Appeal and Grievance Coordinator-CW - Pittsburgh, PA

This job reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals; · ensures compliance with organizational and regulatory requirements for member or provider issues; · coordinates the ...

Providing coordinated care to patients by developing, monitoring, and evaluating their home health care plans. · ...

Providing coordinated care to patients by developing monitoring and evaluating their home health care plans. · ...

We are searching for a Labor and Employee Relations Consultant to join our UPMC Corporate Human Resources team This full-time position offers a hybrid work schedule and requires frequent travel within the region. · ...

This role involves a range of Human Resources functions including employee relations, benefits administration policy updates compliance recruiting safety employee training. A bachelor's degree in Business or Industrial Relations is required along with experience in HR functions i ...

· ←Back to all jobs at All American Home Care LLC · Patient Care Coordinator · All American Home Care LLC is an EEO Employer - M/F/Disability/Protected Veteran Status · JOIN THE WINNING TEAM · ALL AMERICAN HOME CARE offers an excellent benefit package that includes generous pai ...

· ←Back to all jobs at All American Home Care LLC · Home Care Coordinator · All American Home Care LLC is an EEO Employer - M/F/Disability/Protected Veteran Status · JOIN THE WINNING TEAM · ALL AMERICAN HOME CARE offers an excellent benefit package that includes generous paid t ...

Responsibilities will include a range of Human Resources functions. · ...

Providing coordinated care to patients by developing monitoring and evaluating their home health care plans. · ...

Job summary · We're searching for a Labor and Employee Relations Consultant to join our UPMC Corporate Human Resources team. This full-time position offers a hybrid work schedule and requires frequent travel within the region.Participate in and conduct in-service programs on Labo ...

HSAO serves as the single point of contact for all psychiatric residential treatment facilities (PRTF) referrals for eligible youth in Allegheny County. The RTF intake coordinator is responsible for facilitating and coordinating admission into the PRTF or assisting in coordinatin ...

The company Spang & Company has an opening for a Human Resources Generalist at its headquarters in Pittsburgh. · ...

This is a full-time Critical Incident Investigator position to help support the UPMC Community HealthChoices Quality Improvement Department for its downtown Pittsburgh location at the US Steel Tower. · ...

HSAO serves as the single point of contact for all psychiatric residential treatment facilities (PRTF) referrals for eligible youth in Allegheny County. The RTF intake coordinator is responsible for facilitating and coordinating admission into the PRTF or assisting in coordinatin ...

RTF Intake Coordinator · HSAO serves as the single point of contact for all psychiatric residential treatment facilities (PRTF) referrals for eligible youth in Allegheny County. The RTF intake coordinator is responsible for facilitating and coordinating admission into the PRTF or ...

UPMC Health Plan is hiring a full-time Critical Incident Investigator to help support the UPMC Community HealthChoices Quality Improvement Department for its downtown Pittsburgh location at the US Steel Tower. · Licensure, Certifications, And Clearances · UPMC is an Equal Opportu ...

Lensas a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. · Monitor and manage multiple electronic intake queues to ensure timely and accurate critical incident reporting. · Report, monitor, and update incident-related informatio ...

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.UPMC Health Plan is hiring a full-time Critical Incident Investigator to help support the UPMC Community HealthChoices Quali ...

We are looking for a Pharmacy Clinical Review Specialist to oversee administrative processes related to pharmacy prior authorizations. · The ideal candidate will have experience in pharmacy claims process operating systems · Excellent knowledge of medical terminology, coordinatio ...

This position will support the Medical Policy Department in developing and communicating coverage policies for healthcare services covered by UPMC HealthPlan. · ...