appeals and grievance
grievance and appeals
1-15 of 137,797 Jobs
Restaurant General Manager
Exercise sound managerial judgment and decision-making pertaining to all employee relations and personnel actions (i.e., timely performance evaluations, grievance handling, disciplinary actions, employee counseling, etc.)
Grievance & Appeals Representative 3
Salt Lake City, UT
1 - 3 years of grievance and appeals experience
Administer labor agreement and first step of grievance procedure.
$22 - $27 an hour
Customer Service and Claims Representative - Remote
Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan
$15 an hour
Health Services Administrative Coordinator - Work from Home
Submits monthly compilation of Prior Authorization Regulatory Grievance Reporting
Work from home
HR Recruiter Admin Support
Basic American Foods
Administer employee relations including adherence to the collective bargaining agreement and grievance settlement.
Licensed Practical Nurse (LPN) - 3
Rest Haven Health and Rehabilitation
Review complaints and grievances made by the resident /or family and make a written/oral report to the Director of Nursing or designee indicating what action(s) were taken to initially address the complaint or grievance Report and begin the initial investigation of all allegations of resident abuse, neglect and/or misappropriation of resident property.
Licensed Nursing Home Administrator
Azalea Health and Rehab
Mobile County, AL
· Responsible for grievance process from residents, patients, employees, etc.
Case Manager (Bilingual English/Spanish)
Help at Home
Lehigh Valley, PA
Training to meet the needs of an individual as identified in the ISP[i] Grievance Procedures Department Issued Policies and Procedures Accurate billing and documentation of service delivery.
Assistant Director of Nursing (ADON)
Decatur Wellness & Rehabilitation Center
Review complaints and grievances made by the resident and make a written/oral report to the Director indicating what action(s) were taken to resolve the complaint or grievance.
LPN- Full time 2nd shift (3p-11p)
Rowan County, NC
Provides information in support of corrective disciplinary action up to and including recommendation for termination Participates in grievance procedure in collaboration with the RN Charge Nurse.
Colleague Labor Relations Partner - Human Resources
In conjunction with RHM management, Colleague and Labor Relations COE, and the Labor Strategy Team, supports the management of labor policies, contract negotiations, grievance and other dispute resolution processes, advises management on CBA compliance, and contributes to the completion of other labor relations projects and assignments, as directed.
Grievance/Appeals Analyst I
The Grievance & Appeals Analyst reviews, analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple products (i.e. HMO, POS, PPO, EPO, CDHP, and indemnity) related to clinical and non clinical services, quality of service, and quality of care issues to include executive and regulatory grievances.
Manager I Grievance and Appeals
Manager I Grievance and Appeals Responsible for management oversight of receipt, investigation and processing associated with member/provider grievance and appeals.
Grievance & Appeals Coordinator II
Lead Appeals and Grievance Committee