Appeals and Grievances I

Job Title: Appeals and Grievances IJob Summary:We are seeking a highly skilled and detail-oriented Appeals and Grievances Specialist I to join our team. The ideal candidate will have a strong background in managed care and a passion for advocating for patients' rights.Key Responsibilities:Manage and resolve appeals and grievances in a timely...

Job DescriptionThis Appeals and Grievances Supervisor Position Features:Competitive salary and benefits package.Overtime opportunityHybrid scheduleGreat Pay to $68KSchedule:Rotating weekends and holidays; standard hours from 8 AM to 5 PM, with potential overtime during busy seasons (may require working until 6 or 7 PM as needed)Position Overview:We are...

Why BayCare? At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s...

Job Description:As a Clinical Utilization Review Specialist at VNS Health, you will play a critical role in ensuring the accuracy and compliance of grievances, appeals, and external reviews for our Managed Long Term Care (MLTC), Medicare Advantage (MA), and Select Health product lines.Key Responsibilities:Review and analyze grievances, appeals, and external...

Job SummaryWe are seeking a highly motivated and detail-oriented Tax Technician I to join our team at the California Department of Tax and Fee Administration. As a Tax Technician I, you will play a critical role in supporting the Business Taxes Administrator I in performing technical duties and support functions.Key ResponsibilitiesApply laws, rules, and...

Job Title: Medical Care NurseVNS Health is seeking a skilled Registered Nurse to join our team as a Clinic Utilization Review professional in Cliffside Park, New Jersey.About the Role:This is a unique opportunity to work in a dynamic environment where you will be responsible for resolving grievances, appeals, and external reviews for VNS Health Plans product...

Job Title: Tax Technician IJoin the California Department of Tax and Fee Administration as a Tax Technician I and contribute to the state's tax collection efforts. As a member of our team, you will be responsible for performing technical duties and support functions related to taxation.Key Responsibilities:Apply laws, rules, and policies related to...

Job SummaryThe California Department of Tax and Fee Administration (CDTFA) is seeking a Tax Technician I to join our team. As a Tax Technician I, you will be responsible for performing technical duties and support functions under the close supervision of the Business Taxes Administrator I (BTA I).Key ResponsibilitiesApply laws, rules, and policies relating...

Job SummaryWe are seeking a highly skilled Utilization Management Coordinator to join our team at Universal Health Services. As a key member of our healthcare team, you will be responsible for coordinating and monitoring the utilization of services for patients admitted to our inpatient and outpatient programs.Key ResponsibilitiesCoordinate and monitor the...

Job Description and DutiesUnder the clinical direction of the Chief Medical Executive and the direct administrative supervision of the Chief Support Executive or Correctional Health Services Administrator I/II, Correctional Facility (CF), the Physical Therapist I, CF administers physical therapy treatments and active, passive, restorative, and resistive...

Job Description and DutiesThe Chief Psychologist assumes administrative responsibilities over the Mental Health Department, providing supervision to line staff and first-line supervisors. The Chief Psychologist is responsible for developing treatment modalities and ensuring the overall quality of mental health services.Minimum Qualifications:Possession of a...

Job Description and DutiesThe Chief Psychologist assumes administrative responsibilities over the Mental Health Department, providing supervision to line staff and first-line supervisors. The Chief Psychologist is responsible for developing treatment modalities and ensuring the overall quality of mental health services.Minimum Qualifications:Possession of a...

Job DescriptionJob DescriptionDrug and Alcohol Counselor-SUDWe are not looking for job seekers. We want changemakers! Sierra Health and Wellness use evidence-based methods to accomplish the restoration of families, relationships, and self-worth. By transforming the character, we give life back to the people who have lost it through substance abuse and mental...

Job DescriptionJob DescriptionLicensed Vocational Nurse LVN; Licensed Psychiatric Technician LPTWe are not looking for job seekers. We want changemakers! Sierra Health and Wellness use evidence-based methods to accomplish the restoration of families, relationships, and self-worth. By transforming the character, we give life back to the people who have lost...

Job DescriptionJob DescriptionLicensed Vocational Nurse LVN; Licensed Psychiatric Technician LPTWe are not looking for job seekers. We want changemakers! Sierra Health and Wellness use evidence-based methods to accomplish the restoration of families, relationships, and self-worth. By transforming the character, we give life back to the people who have lost...

Job DescriptionJob DescriptionLicensed Vocational Nurse LVN; Licensed Psychiatric Technician LPTWe are not looking for job seekers. We want changemakers! Sierra Health and Wellness  use evidence-based methods to accomplish the restoration of families, relationships, and self-worth. By transforming the character, we give life back to the people who have...

Job DescriptionJob DescriptionLicensed Vocational Nurse LVN; Licensed Psychiatric Technician LPTWe are not looking for job seekers. We want changemakers! Sierra Health and Wellness  use evidence-based methods to accomplish the restoration of families, relationships, and self-worth. By transforming the character, we give life back to the people who have...

Job Overview and Responsibilities Under the supervision of the Chief Culinary Officer, the Lead Culinary Supervisor for Correctional Facilities oversees and manages the culinary team in the preparation and distribution of meals for the inmate population. This role is accountable for the receipt, storage, rotation, preparation, and reheating of food...

Job DescriptionJob DescriptionWho we are:CCPC is a Christian, humanitarian community resource center that helps improve the lives of people and communities by meeting immediate and basic needs, serving as a leading networker of community resources, offering counseling and care support, and giving hope to those we serve.Full-Time Sales Associate Pay Range:...

Description Our client, an established out-of-network medical billing company located in New Hyde Park  Long Island, is seeking experienced medical billers with a strong work ethic and excellent communication skills. Must be able to work independently and as part of a team. Position is temp to hire in nature.  Responsibilities: Review submitted claims...