... Care Manager to oversee Managed Care programs for skilled nursing facilities. This position is ... Workers Comp. * Experience within skilled nursing facility settings. * Strong leadership ...
Quick apply
... Care Manager to oversee Managed Care programs for skilled nursing facilities. This position is ... Workers Comp. * Experience within skilled nursing facility settings. * Strong leadership ...
Workers Comp, Lost Time Claims Subject Matter Expert (User Research) - AI SaaS
New York, NY · On-site +1
$72K - $93K/yr
... for Workers' Compensation Adjusters. We are seeking highly experienced, Subject Matter Experts ... Provide detailed feedback on how the product integrates into existing daily claims management ...
Workers Comp, Lost Time Claims Subject Matter Expert (User Research) - AI SaaS
New York, NY · On-site +1
$72K - $93K/yr
... for Workers' Compensation Adjusters. We are seeking highly experienced, Subject Matter Experts ... Provide detailed feedback on how the product integrates into existing daily claims management ...
Medical Receptionist
Darien, CT · On-site
$22 - $26/hr
Answer phones, receive patients and visitors, sign in and out patients, verify insurance and workers comp information, collect co-pays, deductibles, co-insurances, manage patient charts, and general ...
Quick apply
Medical Receptionist
Darien, CT · On-site
$22 - $26/hr
Answer phones, receive patients and visitors, sign in and out patients, verify insurance and workers comp information, collect co-pays, deductibles, co-insurances, manage patient charts, and general ...
Workers Comp, Lost Time Claims Subject Matter Expert (User Research) - AI SaaS
New York, NY · On-site +1
$72K - $93K/yr
... for Workers' Compensation Adjusters. We are seeking highly experienced, Subject Matter Experts ... Provide detailed feedback on how the product integrates into existing daily claims management ...
Workers Comp, Lost Time Claims Subject Matter Expert (User Research) - AI SaaS
New York, NY · On-site +1
$72K - $93K/yr
... for Workers' Compensation Adjusters. We are seeking highly experienced, Subject Matter Experts ... Provide detailed feedback on how the product integrates into existing daily claims management ...
Medical Receptionist
Darien, CT · On-site
$22 - $26/hr
Answer phones, receive patients and visitors, sign in and out patients, verify insurance and workers comp information, collect co-pays, deductibles, co-insurances, manage patient charts, and general ...
New
Medical Receptionist
Darien, CT · On-site
$22 - $26/hr
Answer phones, receive patients and visitors, sign in and out patients, verify insurance and workers comp information, collect co-pays, deductibles, co-insurances, manage patient charts, and general ...
New
Claims Assistant
Long Island City, NY · On-site
$80K - $90K/yr
Creating and managing claim and compliance files - both digital and hard copies * Comfortable and able to learn how to navigate insurance claims: general liability, auto, and workers' comp * Fulfill ...
Claims Assistant
Long Island City, NY · On-site
$80K - $90K/yr
Creating and managing claim and compliance files - both digital and hard copies * Comfortable and able to learn how to navigate insurance claims: general liability, auto, and workers' comp * Fulfill ...
Claims Assistant
Long Island City, NY · On-site
$80K - $90K/yr
Creating and managing claim and compliance files - both digital and hard copies * Comfortable and able to learn how to navigate insurance claims: general liability, auto, and workers' comp * Fulfill ...
Claims Assistant
Long Island City, NY · On-site
$80K - $90K/yr
Creating and managing claim and compliance files - both digital and hard copies * Comfortable and able to learn how to navigate insurance claims: general liability, auto, and workers' comp * Fulfill ...
Claims Assistant
Long Island City, NY · On-site
$80K - $90K/yr
Creating and managing claim and compliance files - both digital and hard copies * Comfortable and able to learn how to navigate insurance claims: general liability, auto, and workers' comp * Fulfill ...
