- University of Southern California (Los Angeles, CA)
- …accurate records of interactive processes, track and report accommodation data, prepare case summaries upon request for senior leadership, and respond to requests ... may substitute for minimum education) + 5 years in leave administration, claims management, or ADA accommodations Preferred Qualifications + Master's degree in a… more
- Southland Industries (Carrollton, TX)
- …first report of injury. Set-up and maintain w/c claim filing system. + Assist with case management of open claims through to closure; notify safety director of ... Brandt's/Southland safety department, with heavy emphasis on workers compensation claims management. **Position Details** + Provide administrative support to...safety manager of status changes. + Assume point-of-contact role with… more
- CVS Health (Columbus, OH)
- …or intricate healthcare fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business + Researches and prepares ... for clinical and legal review + Documents all appropriate case activity in case tracking system +...on investigations + Serves as back up to the manager as necessary + Cooperates with federal, state, and… more
- Ankura (Lexington, NY)
- …leaders and team members as needed. However, a remote option may be available on a case -by- case basis. As a key member of our Life Sciences Practice, you will be ... in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act;...contributor to project delivery teams . Serve as project manager for client services, including large and complex engagements… more
- Covenant Health Inc. (Crossville, TN)
- Overview Senior Risk Manager and Regulatory Specialist, Quality Managment Full Time, 80 Hours Per Pay Period, Day Shifts Cumberland Medical Center Overview: ... focused on exceptional patient care. Position Summary: The Sr. Risk Manager and Regulatory Specialist position is responsible for planning, budgeting, monitoring,… 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
- Fallon Health (Milford, MA)
- …to coordinate after care needs + The Navigator refers to the Nurse Case Manager /PCP whenever clinical decision making is required. **Responsibilities** **Note: ... a culturally sensitive way, completing care plans, and reviewing claims and other data which may indicate a need...other data which may indicate a need for Nurse Case Manager involvement and assessment + Assists… more
- PPL Corporation (Allentown, PA)
- …with specific purchases or projects, expediting orders, price discrepancies, warranty claims , and the return or cancellation of purchase orders. + Coordinate ... delivery etc.) of capital/project/non-stock material in conjunction with the project manager /engineer, etc., delivered either to the site warehouse or job site.… more
- Army National Guard Units (Centennial, CO)
- …subsequent actions. Serves as a state/territory Ethics Adviser. Serves as a claims officer for the state/territory National Guard. Provides guidance to the ... and effectively. 7. Experience organizing thoughts, research materials, and manage case projects; and skilled in comprehending and interpreting directives and laws.… more
- Rush University Medical Center (Chicago, IL)
- …offered for the position. Offers may vary depending on the circumstances of each case . **Summary:** Reporting to the Manager of Compliance audit, the Corporate ... of participation, conditions of payment, teaching physician guidelines, and false claims . The individual should exemplify the Rush mission, vision and values… more