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Appeals or Grievances jobs in Columbus, OH, 43215

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Senior Medical Director

CVS Health  –  Columbus, OH, 43224
... Understand UM and participate in UM front line work and appeals as needed in OH and other markets as needed• Confer directly ... the investigation of potential quality of care concerns and/or grievances• Actively support compliance functions to maintain ... - May 16

Nurse - RN or LPN

Lutheran Social Services of Central Ohio  –  Columbus, OH, 43219
... Review complaints and grievances made by the resident/family, making written and/or oral report to the nurse managers. Report all allegations of abuse and begin immediate investigation. Performs all other duties as assigned. Requirements for an LPN: ... - May 16

Quality Assurance Manager

T. Marzetti Company  –  Columbus, OH
... addressing complaints/grievances and resolving problems. Responsibilities Develops and implements programs, policies, procedures, and work instructions to promote the continual improvement of product quality and food safety in a food production ... - May 02

Customer Service Representative 1 (Part-time)

Acentra Health  –  Reynoldsburg, OH, 43068
... Refer unresolved customer grievances, appeals, and claim resolution to designated departments for further investigation. Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as ... - Apr 29

Sr Mgr,Service Operations

CVS Health  –  New Albany, OH, 43054
... This role will maintain oversight of functions in local service center, including but not limited to customer service, claim, provider services, complaints, grievances, and appeals, implementation, and/or plan sponsor operations. Executes local ... - May 08

Labor Relations Officer 2

State of Ohio  –  Columbus, OH, 43216
... As a Labor Relations Officer, you will be planning and coordinating labor relations activities for the agency, as well as serving as the primary contact for labor relations matters, including negotiations, grievances, and arbitration proceedings. ... - May 09

Customer Service Representative 1

Acentra Health  –  Reynoldsburg, OH, 43068
... Refer unresolved customer grievances, appeals, and claim resolution to designated departments for further investigation. Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as ... - Apr 25

Commission Level Staff Hearing Officer - PN

ohio.gov  –  Franklin County, OH
... Hearing officers assigned to the department will review documented 3rd level appeals and present a detailed, written synopsis of all requests for reconsideration filed, of which the three (3) Commissioners will vote. Hearing officers assigned to the ... - May 08

LPN Licensed Practical Nurse

Lutheran Social Services of Central Ohio  –  Columbus, OH, 43219
... Review complaints and grievances made by the resident/family, making written and/or oral report to the nurse managers. Report all allegations of abuse and begin immediate investigation. Performs all other duties as assigned. Requirements for an LPN: ... - May 09

Labor Relations Officer 2

ohio.gov  –  Franklin County, OH
... As a Labor Relations Officer, you will be planning and coordinating labor relations activities for the agency, as well as serving as the primary contact for labor relations matters, including negotiations, grievances, and arbitration proceedings. ... - May 02
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