- JB Hunt Transport (Lowell, AR)
- **Job Title:** Claims Examiner II **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell **Full/Part ... document incidents involving damages up to $20,000 (greater than $20,000 with manager approval/discretion). Manage claims made under our auto liability, general… more
- Elevance Health (Norfolk, VA)
- **Telephonic Nurse Case Manager II ** **Location:** **This role enables associates to work virtually full-time, with the exception of required in-person ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires a… more
- Sutter Health (Burlingame, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- Elevance Health (Houston, TX)
- **Telephonic Nurse Case Manager II ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... drive the future of health care The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Louisville, KY)
- **Telephonic Nurse Case Manager II ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... **,** 8:30-5 or 9:30-6 pm EST. The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- City of New York (New York, NY)
- … who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II ) involved in Claims processing. - Monitor and distribute cases in ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...of actions for potential SNAP benefit overpayments on agency case actions from all CA and SNAP sites from… more
- AO Smith (Lebanon, TN)
- Regional Field Service Manager II Date: Jun 13, 2025 Location(s): Lebanon, TN, US, 37090 Company: A. O. Smith Corporation PRIMARY FUNCTION: Regional field ... SCOPE OF RESPONSIBILITY: Position reports to the Field Service Engineering Manager SPECIFIC DUTIES/ACCOUNTABILITIES(List in order of importance) + Aligned with… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- Title: PARALEGAL SPECIALIST I / II /III Location: United States-Virginia-Virginia Beach Job Number: 250001Q7 Note this a 2 level non-compete progression position: ... any level equal to their experience, Paralegal Specialist I, II or III. Incumbents selected at the lower level,...requests. Ensures that responses are received promptly. The Litigation Case Tracking Module (LCTM) includes case management… more
- Baptist Memorial (Memphis, TN)
- … Manager /Director of the Denial Mitigation Department. The Denial Mitigation- Appeal Specialist II RN role reports to the manager of the Denial Mitigation ... Overview Specialist-Denial Mitigation II RN Job Code: 21432 FLSA Status Job...collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our… more
- Tucson Electric Power (Tucson, AZ)
- **Benefits Analyst - I, II , Senior or Lead** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **6015** **About Us** UNS Energy Corporation ... quality of life in the communities we have served for generations, and in TEP's case , since the 1890s. We're building a cleaner, greener grid, with more wind and… more
- Baptist Memorial (Memphis, TN)
- … Manager /Director of the Denial Mitigation Department. The Denial Mitigation- Appeal Specialist II RN role reports to the manager of the Denial Mitigation ... in Memphis, TN; Jackson, MS The Denial Mitigation-Appeal Specialist II RN serves in a key role of the...collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our… more
- UPMC (Pittsburgh, PA)
- …role may work remotely. The Absence Management Specialist II analyzes assigned claims to determine whether the case is medically supported for both leave ... II is responsible for the ongoing management of claims within set parameters as well as medical consultation...at work processes are followed. + Utilizes Clinical nurse Case Manager and/or Medical Director resources within… more
- Sutter Health (Modesto, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- JBS USA (Council Bluffs, IA)
- **Description** Human Resources Manager Purpose and Scope/General Summary: We are looking for a Human Resources Manager for JBS Prepared Foods that reports ... onsite to the Council Bluffs, IA plant. The Human Resources Manager will lead all Human Resources efforts at the plant level including hiring and recruiting,… more
- LA Care Health Plan (Los Angeles, CA)
- …Worker; current and unrestricted California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... Care Management Specialist II (MCLA) Job Category: Clinical Department: Care Management...skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and… more
- Elevance Health (Mason, OH)
- **Telephonic Nurse Case Manager II ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires a… more
- LA Care Health Plan (Los Angeles, CA)
- Authorization Technician II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... net required to achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service… more
- Elevance Health (Mason, OH)
- …**HOURS:** Monday through Friday, 12:00 - 8:30 pm, EST. The **Transplant Nurse II ** will be responsible for providing case and/or medical management for ... **Transplant Nurse II ** **Location:** Virtual: This role enables associates to...preparation for advancement to the senior level. Within the case management role will within the scope of licensure… more
- US Tech Solutions (Chesapeake, VA)
- …all levels to enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face and telephonically assessing, ... and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case... claims to address potential impact on current case management and eligibility. Assessments include the member's level… more
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