- JB Hunt Transport (Lowell, AR)
- …document incidents involving damages up to $20,000 (greater than $20,000 with manager approval/discretion). Manage claims made under our auto liability, general ... Maintain a suspense system to ensure regular review of case files. * Monitor case files daily...School (Required) **Work Experience:** Legal **Job Opening ID:** 00570094 Claims Examiner II (Open) JB Hunt Transport,… more
- JB Hunt Transport (Lowell, AR)
- …document incidents involving damages up to $20,000 (greater than $20,000 with manager approval/discretion). Manage claims made under our auto liability, general ... Maintain a suspense system to ensure regular review of case files. Monitor case files daily to...School (Required) **Work Experience:** Legal **Job Opening ID:** 00560398 Claims Examiner II (Open) JB Hunt Transport,… more
- Elevance Health (TX)
- **Title** : Nurse Case Manager II **Location:** Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. ... **Build the Possibilities. Make an Extraordinary Impact.** The **Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Sutter Health (San Francisco, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- USAA (San Antonio, TX)
- …a part of what makes us so special! **The Opportunity** As a dedicated Claims Litigation Manager , you will be responsible for managing moderately complex ... liability and questionable coverage issues. + Applies intermediate knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison… more
- USAA (San Antonio, TX)
- …a part of what makes us so special! **The Opportunity** As a dedicated Claims Litigation Manager Senior, you will be responsible for managing complex litigation ... resource for colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison with… more
- City of New York (New York, NY)
- … who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II ) involved in Claims processing. - Monitor and distribute cases in ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...of actions for potential SNAP benefit overpayments on agency case actions from all CA and SNAP sites from… more
- City of New York (New York, NY)
- …cases with SNAP recoupments. SNAP-CR is recruiting for four (4) Eligibility Specialists level II to function as a Claims Review Specialist, who will: - Review, ... enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims...of actions for potential SNAP benefit overpayments on agency case actions from all CA and SNAP sites from… more
- Santa Clara Valley Water District (CA)
- …be administered by this Senior Management Analyst, with support from a Management Analyst II , and oversight by the Grants Unit Manager . Senior Management Analyst ... Grants Senior Management Analyst/ Analyst II Print (https://www.governmentjobs.com/careers/scvwd/jobs/newprint/4727922) Apply Grants Senior Management Analyst/… more
- Sutter Health (Castro Valley, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- Sutter Health (Modesto, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- LA Care Health Plan (Los Angeles, CA)
- …Worker; current and unrestricted California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... Care Management Specialist II (D-SNP) Job Category: Clinical Department: Care Management...skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and… more
- WellSpan Health (York, PA)
- Patient Financial Services Representative II - Govt Billing - Days Location: WellSpan Health, York, PA Schedule: Full Time General Summary Completes assigned revenue ... Cycle functions including, submitting electronic and / or manual insurance claims , resolves claim edits, performs insurance account follow-up, researches claim… more
- ManpowerGroup (Columbia, SC)
- …+ Identify and make referrals to appropriate staff (eg, Medical Director, Case Manager , Preventive Services, etc.). + Participate in data collection/input ... + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** Monday-Friday,… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service… more
- Kennedy Krieger Institute (Baltimore, MD)
- **Overview** The Financial Counselor II provides routine financial counseling for patients and families who receive services at the International Center for Spinal ... Edit workqueue in Epic to ensure timely solutions for claims to be released for processing in an appropriate...denials and potential loss of revenue. 7. Collaborate with Case Managers, Patient Accounting, therapists, clinicians to improve overall… more
- US Tech Solutions (Chesapeake, VA)
- …all levels to enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face and telephonically assessing, ... and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case... claims to address potential impact on current case management and eligibility. Assessments include the member's level… more
- PPL Corporation (Lexington, KY)
- …their region. * Resolves service requests, customer complaints and property damage claims . * Identification, inspection, and evaluation of trees and brush along and ... year of utility-related lines construction, transmission lines design, project manager /coordinator or other relevant transmission lines experience. Is comfortable… more
- PPL Corporation (Allentown, PA)
- …that support education, sustainability, and wellbeing. Overview The **Project and Contract Manager ** position is the single point of accountability for large PPL ... the Project Leader for complicated projects. \#INDPPL Responsibilities Project & Contract Manager : 1. Plans and ensures the successful management of assigned project… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- …located in Ann Arbor MI, is recruiting for an Experienced Nurse Manager for Community Care. Responsibilities General Description of Assigned Duties; The registered ... human responses to actual or potential health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or… more