- 3M (Maplewood, MN)
- …an accredited institution (completed and verified prior to start) + Current, unrestricted Registered Nurse license in Minnesota, or ability to readily obtain. + ... process. + Provides disability management for open Workers Compensation claims which may include: + Coordination of medical...Provides backup nurse triage for other clinic nurse roles. + Documenting worker medical encounters… more
- Trinity Health (Albany, NY)
- …degree is strongly preferred). Master's degree preferred. Certification (CPHRM) is preferred. Registered Nurse preferred. Ideally, the candidate will have 3-5 ... for the overall patient safety and clinical risk management functions related to review and response to reported events. Responds to crisis situations that have… more
- BronxCare Health System (Bronx, NY)
- …and committees as determined by Director. Qualifications CERTIFICATION/LICENSURE : Registered Nurse or physician or a foreign medical graduate preferred . ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- HCA Healthcare (Sun City Center, FL)
- …related field required; Master's Degree preferred . Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager, ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- HCA Healthcare (Trinity, FL)
- …related field required; Master's Degree preferred .Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager, ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- US Tech Solutions (Chesapeake, VA)
- …improve healthcare program/operational efficiency involving clinical issues Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and ... enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face...all case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- US Tech Solutions (Richmond, VA)
- …advocacy. **Duties** + Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan eligibility and ... including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility.… more
- MyFlorida (Fort Lauderdale, FL)
- …examination by a licensed physician, physician assistant, or licensed advanced practice registered nurse , based on specifications established by the commission. ... but are not limited to: fraud against the Medicaid Program, false claims against the Medicaid program, investigating possible criminal violations of any applicable… more
- Baylor Scott & White Health (Round Rock, TX)
- …Management, investigates to evaluate patient harm. If organizational risk is found, the Corporate claims manager will review the event further. The CRM will help ... position will support two hospitals; Baylor Scott & White Medical Center - Round Rock and Baylor Scott &...SSOS reports and obtains more detailed information by chart review and interviews as indicated. + When adverse events… more
- Stanford Health Care (Palo Alto, CA)
- …to leaders and team members on leave policies and practices, including claim filing process; act as liaison betweenteam members, leaders, Benefits, Payroll, WHW ... Leave Team to resolve leave issues; provide follow-up with teammembers on claims , payments and related worker's compensation issues. In collaboration with leader and… more