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...appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
Coordinate the internal appeals and grievances process by supporting entry of requests in timely manner to internal decision makers. Provide supporting...
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...Job Description:
The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies.
The Coordinator is expected to analyze the customer...
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...Grievance and Appeals Coordinator
75 Vanderbilt Ave, Staten Island, NY 10304, USA
Req #660
Monday, April 1, 2024
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision...
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...Description
Job Title: Appeals & Grievances Coordinator
Department: Appeals and Grievances
Supervisor: Manager, Appeals & Grievances
FLSA Status: Nonexempt
Summary
The Appeals and Grievances coordinator position is focused on the processing of customer...
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...body requirements for the management of patient complaints and grievances. Works closely with the manager of patient relations to ensure... ...both within and outside the department.
* 2. Facilitate and coordinate the Patient Grievance Committee meetings by scheduling,...
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...procedures resulting from the negotiation of collective bargaining agreements, including the step grievance process.
OLRs Step III Grievance Division seeks a Coordinator to manage a high-volume caseload and grievance calendar/docket. Reporting to the Chief Review...
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...supports the overall patient/family compliment, complaint and/or grievance process, including intake, processing, and resolution.... ...proactively and for service recovery.
ESSENTIAL FUNCTIONS:
Coordination Performs and supports the day-to-day intake, processing, and...
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...hear from you! Please review the job details below and then click “apply.”
We're looking for someone to join our team as a Grievance Coordinator who:
The Compliance and Risk Grievance Coordinator will be delivering support services to Clinica Sierra Vista's...
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...friendly, team-oriented culture which is positively reflected into the communities we serve.
Position Summary:
The Junior Grievance Coordinator is a supportive member of the Grievance and Appeals team, ensuring AlohaCare members and providers of compliant, ethical,...
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JOB SUMMARY/PURPOSE
Responsible for grievance and appeals coordination and resolution for all Samaritan Health Plan (IHN, SAHP, Commercial, Choice) members who engage with the grievance process. Coordinates and resolves complaints and inquiries (...
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...for social justice on issues such as health care, immigration, racial justice, and economic wins for workers. We are now hiring a Grievance Representative to work in our Chicago Office.
Duties and Responsibilities:
Manage and execute the steps of the grievance process...
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...to our business.
Join Evolent for the mission. Stay for the culture.
What You’ll Be Doing:
We are seeking a Grievance and Appeals Coordinator to be a key member of the team. The Grievance and Appeals Coordinator is responsible for receiving, investigating, and...
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...Become a part of our caring community and help us put health first
The G&A rep 3 investigates and resolves grievances and appeals submitted by members and providers. Exercises discretion and judgement in prioritizing cases and interpreting procedures and processes....
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...Summary of Position
We are seeking a talented Grievance & Appeals Specialist who will be responsible for responding to written/verbal grievances, complaints, appeals, and disputes submitted by members and providers in accordance with NCQA, CMS, State, and other regulations...
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...Qualifications/Duties: Texas Health Harris Methodist Hospital Hurst-Euless Bedford is looking for a Grievance Coordinator Registered Nurse.
Full Time: M - F 8am-5pm
Min. Education required: Associates Degree. Graduate of an accredited Registered Nursing Program....
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Appeals & Grievances (Member and Provider)
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...Senior Grievance and Appeals Specialist
VillageCare is looking for a self-motivated individual for a Full Time role as the Senior Grievance Specialist. This role is responsible for the investigation and resolution of all Medicare and Medicaid lines of business complaints...
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...SEIU Committee of Interns and Residents (CIR)
Negotiations and Grievance Coordinator
National Position
To be located within 50 miles of a Medium or Large Hub Airport
Job Posting: Negotiations and Grievance Coordinator
Location: National – Within 5...
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...other concerned individuals (e.g. social workers, etc.) who have grievances regarding their mental health or substance abuse treatment... ...process within established deadlines.
The LCFAS provides coordination and oversight of the work of Consumer Family Assistance Specialists...
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...Description
Position at MTA Headquarters
JOB TITLE : Director, Labor Relations, and Grievances - MTAPD/Security
SALARY RANGE : $125,000 - $130,000
HAY POINTS : 775
DEPT/DIV : Employment and Labor Relations
SUPERVISOR: Senior Director, AT...
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1 day per week
