Talent.com
California Licensed Grievance Coordinator
California Licensed Grievance CoordinatorVirtualVocations • Boise, Idaho, United States
No se aceptan más aplicaciones
California Licensed Grievance Coordinator

California Licensed Grievance Coordinator

VirtualVocations • Boise, Idaho, United States
Hace 3 días
Tipo de contrato
  • Temporal
Descripción del trabajo

A company is looking for a Grievance Coordinator for a temporary 3-month contract.

Key Responsibilities

Receives and identifies grievances from various sources and reviews documentation for accuracy

Monitors and tracks grievances to ensure resolution within mandated timeframes and sends out member communications

Acts as the contact person during state audits related to grievances and compiles routine reports for stakeholders

Required Qualifications

3+ years of experience as a Service Representative or similar position

Medi-Cal experience and 1+ year as a Grievance Coordinator

Associates Degree or at least 2 years of post-high school education

Advanced skills in Word and Excel, with experience in Outlook, MS Teams, and PDF documents

Familiarity with Electronic Medical Records / Charting

Crear una alerta de empleo para esta búsqueda

Licensed Coordinator • Boise, Idaho, United States

Ofertas relacionadas
Grievance and Appeals Coordinator

Grievance and Appeals Coordinator

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Grievance & Appeals Coordinator.Key Responsibilities Analyze and resolve claims and authorization appeals from providers and formal grievances from members Prepare res...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Florida Licensed Care Coordinator

Florida Licensed Care Coordinator

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Care Management Support Coordinator II.Key Responsibilities Perform outreach to members for care plan support and resource connection Serve as the primary contact for ...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
New Jersey Licensed Designated Broker

New Jersey Licensed Designated Broker

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Designated Broker Contractor in New Jersey, US (Remote).Key Responsibilities Manage a team of licensed sales agents, ensuring compliance with regulatory standards and b...Mostrar más
Última actualización: hace 1 día • Oferta promocionada
California Licensed Operations Specialist

California Licensed Operations Specialist

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for an Operations Specialist - Billing to join their Billing team.Key Responsibilities Accurate data entry and processing of client and employee benefit information Manage b...Mostrar más
Última actualización: hace 7 horas • Oferta promocionada • Nueva oferta
Florida Licensed Claims Adjuster

Florida Licensed Claims Adjuster

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Claims Adjuster Workers Compensation.Key Responsibilities Execute claims management decisions to analyze and resolve claims effectively Interact with various parties i...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Claims Coordinator, Commercial

Claims Coordinator, Commercial

The Partners Group • Meridian, ID, United States
A tiempo completo
Find your place at The Partners Group, a purpose-driven company committed to making a difference in our community through our work and inspiring others to do the same. TPG's success is driven by a c...Mostrar más
Última actualización: hace 16 días • Oferta promocionada
Connecticut Licensed Claims Adjuster

Connecticut Licensed Claims Adjuster

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Senior Claims Adjuster Workers Compensation.Key Responsibilities Manage claims by analyzing exposure and planning appropriate resolutions Communicate effectively with ...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Grievance Appeals Specialist

Grievance Appeals Specialist

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Grievance & Appeals Specialist II to support TRICARE Prime Demo by enhancing healthcare access for the military community. Key Responsibilities Review and validate appea...Mostrar más
Última actualización: hace 2 días • Oferta promocionada
Oregon Licensed Clinical Appeals Coordinator

Oregon Licensed Clinical Appeals Coordinator

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Clinical Appeals Coordinator.Key Responsibilities Act as a liaison for statewide appeals and ensure compliance with State and NCQA requirements Review clinical informa...Mostrar más
Última actualización: hace 1 día • Oferta promocionada
California Licensed Behavioral Health Advocate

California Licensed Behavioral Health Advocate

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Behavioral Health Care Advocate - UM A&T.Key Responsibilities Oversee initial inpatient admission requests for psychiatric and chemical dependency patients Make patien...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Licensed Behavioral Health Coordinator

Licensed Behavioral Health Coordinator

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Program Coordinator for Behavioral Health.Key Responsibilities Demonstrates knowledge of hospital and department standards for adult partial hospitalization programs C...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Illinois Licensed Insurance Agent

Illinois Licensed Insurance Agent

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for an Insurance Agent - Sales who will report to the Supervisor, Sales.Key Responsibilities Guide customers through products and services, answering questions and resolving ...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Pennsylvania Licensed Service Coordinator

Pennsylvania Licensed Service Coordinator

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Supervisor Service Coordinator.Key Responsibilities Oversee the day-to-day operations of the LTSS department, including service plan development and coordination of ben...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
California Licensed Account Manager

California Licensed Account Manager

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for an Account Manager to manage and expand relationships with health plan partners.Key Responsibilities Serve as the primary relationship manager for multiple managed care h...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Claims Service Coordinator

Claims Service Coordinator

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Claims Service Coordinator- Claims Assistant.Key Responsibilities Prepares files for legal defense referrals or subpoena responses Schedules physician appointments and...Mostrar más
Última actualización: hace 1 día • Oferta promocionada
Referral Coordinator

Referral Coordinator

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Referral Coordinator (Remote in Central Texas).Key Responsibilities Coordinates all aspects of the patient referral process, ensuring adherence to established timelines...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
California Licensed UM Coordinator

California Licensed UM Coordinator

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a UM Coordinator.Key Responsibilities Comply with UM policies and procedures, including annual reviews Process routine and urgent treatment authorization requests accord...Mostrar más
Última actualización: hace 13 horas • Oferta promocionada • Nueva oferta
South Carolina Licensed Managed Care Coordinator

South Carolina Licensed Managed Care Coordinator

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Managed Care Coordinator I.Key Responsibilities Perform medical or behavioral review / authorization processes to ensure coverage for appropriate services Utilize resour...Mostrar más
Última actualización: hace 13 días • Oferta promocionada
New York Licensed Claims Specialist

New York Licensed Claims Specialist

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Claims Resolution Specialist responsible for negotiating healthcare claims to achieve maximum discounts and savings. Key Responsibilities Manage a high volume of healthc...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Claims Technical Coordinator

Claims Technical Coordinator

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Claims Technical Coordinator.Key Responsibilities Collaborates with claims division staff to develop and implement claims policies, guidelines, and procedures Monitors...Mostrar más
Última actualización: hace 13 horas • Oferta promocionada • Nueva oferta