Grievance Coordinator
Virtual Vocations Inc
To ensure compliance with organizational policies and state and federal guidelines, the full-time remote North Carolina Grievance Analyst will manage grievances and appeals, analyze data trends, and coordinate responses from multiple business units while residing in North Carolina and being available for occasional onsite meetings. Key responsibilities Respond to grievances and appeals, ensuring timely and compliant resolutions Synthesize and analyze data to identify trends and recommend actionable solutions Collaborate with internal and external stakeholders to gather information and mediate complex relationships Required qualifications Bachelor's degree in mental health, public health, psychology, sociology, public administration, or a related field Minimum of two years of experience in human services/behavioral health or data analysis Knowledge of federal and state regulations regarding behavioral healthcare grievances and appeals Proficiency in MS Excel and familiarity with data analysis software such as SPSS Experience working with individuals with mental health, substance abuse issues, or intellectual disabilities preferred
- ...Appeal & Grievance Intake Coordinator Are you a highly organized healthcare administrative professional with a solid background in managed care operations? We are seeking a dedicated Appeal & Grievance Intake Coordinator to join our Government Solutions team. In this...Suggested
$27 - $31 per hour
...have access to health and wellness services. We are seeking a Grievance & Appeal Analyst to join our team. Position Grievance &... ...medical terminology, provider reimbursement, medical coding, coordination of benefits, and all types of medical claims. Solid understanding...SuggestedHourly payFull timeWork experience placementWork at officeRelocationMonday to FridayWeekend work$21 - $25 per hour
...One of Airetel Staffing's valued clients is looking for ppeal and Grievance Coordinator located in Pittsburgh, PA. Job Description: Wholecare Position will involve - claims research and processing (more of researching why the claim was denied than...SuggestedRemote workShift work$22.84 per hour
...authorization appeals from providers and pursue resolution of formal grievances from members. Education/Experience: High school diploma or... ...• Maintain files on individual appeals and grievances • May coordinate the Grievance and Appeals Committee • Support the pay-for-...SuggestedHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work- ...Job Title Job Description Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. Contact customers to gather information and communicate disposition of case...SuggestedContract workApprenticeshipLocal areaRemote work
- ...Job Description A-Line Staffing is hiring a Grievance & Appeals Coordinator in the Natomas or Woodland Hills, CA area. This is Full-Time 40 hours per week with a Major Healthcare Company! Job Title: Grievance & Appeals Coordinator I Compensation:...Bi-weekly payFull timeContract workWork at officeLocal areaImmediate startRemote workMonday to Friday
- ...Position: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Education/Experience: High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals...
$23.22 - $34.84 per hour
...unless an accommodation is granted as required by law. ~ Shift hours: Mon, Tues, Sat, Sun 8:30 am – 7:00 pm CST Grievance & Appeals Coordinator Responsibilities Summarizes and presents essential information for the clinical specialist or medical/dental director...Full timeWork at officeLocal areaShift work- ...Strategic Staffing Solutions is currently looking for a Grievance & Appeals Coordinator, a W2 contract engagement with one of our largest clients in Detroit, MI! REMOTE!! Title: Grievance & Appeals Coordinator Location : Detroit, MI (Fully Remote) Duration: 1...Contract workRemote work
$56.27k - $69.9k
...Pay Plan Title: Coordinator Working Title: Grievance Coordinator Cost Center: 6400/Appeals & Grievances Position Number: 91442 FLSA Status: Exempt Posting Salary Range: $56,270 - $69,898 Office Location: Remote within North Carolina POSTING DETAILS...Work at officeLocal areaImmediate startRemote workWork from homeFlexible hours- Job Overview Akkodis is partnering with a local Health Plan who is hiring a Grievance Coordinator for a temporary 3-month contract. Terms Temporary 3-month contract Remote (must pick up equipment) $28/hr W2 Qualifications 3+ years’ experience as a Service Representative...Temporary workLocal areaRemote work
$22 - $23 per hour
Immediate need for a Grievance & Appeals Coordinator . This is a 12+ Month Contract opportunity with long-term potential and is US ( Remote ). Please review the job description below and contact me ASAP if you are interested. Job Diva ID: 26-07046 Pay Range: $22.00 -...Contract workWork at officeLocal areaImmediate startRemote work$23.22 - $34.84 per hour
A leading health insurance provider is seeking a Grievance & Appeals Coordinator to work virtually full-time, with responsibilities including summarizing complaints, ensuring resolution of grievances, and documenting interactions. The ideal candidate should possess a high...Remote jobHourly payFull time$111.63k - $134.92k
...SEIU Committee of Interns and Residents (CIR) Negotiations and Grievance Coordinator Based in Los Angeles metropolitan area, San Francisco / Oakland Bay area, CA or Seattle, WA area About Us The Committee of Interns and Residents (CIR) is the largest...Contract workTemporary workLocal areaRelocationAfternoon shift$20.14 per hour
