II Grievance/Appeals (RN)-California Location: This position will work a hybrid model (remote and office). The ideal...-Friday; 8am-5pm PST The Manager II Grievance/Appeals is responsible for management oversight of grievances and appeals...
9:30am-6pm PST; Holiday rotation. Position Purpose: The Grievance and Appeals Assistant is responsible for ensuring.... Maintain comprehensive knowledge of all products. Receives appeal and grievance requests via the 800 appeals phone line...
for labor activities, including grievance tracking, collective bargaining updates, and compliance with labor laws. Assist...
to meet regulatory timeframes. Documents and logs appeal/grievance information on relevant tracking systems and mainframe...
administration, grievance resolution and investigations. Provides interpretation and guidance to hourly supervisors and managers... grievance avoidance LR practices such as training leaders on how to manage a union workforce, understanding the CBA and positive...
. Provides Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD). Conducts...