- Centene Corporation (Jefferson City, MO)
- …Responsible for leading clinical coding compliance nurses and non-clinical team members through medical claim review . Ensure compliance with coding practices ... through a comprehensive review and analysis of medical claims...a managed care organization preferred. **Certifications:** RN - Registered Nurse or LPN - Licensed Practical Nurse … more
- GE Vernova (Greenville, SC)
- …project execution and ensures that commercial risks and opportunities (notably claims , change orders, vendor and insurance recoveries) are identified early, tracked, ... as negotiation. **Job Description** + Implement risk mitigation strategies + Develop claims settlement agreements + Manage and drive Contract Change Order execution… more
- Lowe's (Mooresville, NC)
- … Claim Decision Points - Reserving, Settlement, RTW, subrogation, Nurse Case management triggers, associate experience, litigation avoidance + Reviews and ... **Your Impact** The Sr Analyst-Workers Compensation Claims will provide insight and support to drive...for optimal or early resolution. + Works cross-functionally to review and revise litigation management guidelines, and Request for… more
- Beth Israel Lahey Health (Plymouth, MA)
- …Services and Medical Staff Officers with tracking/trending of adverse outcomes and medical malpractice claims in order to improve quality of care and advance ... for BID-P including all phases of actual and potential claims management. Identifies exposures to loss and analyzes the...safety and address other serious issues. + Collaborates with Nurse Directors, Managers, providers and other staff to keep… more
- The County of Los Angeles (Los Angeles, CA)
- …to acceptable standards of care and establishes and modifies program monitoring and review methods as necessary. + Oversees audits and the implementation of audit ... team. Option III : A valid, current license to practice as a registered nurse issued by the appropriate State of California licensing agency -AND- Three years of… more
- Fairview Health Services (St. Paul, MN)
- …+ Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the coding components of said claims ... reimbursement for services provided by the hospital/physician. Reviews and analyzes medical records and coding guidelines to formulate coding arguments for appeals… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …in the management of medications. POSITION DUTIES 1. Maintain effective communication on medical issues with VP of Nursing, Nurse Administrator, Registered ... Nurse (RN), and Medical Coordinators2. Maintains medical records, including obtaining/filing all necessary reports and maintaining database of individuals… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR NURSING INSTRUCTOR (EMERGENCY MEDICAL SERVICES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3309230) Apply SENIOR NURSING ... INSTRUCTOR (EMERGENCY MEDICAL SERVICES) Salary $122,010.72 - $182,634.24 Annually Location Los Angeles County, CA Job Type Full time Job Number Y5216P Department… more
- Cracker Barrel (Lebanon, TN)
- …and defense attorneys, and provide settlement authority up to pre-approved amounts. + Review open workers compensation claims and provide direction to our ... when questions arise. + Approve the use of vendors including defense attorneys, nurse case managers, surveillance companies, and ancillary medical services. +… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …and SCIP-R. 12. Reports all incidents to the Residence Manager, and reports all medical issues/ injuries to the registered nurse and follows protocols for ... individuals and arranges transportation as necessary. Upon instructions of the Nurse , accompanies individuals on medical appointments and/or visits hospital… more