...healthcare administrative professional with a solid background in managed care operations? We are seeking a dedicated Appeal & Grievance Intake Coordinator to join our Government Solutions team. In this business-critical role, you will serve as the initial point of contact...Hourly payPermanent employmentTemporary workWork experience placementWork at officeShift work- ...are underpinned by the belief that safety, collaboration and well-being are integral to success. POSITION SUMMARY The Grievance Coordinator is responsible for overseeing the grievance process to ensure that detainees’ concerns, complaints, and grievances are received...Hourly payFull timeContract workWork experience placementWork at officeLocal area
$40 - $43 per hour
...Description The successful candidate will be responsible for overseeing grievance and appeal reviews, as well as conducting cultural and linguistic reviews for our subcontractors to ensure alignment with our commitment to diversity and inclusion. This role will provide...Contract workTemporary workFor subcontractor$17.98 per hour
...professional looking for a high-impact role in regulatory compliance and quality assurance? We are seeking a dedicated Appeal and Grievance Coordinator Reviewer to join our Health Services and Government Solutions team! In this critical position, you will play a vital role in...Hourly payPermanent employmentTemporary workWork experience placementShift work$20.14 per hour
...professional looking for a high-impact position in regulatory compliance and quality assurance? We are seeking a dedicated Appeal and Grievance Coordinator Reviewer to join our team on-site in Phoenix, AZ! In this critical role, you will protect the member experience by...Hourly payPermanent employmentContract workTemporary workWork experience placementShift work- A healthcare services company located in San Antonio, Texas, is seeking a Complaints & Grievances Supervisor to lead a team resolving member complaints and grievances. This role requires operational leadership and a focus on compliance with regulatory standards. The ideal...Remote job
- The Transplant Coordinator Nurse is accountable for the coordination of all aspects of care for the transplant patient population. Assesses and plans in collaboration with the patient, caregiver, and multidisciplinary healthcare team to meet needs across the care continuum...Full timeFlexible hours
- Primary Duties and Responsibilities * The Telemetry Tech/Clerical Coordinator (CC/TT) I is responsible for monitoring electrocardiogram and SPO2 measurements constantly for designated patients and informing the RN of changes. * Maintains and checks monitoring equipment...Part timeLocal areaShift work
$19.29 - $27 per hour
...health treatment, you belong here. Come build hope. Come save lives. Come grow with us. What you’ll be doing: The Treatment Coordinator serves as the initial point of contact for patients, families, and the public, ensuring they are greeted and assisted in a professional...Full timeNight shift$18 - $28 per hour
...collaborative environment focused on enabling your career growth and continuous professional development. We are seeking for a Collections Coordinator to join our team. The Collections Coordinator performs daily accounts receivable follow-up, documentation, and issue resolution...Hourly payFull timeWork experience placementWork at officeLocal area2 days per week3 days per week- ...Surgery Coordinator The Surgery Coordinator role serves as the patient point of contact with the practice to maintain open channels... ...competence and composure. Objectively evaluates suggestions, grievances, and processes to identify opportunities to improve...Work at office
$50k - $70k
...scheduling and staffing.• Complete monthly nursing schedule coordinating requests to ensure appropriate coverage of units.• Complete and... ...in which work will be accomplished.• Review complaints and grievances pertinent to scheduling and staffing. Make necessary oral/written...Work at officeImmediate startWeekend work$20.4 - $27.59 per hour
...navigate to Menu > Myself > My Company > View Opportunities to apply using the internal application process. The campus experience coordinator plays an important role with students ensuring they receive consistent support and connection to resources, faculty and staff....Hourly payFull timeWork at officeWork visa$25 - $32 per hour
BUILD THE FUTURE WITH US — EQUIPMENTSHARE IS HIRING A RENTAL COORDINATOR At EquipmentShare, we’re not just filling a role — we’re assembling the best team on the planet to build something that’s never been built before. We’re on a mission to transform an industry that...16 hoursFull timeFor contractorsMonday to FridayNight shift- ...Dental Treatment Coordinator Family Dental LLC is a dynamic, growing company in South Carolina. Our mission is to provide high-quality... ...service and satisfaction Able to deescalate patient grievances effectively and satisfy patient dental treatment inquiries as...Contract workWork at officeLocal area
$19.01 per hour
...addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. Responsibilities... ...Participate as pharmacy representative in onsite member appeals and grievances sessions. Serve as a resource for technical staff. Other...For contractorsLocal area
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