- USAA (San Antonio, TX)
- …of litigation solution. Guides the business on strategy in the pursuit of case resolution and offers business solutions to handle litigation risk. We offer a ... significant enterprise impact. + Participates in formulating, communicating, and briefing case strategy to internal legal team and/or business leaders. + Prepares… more
- Rush University Medical Center (Chicago, IL)
- …interactions and staff education. 11. Provides structured opportunities for reflection and review of complex patient situations to develop critical thinking ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical ...Offers may vary depending on the circumstances of each case . **Summary:** Under the guidance and direction of the… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Clinical Staffing ... for the position. Offers may vary depending on the circumstances of each case . **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Pediatric Neurology ... the position. Offers may vary depending on the circumstances of each case . **Summary:** This positions provides regulatory support for multiple clinical research… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Corp Real Estate Services ... for the position. Offers may vary depending on the circumstances of each case . **Summary:** The Director of Corporate Real Estate leads strategy, planning, and… more
- Access Dubuque (Dubuque, IA)
- …Sr **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable ... based on the disability plan. + Reviews and analyzes complex medical information (ie attending physician statements,...employer. + Refers cases to team lead and clinical case management for additional review when appropriate.… more
- City and County of San Francisco (San Francisco, CA)
- …the Occupational Nurse Consultant, Nurse Manager, and/or Nurse Case Managers to review complex claims and establish medical protocols. 13. Advises the ... and processing teams for the Workers' Compensation Division. Performs complex work in supervising the review , analysis,...penalties to determine liability and authorizes payment. 10. Authorizes medical treatment for complex medical … more
- CareFirst (Baltimore, MD)
- …years medical -surgical or similar clinical experience OR 5 years experience in Medical Review , Utilization Management or Case Management at CareFirst ... including Regulatory complaints and External review requests. Accountable for quality review and interpretation of the appeal case and accurate communication… more
- Globus Medical, Inc. (Collegeville, PA)
- At Globus Medical , we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is ... patients can resume their lives as quickly as possible. Nevro (A subsidiary of Globus Medical ) is a global medical device company. We are focused on delivering… more
- Veterans Affairs, Veterans Health Administration (Leavenworth, KS)
- …relatedness for revenue cases. Manages clinical denials for revenue. Performs legal case relatedness review for revenue billing purposes. Provides education to ... Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the...VA medical facility providers and other staff on revenue related topics.… more