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Prepare reports on post-discharge denials management activity including overturn success rate of appeals for corporate compliance. Actively involved in CDMP and work closely with Coding Managers on DRG appeals.
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The Criminal Appeals Bureau is the largest post-conviction public defender in New York City, annually providing holistic, client-centered representation to over 1,000 people with misdemeanor, felony, and homicide convictions.
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Prosecutes misdemeanor cases in General District Court (and appeals in Circuit Court) including DUI, shoplifting, and firearm-related offenses. Responds to appeals briefs/motions. Prosecutes felony criminal cases in General District Court and Circuit Court including homicides, robberies, narcotics, firearm offenses, and gang activity.
$73,242 - $80,566 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process.
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Minimum of six (6) years in a managed care operations, working with one or more of the following areas: Utilization Management, Claims, Pharmacy Operations, Compliance, FDR oversight activities, Quality Management, Care Management, and/or Grievances and Appeals.
$38.37 - $48.93 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Represent the City: in civil appeals filed in Municipal Court, including dangerous animal and unlawful towing appeals; on appeals of Class C Misdemeanors; and state court appeals.
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The range of cases that attorneys work on from the Deinard Legal Clinic includes family law matters, housing issues, immigration matters (adjustment of status, naturalization, U visa, asylum), supplemental security income (SSI) administrative appeals, consumer/identity theft issues, and criminal expungements.
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Experience with global patent prosecution, patent appeals, re-examination, re-issue, inter partes reviews proceedings, and litigation is a plus. Working under general supervision of the VP of Intellectual Property, the Patent Counsel position is responsible for managing all ball patent filings and ball prosecution, supporting litigation, and supporting clearance of new TaylorMade products.
$150,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Appeals Specialist will lead the organizations denials management process and make recommendations for continuous improvement, including root cause analysis and implementation of processes to consistently reduce denials.
Full-timeExpandUpdated 9 days ago - UpvoteDownvoteShare Job
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Assist the Civil Division with appeals work, including writing and editing appellate court briefs, defending clients at oral argument when scheduled, and helping other attorneys in the office by preparing appeals and arguments.
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The UMQM Nurse shall also participate in Utilization Management related activities with the Appeals and Grievance Department as well as the Compliance Department to assure that the quality compliance is being met for NCQA, state and federal regulatory requirements.
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Legal representation may be before the Immigration Court (EOIR), the Board of Immigration Appeals (BIA), Administrative Appeals Office, Immigration and Customs Enforcement (ICE), Asylum Office, State courts, Department of State, agencies within the Department of Homeland Security (DHS), and applications for affirmative relief before United States Citizenship and Immigration Services (USCIS.
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Work closely with Content Planning and Analysis, Creative Optimization, and Audience Development teams to manage and monitor video channel health, understand and engage existing audiences, and support development of content that appeals to new viewers and advertisers.
$160,000 - $180,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Report member complaints to Appeals and Grievance team for investigation and follow-up, per protocol. Report member complaints to Appeals and Grievance team for investigation and follow-up, per protocol.
$87,135 - $105,435 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Responsibility to present appeals to Superior Court and provide legal representation during the appellate process. Provide legal representation to all eligible clients who are the subject of civil commitment proceedings in superior court, including representation at 72-hour hearings, 14-day hearings, 90-day hearings, 180-day hearings, motions to revise, appeals and other applicable motions practice.
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appeals job Company: Smart Data Solutions
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