officers concerning charges and investigations and criminal law. Confers with defense attorneys. Handles appeals... of misdemeanor convictions to District Court. Represents Department of Motor Vehicle in administrative appeals to District Court...
individuals. Medical services, occupational therapy, neuropsychological-rehabilitation services, and trauma-informed care services... Nutrition Services Department provides quality meals and medical nutrition therapy to patients in a mental health facility...
:00am - 5:00pm Location: Remote position (occasional travel as required) Salary: Wage Band 18...) for the intake, processing of and finalization of all prior authorizations received by Medical Management in compliance...
, and apply inpatient reimbursement rules without direct supervision. Collaborates with the Medical Director on complex cases, providing... errors or upcoding. Operates with significant autonomy in supporting DRG validation reviews and appeals, interpreting...
legal program. The Supervising Immigration Attorney reports to the Director of Leadership and Advocacy. Lead the..., briefs, and appeals. Record case management data, in accordance with laws, industry standards, and procedures. The...
in defense of Agency decisions related to patent operations. This office provides legal counsel to the USPTO Director... and his staff and represents the Director before the Federal Courts. Summary This position is located in the Office of the...
$31.05 Overview Under the direction and supervision of the Associate Director and Team Lead/Manager, employee will be responsible... of appealing denials in order to receive maximum reimbursement for Yale Medicine. Write, send and follow up on appeals...
Facility Remote Location Department Clinical Integration-EHP-Pharmacy Job Code T99330 Shift Days Schedule 8:00am-5:00pm... clinical reviews of prior authorizations and route cases to medical directors when needed. Responsibilities include supporting...
land development requests for general plan amendments, rezoning, use permits, variances, design review, appeals... development requests for general plan amendments, rezoning, use permits, variances, design review, appeals, annexations...
treatment to individuals who opined incompetent to proceed as a result of their mental illness. Medical services, occupational... with the State Personnel Board or request a review by the State Personnel Director. An appeal or review must be submitted...
. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the... and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: Lippincott - 301 Lippincott Drive Remote...
to the Director of Donor Communications and working within the Development Communications team led by the Senior Director... appeals, alumni and event communications, presidential acknowledgements, impact stories, and other donor-facing materials...
will look like. Provides oversight into the execution of claim processing/appeals/encounter/research related business/technical... operations. Conducts routine, actionable claims monitoring. Develops and monitors dashboards for claims, appeals...
Job Responsibilities The Performance Sustainability Manager (Healthy DC Plan) will report directly to the Director..., including call center SLAs, member and provider grievance & appeals, claims timeliness, provider credentialing, UM turnaround...
Senior Manager oversees clinical operations teams responsible for medical necessity reviews, clinical grievances and appeals... role ensures strong collaboration with Utilization Management, the UM Medical Director, physician reviewers, Compliance...
and transitioning into a full MSO + multi-medical group architecture. We’re entering the next phase of growth — multi-state expansion... cycle performance. Belle operates a simple, standardized medical claims model with a limited code set and repeatable...
Job Category: Business Operations Job Description: Your Role The Appeals and Grievances team helps our members... with their concerns, ensures compliance and supports audit activity. The Program Manager, Principal will report to the Sr. Director...
here. This is a REMOTE Position! JOB DESCRIPTION OVERVIEW: This position is for a talented, knowledgeable, and skilled individual to work... collaboratively with our team on payer audits and appeals as well as the appeals and arbitration of disputed payment amounts...
care services based on medical necessity complying with contract for each appropriate plan type Provide Referrals... to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD) Recognize the clients' right...
personal and social needs of each resident, as well as their physical and medical requirements. All staff members of Rifle... Director. An appeal or review must be submitted on the official appeal form, signed by you or your representative. This form...