Appeals & Grievances Nurse

PURPOSE OF THE POSITION: Under the direction of the Senior Manager-Complaint, Grievance and Appeal Unit, the Complaint, Grievance and Appeal Coordinator is responsible for maintaining the corporate-wide Member complaint, grievance and appeal process, including triage, investigation, timely and accurate case resolution, reporting, trending, follow-up and performance improvement initiatives associated with all Member

Appeals & Grievances Nurse

  PURPOSE OF THE POSITION:   Under the direction of the Manager-Complaint, Grievance and Appeal Unit, the Complaint, Grievance and Appeal Nurse is responsible for maintaining the corporate-wide Member complaint, grievance and appeal process, including triage, investigation, timely and accurate case resolution, reporting, trending, follow-up and performance improvement initiatives associated with all Member complaints/grievances/ap

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