Appeal Resolution Manager jobs in Colorado

Appeal Resolution Manager manages the grievance process to review, investigate, document, process, negotiate, and resolve disputed medical, insurance, and other claims. Oversees work activity that is compliant with all regulatory guidelines and policy protocols. Being an Appeal Resolution Manager allocates team resources to ensure an effective and balanced case workload. Applies industry standards and uses best practices in the preparation of legal briefs. Additionally, Appeal Resolution Manager may represent the organization at hearings. Requires a bachelor's degree. Typically reports to a senior manager or head of a unit/department. The Appeal Resolution Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be an Appeal Resolution Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Homelessness Resolution Case Manager
  • Denver Rescue Mission
  • Denver, CO FULL_TIME
  • Description

    For over 130 years, our Case Manager has contributed to the life-changing work of Denver Rescue Mission. We invite you to join the Mission in the frontline fight to address homelessness in Denver. The Case Manager is an integral member of the Mission’s team as it helps organize patient care, working with healthcare providers to ensure that patients receive the services they need in a timely and cost-effective manner. 


    The Case Manager is someone who takes the initiative, can multi-task, and is able to manage a large caseload. The Case Manager provides assessments, assignments, and accountabilities to guests and participants in our facilities and programs.   The Case Manager (CM) is a full-time, non-exempt position of Denver Rescue Mission (DRM).  Which must agree with and abide by our Statement of Faith and Employee Handbook.  


    Who are we? Denver Rescue Mission serves people experiencing homelessness and poverty through emergency services, rehabilitation, transitional programs, permanent housing assistance and community outreach. Since 1892, we’ve been changing lives in the name of Christ by meeting people at their physical and spiritual points of need, with the goal of returning them to society as productive, self-sufficient citizens.  


    Hiring Range:  $24.04-$ 30.05 per hour, based on qualifications and experience. 


    Benefits: Complete DRM Benefits Guide 

    Highlights of our incredible benefits package:

    • Comprehensive health, dental and vision benefits
    • Generous vacation, sick time, and holiday pay, plus paid birthday off and refreshment day
    • Tuition reimbursement and child adoption benefits 
    • Employer paid term life insurance, long-term disability, AD&D
    • Health savings account with generous employer contribution 
    • Flexible spending account
    • Paid parental and bereavement leave
    • 401(k) with 5% company match, plus opportunity for annual tenure-based incentive contribution
    • Complimentary RTD EcoPass

    Responsibilities 

    • Demonstrate respect, cultural competence, and knowledge of trauma-informed care in interactions with participants, staff, and other community providers.
    • Uphold all residential and DRM program policies and written agreements
    • Develop a case plan with individualized goals based on individual needs, and facility/program requirements. Identify action steps necessary to achieve goals, and monitoring progress through scheduled follow up meetings.
    • Perform comprehensive assessment of participant needs
    • Recommend the necessary level of intervention
    • Develop and regularly modify treatment service plan as appropriate
    • Encourage and hold participants accountable to program guidelines
    • Monitor and assess participant progress towards identified goals
    • Hold case planning meetings with clients, including scheduled and walk-in appointments 
    • Monitor Case Planning appointments, schedule new clients, and assess continued availability of participant needs and the current bed list to make sure a maximum number of appointments are offered
    • Work collaboratively to identify and assess escalating crisis situations, and respond with de-escalate training technics
    • Maintain professional best practices in areas of document storage, confidentiality and professional ethics when dealing with clients and client information
    • Oversee Participant case files to ensure progress
    • Regularly update all case planning records, services, and case notes in SCRIBE including uploading vital documents and ROIs
    • Document all meetings, referrals, and services in SCRIBE and utilize the appropriate templates 
    • Attend staff meetings, and be prepared for case manager and team meetings to address complex cases and needs 
    • Provide SCRIBE reports, spreadsheets and statistics as requested
    • Facilitate Community Provider visits with clients including case note documentation in Scribe (DHS, MAT, Child Support, VA, SSI/SSDI Attorney) 
    • Collaborate, communicate, and advocate with service providers in the Government, Medical, Mental Health, Housing, Benefits Acquisition, Employment, Legal, and Veterans, etc. fields to aid clients toward a successful transition into long-term programs or sustainable housing
    • Facilitate Community Provider visits with clients as assigned, to include, signing up clients to meet with Community Providers 
    • Collaborate with other DRM personnel regarding participant evaluation, goals and continuity of care
    • Engage in ongoing training as assigned by your direct Supervisor and leadership team
    • Participate in care/integration/oversight of interns and volunteers as requested
    • Seek to develop a continuing knowledge of the field, what services are provided in the community, and establishing communication with those entities 
    • Other duties as assigned by direct supervisor

    WORKING CONDITIONS 

    • Occasional lifting up to 35 lbs., bending, and climbing stairs. 
    • Work with individuals who are experiencing homelessness, addiction, mental illness, and a myriad of other issues related to homeless populations. 
    • Possible exposure to communicable diseases.  

    Requirements

    • Must possess a BA/BS degree, preferably in human services, social work or related field. 
    • CAC certification preferred; one year of experience may be substituted for education on a year-to-year basis.
    • Abide by the Employee Handbook
    • Affirm the Statement of Faith 
    • At least one-year experience in case management, ideally within an urban setting with low-income populations
    • Excellent verbal and written communication skills, and responsiveness to communication
    • Ability to resolve conflict Biblically, professionally, and respectfully while maintaining composure under pressure
    • Strong Christian ethic with ability to work with people of diverse cultural, educational, and religious backgrounds
    • Ability to read, remember and follow precise policies and procedures
    • Strong working knowledge of Windows software applications and ability to learn SCRIBE and Clarity systems.
    • Willingness to possibly work either Sat/Sun and travel between locations
    • Ability to pass background check to work with individuals on probation or parole. 
    • A heart and commitment to serve the needy and seeing lives changed in the name of Christ.

