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Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
Description Care Management Support Specialists contribute to the administration ... management. The CMSS provides non-clinical support to the assessment and evaluation ... and wellbeing of members. The Support Specialist performs..
... Appeals assists members to further support quality related goals. Investigates and ... supervises a group of typically support and technical associates; coordinates and provides day-to-day ... Word, Excel, and..