- Zurich NA (Richmond, VA)
- Marine Claims Specialist II 126114 Zurich North...coverage. + Work to have a timely resolution to claims by developing case strategy; developing a ... America is hiring a Marine Claims Senior Claims Specialist Role (With Hull...assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the… more
- Elevance Health (Norfolk, VA)
- **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. + Assists with development of… more
- Elevance Health (Norfolk, VA)
- **Telephonic Nurse Case Manager II ** **Location: Virtual: 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...as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires a… more
- Elevance Health (Richmond, VA)
- …a schedule of Wednesday - Sunday or Thursday - Monday. 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
- Highmark Health (Richmond, VA)
- …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and...works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs… more