    Denver Rescue Mission is both an equal opportunity employer and a distinctly faith-based Christian organization. Denver Rescue Mission complies with applicable federal, state, and local employment laws, and strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, national original or ancestry, ethnicity, sex, sexual orientation, gender identity, age, disability, citizenship, parental status, marital status, political ideology, or current or prospective service in the uniformed services. This policy applies to all terms, conditions, and privileges of employment including recruitment, employment, training, and promotion opportunities. Based upon Title VII of the Civil Rights Act of 1964, the Colorado Anti-Discrimination Act, and the U.S. Constitution, Denver Rescue Mission has the right to, and does, hire only candidates who agree with our Statement of Faith and align with our Christian mission.    

  • 4 Days Ago

2
Bilingual (Spanish) Tax Resolution Associate
  • 20/20 Tax Resolution
  • Broomfield, CO FULL_TIME
  • Bilingual (Spanish) Tax Resolution Consultant Are you an excellent negotiator? If so, this may be the job for you. We are looking for a Bilingual (Spanish) Tax Resolution Associate or Associate in Tra...
  • 18 Days Ago

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Cleaner
  • Aware Manager
  • Arvada, CO FULL_TIME,PART_TIME
  • Cleaner We are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition. Responsibilities C...
  • 20 Days Ago

2
Administrative Assistant
  • 20/20 Tax Resolution
  • Broomfield, CO FULL_TIME
  • We are looking for a responsible Administrative Assistant to perform a variety of administrative and clerical tasks. Duties of the Administrative Assistant include providing support to our Tax Resolut...
  • 7 Days Ago

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Signals Analyst Lvl I (TS/SCI required)
  • Clear Resolution Consulting, LLC
  • Aurora, CO FULL_TIME
  • OPPORTUNITIES TO IGNITE YOUR PASSION, CRC services include Intelligence Analysis, Business Management, Cyber Operations, and Information Technology Consulting Services to the Department of Defense (Do...
  • 7 Days Ago

2
Inside Sales Specialist (Closer)
  • 20/20 Tax Resolution
  • Broomfield, CO FULL_TIME
  • About us 20/20 Tax Resolution We're looking for a full-time inside sales representative to join our growing team! You'll convert pre-qualified leads into new customers. Candidates should be driven, ha...
  • 18 Days Ago

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Policy Search Analyst
  • Resolute Management Inc.
  • Boston, MA
  • Resolute Management, Inc. is a Third-Party Administrator hired by clients to handle complex environmental, asbestos, and...
  • 4/19/2024 12:00:00 AM

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Associate Attorney
  • Donaldson Stewart, PC
  • Chandler, AZ
  • Donaldson Stewart, PC is seeking a Family Law Attorney to join our Chandler, Arizona team. If you or someone you know ma...
  • 4/18/2024 12:00:00 AM

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Personal Injury Attorney
  • Rob Levine Law
  • Myrtle Point, OR
  • Personal Injury Attorney in RI, MA - Remote Position - Great Base Pay and Training Are you ready to take your career and...
  • 4/17/2024 12:00:00 AM

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Legal Intern
  • Prinston Pharmaceutical Inc.
  • Somerset, NJ
  • Job description Prinston Pharmaceutical Inc. ABOUT US Prinston Pharmaceutical, Inc. is a fully integrated pharmaceutical...
  • 4/17/2024 12:00:00 AM

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Associate Attorney
  • Donaldson Stewart Pc
  • Chandler, AZ
  • Donaldson Stewart, PC is seeking a Family Law Attorney to join our Chandler, Arizona team. If you or someone you know ma...
  • 4/16/2024 12:00:00 AM

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Coordinator, Legal Affairs
  • Universal Orlando
  • Orlando, FL
  • JOB SUMMARY: Responsible for maintenance of digital files for merchandise vendor contracts. Responsible for file managem...
  • 4/16/2024 12:00:00 AM

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Litigation Associate
  • Honcho Executive Search Group, LLC
  • Honcho, acting as the search firm on behalf of an East Coast based law firm is currently seeking a Civil Litigation Atto...
  • 4/15/2024 12:00:00 AM

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General Counsel
  • Gotham Technology Group
  • Montvale, NJ
  • We are a privately held technology consulting firm with 20+ years of solid performance and growth. We service corporate ...
  • 4/15/2024 12:00:00 AM

Colorado (/ˌkɒləˈrædoʊ, -ˈrɑːdoʊ/ (listen), other variants) is a state of the Western United States encompassing most of the southern Rocky Mountains as well as the northeastern portion of the Colorado Plateau and the western edge of the Great Plains. It is the 8th most extensive and 21st most populous U.S. state. The estimated population of Colorado was 5,695,564 on July 1, 2018, an increase of 13.25% since the 2010 United States Census. The state was named for the Colorado River, which early Spanish explorers named the Río Colorado for the ruddy silt the river carried from the mountains. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$95,427 to $124,019

Appeal Resolution Manager in Bergenfield, NJ
The appeals conference is an informal meeting in which an impartial officer settles the dispute in the same way a judge does between a plaintiff and defendant in court.
January 01, 2020
Appeal Resolution Manager in Concord, NH
A number of local governments have already passed the resolutions and others are expected to consider the measures.
January 04, 2020
Appeal Resolution Manager in Appleton, WI
If your tax return was recently under examination and you received written notification of an adjustment the IRS is making to your tax return, such as disallowing a deduction or credit, you have the right to disagree and the right to appeal its decision.
December 23, 2019