- Marriott (Costa Mesa, CA)
- …**Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** A Claims Adjuster II is responsible for the timely, good faith ... and complexity of Worker's Compensation and General Liability cases as determined by Claims Unit Manager .) **Expected Contributions** + Investigate claims … 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...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
- Guardian Life (Bethlehem, PA)
- …Group Disability claims experience to join our dynamic Appeals Team. The **Appeals Case Manager II ** (ACM 2) is responsible for adjudicating assigned ... appeals for Group Life and Disability claims . The ACM 2 provides a full and fair...required. + 5+ years of Group Disability and/or Life claims experience. + 3+ years of experience handling appeals… more
- Elevance Health (Richmond, VA)
- **Telephonic Nurse Case Manager II ** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires a… more
- Elevance Health (KY)
- **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
- Elevance Health (NV)
- **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
- Elevance Health (Costa Mesa, CA)
- **Nurse Case Manager II ** **Location** : Woodland Hills, CA; Costa Mesa, CA; Palo Alto, CA & Walnut Creek, CA. This position will work a hybrid model (remote ... our Elevance Health PulsePoint locations listed above. The **Nurse Case Manager II ** will be...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Las Vegas, NV)
- **Telephonic Nurse Case Manager II ** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. family of companies, ... 10 am - 6:30 pm EST.** The **Telephonic** **Nurse Case Manager II ** is responsible...reimbursement, as applicable. + Assists in problem-solving with providers, claims , or service issues. + Assists with the development… more
- Elevance Health (Grand Prairie, TX)
- …contracts, member benefits, and managed care products preferred. + Certification as a Case Manager is preferred. + Previous work from home/remote experience is ... states; multi-state licensure will be required.** **The Transplant Nurse II ** is responsible for providing case management...and modifies. + Assists in problem solving with providers, claims or service issues. + Assists with development of… 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
- Texas Veterans Commission (San Antonio, TX)
- …Representation for Veterans Benefit Administration. . Knowledge of Microsoft Office products, Claims Case Management System to include generating and analyzing ... **Job:** **Management* **Organization:** **TEXAS VETERANS COMMISSION* **Title:** *TVC - District Manager ( Manager II )* **Location:** *Texas-San Antonio*… 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
- 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
- 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 Job Category: Clinical Department: Care Management Location:...skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education 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
- ManpowerGroup (Columbia, SC)
- Job Title: Clinical Case Manager Location: 17 Technology Circle Columbia SC 29203 Job Type: Full-Time **Job Description:** + We are seeking a dedicated Clinical ... Case Manager to join our team and...Case Manager to join our team and play a crucial...the healthcare delivery system, network utilization, and benefit plans. ** Claims and Contract Knowledge:** + Stay up to date… 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