- Elevance Health (Columbus, GA)
- **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. + Assists with development of… more
- Elevance Health (Latham, NY)
- **Nurse Case Manager II ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... from 11:30 AM to 8:00 PM EST. The **Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. Assists with development of utilization/care… more
- Elevance Health (Washington, DC)
- **Nurse Case Manager II ** **Location:** **Washington, DC.** This role requires associates to be in-office 4 days per week, fostering collaboration and ... accommodation is granted as required by law. The **Nurse Case Manager II ** will be...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- State of Colorado (Denver, CO)
- Claims Manager - Workers' Compensation Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5185970) Apply Claims Manager - Workers' ... Job Type Full Time Job Number KAA 3261 CIS II 1.26 Department Department of Labor and Employment Division...medical providers, and employers in processing their workers' compensation claims by interpreting and explaining case law,… more
- AO Smith (Lebanon, TN)
- Regional Field Service Manager II Date: Jan 2, 2026 Location(s): Lebanon, TN, US, 37090 Company: A. O. Smith Corporation Hybrid, Onsite or Remote: Remote PRIMARY ... SCOPE OF RESPONSIBILITY: Position reports to the Field Service Engineering Manager SPECIFIC DUTIES/ACCOUNTABILITIES(List in order of importance) + Aligned with… more
- State of Massachusetts (Boston, MA)
- …or suitability is questionable or difficult to determine. 7. Prepare accurate case notations within claims management system which contain accurate, specific, ... * Claims Examiner/Job Service Representative I| Department of Family...Examiner/Job Service Representative I, who reports to the Senior Manager of Benefit Operations & Program Integrity is based… more
- State of Colorado (Denver, CO)
- Senior Paralegal (Legal Assistant II ) - Workers' Compensation Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5187993) Apply Senior Paralegal ... (Legal Assistant II ) - Workers' Compensation Salary $71,893.50 - $88,560.00 Annually...from inception through hearings and appeals, including fully contested claims , challenges to specific disability and medical benefits, penalty… 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
- LA Care Health Plan (Los Angeles, CA)
- …Social Worker; current and unrestricted California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Accredited Case Manager ... Care Management Specialist II , D-SNP Team (12 month Assignment) Job Category:...skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and… more
- ZOLL Medical Corporation (Houston, TX)
- …Hospitalists, CT Surgeons etc.), Nurse Practitioners, Physician Assistants, nurses, case managers and administrators. Other duties include selling the value ... intake and reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at all times… more
- State of Arkansas (Little Rock, AR)
- ATTORNEY II Date: Jan 6, 2026 Req ID: 55025 Location: Little Rock, AR, US, 72202 Category: STATE INSURANCE DEPARTMENT Anticipated Starting Salary: $85,943.10 ... Position Summary Department. Attorney II provides legal support to the Arkansas Insurance Department...the Arkansas Administrative Procedure Act, the Arkansas Pharmacy Benefits Manager Licensure Act, and the Arkansas Freedom of Information… 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 (Indianapolis, IN)
- …Saturday and Sunday) as well as 3 consecutive week days. The **Transplant Nurse II ** will be responsible for providing case and/or medical management for members ... **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
- PPL Corporation (Allentown, PA)
- …that support education, sustainability, and wellbeing. Overview The **Associate Project Manager ** is the single point of accountability for small to routine ... Project Leader for complicated projects. The **Project and Contract Manager ** position is the single point of accountability for...of both. Assigned work location may change. In the case of remote work, physical presence in the office/on-site… more
- PPL Corporation (Allentown, PA)
- …build and maintain strong, diverse communities today. Overview The **Associate Project Manager ** position is the single point of accountability for small to routine ... typically be sought by the Project Leader for complicated projects. The **Project Manager ** position is the single point of accountability for large PPL Electric… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …The Bronx VA Medical Center is recruiting for (1) full-time Registered Nurse Risk Manager reporting to the Quality and Patient Safety service at the James J. Peters ... facility. Responsibilities Duties include, but are not limited to: The Risk Manager functions as a clinical expert and executes position responsibilities that… more
- Army National Guard Units (VA)
- …Liaison, and the Director, Human Resources, serves as the local OHN Case Manager Consultant for ensuring development, evaluation, implementation and monitoring ... efficiency and to reduce or eliminate future hazardous conditions. 3. Manages the Case Management Program. In coordination with the US Department of Labor (DOL)… more
- Ventura County (Ventura, CA)
- …Management and/or Quality Assurance in a Managed Health Care Plan. + Experience working as a case manager in a health plan case managing complex cases. + ... Senior Medical Management Nurse is responsible for performing utilization review, case management, and quality improvement functions to ensure that members receive… more
- State of Massachusetts (Boston, MA)
- …The Review Examiner I is responsible for conducting hearings on appeals of claims for agency services or benefits; for promptly preparing and implementing decisions ... The Review Examiner I, who reports to the Appeals Manager , is based in Boston, MA**and is responsible for...and conclusion of law, which comply with statutory provisions, case law, and agency policy. * Produces accurate written… more
Related Job Searches:
Case,
Case Manager,
Case Manager Claims,
Case Manager II,
Claims,
Claims Manager II,
II,
Manager,
Manager II