Grievance and Appeals Coordinator 23-00807
Alura Workforce Solutions
Grievance And Appeals Coordinator
Under the general direction of the Grievance & Appeals Nurse Manager and Grievance Supervisor, the Grievance and Appeals Coordinator is responsible for completing administrative functions and supporting departmental activities for processing Grievance and Appeal cases. The Grievance and Appeals Coordinator is responsible for ensuring that all cases are processed in a timely and accurate manner.
Alura Workforce Solutions- ...Grievance and Appeals Coordinator Join our client's dynamic team as a vital link in their Grievance and Appeals department, where you will play a crucial role in ensuring our members and providers receive the highest standard of care and service. Under the guidance...SuggestedWork at officeImmediate startWork from home
- ...The Grievance & Appeals Nurse is responsible for working directly with the IPAs, Hospitals, internal client departments, and the grievance... ...Medicare and Medicaid Services (CMS) regulations and NCQA. Coordinate care of Members in conjunction with the Member's PCP and IPA...SuggestedImmediate start
$31 per hour
...Grievance And Appeals Nurse Position Type: Full time Schedule: (Hybrid) M-F, 8:00 am - 5 pm; Mon./Fri. work from home, Tues./Wed./Thurs. onsite Pay: $31 The Grievance & Appeals Nurse is responsible for working directly with the IPAs, Hospitals, internal departments...SuggestedFull timeWork from home- ...Job Title Grievance & Appeals Nurse (LVN) Position Summary The Grievance & Appeals Nurse (LVN) is responsible for managing and... ...agencies to ensure timely resolution, quality care coordination, and regulatory compliance. The Nurse serves as a subject matter...SuggestedWork at officeImmediate start
- ...Grievance & Appeals Nurse The position is 100% remote, and the candidates must reside in Southern California. What You Will Do:... ...with CMS, DHCS, DMHC, NCQA, and IEHP regulatory standards. Coordinate with providers, hospitals, IPAs, and internal departments to...SuggestedWork at officeImmediate startRemote work
- ...Temporary Grievance & Appeals Nurse (LVN) The position is 100% remote, and the candidates must reside in Southern California. The Temporary... ...& Appeals Nurse (LVN) is responsible for managing and coordinating grievance and appeal cases in compliance policies and state...Temporary workWork at officeImmediate startRemote work
$28.25 - $30.25 per hour
Grievance & Appeals Nurse (LVN) Location: Rancho Cucamonga, CA Hourly Rate: $28.25-$30.25 Requirements: Must have (2) years or more of case management, experience in an HMO or managed care setting is preferred. HS diploma or GED is required, AA from an accredited institution...Hourly pay- ...Temporary Grievance & Appeals Nurse (LVN) Work location: Rancho Cucamonga, CA 91701 Payrate: $30.72 /HR Duration: Six-month Assignment Responsibilities Qualifications: Two (2) years or more case management, utilization management in managed care setting or related...Temporary work
$18.5 - $19 per hour
...gossip and hearsay. Fully commits to the UCA grievance policy and understands the Biblical plan... ...programming, education, or after‑school coordination preferred. Passion for creative learning... ...the fruit of the Spirit (Gal. 5:22,23). Models and cultivates habits of prayer...Hourly payFull timeWork at officeLocal areaShift work- J M STAFFING is seeking a Grievance & Appeals Nurse (LVN) in Rancho Cucamonga, CA. The ideal candidate must have a minimum of 2 years of case management experience and possess a valid California LVN license. This role requires excellent communication skills, critical thinking...
