- Medical Mutual of Ohio (OH)
- …the continuum of care. **Responsibilities** + Independently evaluates basic to complex medical claims and/or appeal cases and associated records by applying ... stay and level of care + Extrapolates and summarizes medical information for physician review or other...Registered Nurse in acute care, critical care, emergency medical or medical surgical or a combination… more
- Sysco (Houston, TX)
- … claims process, compliance, and doctor / attorney issues + Performing quality review of third party claims administration, integrity of reserves and cost ... and team building skills Thorough understanding of the casualty claims process + Strong understanding of medical ...Sysco Corporate and operating sites + Multiple third party claim administrators + Defense Attorneys + Medical … more
- U-Haul (Ivyland, PA)
- …questions. + Receive correspondence or phone call alleging some type of loss or claim from insured and/or claimant. Review existing + pertinent correspondence or ... requires working knowledge of multiple state insurance rules, regulations and unfair claims practice, medical terminology, legal terminology and processes and… more
- U-Haul (Phoenix, AZ)
- …Repwest, you will be responsible for investigating, evaluating, and resolving property damage claims . Essential Duties: + Review claims to determine coverage ... United States of America Repwest Insurance is seeking a Claims Adjuster to handle Truck, Trailer and Storage property...Registered Dietitian Program + Weight Watchers + Onsite medical clinic for you and your family + Career… more
- Ascension Health (Manhattan, KS)
- …cases. + Assist departmental staff with issues related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals. + ... health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests within assigned… more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor (3rd Shift) - Norristown State Hospital Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4689288) Apply ... Registered Nurse Supervisor (3rd Shift) - Norristown State Hospital...will collaborate with colleagues to ensure care consistency, continuously review nursing service, and maintain a safe therapeutic environment… more
- MyFlorida (Orlando, FL)
- SENIOR REGISTERED NURSE SUPERVISOR Date: Oct 30, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 824969 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPERVISOR Pay Plan: Career Service Position Number: 50556018 Salary:… more
- Travelers Insurance Company (Buffalo, NY)
- …Network per jurisdictional guidelines. + Research medical information to support the claim review process. + Occasional contact with provider to ensure the ... you do and where you do it. **Job Category** Claim , Nurse - Medical Case Manager **Compensation...Opportunity?** This position is responsible for conducting in-house utilization review with emphasis on determining medical necessity… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE I, SHERIFF (CORRECTIONAL HEALTH) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2930992) Apply REGISTERED NURSE I, ... of Los Angeles is currently offering up to 20% bonus for full-time Registered Nurse I, Sheriff positions hired by Correctional Health Services and working on-site… more
- US Tech Solutions (Columbia, SC)
- …to elicit behavior change and increase member program engagement. 20% Performs medical or behavioral review /authorization process. + Ensures coverage for ... will be providing telephonic case management for our members. + Past job instability. Registered nurses MUST have 4 years or more of RECENT clinical experience. +… more
- The County of Los Angeles (Los Angeles, CA)
- SUPERVISING REGISTERED VETERINARY TECHNICIAN Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4531245) Apply SUPERVISING REGISTERED ... to closure without notice. Under general supervision, supervise a team of Registered Veterinary Technician and/or ancillary staff positions in the County of Los… more
- Montana Tech (Butte, MT)
- Clinical Resource Registered Nurse/ Instructor or Assistant Professor Montana Technological University provides a comprehensive benefits package for all eligible ... program. Applications received by September 30, 2024 will be guaranteed full review and consideration. Applications received after that date may be considered until… more
- HCA Healthcare (Nashville, TN)
- … review , or otherwise support concise clinical evaluations for disputed claims through review and assessment of denial reconsideration documentation, payer ... an organization that invests in you as a Compliance Registered Nurse? At Parallon, you come first. HCA Healthcare...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- State of Massachusetts (Boston, MA)
- …with healthcare providers, including assistance with hospital discharge planning. . Review medical documentation related to payment of foster parents ... to MassHealth eligibility, third party insurance, prior approval, and claims . . Work with the Medical Director...registered nurse in a recognized hospital, clinic or medical facility and (B) of which at least two… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED VETERINARY TECHNICIAN Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3088151) Apply REGISTERED VETERINARY TECHNICIAN Salary ... for independently providing paramedical treatment to animals, providing more complex medical treatment under the direction of a licensed veterinarian, and assisting… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …member and provider call center, provider correspondence and appeals, clinical review , member correspondence and reconsiderations, enrollment, claims processing, ... account Position Summary: The RN Clinical Provider Post Service Review Manager , led by a Registered ...partnership with key business partners, such as the physician review unit, health and medical management, network… more
- Trinity Health (Syracuse, NY)
- …liaison between emergency services, surgical services, nursing, finance, physicians, utilization review , and medical records. In addition, they are responsible ... network referrals. The scope of this position includes all medical treatment and levels of care. The Care Compass...claims payment knowledge to pre and post service review . + Analyzes utilization management trends. + Unit and… more
- Florida Atlantic University (Boca Raton, FL)
- …Position Summary: Florida Atlantic University is seeking an Adult Day Center Registered Nurse - Boca Raton, FL. Summary of Responsibilities: + Independently assesses ... and as ordered by a physician or an advanced registered nurse practitioner. + Assist with maintaining supply levels...and faculty, FAU offers: + Excellent benefit packages including Medical (PPO/HMO $50 per month single & $180 per… more
- MyFlorida (Miami, FL)
- …Needy cases), reviewing claims that are initialized through the automated claims process, initial review , pre-development, and assignment of disability ... Electronic Worksheet (EWS) when appropriate. Conducts the initial file review upon receipt of claim . Reviews disability... upon receipt of claim . Reviews disability claim to determine completeness of file. Reviews medical… more
- Sutter Health (San Francisco, CA)
- …quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and ... patient experience. The RN Case Manager works in collaboration with the Physician, Medical Social Worker and bedside RN to assure the timely movement of patients… more