- Guardian Life (Harrisburg, PA)
- **Position Summary** The Group Life Claims Case Manager II is responsible for paying beneficiaries of members life and AD&D claims . They will spend ... of reviewing live eligibility claims while being mentored. The Group Life Claims Case Manager II then begins to build an active claim caseload while… more
- Elevance Health (Atlanta, 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. **Minimum Requirements:** + Requires a… 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 training ... therefore, Multi-State Licensure will be required.** 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 (Indianapolis, IN)
- **Telephonic Nurse Case Manager II ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible...reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Nashville, TN)
- …work-life integration, and ensures essential face-to-face onboarding and skill development. The **Nurse Case Manager II ** is responsible for performing care ... **Telephonic Nurse Manager II ** **Hours: 9am-530pm EST 2-4...**Preferred Skills, Capabilities and Experiences:** + Certification as a Case Manager and a BS in 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 (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
- USAA (Colorado Springs, CO)
- …what truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager , you will be responsible for managing moderately complex ... and questionable coverage issues. + Applies intermediate knowledge of claims litigation processes under the Homeowner/Renter Policy Contract/Umbrella. + Proactively… 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: May 15, 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
- 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
- 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
- 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
- HCA Healthcare (Lone Tree, CO)
- …with purpose and integrity. We care like family! Jump-start your career as a(an) Case Management Manager today with HCA HealthONE Sky Ridge. **Benefits** HCA ... vary by location._** Come join our team as a(an) Case Management Manager . We care for our...the acute care setting. Performs telephonic clinical reviews with claims insurance personnel to facilitate reimbursement for the delivery… more
- Dairyland Power Cooperative (La Crosse, WI)
- …People and their work experience, growth and professional development. **RIGHT OF WAY AGENT II (Hybrid - La Crosse, WI)** **_Hiring Salary Range for Level II : ... of lands and land rights. 5. Investigate and settle landowner damage claims related to construction and maintenance activities. 6. Prepare documents and other… more
- Duke Energy (Edwardsport, IN)
- …and review of governmental filings, including quarterly and annual FERC reports, rate case support, insurance claims and recoverables as needed. + Work with ... the desired qualifications of the successful applicant, the hiring manager may elect to fill this position at a...level within the job hierarchy. Job Summary The FA II / Senior Financial Analyst position is responsible for… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …to managers and employees and is responsible for overall ER case management; counsels managers on individual performance issues and conducts investigations ... through resolution. + Conduct investigations in response to employee or manager incidents and complaints; involve appropriate departments (bank protection, security)… 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
- Trinity Health (Elkader, IA)
- …the Pre-Service unit, Patient Access, Social Work Services, Utilization Review/ Case Management, Ancillary and Nursing department staffs. Assists patients in ... in the eligibility pending financial class. Refers accounts to the Disputed Claims Management unit or to outside agencies, as appropriate. Follows-up on eligibility… more
- ABM Industries (Jefferson Hills, PA)
- …and coordinates bus evacuation activities as appropriate * Immediately reports any incidents or claims to Operations Manager or Shift Lead. * Refuel and maintain ... application, please call ###. We will provide you with assistance and make a determination on your request for reasonable accommodation on a case -by- case basis. more