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...Grievance and Appeals Coordinator opening available with a major Healthcare Corporation in the Sacramento CA 95834 area!
Highlights:
Schedule: Monday-Friday 8:00am- -6:00pm (staggered shifts)
Position starts off remote but will return to office in the future...
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Monday to Friday
...Description
The Office of Appeals at the California Department of Corrections and Rehabilitation is seeking talented and hard-working... ...; frequently stand and walk; manual dexterity and hand-eye coordination; corrected hearing and vision to normal range; verbal...
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...their home anywhere within the state of California.****
**Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines,...
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...will be filled in the following specialty areas:
Office of Appeals Case and Operations Support Policy Planning Quality & Analysis... ...with tax law, procedure and policy requirements.
* Manages and coordinates assigned programs and projects. Acts as a contact point for...
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...Duties
WHAT IS THE APPEALS (AP) DIVISION?
A description of the business units can be found at:
Vacancies will be filled in... ...fact-finding, analysis, reporting, advising, communicating, and coordinating activities in connection with monitoring and guiding programs....
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...the direction of Utilization Management (UM) leadership, the UM Coordinator processes prior authorization with established criteria.... ...providers and regulatory bodies. This position keeps accurate appeals and grievance intake and outcome. The UM coordinator takes minutes...
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...Duties
WHAT IS THE APPEALS DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following... ...and productivity of substantive, mission-oriented programs. Coordinates the Appeals Business Review and/or other program reviews....
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At Zuzick & Associates, Globe Life/AIL we provide permanent benefits for union and association members across the United States. I am looking to expand my team and train new managers from an entry level position over the next 90-120 days. This is 100% work from home and...
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...Support Coordinator/Biller
Job no: 537730
Work type: Staff
Location: Sacramento
Categories: Unit 7 - CSUEU -... ...student accounts, reversing and correcting charges, reviewing of appeals for charges and communication to the student regarding appeal...
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Sunday
Monday to Friday
...Duties
WHAT IS THE INDEPENDENT OFFICE OF APPEALS DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following specialty areas: Independent Office of Appeals, Examination Appeals.
The following are the duties of this...
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Monday to Friday
...Duties
WHAT IS THE INDEPENDENT OFFICE OF APPEALS DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following specialty areas: Independent Office of Appeals, Collection Appeals
The following are the duties of this...
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...Description
Position at SBM Management
SBM is searching for a Process Coordinator, Quality Assurance ! The Process Coordinator, Quality Assurance will be responsible for designing, developing, implementing and supporting solution to address some of the company’...
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...highly motivated individuals that come together to form high performance team? Come join WWT today! We are looking for a Project Coordinator to join our Infrastructure Services (IS).
Why should you join the PMO?
As a Project Coordinator, you will be working on exciting...
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...Duties
WHAT IS THE APPEALS DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following specialty areas:
Independent Office of Appeals: Specialized Exam Programs & Referrals/Area 10/Team 2
The following are the duties...
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...Description & Requirements Maximus currently has a Community Resource Coordinator Opportunity with the Maximus Montana Employment and Training Project. This Project will provide intake, assessment and development of an Employability/Service Plan (ESP) plus case management...
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...general direction incumbents in this class of Building Project Coordinator II perform architectural and/or drafting designs of buildings... ...of the total possible score as determined by the Director.
APPEAL PROCESS:
Persons who believe their applications have been improperly...
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Description:
Essential Functions:
? Receives referral requests from providers and communicates with them, or a member of the patient's care team, as needed
? Obtains prior authorizations for patient referrals to specialists and surgeries. Advises provider if authorization...
...The Operations Coordinator is responsible for the coordination of operational functions of the Sacramento office and assistance with regional human resources, resulting in a well-functioning, compliant environment for staff, clients, and partners. Th Operations Coordinator...
...distributor of the year award in the United States since 2004: 2004, 2008, 2012, 2016 & 2019.
Responsibilities of the Service Coordinator include, but are not limited to:
Scheduling assigned technicians
Communicate with customers to confirm schedule daily...
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Shift work
Monday to Friday
Come join a growing team to support a great company.
What we offer:
Company-paid Medical plan
Company-paid $25,000.00 life insurance
Eligible for dental, vision, AD&D, EAP and more.
Company-paid holidays
Accrue vacation days
Benefits are effective the...
Holiday work
Immediate start
