- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …equivalent supervised professional experience. Licensure/Certification: Individuals assigned as social worker program coordinator must be licensed or certified ... Summary The Social Worker (Program Coordinator) is assigned to the Suicide...the GS-0185 series in VHA must be licensed or certified by a state to independently practice social work… more
- Zurich NA (Boston, MA)
- Sr. Claims Specialist, Worker 's Compensation 123309 Zurich is currently looking for a Senior Workers Compensation Claims Professional with West Virginia ... within authority limit by estimating and validating value of claims . + Negotiate settlement of claim by...Claims and/ or Litigation Management area.OR + Zurich Certified Insurance Apprentice, including an Associate Degree with 6… more
- Houston Methodist (Sugar Land, TX)
- … **OR** + LMSW - Licensed Medical Social Worker - State Licensure -- If Social Worker **AND** + C-SWHC - Certified Social Worker in Health Care (NASW) -- ... of admission, concurrent and retrospective utilization management and medical claims functions to meet and exceed service-level goals and...Worker within 1 year **OR** + C-ASWCM - Certified Advanced Social Work Case Manager (NASW) -- If… more
- FlexStaff (Bronx, NY)
- **Req Number** 158358 FlexStaff is seeking a Temp to Perm Claims Specialist for our client, a non-profit healthcare organization providing home and community-based ... healthcare and services for the elderly. The Claims Specialist will support department operations related to provider communication, pended claim review,… more
- Sedgwick (Marlton, NJ)
- …FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional ... beneficial but not required** **Skills & Knowledge** + Subject matter expertise in worker 's compensation claims and/or liability claims processing + Ability… more
- CenterLight Health System (NY)
- JOB PURPOSE: The Claim Analyst will play a pivotal role in enhancing the efficiency and effectiveness of the claims department by evaluating and refining ... guidelines. This position requires a working knowledge of Government Programs medical claims payment system and configuration with strong focus on data review and… more
- Actalent (Bronx, NY)
- …with claims processing systems or comparable database software. + Certified Professional Coder certification is a plus. + Experience within a healthcare ... NOW HIRING Claims Specialist The Claims Specialist will...will support department operations related to provider communication, pended claim review, reporting, auditing, and oversight activities to ensure… more
- FlexStaff (Bronx, NY)
- **Req Number** 154447 FlexStaff is seeking a Claims Specialist to support department operations related to provider communication, pending claim review, ... Hybrid Wednesday and Friday in the office. Responsibilities: + Reviews and investigates claims to be adjudicated by the TPA, including the application of contractual… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- Summary The Senior Social Worker works within the Social Work Service and is part of the Emergency Department and will provide coverage for Acute Psychiatry and ... Health System (NFSGVHS) located in Gainesville, FL. The social worker will directly report to the Supervisory Social ...the GS-0185 series in VHA must be licensed or certified by a state to independently practice social work… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- Summary The Senior Social Worker is assigned to the acute medicine/surgery unit at the Gainesville VA Medical Center, located in Gainesville, Florida. The Senior ... Social Worker is responsible for providing assessment, discharge planning, and...the GS-0185 series in VHA must be licensed or certified by a state to independently practice social work… more