$23 - $30 per hour
Position Pre-Operative Surgical Coordinator Location Upland, CA Job Id 1039 # of Openings 1 Summary Pre-Operative Surgical Coordinator will... ...federal, state or local laws. This position can require travel. Pay Range $23.00 - $30.00 #J-18808-Ljbffr Pacific Eye InstituteWork at officeLocal areaRemote work- ...knowledge of regulatory guidelines surrounding Grievances per CMS, DHCS, and DMHC. 2. Understand... ...rights to access the Grievance and Appeals Resolution Process, within the... ...internal department protocol including: a. Coordinate, document and track all IEHP Member and...Work at officeImmediate start
$38 - $48 per hour
...experience within the job, years of experience within the required industry, education, etc. We are looking for Full-Time MDS Coordinator. The main duty of this position is to perform assessments of new patients and transmit MDS report forms for billing purposes...Hourly payFull timeTemporary work$24 - $26 per hour
...the digital and physical security of K-12 educational campuses in Southern California. Job Purpose: The Documentation & Compliance Coordinator will report to the Director of Process & Procedure, Systems and Compliance. The Documentation & Compliance Coordinator creates,...Full time- ...Minimum 1 years of experience in a dental office (front office or clinical). Minimum 2 years prior experience as a Treatment Coordinator. Clinical experience in a dental office (Dental Assistant, Hygienist, etc) highly preferred. Strong understanding of dental...Work at office
$21 - $29.12 per hour
...be able to perform the essential physical requirements of the job. On call: Weekend on call in rotation with existing staffing coordinators and senior staffer. PAY RANGE $21.00 - $29.12 The posted pay range reflects the lowest to highest pay that was available for this...Daily paidWork at officeFlexible hoursShift workDay shift- Member Services Representative - Medicare Member Services Representative - Medicare is responsible for being a devoted and compassionate advocate for Medi-Cal, Medi-Medi and Medicare Members when assisting with maximizing their benefits, navigating the healthcare system...
$18 - $25.5 per hour
...gain valuable experience, apply today! $18.00-$25.50/Hourly Role and Responsibilities The primary role of the Healthcare Coordinator (HC) is to partner with supported Dentists to help gain a financial commitment from the patient to start the best course of treatment...Hourly payWork at officeLocal areaFlexible hoursDay shift$23.25 - $33.75 per hour
...Experience At least 2 years experience serving as a Transportation Coordinator or related position. Knowledge of transportation practices.... ...Experience with SAP. The Anticipated Salary Range For This Position $23.25 - $33.75 Hourly. The actual salary will vary based on...Hourly payMinimum wageLocal area$38 - $48 per hour
Rancho Mesa Care Center in Rancho Cucamonga is seeking a Full-Time MDS Coordinator to perform assessments of new patients and manage MDS report forms in a Skilled Nursing Facility. Candidates must have at least 2 years of MDS experience and preferably possess MDS Certification...Hourly payFull time- United Christian Academy in Rancho Cucamonga, CA is seeking a dedicated individual for a full-time position that involves overseeing enrichment programming for K-8 students. The ideal candidate must be a born-again Christian and demonstrate strong organizational and leadership...Full time
$23 - $29.39 per hour
...Valley Boulevard, Bloomington, CA, 92316, United States Base Pay - $23.00 - $29.39 / Hour Employee Type - Full Time - Non-Exempt... ...attending to patients on the phone and in person. The incumbent will coordinate and organize appointments and documentation to facilitate the...Full time- ...operates 10 locations, with additional studios opening nationwide. Role Description This is a full-time on-site role for a Fitness Coordinator, based in Westchester, CA. The Fitness Coordinator will oversee daily operations of fitness classes, manage schedules, and ensure...Full time
- Bloomingdale's Inc. is seeking a Private Brand Coordinator in Rancho Cucamonga, CA. In this role, you will drive sales and enhance customer experience by developing strategies for specialized selling and merchandise execution. You will collaborate with leadership, establish...
$18.61 - $22.33 per hour
...Shipping Coordinator - 4p-12a - Rancho Cucamonga, CA Attention Military Affiliated Job Seekers: Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National...Hourly payWork at officeWorldwideShift work- PDS Health is seeking a Healthcare Coordinator in Upland, California. This role involves educating patients on financial options and supporting Dentists in driving treatment starts. You will demonstrate a deep understanding of patient needs and maintain the highest operational...
- ...Creator to enhance brand engagement and patient communication. This role involves reviewing treatment plans with patients, financial coordination, and scheduling appointments. Candidates must have a strong understanding of dental terminology, excellent communication skills,...Work at office
- ...genuine love for helping others achieve their oral health goals, you might be exactly who we're looking for. As our Dental Treatment Coordinator/Receptionist, you'll be the first and last impression many of our patients have of our practice, a vital link between their...Hourly payWork at office
- ...process, including but not limited to: Retrieving and managing medical records Ensuring data accuracy and completeness Coordinating with various departments and external entities Maintaining compliance with data quality standards and regulations Alura Workforce...
- ...The Position Ontario City Library: Bookstore Coordinator Volunteers Make a Difference! Thank you for your interest in making a positive... ...Manage book donations and organize inventory Help curate appealing displays and promote special sales Ensure the bookstore...Work at officeMonday to FridayShift workWeekend work
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