Grievance and Appeals Clinical Specialist

at Neighborhood Health Plan of Rhode Island
Location Smithfield, RI
Date Posted June 10, 2019
Category Compliance
Job Type Full-time


Registered Nurse (RN) with an active, current, unrestricted license in Rhode Island in good standing. Collaborate with the Legal Department, GAU Manager and other departments to respond to, facilitate and monitor Administrative Law Judge (ALJ) and State Fair Hearings. BSN Degree or Certification as a Case Manager. Monitors assigned cases to ensure that resolution meets state and federally mandated...