Current jobs related to Grievance and Appeals Coordinator Must - Madison - WPS Health Solutions
-
Specialist, Member Rights
4 weeks ago
Madison, United States Molina Healthcare Full timeJob DescriptionJob DescriptionJob SummaryThe Specialist, Member Rights serves as a member advocate within the agency. This position ensures that members are informed of their rights and supports members through mediation and problem solving with interdisciplinary teams (IDTs). Maintains and manages an accessible appeals and grievance system for members to...
-
Patient Relations Coordinator
2 weeks ago
Madison, United States University of Wisconsin Health Full timeA Patient Relations Coordinator to: Provide assistance and support as needed with patients, families, and staff that are in contact with the Patient Relations department. Investigate patient complaints and grievances in ambulatory and inpatient setti Relations, Patient, Coordinator, Health, Healthcare, Business Services
-
Patient Relations Coordinator
2 weeks ago
Madison, United States UW Health Full timeJob DescriptionWork Schedule: 100% FTE, 40 hours per week. Scheduled shifts are 8:00 am - 5:00 pm, Monday - Friday with no weekends or holidays. Hours may vary based on the operational needs of the department. This position is hybrid for individuals living in Wisconsin or Illinois. Be part of something remarkableJoin the #1 hospital in Wisconsin! We are...
-
Care Transition Coordinator
2 months ago
Madison, United States Athens Health and Rehabilitation LLC Full timeCare Transition Coordinator Do you have a passion for using your sales and marketing skills in the healthcare world? Have you worked with an elderly population and their families helping them find the best care available? If so, we would love to have a conversation with you about joining our team as a Care Transition Coordinator. The Care Transition...
-
Patient Relations Coordinator
2 weeks ago
Madison, United States UW Health Full timeWork Schedule: 100% FTE, 40 hours per week. Scheduled shifts are 8:00 am - 5:00 pm, Monday - Friday with no weekends or holidays. Hours may vary based on the operational needs of the department. This position is hybrid for individuals living in Wisconsin or Illinois. Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a...
-
RN MDS Coordinator
1 month ago
Madison, United States OAK PARK NURSING AND REHAB Full timeDescription Do you find joy in helping others? At Oak Park Place, our goal is to Share our GIFTS to enhance the lives of those we serve. If this sounds like your calling, we want to talk to you. Share your gifts and make a difference in the lives of seniors every day. Oak Park Place is hiring! This is an exciting opportunity with a growing skilled nursing...
-
Graphic Designer/Print Coordinator
3 weeks ago
Madison, Wisconsin, United States State of Wisconsin Full timeJob SummaryThe State of Wisconsin is seeking a highly skilled Graphic Designer/Print Coordinator to join our team. As a key member of our support staff, you will be responsible for creating visually appealing and effective communication materials for the Senate and legislative service agencies.Key ResponsibilitiesDesign and produce high-quality print and...
-
Scheduling Coordinator
4 weeks ago
Madison, Wisconsin, United States Mad City Windows and Baths Full timeJob Title: Scheduling CoordinatorMad City Windows and Baths is seeking a highly organized and detail-oriented Scheduling Coordinator to join our team. As a Scheduling Coordinator, you will be responsible for scheduling contracts, change orders, and cancellations with our customers.Key Responsibilities:Operate and manage multi-line telephones, route incoming...
-
Nurse Practitioner
4 weeks ago
Madison, Wisconsin, United States Athens Health and Rehabilitation LLC Full timeContract Nurse OpportunityAt Athens Health and Rehabilitation LLC, we are seeking a skilled Contract Nurse to join our team. As a Contract Licensed Practical Nurse, you will play a vital role in providing optimal patient care to our residents.Key Responsibilities:Take vital signs, including temperature, blood pressure, and other essential statisticsPerform...
-
RN MDS Coordinator
4 weeks ago
Madison, Wisconsin, United States OAK PARK NURSING AND REHAB Full timeMake a Difference in the Lives of SeniorsWe are seeking a dedicated and compassionate RN MDS Coordinator to join our team at Oak Park Place. As a skilled nursing facility, we pride ourselves on providing a supportive and employee-friendly work environment.Key Responsibilities:Coordinate MDS assessments and ensure accurate and timely completionCollaborate...
-
Dental Patient Coordinator
4 weeks ago
Madison, Wisconsin, United States First Choice Dental Full timeJob Title: Part Time Patient Coordinator- Mt. HorebJob Summary:We are seeking a highly organized and detail-oriented Part Time Patient Coordinator to join our team at First Choice Dental. As a key member of our front office team, you will be responsible for providing exceptional patient service, scheduling appointments, and ensuring seamless communication...
