Supervisor of Grievance & Appeals VillageCare MAX 112 Charles Street, New York, NY 10014 Must reside in NY, NJ... or CT The Supervisor of Grievances and appeal grievances oversees the investigations and resolution of complaints...
Summary of Position Responsible for overseeing the day-to-day operations of the Grievance and Appeal Specialists... to develop workflows, resolve appeal and grievance issues and implement quality improvements. Create and implement policies...
What You Will Do: Supervises the day-to-day operations of VNS Health Plans Grievance & Appeals departments clinical and non-clinical staff. Makes... reporting. Assists and works with management as needed in analyses and reports on grievance and appeal activity for management...
Summary of Position Perform clinical and administrative reviews within the Grievance and Appeals department, ensuring... to manage utilization within the benefit plan. Responsible for the review of grievance and appeal cases referred for clinical...
for alternative care options and contributes to the development of a safe member centered service plan Consult with supervisor... that affect member eligibility Coordinates with other departments, e.g. Care Management, Legal Affairs, Grievance and Appeals...
options and contributes to the development of a safe member centered service plan Consult with supervisor... that affect member eligibility. Coordinates with other departments, e.g. Care Management, Legal Affairs, Grievance and Appeals...
options and contributes to the development of a safe member centered service plan Consult with supervisor... that affect member eligibility. Coordinates with other departments, e.g. Care Management, Legal Affairs, Grievance and Appeals...