Grievance and Appeals - Plantation

The Clubhouse Manager will oversee the day-to-day operations of the clubhouse. · This includes managing staff, training, coordinating events, budgeting and ensuring a high-level member experience. · Provides polished leadership. · Maintains cleanliness. · ...

The Clubhouse Manager oversees daily operations including staff management training event coordination budgeting scheduling and ensuring high member satisfaction.Ultimately responsible for assisting the AGM in managing all daily food & beverage operations within the club. · ...

The Clubhouse Manager will oversee the day-to-day operations of the clubhouse including managing staff training coordinating events budgeting scheduling and ensuring a high-level member and guest experience. The Clubhouse Manager will also report to and partner with the AGM in al ...

The A&G Coordinator will investigate and respond to written or verbal appeals and grievances submitted by members and providers in accordance with Contract Benefits and CMS and DOH regulations. · Associates degree or equivalent preferred. · 2 years prior related experience. · ...

Job summaryThe RN Coordinator will investigate and respond to written and/or verbal clinical appeals, · expedited clinical grievances and potential quality of care grievances submitted by members · and providers in accordance with Elderplan Contract Benefits, CMS (Centers for Med ...

NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city's five boroughs. · Under general supervision of the Director of ...

Job summaryThe Medical Director will be responsible for assuring appropriate and optimized health care delivery for members. · ...

++This position provides experienced interpretation and advisement on labor-management activities, collective bargaining agreements and labor law to protect MNR's financial interests and promote its strategic goals. · +Arrange conferences with union representatives to discuss con ...

The selected candidate will be offered a salary between $62,868 - $72,298. The Administration for Children's Services (ACS) protects and promotes the safety and well-being of children and families through child welfare and juvenile justice services and community supports.The Offi ...

This position assists in planning, development and implementation of personnel management labor relations and human resources administration policies programs and practices. · Assesses manpower needs to determine recruitment efforts with special attention to shortage positions. · ...

The Shared Services Scheduling Specialist assists with scheduling in-house and external physician/specialist medical appointments for participants. · Schedule participants with their specialty appointments and medical appointments with their CBPCPs. · Make visit verification call ...

Lensa does not hire directly for these jobs but promotes them on behalf of its direct clients and recruitment ad agencies. · ...

JOB SUMMARY:We are seeking a Shared Services Scheduling Specialist to assist with scheduling in-house and external physician/specialist medical appointments for participants. The ideal candidate will have excellent communication skills, the ability to work independently and colla ...

The Vice Dean of Academic Affairs serves as a senior academic leader for Long Island University (LIU) at Lewyt College of Veterinary Medicine (LCVM), overseeing the academic programs. · ...

This position assists with scheduling in-house and external physician/specialist medical appointments for participants. · ...

Overview · Assists Assessment Unit management in the day-to-day clinical operations of UAS assessments for VNS Health Plans. Ensures staff have the appropriate support to provide an efficient and effective enrollment process. This includes education, marketing, enrollment workflo ...

Shared Services Scheduling Specialist assists with scheduling in-house and external physician/specialist medical appointments for participants. · ...

The Law Division of the NYC Department of Design and Construction seeks a full-time Senior Counsel. The Senior Counsel will perform a broad scope of duties to support DDC's Law Division in all aspects of DDC's mission. · ...

Assists with scheduling in-house and external physician/specialist medical appointments for participants, coordinates necessary transportation, handles customer service issues. · Salary Range: $40-$50,000 per year · ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. · Provide strategic direction and leadership to UM leaders and teams executing department functions including prior authorizations · Develop strong operational and leade ...

The Vice Dean of Academic Affairs serves as a senior academic leader for Long Island University (LIU) at Lewyt College of Veterinary Medicine (LCVM), overseeing the academic programs, faculty appointment, promotions, and development... · ...