Appeal Resolution Manager jobs in Newark, NJ

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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Psychotherapist (LSW, LAC, LCSW, LPC) $500 Signing Bonus, Hybrid Work
  • Resolution Counseling Center
  • Millburn, NJ FULL_TIME
  • $500 signing bonus! New hires will receive the signing bonus after working for 60 days.

    Want to join a collaborative team and work with clients you'll love?

    Full time, hybrid-work position: onsite 2 days/wk and work-from-home 3 days/wk. After 6 month review considerations for one day a week will be made.

    Resolution Counseling Center is a growing private practice in Millburn. We serve adults, couples, and youth seeking therapy and support. Our staff are our greatest asset and we provide:

    • Full benefits
    • Competitive pay
    • Supervision toward your license
    • Substantial paid trainings in Gottman Method Couples Counseling, EFT Couples Counseling, CBT, Clinical Assessment, Family Systems work and more.

    Job Requirements:

    • Master's Degree in Social Work or Professional Counseling
    • Professionally licensed with LCSW or LPC
    • Current NJ license

    Preferential Consideration:

    • Available to work some evenings until 8 and/or one weekend day preferred
    • 2 years of full-time counseling experience (post professional licensed)
    • Experience with assessment, treatment planning, and longer term therapy
    • Therapists experienced with children and teens, trauma or certified in a specific therapy such as EMDR

    Compensation:

    • Fee for Service employee: pay ranges from $42-45/session based on experience.
    • You will receive a W2
    • PTO, sick time, mental health days
    • Medical, Dental, and Vision Insurance
    • Productivity Bonuses
    • Semi-annual Profit share (increases over 5 years up to 10% of salary)
    • 401K match
    • First-year staff typically earn 60-70K and can earn more

    We take professional support seriously. We are proud of our staff, believe in the important work they do, and strive to create a happy professional home for our team. You'll have lots of chances to collaborate with your colleagues in staff meetings, group supervision, and in one-on-one meetings with your manager and clinical supervisor.

    To apply: Please email Summer Brown, Site Director, with your resume and a brief email to introduce yourself. Contact her at summer @ resolutioncc.com. Put "job application" in the subject line.'

    Work Location:

    • One location

    Work Remotely

    • Partially

    Job Type: Full-time

    Pay: $58,000.00 - $70,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Flexible schedule
    • Flexible spending account
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Professional development assistance
    • Vision insurance

    Schedule:

    • Monday to Friday
    • Weekends as needed

    Work setting:

    • In-person

    Education:

    • Master's (Required)

    Experience:

    • clinical: 2 years (Required)

    License/Certification:

    • New Jersey license for LPC or LCSW (Required)

    Work Location: In person

  • 24 Days Ago

A
Manager
  • AllSaints
  • Short Hills, NJ FULL_TIME
  • Floor Manager Full TimeBloomingdale's Short Hills, New Jersey, United StatesBase Salary: $20/hr - $21/hr Exact compensation may vary based on skills, experience, and location.THE ROLE As a Floor Manag...
  • 10 Days Ago

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Manager
  • Divine Donuts LLC
  • Elizabeth, NJ FULL_TIME
  • A Restaurant Manager is generally responsible for supporting the Restaurant Manager, Shift leaders and Team.They performs all duties of the Restaurant Manager in their absence. Primary duties generall...
  • 12 Days Ago

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Manager
  • La Boheme
  • Hoboken, NJ FULL_TIME
  • Job Overview:We are seeking an experienced Manager to join our team. As a Manager, you will be responsible for overseeing the daily operations of our restaurant and ensuring exceptional customer servi...
  • 12 Days Ago

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Manager
  • The Committed Pig
  • Morristown, NJ FULL_TIME
  • Shift Lead Manager We are looking for the someone who has passion for the hospitality industry to join our team. The Committed Pig with three locations in Morristown, Summit & Manasquan, NJ has an ope...
  • 12 Days Ago

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Manager
  • JACKMONT HOSPITALITY INC
  • Newark, NJ FULL_TIME
  • Key Responsibilities & Accountabilities:Demonstrate a passion and commitment for exceptional service by measuring service standards daily and leading our team to be the best!Have excellent communicati...
  • 14 Days Ago

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0 Appeal Resolution Manager jobs found in Newark, NJ area

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Mechanical Assembler
  • Harvey Nash
  • Montville, NJ
  • Title: Mechanical Assembler Type: CTH Location: Montville, NJ US citizens and Green Card Holders and those authorized to...
  • 4/18/2024 12:00:00 AM

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PSEM Technical Project Manager
  • Stratford Solutions Inc.
  • Brooklyn, NY
  • Job Title: Technical Project Manager Rate: $80-$90 / Hour Location: Hybrid - 3 days in office and 2 days remote. 2 Metro...
  • 4/18/2024 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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Branch Manager
  • Schwan's Company
  • New York, NY
  • **Match your skills** Let us search jobs for you based on the skills and experience listed in your LinkedIn Profile. ***...
  • 4/17/2024 12:00:00 AM

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Risk Manager
  • The Goodkind Group, LLC
  • New York, NY
  • Risk Manger – Healthcare – Far Rockaway, NY $123-133k – Risk Manager - Healthcare needed to work at a medical facility i...
  • 4/16/2024 12:00:00 AM

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Customer Support Specialist Customer Success / Account Management New York, New York
  • PitchBook Data, Inc
  • New York, NY
  • At PitchBook we work to provide global professionals with comprehensive data on the entire venture capital, private equi...
  • 4/16/2024 12:00:00 AM

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Revenue Operations Lead - Affiliate (Remote)
  • Forbes Advisor
  • Jersey City, NJ
  • Company Description At Marketplace, our mission is to help readers turn their aspirations into reality. We arm people wi...
  • 4/16/2024 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

Newark (/ˈnjuːərk/,[24] locally /njʊərk/)[25] is the most populous city in the U.S. state of New Jersey and the seat of Essex County.[26] As one of the nation's major air, shipping, and rail hubs, the city had a population of 285,154 in 2017, making it the nation's 70th-most populous municipality, after being ranked 63rd in the nation in 2000. Settled in 1666 by Puritans from New Haven Colony, Newark is one of the oldest cities in the United States. Its location at the mouth of the Passaic River (where it flows into Newark Bay) has made the city's waterfront an integral part of the Port of New...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$105,718 to $137,394
Newark, New Jersey area prices
were up 1.6% from a year ago

Appeal Resolution Manager in Racine, WI
General provisions on appeals are contained within CPR PD 52A.
December 03, 2019
Appeal Resolution Manager in Lancaster, PA
All appeals must be submitted in writing to the RC within ten academic calendar days after notification of the Dean of Students’ decision to accept or modify the recommendations resulting from the hearing.
February 06, 2020
Appeal Resolution Manager in San Diego, CA
The Coalition recommended that its members consider resolutions to request the Commission on Marine Resources to go forward with scientific and engineering studies regarding the Pearl River water resource project and creation of the Western Sound Special Management District.
January 16, 2020