Grievance and Appeals Coordinator

A trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals, claim denials, medical terminology and CPT codes. Previous Grievance and Appeals experience preferred. Abi Appeals, Coordinator, Administrative, Staffing

A-Line Staffing is now hiring a Grievance and Appeal Coordinator in the Woodland Hills CA area. The Grievance and Appeal Coordinator would be working for a Fortune 500 company and has career growth potential. This would be full time / 40 hours per we Coordinator, Appeals, Staffing, Management

A trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals, claim denials, medical terminology and CPT codes. Previous Grievance and Appeals experience preferred. Ability to communicate with providers and members is essential. If interested, please apply with an updated...

A trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals, claim denials, medical terminology and CPT codes. Previous Grievance and Appeals experience preferred. Ability to communicate with providers and members is essential. If interested, please apply with an...

A trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals, claim denials, medical terminology and CPT codes. Previous Grievance and Appeals experience preferred. Ability to communicate with providers and members is essential. If interested, please apply with an updated...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside within the state of California - this is a remote position. Position...

Anticipated End Date:2024-06-03Position Title:Manager II Grievance/Appeals (RN)Job Description:Manager II Grievance/Appeals - Claims Support Location: *CA Residential Requirement This position will work a hybrid model (remote and office). Ideal candidates will live in the state of California within 50 miles of one of our PulsePoint locations.The Manager II...

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.Position Purpose: Ensure appropriate processing of member grievance appeals,...

Your Role The Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Appeals and Grievances RN Senior will report to the Manager of the Appeals and Grievances team. In this role you will perform accurate and timely clinical review of...

Your Role The Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Appeals and Grievances RN Senior will report to the Manager of the Appeals and Grievances team. In this role you will perform accurate and timely clinical review of...

Speaking with members, documenting, res[ "speaking with members, documenting, researching (utilizing different material and navigating through systems, reaching out to providers & members, communicating with internal and external parties), formulatin Appeals, Administrative, Staffing

Job Family: MED > Licensed Nurse - Type: Full time - Date Posted: Apr 24, 2024 - Anticipated End Date: May 01, 2024 - Reference: JR112445 **Description**: **Nurse Appeals **Schedule: Monday**: - Friday 8:00 am to 4:30 pm PST Saturdays and Holidays required** The **Nurse Appeals **is responsible for investigating and processing and medical necessity...

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll...

You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll...

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager  will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including...

County Locations : Sacramento County, Yolo County Location : UC ANR - Davis Date Posted : March 27, 2024 Closing Date : Until Filled The Employee and Labor Relations Consultant for UC ANR reports to the Employee and Labor Relations Manager. This role is responsible to deliver employee and labor relations counsel and be capable of developing proactive...

Assisted offers great and rewarding career opportunities making a difference in the lives of people. Join our team and love what you do! Help others. Make a difference. Be proud. Assisted Offers Our Employees a Unique Employment Package: - Affordable medical, dental and vision benefits package. - Company matched 401K (up to 6% of your annual salary can...

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager  will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...

Your Role * This position is located in our West Los Angeles Community Resource Center Location & require employee to work 5 days per week in the West Los Angeles Community Resource Center* The Community Resource Center (CRC) team is responsible for managing the Blue Shield Promise Health Plan Information Resource Center (IRC) and jointly operating CRCs...