-
Nurse Contract Position
4 weeks ago
Madison, Wisconsin, United States Athens Health and Rehabilitation LLC Full timeContract Nurse Job DescriptionOur facility is seeking a skilled Contract Nurse to assist with covering open shifts. As a Contract Licensed Practical Nurse, you will play a vital role in providing optimal patient care to our residents.Key Responsibilities:Take vital signs, including temperature, blood pressure, and other essential statisticsPerform basic...
-
Substation Operations Supervisor
4 weeks ago
Madison, Connecticut, United States Eversource Energy Full timeJob SummaryAs a Substation Operations Supervisor at Eversource Energy, you will provide leadership and direction to construction, maintenance, and repair teams responsible for substation equipment. You will analyze historical data to establish maintenance requirements, promote a safety-first work environment, and engage employees to deliver exceptional...
-
Member Health Assessor
3 weeks ago
Madison, United States Molina Healthcare Full time**JOB DESCRIPTION** **_Must reside in Wisconsin_** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff...
-
Member Health Assessor
3 weeks ago
Madison, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONMust reside in WisconsinJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work...
-
Health Unit Coordinator
4 weeks ago
Madison, Wisconsin, United States University of Wisconsin Hospitals and Clinics Authority Full timeJob Title: Health Unit Coordinator Job Summary: We are seeking a highly organized and detail-oriented Health Unit Coordinator to join our team at University of Wisconsin Hospitals and Clinics Authority. As a Health Unit Coordinator, you will play a vital role in ensuring the smooth operation of our healthcare units. Your primary responsibility will be to...
-
Nurse Coordinator
4 weeks ago
Madison, Wisconsin, United States gpac Full timeJob Title: MDS Assessment Registered Nurse Coordinatorgpac is a national search firm specializing in healthcare placements. We have been retained by a senior living community to search for an MDS Assessment Registered Nurse Coordinator. This organization provides Assisted Living and Memory Care services.Job SummaryThe primary role of the MDS Assessment Nurse...
-
Health Unit Coordinator
4 weeks ago
Madison, Wisconsin, United States University of Wisconsin Hospitals and Clinics Authority Full timeJob Title: Health Unit CoordinatorWe are seeking a highly skilled and organized Health Unit Coordinator to join our team at the University of Wisconsin Hospitals and Clinics Authority.Job Summary:The Health Unit Coordinator plays a vital role in the day-to-day operations of our medical units, providing exceptional support to patients, families, and staff....
-
Health Unit Coordinator
4 weeks ago
Madison, Wisconsin, United States University of Wisconsin Hospitals and Clinics Authority Full timeJob Title: Health Unit Coordinator Job Summary: We are seeking a highly skilled and organized Health Unit Coordinator to join our team at University of Wisconsin Hospitals and Clinics Authority. As a Health Unit Coordinator, you will play a vital role in ensuring the smooth operation of our healthcare units. Your primary responsibility will be to provide...
-
Health Unit Coordinator
4 weeks ago
Madison, Wisconsin, United States University of Wisconsin Hospitals and Clinics Authority Full timeJob Title: Health Unit CoordinatorWe are seeking a highly skilled and organized Health Unit Coordinator to join our team at University Hospital in Madison. As a Health Unit Coordinator, you will play a vital role in ensuring the smooth operation of our units, providing exceptional patient care, and supporting our clinical team.Key Responsibilities:Manage and...
Grievance and Appeals Coordinator Must
2 months ago
JOB REQUIREMENTS: Description Who We Are WPS Health Solutions is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS Health Solutions has been making health care easier for the people we serve for more than 75 years. Proud to be military and veteran ready. Culture Drives Our Success WPS\' Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive and empowering employee experience. We recognize the benefits of Diversity, Equity, and Inclusion as an investment in our workforce-both current and future-to effectively seek, leverage, and include diverse perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition Role Snapshot As a Grievance and Appeals Coordinator, you will investigate and resolve complex patient and insurance provider complaints related to claims, enrollment, medical authorization denials, within the healthcare industry. You will create training for new staff on appeals and develop a process for feedback for all areas in the division. Reporting processes will be created and maintained in this role to support the overall savings for the company while maintaining the membership and provider support of our company. How do I know this opportunity is right for me? If you: Have efficient researching and investigative skills. Can communicate with confidence, clarity and sound reasoning when resolving an issue. Are a self-starter, work independently, and can reprioritize as new situations arise. Have experience with regulatory information and are familiar with healthcare data such as PHI and PII. Have strong skills and technical acumen that could include the following skillsets: computer navigation and working within multiple applications, telephone support, letter writing and composition, project management. Have strong organizational skills and documentation. Are able to learn new products and processes. Want to be an innovator helping to bring process improvements and develop reporting and tracking strategies. Approach situations with empathy and adaptability in mind. What... For full info follow application link. Wisconsin Physicians Service Insurance Corporation is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities employer. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/CD6F8F9E3268425A Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.
