beBeeGrievances Jobs in United States

Grievance Handling Opportunity · Job Description · As a Grievance Handler, you will serve as the first point of contact for union grievance intake; triage, investigate, document and track cases from filing through resolution. You will lead discussion and resolution of grievance c ...

Healthcare Manager for Denials and Appeals · Become part of a community dedicated to putting health first. As a Healthcare Manager, you will oversee client denials and concerns by conducting comprehensive reviews of clinical documentation to determine if grievances, appeals or fu ...

Clinical Grievance Resolution Specialist · In this pivotal role, you will serve as the key contact for resolving grievances and appeals related to healthcare services. This position requires a strong understanding of regulatory requirements and the ability to analyze complex situ ...

Resolve Appeals & Grievances · Reviews member complaints according to CMS rules. · Contacts members via written or verbal communication. · &>Presents findings clearly in summaries and reports, ensuring compliance with regulatory requirements. Key tasks include: · ...

**Job Summary:** · The Customer Service Specialist II will receive, investigate and resolve member and provider complaints exercising strong independent judgment. This position provides resolution of complaints in compliance with regulatory requirements. · Reviews pre-service aut ...

· The Medical Director plays a vital part in navigating the complexities of health care. · ...

Job Title: HR Administrative Assistant · This role requires supporting Labor Relations with planning meetings, recording minutes during labor management and Investigatory meetings. The chosen candidate will also oversee grievances received from represented groups. · The person mu ...

About the Role · The Home Health Grievances Manager will oversee client denials and concerns, analyzing data to identify potential issues that may warrant an appeal. · ...

Job Opportunity · The Residential Services Coordinator oversees resident grievances and complaints, ensuring adherence to correctional standards. · Acts as Grievance Officer · Oversight of resident due process is ensured · Assists with community service projects such as CAP, MAP, ...

About the Role · Evaluate member complaints ensuring compliance with policies, rules, and regulations. · This position plays a crucial part in resolving customer issues effectively, efficiently, and professionally. · ...

· (Compliance aspects) · Conduct thorough research of CMS regulations related to grievances., · >Address , either verbally or through formal correspondence.  · Each request should be given a unique ID number for quick tracking by the appeals staff, even if it’s not part of their ...

Job Overview · The Patient Grievance Program Specialist plays a vital role in ensuring patient satisfaction and trust in the healthcare system. As a clinical professional, you will work independently and collaboratively across service lines to coordinate, manage, and oversee the ...

Key Responsibilities: · Labor Management Support:Meeting Coordination:, ...

Job Overview · We are seeking a visionary leader to oversee the operational execution of grievance, appeal, and quality-of-care functions across all product lines. As Senior Director and Grievance Officer, you will be responsible for driving excellence in leadership, clinical dec ...

Role Summary · This is a senior-level position that oversees the appropriateness of services provided by healthcare professionals based on established policies and standards. · ...

Job Description: · This role requires collaboration, productivity and work-life balance. · ...

Job Title: Member Appeals Specialist · About the Job: · We are seeking a dedicated professional to address and resolve member complaints, ensuring effective communication and adherence to regulatory standards. · ...

Ensures comprehensive research and resolution of appeals, disputes, grievances in accordance with regulatory requirements. · Maintains up-to-date knowledge of relevant regulations and policies. · Cultivates effective written and verbal communication skills to interact with stakeh ...

Job Details · A key aspect of this supervisory position is to monitor team members handling grievance processes. Ensuring compliance with established procedures, they oversee various appeal cases while maintaining effective relationships within their team. · This role requires pr ...

Job Description · We are seeking an experienced professional to join our team as a Hospice Grievance Specialist. This role will involve reviewing clinical documentation to identify potential issues that may impact patient care. You will work closely with our healthcare teams to e ...