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Makes medical necessity determinations for grievance and appeals appropriate for their specialty. Makes medical necessity determinations for grievance and appeals appropriate for their specialty.
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Coach managers to pro-actively manage employees (e.g., performance and attendance) and provide advice to resolve grievance and disciplinary issues. Develop strong working relationships and work closely with all People & Culture specialist functions to provide ‘seamless’ support and guidance to the business including Talent Acquisition, Learning & Development, P&C Shared Services, Total Rewards.
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Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
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Review decision letters regarding appeals and grievance for accuracy prior to delivery. Review decision letters regarding appeals and grievance for accuracy prior to delivery. Provide technical interpretations and guidance on Human Resource Management matters such as employee relations, labor relations, payroll and benefits, classification, staffing, and recruitment.
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Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. May also engage in grievance and appeals reviews.
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This person will be responsible for handling all Workers Compensation paperwork in a timely fashion, maintaining and tracking I9 forms to ensure proper procedures are being followed and will perform various clerical duties when needed, such as typing meeting notes, taking minutes at meetings, grievance and arbitration hearings.
$60,000 a yearExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Serves as the initial representative for the organization during the grievance process and identifies options for resolution. Higher education degree - Associates, Bachelors or Masters Degree in Social Science, Business Administration, Health Administration, Education or related field.
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To comply with the company’s disciplinary and grievance procedure as required. The Business Development Manager - Systems Integration will be responsible for promoting the Systems business and its products to new potential markets and customers.
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Assist the Director of Labor Relations and Director of Human Resources in day-to-day labor relations activities, including contract administration, grievance handling, and employee relations. Assist the Director of Labor Relations and Director of Human Resources in day-to-day labor relations activities, including contract administration, grievance handling, and employee relations.
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Assist Members with but not limited to (benefits, PCP lookup, appointment setting, scheduling transportation, and documenting Grievance and/or appeals). Assist Members with but not limited to (benefits, PCP lookup, appointment setting, scheduling transportation, and documenting Grievance and/or appeals.
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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. Assist in developing methods for coordinating nursing services with other resident services to verify the continuity of the residents’ total regimen of care.
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Managing team member ‘Speak Up’ and Grievance complaints. Twice named one of the 10 most innovative companies in sports by Fast Company magazine and one of the top three Best Employers for Diversity in America by Forbes, Levy’s diverse portfolio includes award-winning restaurants; iconic sports and entertainment venues, zoos and cultural institutions, theaters, and convention centers; as well as the Super Bowl, Grammy Awards, US Open Tennis Tournament, Kentucky Derby, and NHL, MLB, NBA, NFL, and MLS All-Star Games.
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They will be both a subject matter expert and strategic Human Resources business partner - able to influence at all levels of the business. The disruptor in defining the sports and entertainment hospitality experience, Levy is recognized as the market leader and most critically acclaimed hospitality company in its industry.
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Manages workforce planning to build capability and optimize performance. As a Human Resources Manager, you will be responsible for overseeing the recruitment, training and engagement of the people who create unforgettable experiences for our guests.
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Primarily responsible for the administration of SCAD's Sexual Misconduct Policy and Grievance Process, the person in this role assists in resolving complaints of sexual harassment and sexual misconduct, which include stalking, intimate partner violence, and sexual assault.
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grievance job in Atlanta, GA
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