- Intercare Holdings Insurance Services, Inc. (Rocklin, CA)
- …anticipated for ultimately resolving the claim. Form a partnership with the medical case manager to maximize early return to work potential thereby reducing ... case toward closure. Assure that all assigned indemnity claims have an up to date plan of action...and tasks as deemed appropriate by the Supervisor or Manager . Requirements Competency: To perform the job successfully, an… more
- BlueCross BlueShield of South Carolina (Columbia, SC)
- Summary We are currently hiring for a Claims Customer Service Advocate II to join BlueCross BlueShield of South Carolina. You will be responsible for responding to ... research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny...and guidelines and refer to a team lead or manager for resolution. You will also identify and report… more
- Advocate (Orlando, FL)
- …of EDPNA's and case managers. We are seeking a highly organized and dedicated Case Manager to join Advocate and oversee the progress of disability cases at ... medical records, filing recon appeals, and collaborating with SSA/DDS to resolve case -related issues. If you have strong time-management skills and thrive in a… more
- Corvel (Sandy, UT)
- …within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of ... and within a team environment Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers'… more
- Ohio Department of Aging (Columbus, OH)
- …sciences. -Or the equivalent of 18 months or more experience in court case management, case / claims processing, or a legal/administrative support setting. ... The Case Management Coordinator provides administrative and logistical support...Preferred Qualifications: -Paralegal certification or court background. -Certified Court Manager (CCM) certification. The selected candidate will be expected… more
- The Travelers Indemnity Company (Diamond Bar, CA)
- …what you do and where you do it. Job Category Claim, Nurse - Medical Case Manager Compensation Overview The annual base salary range provided for this position ... to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as...be required to support Concierge locations, where a Nurse Case Manager meets with injured employees face… more
- Crawford and Company (Brea, CA)
- …non-complex short term claims of low monetary amounts, including medical only claims . Documents and monitors open case inventory and ensures proper and ... step toward a rewarding career in California Workers' Compensation Claims ! This is your chance to gain valuable insights...medical bill coding rules and state regulations. Keeps Team Manager informed verbally and in writing of activities and… more
- Regal Medical Group, Inc. (Northridge, CA)
- Position Summary: Reporting to the Director of HROB and NICU Team. The Case Manager High Risk OB RN is directly responsible for the assessment, treatment ... within the members' benefit plans and established contracts. The Case Manager is responsible, along with other...of care and facility. Works closely with other departments ( claims , finance, high risk, TOC) as Anticipates customer needs:… more
- Public Risk Innovation Solutions and Management (Folsom, CA)
- …Specialist is responsible for managing a caseload of excess workers' compensation claims , consisting of complex and catastrophic claims (future medical and ... at the Specialist level) along with providing oversight of TPAs and claims processes in both our Primary Workers' Compensation (PWC) and Excess Workers'… more
- Waupaca Foundry, Inc. (Waupaca, WI)
- …injury/illness investigation reports. Communicate with Insurance Provider. Assist and communicate with the case manager on specific claims . Act as a worker ... advocate. Protect the rights of the workers. Conduct drug/alcohol testing according to policy. Coordinate and/or administer annual health testing; respiratory questionnaire; PFT; hearing test; vital signs; weight; and follow up on hearing losses. Comply with… more
- National Indemnity Company (Omaha, NE)
- …process. CLAIM RESERVING AND SETTLEMENT: Establish and timely modify appropriate case reserve reflecting available information regarding assigned claims . Review ... including all required electronic and other records and provide information regarding assigned claims to manager and others as required. LICENSING: Obtain and… more
- UPMC Senior Communities (Pittsburgh, PA)
- …providing case follow-up, case closing, and ensuring readiness of case file for affiliate claims . Identify difficulties with specific affiliates, need ... UPMC Workpartners' LifeSolutions team is seeking a Care Manager ! This role will work 11:30 am -...to candidates with phone center, crisis support, intake, and case management experience. Under the general direction of the… more
- Blue Cross and Blue Shield of Minnesota (St. Paul, MN)
- …ensure appropriate resource utilization, identification of referrals to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... also evaluate appropriateness of code submission on facility and professional claims and complete unspecified code and modifier code reviews. Your Responsibilities… more
- AECOM (Dallas, TX)
- …a better world. Join us. Job Description AECOM is seeking a Construction Project Manager - Aviation to be based in Dallas, Houston, Austin, or San Antonio, Texas. ... and procedures. Project Managers will be responsible for projects from Business Case through Closeout. RESPONSIBILITIES Administer one or more projects, to include… more
- Gallagher (Baton Rouge, LA)
- …Provides medical management to workers compensation injured employees, performing case management through telephonic and in-person contact with injured workers ... and medical providers. Coordinates with employers and claims professionals to manage medical care in order to return injured employee to work. This position will… more
- Relation Insurance (Owings Mills, MD)
- …to our ongoing growth and success. WHAT WE'RE LOOKING FOR The Account Manager manages the overall client relationship by providing strategic advice on coverage, risk ... client's insurance program aligns with long-term goals and growth plans. The Account Manager remains knowledgeable of advances in the insurance business as well as… more
- FloodGate Medical (Tampa, FL)
- Field Reimbursement Manager Company: Sonex Health Sonex Health is revolutionizing the treatment of common orthopedic conditions with its innovative ultrasound-guided ... You Should Join Us This is a Field Reimbursement Manager role in the Eastern US area . You...patient access personnel at accounts (eg, Surgery Schedulers, Billers, Case Managers, Nurse Coordinators, etc.) Educate healthcare providers and… more
- Samaritan Daytop Village (Bronx, NY)
- Overview Outreach Coordinator & Systems Manager Healthcare staff can work anywhere The BEST work with US! Salary: $70,000-$76,000 Mon-Fri 9am - 5pm A nationally ... those we employ. The Role Hope Care Management provides extensive, well-coordinated case management services to HIV/AIDS. Comprehensive case management includes … more
- Penn National Insurance (Pittsburgh, PA)
- Job Description We have an exciting opportunity for a Territory Manager in the Pittsburgh, PA area. The Territory Manager is responsible for overseeing and ... our agents, regional underwriting team and corporate departments. The Territory Manager is also responsible for identifying new business opportunities, ensuring… more
- Ursus, Inc. (San Francisco, CA)
- JOB TITLE: Product Marketing Manager Firefly Generative AI LOCATION: San Francisco & New York (hybrid) PAY RANGE: $74.00 - $84.51/hr DURATION: 1 year TOP 3 SKILLS: ... COMPANY: Our client a Fortune 500 Software Organization is seeking a Product Marketing Manager Firefly Generative AI to bring onto the team. Job Description: Do you… more
