- GEHA (Lee's Summit, MO)
- …a personalized customer experience, sustained by a nimble and efficient organization. The Nurse Consultant II provides professional nursing care to our members ... direct member contact and/or clinical and/or plan policy development and management. The Nurse Consultant II will be involved in research and development for… more
- CVS Health (Columbus, OH)
- …in New Albany OH, Chandler AZ or High Point NC Precertification Nurse Case Manager is responsible for telephonically assessing, planning, implementing and ... including co-morbid and multiple diagnoses that impact functionality.- Reviews prior claims to address potential impact on current case management and eligibility.-… more
- CVS Health (Raleigh, NC)
- …within 45 miles to office location in High Point, NC. Precertification Nurse Case Manager is responsible for telephonically assessing, planning, implementing and ... including co-morbid and multiple diagnoses that impact functionality.- Reviews prior claims to address potential impact on current case management and eligibility.-… more
- Sedgwick (Columbus, OH)
- …college or university preferred. Current valid RN license required. Legal Nurse Consultant (LNC) Certification or training highly preferred. **Experience** ... years of related clinical nursing experience; to include two (2) years nurse consultant experience. General or Professional Liability investigation related… more
- Banner Health (AZ)
- … claims , such as lien information. Submits necessary information to consultant /expert for review. Collaborates with Claims Directors regarding disposition of ... leverages knowledge and experience for customer enrichment and strong team performance. The Claims & Litigation Management team prides itself on the ability to value… more
- Sedgwick (New York, NY)
- …and/or licensing including but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant , Associate in Claims (AIC), Chartered Property and ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Advisor - Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** +… more
- Lincoln Financial Group (Columbus, OH)
- …Group Protection Clinical organization. You will collaborate with Independent Consulting Physicians, Claims Specialists, and Nurse Disability Consultants to ... to bring on a knowledgeable and motivated Behavioral Health Consultant to our Clinical Organization to work in one...assist with reviewing and assessing mental health disability claims . You will act as a… more
- Access Dubuque (Dubuque, IA)
- Litigation Consultant - General Liability **Sedgwick** 1 Positions ID: R49290 Posted On 04/10/2024 **Job Overview** Taking care of people is at the heart of ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Litigation Consultant - General Liability **PRIMARY PURPOSE** : To address and handle… more
- Public Consulting Group (Augusta, ME)
- **Overview** **Registered Nurse - Health Services Consultant ** **Authorization Review - Office of MaineCare Services in Augusta, ME** This role will be Fulltime ... assurance reviews of decided PAs; + Collaborate with other OMS units to resolve claims issues that involve PAs; + Respond to questions and concerns from interested… more
- Banner Health (AZ)
- …you're looking to leverage your abilities - apply today. The Registered Nurse RN Denial Management Specialist is responsible for reviewing concurrent inpatient ... in responding to audit requests and serves to expedite the disposition of claims by reviewing charts and preparing appeals. In addition, this position authorizes the… more
- Corewell Health (Royal Oak, MI)
- …of patient related injuries and manage the resolution of pre-notice claims . Essential Functions + Reviews and provides recommendations regarding the development ... management strategies. + Manages patient incidents and administers professional liability claims in collaboration with management. Participates in evaluations of … more
- MyFlorida (Port Charlotte, FL)
- …retirement package and optional deferred compensation plan. Health, vision, dental, disability , and other supplemental insurance are available at reasonable premium ... the program may make nursing education loan repayments of up to $4,000.00 per year, per nurse enrolled in the program, for a maximum of four years. + Payment is made… more