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Maintain files on individual appeals and grievances. Key Skills:Grievance & Appeals, Claims, Managed care. Grievance & Appeals Coordinator I.

Review and maintain daily mail, faxes and emails received by the Appeals Department to ensure information is accurate and saved electronically, updating memos, and maintaining various weekly/monthly logs, including but not limited to cumulative mail and call.

EmblemHealth is actively seeking a dynamic and innovative Vice President of Grievances and Appeals to take command of our enterprise-wide, multi-state operations in this critical area. This leader will ensure that the team consistently delivers timely and accurate decisions on clinical and admini...

This leader will ensure that the team consistently delivers timely and accurate decisions on clinical and administrative appeals, payment disputes, and service quality complaints. Furthermore, you will develop and execute impactful long-term strategies that effectively steer the enterprise while ...

Ensure absolute compliance with state and federal appeals and grievances through initiative-taking monitoring and rigorous quality assurance programs. Identify trends within the Grievances and Appeals units and take decisive action to address process inefficiencies head-on. EmblemHealth is active...

Ensure absolute compliance with state and federal appeals and grievances through initiative-taking monitoring and rigorous quality assurance programs. Identify trends within the Grievances and Appeals units and take decisive action to address process inefficiencies head-on. EmblemHealth is active...

Denials and Appeals experience preferred.

This leader will ensure that the team consistently delivers timely and accurate decisions on clinical and administrative appeals, payment disputes, and service quality complaints. Furthermore, you will develop and execute impactful long-term strategies that effectively steer the enterprise while ...

This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing and pursuing appeals opportunities with payors and networks, and reporting performance on underpaid claims. Prepares Adhoc payor performance metrics detailin...

Retrieve messages from Appeals Hotline, to include callbacks, and maintain log report. Review and maintain daily mail, faxes and emails received by the Appeals Department to ensure information is accurate and saved electronically, updating memos, and maintaining various weekly/monthly logs, inclu...

VillageCare is looking for a self-motivated and passionate RN for our Appeals Nurse position. While supporting the Utilization Management team, the Appeals Nurse will conduct comprehensive analytic reviews of clinical documentation. Collect information concerning eligibility, provider status, ben...

Registered Nurse - Nursing Home Surveyor/Complaint Investigator - New York, NY (#6045).About Greenlife Healthcare Staffing:.Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities.We partner with hospita...

Registered Nurse - Nursing Home Surveyor/Complaint Investigator - .Greenlife Healthcare Staffing is currently seeking a Registered Nurse - Nursing Home Surveyor/Complaint Investigator to fill an opening with a Review Company located in New Rochelle, New York.Requirements of the Registered Nurse -...

Division/Unit: Appeals Division. Position Title: Appeals Paralegal. The New York County District Attorney's Office anticipates openings beginning in the late spring and summer of 2025 for Paralegals in its Appeals Division.

Registered Nurse - Nursing Home Surveyor/Complaint Investigator - New York, NY (#6045).About Greenlife Healthcare Staffing:.Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities.We partner with hospita...

Our practice includes direct appeals of judgment convictions as well as collateral litigation such as 440 motions, Domestic Violence Survivors Justice Act resentencing applications, and Sex Offender Registration Act hearings and appeals. The Criminal Appeals Bureau (CAB) of The Legal Aid Society ...

Registered Nurse (SNF) / Contract - Queens, NY (#25211).About Greenlife Healthcare Staffing.Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities.We partner with hospitals, clinics, nursing homes, mult...

Performs retrospective appeals for At-Risk SBH Health First denials as required. Information Management: Documents concurrent denials and appeals per department policy and maintains database to track denials and outcomes. Maintains organized files of regulatory communications, denials, appeals, c...

The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals’ policies and procedures.Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous ren...

We're looking for candidates with great customer service skills to fill our Remote Customer Service role!.This role is entirely remote and offers full-time/Part time hours with flexibility.We are ready to schedule interviews for this week.We're seeking someone who is great with people, building r...

Fusion Medical Staffing is seeking an experienced Home Health Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: Inquire Start Date: 07/03/2025 Duration: 5 weeks Pay: $1953 / Week.Interested in making a positive impact? You’ve come to the right place.At Fusion Medical Staf...

Minimum 1+ years speech therapy experience required.Virtual and Onsite SLP Positions in Bronx, New York.Soliant Education is seeking a.Master's educated and state licensed.Speech Language Pathologist who is interested in working in a school setting.In this role, the SLP will be providing services...

Cynet Health is seeking an experienced Postpartum Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: 3x12 hr nights Start Date: 07/14/2025 Duration: 7 weeks Pay: $2452.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competitive pay for every pos...

Client Service I Representative- Receptionist.Responsible for prompt delivery of various on-site work assignments, providing customer service and ultimately, customer satisfaction.Promptly informs supervisor of potential problems or customer concerns.Promptly reviews and responds to management an...

Cynet Health is seeking an experienced Home Health Registered Nurse for an exciting Travel Nursing job in Bronx, NY.Shift: 5x8 hr days Start Date: ASAP Duration: 38 weeks Pay: $2306 / Week.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competitive pay for every positi...

