Appeals & Grievance Coordinator - Tustin

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. · ...

We are looking for a remote Appeals & Grievances Coordinator to manage and resolve appeals and grievances related to dental insurance claims. · ...

The Appeals & Grievance Coordinator is responsible for the day-to-day functions of tracking and trending all grievances, appeals, and complaints received within the Member Services Department. · Will appropriately acknowledge the receipt of all grievance/appeals, · Responsible fo ...

The Appeals & Grievance Coordinator is responsible for the day to day functions of the tracking and trending of all grievances appeals and complaints received within the Member Services Department. · Will appropriately acknowledge the receipt of all grievance/appeals CTM (Complai ...

The Grievance and Appeals (GAD) Coordinator coordinates the work of a team of Member Services Representatives that provide customer services to members and other associated individuals and groups. You Will Ensure that member inquiries are addressed and that members are referred t ...

The Grievance and Appeals (GAD) Coordinator coordinates the work of a team of Member Services Representatives that provide customer services to members and other associated individuals and groups. · ...

The Grievance and Appeals (GAD) Coordinator coordinates the work of a team of Member Services Representatives that provide customer services to members and other associated individuals and groups. · Ensure that member inquiries are addressed and that members are referred to the a ...

The Grievance and Appeals Coordinator coordinates the work of a team of Member Services Representatives that provide customer services to members and other associated individuals and groups. · ...

We're always looking for diverse, · talented, service-oriented people to join our exceptional team.The Human Resources Business Partner II serves as their business unit's first HR point of contact, · serving teammembers and leadership to ensure World-Class for our Members. · ...

In addition to the responsibilities below, this position is also responsible for leading optometrists and optometry staff and monitoring and implementing quality of service and utilization standards; · ensuring multiple teams compliance with federal, state, and local regulatory r ...

In addition to the responsibilities below, this position is also responsible for supervising the use and maintenance of equipment, supplies and medications; supervising clinical staff in accordance with clinic policies and physician instructions; and/or performing patient care as ...

We're always looking for diverse, talented, · service-oriented people to join our exceptional team. · The Human Resources Business Partner II serves as their business unit's first HR point of contact, · serving team members and leadership to ensure World-Class for our Members. · ...

Provide work direction and supervision to production employees within the guidelines of standard work rules, union contract provisions (if applicable), and employment policies. · ...

The Outpatient AOD Counselor reports to the Clinical Manager and is responsible for individual service coordination for patients enrolled in Phoenix House Adult/Adolescent Residential/Outpatient Services. · Oversees coordination of Initial Assessment, Service Authorization Requir ...

A Medicare Plans Coordinator will assist in carrying out department responsibilities. · Participates in a mission-driven culture of high-quality performance. · ...

The Patient Experience Advocate works with patients and their families to address concerns or special needs that may arise during their course of treatment within the hospital setting. · Assisting patients in navigating the complexities of the healthcare system and to facilitate ...

The Grievance and Appeals Nurse Specialist manages medical appeals and state hearing reviews across all lines of business, · handling both expedited and standard requests.This role ensures compliance with regulations,policies,and procedures while preparing case narratives and pos ...

+Job summary · The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity respecting the value and needs of each person. · +ResponsibilitiesCoordinates and participates in case discussions with operational exper ...

We are seeking an experienced Sr Manager to lead our Grievance & Appeals Resolution Services department. · The Team You'll JoinWe are a mission-driven community-based organization that serves member health with excellence and dignity. · If you are ready to advance your career whi ...

Allied Universal Services is seeking the position of an Armed Security Site Supervisor. · The Armed Site Supervisor will supervise and coordinate the delivery of quality services to an assigned customer. · ...