Appeals jobs in Queens County, New York (NY) State

Under the direction of the Appeals Department leaders, the Appeals Coordinator level II team member will assist Appeals leadership with daily administrative work within the department. The Appeals Coordinator level II performs research, investigation, and analysis of appeals, grievances, and othe...

WHAT ARE THE APPEALS, CRIMINAL INVESTIGATION, AND TRANSFORMATION & STRATEGY OFFICE DIVISIONS?. This announcement may be used to fill one or more vacancies at any time without notification in APPEALS, CRIMINAL INVESTIGATION, AND TRANSFORMATION & STRATEGY OFFICE divisions, and in any series or grad...

Appeals associate will be responsible for coordinating and monitoring the administrative and non-clinical services for the clinical appeals team. These duties include, but are not limited to, setting up work assignment schedules, investigating, analyzing, providing statistical reports and reporti...

WHAT ARE THE APPEALS, CRIMINAL INVESTIGATION, AND TRANSFORMATION & STRATEGY OFFICE DIVISIONS?. This announcement may be used to fill one or more vacancies at any time without notification in APPEALS, CRIMINAL INVESTIGATION, AND TRANSFORMATION & STRATEGY OFFICE divisions, and in any series or grad...

Denials and Appeals experience preferred. ...

The DOC seeks to recruit a Chronic Appeals Analyst to assist with all aspects of the Chronic Appeals Unit at the Health Management Division. Track and process designation of chronic absence and chronic appeals for the Department. ...

Under the direction of the Appeals Department leaders, the Appeals Coordinator level II team member will assist Appeals leadership with daily administrative work within the department. The Appeals Coordinator level II performs research, investigation, and analysis of appeals, grievances, and othe...

Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management requiredProficient verbal/written communication skills requiredProficient computer and typing skills and kn...

Assistant District Attorney: AppealsAssistant District Attorney: AppealsSummaryTitle:Assistant District Attorney: AppealsID:8Location:Kew Gardens, NYDepartment:LegalJob Type:LateralDescription. The Appeals Bureau handles all post-conviction litigation for the Queens County District Attorney. In t...

Assist the Eligibility Appeals Director with conducting eligibility appeals via telephone, video conferencing, through submission of written documentation or in-person . Our client, an NYS agency focused on transportation services, is looking for an Appeals Medical Doctor for its private medical ...

Grievance and Appeals Specialist, Clinical. Manhattan, New York Grievance and Appeals. Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Develops correspondence comm...

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 Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims departmen...

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic no-fault claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorV...

Montefiore Medical Center is seeking a Registered Nurse (RN) Med Surg for a nursing job in Bronx, New York. The Registered Nurse actualizes the vision, mission, values, balanced scorecard performance measures for Montefiore Medical Center. New York State License for Registered Professional Nurse ...

Montefiore Medical Center is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Bronx, New York. New York State License for Registered Professional Nurse and current registration or valid permit to practice in New York State as an R. ...

VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Manhattan, New York. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review meth...

Montefiore Medical Center is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Bronx, New York. New York State License for Registered Professional Nurse and current registration or valid permit to practice in New York State as an R. Posted job title: Registered Nurse-...

Registered Nurse - Emergency Room. TRS Healthcare is seeking a Registered Nurse who is licensed to work in NY, and has Emergency Room experience. The Registered Nurse assumes responsibility and accountability for incorporating the vision, values, mission and critical goals of the organization int...

TravelNurseSource is working with LRS Healthcare to find a qualified Telemetry RN in Manhasset, New York, 11030!. Travel nurses may benefit from tax advantages such as housing stipends and per diems, helping them maximize their income and financial stability. ...

Physician assistants, nurse practitioners, and registered nurses specially trained in emergency medicine and trauma are skilled in identifying urgent medical conditions that require immediate intervention. Registered Nurse – Telemetry - Travel - (Tele RN). Telemetry nurse, telemetry, nurse, nurs...

LocumJobsOnline is working with LocumTenens.Anesthesiology CRNA in Suffolk, New York, 11901!.A facility is seeking an CRNA for locum tenens coverage.In Suffolk, New York, you can explore the picturesque beaches, visit historic sites, and enjoy wine tasting at local vineyards.The facility uses pap...

We're looking for candidates with great customer service skills to fill our Remote Customer Service role!. Previous experience in customer service or sales is a plus. We're seeking someone who is great with people, building relationships, and putting customers first. Ability to listen to and unde...

LocumJobsOnline is working with LocumTenens.Anesthesiology CRNA in Bronx, New York, 10451!.A busy hospital is seeking a CRNA for locum tenens coverage.Visit the Bronx Zoo, explore the New York Botanical Garden, and stroll through the Bronx Museum of the Arts.The schedule is 7:00am - 7:00pm.There ...