorado (Pueblo, CO)
- …youth, in accordance with the living unit master schedule, shift supervisor and/or other administrative direction. Provide corrective cognitive, emotional or ... written program. Recommends any modifications of the program to supervisory and/or clinical staff. Facilitates and monitors cleanup of pod and rooms, inspects,… more
- State of Colorado (Colorado Springs, CO)
- …+ 1 - 2 years + Less than a year 03 How many years of experience do you have as clinical supervisor ? + 2 or more years + 1 - 2 years + Less than a year 04 How ... of health care including physical, psychiatric, and dental maintenance. Clinical Management: Functions as the facility responsible health authority (RHA).… more
- WellSpan Health (York, PA)
- …+ Resolves simple or informal complaints and refers formal grievances or appeals to appropriate officials. + Intercedes with supervisor on behalf of team ... all Technician level tasks. + Provides feedback to Logistics & Distribution Supervisor on co-worker's performance. Provides input to supervisor for performance… more
- Beth Israel Lahey Health (Westwood, MA)
- …information. Escalates calls to pharmacists for clinical inquiries and escalates grievances to supervisor . 7. Maintains new and existing patient profiles and ... Support health care providers with required prior authorization and required appeals . Manage all mail/delivery of Rx orders including addressing problems/issues with… more