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At Samper Law, our team successfully manages and represent immigration matters for: Board of Immigration Appeals, Stays of Removals, Motion To Reopen, Prosecutorial Discretion Motions, Relative Petitions, Asylum Defenses, Waivers, SIJ Visas, VAWA, U/T Visas, TPS, Special Religious Visas, EB2-NIW, family and employment based residency, all types of non-immigrant visas; among many others.
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Facilitates appeals or the delivery of appeal instructions when denials occur. Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services.
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Knowledge of all aspects of the RAI/MDS process to include person-centered care planning, Medicare PDPM reimbursement, scheduling, month-end triple check, appeals process and Medicare certification process.
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The Grievance and Appeals Nurse Specialist participates in managing CalOptima Health’s medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests.
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Participates in appeals process and reimbursement activities. Additional 14% of gross pay contribution to OPERS (Ohio Public Employees Retirement System) Close-knit team and family-like culture.
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Reviews and works denials as needed, updates and drafts appeals as needed to carriers to resolve open account balances. Reviews and works denials as needed, updates and drafts appeals as needed to carriers to resolve open account balances.
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The Senior Litigation Counsel works under minimal supervision to litigate nationwide non-disciplinary and disciplinary proceedings filed with the Office of Hearing Officers (OHO) and to brief and argue appeals before the National Adjudicatory Council (NAC.
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The Appeals and Denials Specialist is responsible for triaging and writing DRG downgrades and clinical validation appeal letters for multiple clients. The Appeals and Denials Specialist will ensure appropriate action is taken within appeal deadlines.
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Create and generate mailing lists for year-round fundraising, donor contact, special events, and appeals, etc. Health, Dental, and Vision Insurance, Employer-paid life insurance, voluntary benefits (Short-Term Disability, Accident, Critical Care with Cancer, and Hospital Indemnity), Employer-paid employee Assistance Program, Vacation, Sick Time, and Personal Days, Paid Holidays, Paid Parental Leave, 403 (b), party room and after-hours event rental privilege, LCM Membership, discounts for LCM Camp, Acorn Café, and the Gift Shop.
$50,000 - $55,000 a yearFull-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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Overseeing local and state permitting process approvals, including attending meetings, submitting applications and prosecuting appeals. As a result of continuous growth, DarrowEverett LLP is looking for a Litigation & Land Use Associate Attorney for our Litigation Department.
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Meets performance measurement goals for Grievance and Appeals Resolution Services. Evaluates case details, proposes recommendations, or makes decisions as applicable; ensures organization decision is implemented according to the Grievance and Appeals policies and case resolution.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Manage fundraising goals through annual fund development & appeals; grant-writing; and special events. Individual Giving Campaigns: Supervise and Support the Development & Administration Team: Manage individual giving campaigns, including direct mail appeals, online fundraising, and peer-to-peer fundraising initiatives.
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Collaborates with AVP of Annual Giving and Membership, Director of Charter Membership, and direct mail vendors to integrate direct mail strategies to acquire new Patriots Circle Members, including production of solicitation appeals for Patriots Circle Membership.
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A brand manager doubles up as a brand specialist, who not only ensures that the product/service appeals to the customers, but also keeps an eye on the competition through competitive analysis. A brand manager doubles up as a brand specialist, who not only ensures that the product/service appeals to the customers, but also keeps an eye on the competition through competitive analysis.
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Assist Hospital Administration in appeals process for retrospective denials. Work with physicians on concurrent appeals (peer to peers)-discussions, appeals and denials. Complies with the Ochsner Health System Compliance & Privacy Program and Standards o.
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appeals job in New Orleans, LA
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