- Chevron Corporation (Houston, TX)
- …credentials or similar case management credentials. + Certified Disability Management Specialist (CDMS), Certified Leave Management Specialist ... degree in nursing. + Minimum of 5 years of experience in medical case management or disability claim management . + Demonstrated knowledge of the Microsoft… more
- Travelers Insurance Company (Tampa, FL)
- …promise to be there when our customers need us most. As a Major Case Specialist , you are responsible for investigating, evaluating, reserving, negotiating, and ... and present detailed reports on claim status, trends and outcomes to senior management . + Work closely with legal, underwriting, and other departments to ensure… more
- Justice, Bureau of Prisons/Federal Prison System (Waseca, MN)
- …develops program planning by presenting cases to the Unit Team and coordinating case management services with other correctional disciplines. Along with all ... Some examples of this qualifying experience are: GL-07: Assist in case management services. Assist in the collection, verification, and analysis of information… more
- Sedgwick (West Hills, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance LTD Case Specialist **_Our teams connect!_** **We collaborate onsite and have a ... independent medical evaluations as required and seeks advice from management , as necessary. + Refers cases to LTD Supervisor,...a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change… more
- Travelers Insurance Company (New York, NY)
- …including relevant case and statutory law and procedure; expert litigation management skills. + Extensive claim and/or legal experience and thus the technical ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more
- 32BJ Benefit Funds (New York, NY)
- Salary Range: 64866.61 To 64866.61 (USD) Annually Job Title: Intake Specialist I Department: Legal Services Fund, Intake Reports To: Intake Supervisor FLSA Status: ... Under the supervision of the Intake Supervisor, the Intake Specialist I will work as a benefit representative for...and provide appropriate solutions. + Strong problem-solving and time management skills. + Ability to prioritize and meet tight… more
- Parkview Health (Fort Wayne, IN)
- …Licensure/Certification: Valid Indiana Registered Nurse license required. Certification in Case Management highly desirable. Experience: Required at least ... 2 years of experience in acute care setting. Preferred experience in Case Management activities. Preferred experience or knowledge of InterQual criteria. Other… more
- CommonSpirit Health (Westminster, CO)
- …care about your success. Supports the perioperative services department in the management and coordination of supplies and instrumentation. Functions as a liaison ... care, opens sterile supplies, transports equipment, helps with room turnovers, and prepares case supplies. **Schedule: Monday - Friday, eight hours, not past 5pm, no… more
- Parkview Health (Bryan, OH)
- …licensure. Preferred recent experience in acute care setting. Preferred experience in Case Management activities. Preferred experience or knowledge of InterQual ... criteria. Demonstrates knowledge of DRGs managed care initiatives payment methods and statistical analysis. Demonstrates understanding of managed care concepts. Must have good verbal and written communication skills. Must have excellent people skills and the… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management , the Utilization Review Specialist will perform prospective, concurrent ... clinical expertise and critical thinking skills, the Utilization Review Specialist , will analyze clinical information, contracts, mandates, medical policy, evidence… more