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.New Jersey, Pennsylvania and Michigan.We are a gambling technology company seeking talented and motivated individuals to join.This is NOT like other job posts you’ve responded to! Our team thrives on hard work, fu...

Fusion Medical Staffing is seeking an experienced Neonatal Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: Inquire Start Date: ASAP Duration: 13 weeks Pay: $2457 / Week.Interested in making a positive impact? You’ve come to the right place.At Fusion ...

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.New Jersey, Pennsylvania and Michigan.We are a gambling technology company launching a new service and looking for individuals.You will earn $800 to $1,200 for ~20 hours with the opportunity for ongoing work.This ...

Medical Solutions is seeking an experienced Stepdown Unit Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $2196.A facility in New York, NY is seeking its next amazing RN (Registered Nurse) to work in Stepdown.Read ...

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.New Jersey, Pennsylvania and Michigan.We are a gambling technology company launching a new service and looking for individuals.You will earn $800 to $1,200 for ~20 hours with the opportunity for ongoing work.This ...

Uniti Med is seeking an experienced Wound Care Registered Nurse for an exciting Travel Nursing job in Bronx, NY.Shift: Inquire Start Date: 06/10/2025 Duration: 13 weeks Pay: $2925 / Week.Uniti Med provides career opportunities to healthcare professionals by aiding medical facilities to fill their...

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.New Jersey, Pennsylvania and Michigan.We are a gambling technology company seeking talented and motivated individuals to join.This is NOT like other job posts you’ve responded to! Our team thrives on hard work, fu...

Fusion Medical Staffing is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: Inquire Start Date: 06/15/2025 Duration: 11 weeks.Fusion Medical Staffing is seeking a skilled Labor and Delivery RN for a 11 week travel assignment in N...

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.New Jersey, Pennsylvania and Michigan.We are a gambling technology company launching a new service and looking for individuals.You will earn $800 to $1,200 for ~20 hours with the opportunity for ongoing work.This ...

Cynet Health is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Bronx, NY.Shift: 5x8 hr days Start Date: 06/23/2025 Duration: 9 weeks Pay: $2862.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competitive pay for every positio...

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.New Jersey, Pennsylvania and Michigan.We are a gambling technology company launching a new service and looking for individuals.You will earn $800 to $1,200 for ~20 hours with the opportunity for ongoing work.This ...

Medical Solutions is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $2022.Where will care take you? How about New York, NY?! This traveler-friendly facility is hiring a travel RN R...

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.New Jersey, Pennsylvania and Michigan.We are a gambling technology company seeking talented and motivated individuals to join.This is NOT like other job posts you’ve responded to! Our team thrives on hard work, fu...

TotalMed Staffing is seeking an experienced Home Health Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: 5x8 hr days Start Date: 06/16/2025 Duration: 14 weeks Pay: $2827.We find the right solution that meets your requirements for pay, benefits, employer support,or whatev...

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.New Jersey, Pennsylvania and Michigan.We are a gambling technology company seeking talented and motivated individuals to join.This is NOT like other job posts you’ve responded to! Our team thrives on hard work, fu...

KPG Healthcare Nursing is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: 3x12 hr days Start Date: ASAP Duration: 13 weeks Pay: $1990 / Week.Travel ER Registered Nurse (RN) - $1,990 per week in taxable pay and non-taxable stipend am...

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.New Jersey, Pennsylvania and Michigan.We are a gambling technology company launching a new service and looking for individuals.You will earn $800 to $1,200 for ~20 hours with the opportunity for ongoing work.This ...

Lancesoft is seeking an experienced Nurse Department Manager Registered Nurse for an exciting Travel Nursing job in Brooklyn, NY.Shift: 5x8 hr PMs Start Date: ASAP Duration: 13 weeks Pay: $3708 / Week.Nurse Manager Emergency Department assumes 24-hour responsibility for overall assessment, planni...

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.New Jersey, Pennsylvania and Michigan.We are a gambling technology company launching a new service and looking for individuals.You will earn $800 to $1,200 for ~20 hours with the opportunity for ongoing work.This ...

Cynet Health is seeking an experienced Home Health Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: 5x8 hr days Start Date: 06/30/2025 Duration: 14 weeks Pay: $3083.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competitive pay for every posi...

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.New Jersey, Pennsylvania and Michigan.We are a gambling technology company seeking talented and motivated individuals to join.This is NOT like other job posts you’ve responded to! Our team thrives on hard work, fu...

Meda Health is seeking an experienced Psychiatric Registered Nurse for an exciting Travel Nursing job in Brooklyn, NY.Shift: 5x8 hr flex Start Date: 07/07/2025 Duration: 13 weeks Pay: $3540.Meda Health goes beyond travel healthcare staffing and recruitment.Whatever your personal needs and profess...

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.New Jersey, Pennsylvania and Michigan.We are a gambling technology company seeking talented and motivated individuals to join.This is NOT like other job posts you’ve responded to! Our team thrives on hard work, fu...