- JobsRUs (Fairburn, GA)
- …case managing both work-related and non-work-related injuries and illnesses.The occupational nurse will be accountable to lead successful wellness initiatives ... JobsRUs.comis seeking to hire a Occupational Health Nurse for our client in Fairburn, GA! Benefits...track metrics at the plantTheposition also works closely with Disability Case Managers, Workers' Compensation Claims Adjustors,… more
- Access Dubuque (Dubuque, IA)
- Claims Team Lead - Liability **Sedgwick** 1 Positions ID: R49819 Posted On 04/26/2024 **Job Overview** Taking care of people is at the heart of everything we do, ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Liability *Note -...limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or… more
- Trinity Health (Troy, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** CLAIMS PROCESSING TECH II - full time - Eddy Visiting Nurse & Rehab Assoc. (Troy) Eddy VNRA ... has an opportunity for a full time Claims Processing Tech II to manage authorizations, billing and...color, religion, sex, sexual orientation, gender identity, national origin, disability , status as a protected veteran, or any other… more
- Providence (CA)
- …AK and or TX **Providence is seeking an Epic Applications Analyst - AP Claims , who will:** + Demonstrate full use and application of standard principles, theories, ... relevant stakeholders. + Participate in projects and assist project leaders, taking lead on smaller projects as needed. + Synthesizes data, information, and… more
- University of Michigan (Ann Arbor, MI)
- CLINICAL NURSE SPECIALIST (CNS)- University Hospital- Medical Short Stay & 6C Medicine Pulmonary Apply Now **Summary** The Clinical Nurse Specialist will be ... offers a competitive salary with excellent benefits! **Hourly range for Clinical Nurse Specialist $46.27-$69.89 / hour** The benefit package includes: + Excellent… more
- Universal Health Services (Richmond, VA)
- …https://uhs.com/ The Atlantic Region CBO is seeking a dynamic and talented Senior Nurse Auditor. The primary responsibility of the Senior Nurse Auditor is ... to third party payers to obtain reimbursement for denied claims . + Make decisions to downgrade inpatient claims...observation hours. + Assist in training with newly hired nurse auditors. + Provide support to team members with… more
- Elevance Health (St. Louis, MO)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Nurse Medical Mgmt II** + Job Family: MED > Licensed Nurse + Type: Full ... Norfolk + Virginia, Richmond + Georgia, Columbus + Georgia, Atlanta **Description** ** Nurse Medical Management II** At **Federal Health Products and Services -… more
- State of Nevada (NV)
- HEALTH CARE COORDINATOR 2 - NURSE APPROXIMATE ANNUAL SALARY - $60,635.52 to $90,180.72 PAY GRADE: 36 For more information on benefit and retirement programs, please ... to identify abuse and potential fraud and to ensure claims were paid properly by the fiscal agent. Explain...at this level may intermittently serve as the project lead of a case management team, function as coordinator… more
- Elevance Health (Indianapolis, IN)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Nurse Case Mgr II (US)** + Job Family: MED > Licensed Nurse + Type: ... Pulsepoint once a week (subject to future change). The ** Nurse Care Manager II** is responsible for care management...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Palo Alto, CA)
- …send you a check, or ask you for payment as part of consideration for employment. ** Nurse Medical Management II** + Job Family: MED > Licensed Nurse + Type: Full ... Works with medical directors in interpreting appropriateness of care and accurate claims payment. May also manage appeals for services denied. **How You Will… more
- Elevance Health (Chesapeake, VA)
- …send you a check, or ask you for payment as part of consideration for employment. **RN Nurse Case Manager I** + Job Family: MED > Licensed Nurse + Type: Full ... treatment plans. + Assists in problem solving with providers, claims or service issues. + Functions as preceptor for...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Los Angeles, CA)
- …send you a check, or ask you for payment as part of consideration for employment. ** Nurse Medical Management I** + Job Family: MED > Licensed Nurse + Type: Full ... medical directors in interpreting appropriateness of care and accurate claims payment. May also manage appeals for services denied....is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Indianapolis, IN)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Nurse Medical Mgmt I (US)** + Job Family: MED > Licensed Nurse + Type: ... medical directors in interpreting appropriateness of care and accurate claims payment. May also manage appeals for services denied....is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Trinity Health (Newtown, PA)
- …Trinity Health Mid-Atlantic is looking for an experienced Revenue Integrity Nurse Auditor to join our team! Hybrid Schedule: Full-time, Monday-Friday (4 ... objective of appropriately maximizing reimbursement based upon services delivered and ensuring claims are paid/settled in the most timely manner: + Ensures tracking… more
- Alight (New York, NY)
- …Psychiatry and Neurology (ABPN). + Minimum 5 years' experience in reviewing disability claims related to psychiatric conditions. + Maintains Applicable ... oversight and direction to Clinical Case Managers managing behavioral health short-term disability and work accommodation claims . This role includes business… more
- SSM Health (Madison, WI)
- …Epic Health Systems + Or + Charge Router - Epic Health Systems + Or + Claims Graduate Program Certification - Epic Health Systems + Or + Clarita Data Model - ... MyChart Certification - Epic Health Systems + Or + Nurse Triage Certification - Epic Health Systems + Or...Epic Health Systems + Or + Resolute Hospital Billing Claims Administration Certification - Epic Health Systems + Or… more
- Alight (New York, NY)
- …[or Internal Medicine/Family Practice] + Minimum 5 years' experience in reviewing disability claims across both medical and psychiatric conditions. + Maintains ... analytics and metrics. **Responsibilities** + Serving as the Occupational Health Physician Lead for the Americas supporting the disability and leave management… more
- Trinity Health (Farmington Hills, MI)
- …resolves payment delays and/or variances resulting from rejected and/or denied claims and/or overpayments and underpayments. Processes payments as appropriate in ... potential liabilities are paid in a timely and accurate fashion. Resolves claims , conducts formal account reviews, identifies lost charge recovery, and analyzes and… more
- Trinity Health (Farmington Hills, MI)
- …resolves payment delays and/or variances resulting from rejected and/or denied claims and/or overpayments and underpayments with direction from the Supervisor ... potential liabilities are paid in a timely and accurate fashion. Resolves claims , conducts formal account reviews, identifies lost charge recovery, analyzes and… more
- Universal Health Services (Greer, SC)
- …(verbally or formally on the HPR) from facility staff regarding patient events which may lead to a claim. + Reviews reports on facility and equipment to assess loss ... and/or family any grievances against hospital perceived as potential liability claims . + Identifies particular practices having legal connotations to target planning… more
