- Cedars-Sinai (Beverly Hills, CA)
- …process. The coordinator works collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims Department and other Care ... **Job Description** The Case Management Coordinator provides support to the utilization review...processing authorizations. + Contacts facilities identified by the UM Nurses/Manager/ Director /Medical Director to research any issues (ie… more
- Cedars-Sinai (Beverly Hills, CA)
- …process. The coordinator works collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims Department and other Care ... before processing authorizations. + Contacts facilities identified by the UM Nurses/Manager/ Director /Medical Director to research any issues (ie contract,… more
- Family Dollar (Chesapeake, VA)
- …and other claims to reduce costs and improve outcomes. Support the TPA claims examiners and defense counsel in the management and resolution of general ... claims and litigation environment. Special projects assigned by Manager or Director of Claims . Minimum Requirements/Qualifications 2-5 years of multi state… more
- Dollar Tree (Chesapeake, VA)
- …key changes in the legal and regulatory environment. + Special projects assigned by Director of Claims & Litigation. + Manage and mentor claim professional(s). ... or insurance broker. At least 3 must be in a management role. + Litigated liability claims experience. + Strong analytical skills related to investigations, … more
- Billings Clinic (Billings, MT)
- …to fulfill the organization's strategic initiatives for risk prevention, risk and claims management , patient safety and process improvement. * Identifies and ... Plan that organizes both risk prevention measures and claims processing and management systems for the...meetings at the direction of leadership. * Assists the Director in the development and communication of department specific… more
- University of Miami (Miami, FL)
- …and documentation of potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct ... this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The department of Risk Management has an exciting opportunity for a full-time Sr.… more
- Family Dollar (Chesapeake, VA)
- …decisions related to reserves, settlement, return to work, subrogation, and nurse case management + Collaborate with Director and Manager to conduct research and ... skills related to investigations, claims strategies and claims reviews * Strong time management skills...strategies and claims reviews * Strong time management skills * Excellent written and verbal communications skills;… more
- University of Virginia (Charlottesville, VA)
- …to train the right candiate. * Works in conjunction with the medical director , administrative management , nursing and other interprofessional team members to ... wage APP to work in dynamic outpatient Interventional Pain Management Practice. Candidate will be trained if not already...* Meets quality standards as determined by the Medical Director and/or UVA Health System. * May serve on… more
- State of Colorado (Denver, CO)
- …from inception through hearings and appeals, including fully contested claims , challenges to specific disability and medical benefits, penalty allegations, ... Unit provides formal training and day-to-day advice to the state Risk Management 's Workers' Compensation Division, state agencies, and the State's third party-… more
- Lowe's (Mooresville, NC)
- …enable more efficient access to materials. + Facilitates and maintains WC claims management training and communication platform. This requires working ... **Your Impact** The Sr Analyst-Workers Compensation Claims will provide insight and support to drive...resolution. + Works cross-functionally to review and revise litigation management guidelines, and Request for Proposal Documents, and provides… more