Quick apply
Claims Assistant
Long Island City, NY · On-site
$80K - $90K/yr
Creating and managing claim and compliance files - both digital and hard copies * Comfortable and able to learn how to navigate insurance claims: general liability, auto, and workers' comp * Fulfill ...
Also, will contract with Workers' Comp Cases. Joining an established system with other ... management and therapy services for people suffering from mental health and substance use disorder.
Also, will contract with Workers' Comp Cases. Joining an established system with other ... management and therapy services for people suffering from mental health and substance use disorder.
Experience in case management of workers comp cases, preferred * Recommended certifications (CCM, CRRN, CDMS, CRC) preferred. REQUIRED within two years of the date of hire * Skills required for ...
Experience in case management of workers comp cases, preferred * Recommended certifications (CCM, CRRN, CDMS, CRC) preferred. REQUIRED within two years of the date of hire * Skills required for ...
Commercial Lines Sales Agent
Hasbrouck Heights, NJ · On-site
$60 - $80/hr
... trucking and workers' comp. If you're passionate about helping small businesses protect what ... Advise clients on coverages, exclusions, and risk management * Build and maintain strong client ...
Commercial Lines Sales Agent
Hasbrouck Heights, NJ · On-site
$60 - $80/hr
... trucking and workers' comp. If you're passionate about helping small businesses protect what ... Advise clients on coverages, exclusions, and risk management * Build and maintain strong client ...
Experience in case management of workers comp cases, preferred * Recommended certifications (CCM, CRRN, CDMS, CRC) preferred. REQUIRED within two years of the date of hire * Skills required for ...
Experience in case management of workers comp cases, preferred * Recommended certifications (CCM, CRRN, CDMS, CRC) preferred. REQUIRED within two years of the date of hire * Skills required for ...
... trucking and workers' comp. If you're passionate about helping small businesses protect what ... Advise clients on coverages, exclusions, and risk management * Build and maintain strong client ...
Quick apply
... trucking and workers' comp. If you're passionate about helping small businesses protect what ... Advise clients on coverages, exclusions, and risk management * Build and maintain strong client ...
Transportation Safety Manager
Monmouth Junction, NJ · On-site
$50K - $65K/yr
The Manager is responsible for maintaining the knowledge to perform in a proficient and effective ... Oversee the Vehicle & Workers Comp Accident Claims Process * Oversee and maintain compliance of all ...
Quick apply
Transportation Safety Manager
Monmouth Junction, NJ · On-site
$50K - $65K/yr
The Manager is responsible for maintaining the knowledge to perform in a proficient and effective ... Oversee the Vehicle & Workers Comp Accident Claims Process * Oversee and maintain compliance of all ...
Experience in case management of workers comp cases, preferred * Recommended certifications (CCM, CRRN, CDMS, CRC) preferred. REQUIRED within two years of the date of hire * Skills required for ...
Experience in case management of workers comp cases, preferred * Recommended certifications (CCM, CRRN, CDMS, CRC) preferred. REQUIRED within two years of the date of hire * Skills required for ...
Manage and process Workers comp and OSHA reporting. Candidates will have prior experience in Business Office functions related to LTCs/SNFs, have excellent verbal and written communication skills ...
Quick apply
Manage and process Workers comp and OSHA reporting. Candidates will have prior experience in Business Office functions related to LTCs/SNFs, have excellent verbal and written communication skills ...
Collections & Denial Management Specialist Pay $23-27/hr Location Downtown Brooklyn, in-office (100 ... Work on complex claims such as workers' comp, auto, and personal injury through various channels
Quick apply
Collections & Denial Management Specialist Pay $23-27/hr Location Downtown Brooklyn, in-office (100 ... Work on complex claims such as workers' comp, auto, and personal injury through various channels
Experience in case management of workers comp cases, preferred * Recommended certifications (CCM, CRRN, CDMS, CRC) preferred. REQUIRED within two years of the date of hire * Skills required for ...
Experience in case management of workers comp cases, preferred * Recommended certifications (CCM, CRRN, CDMS, CRC) preferred. REQUIRED within two years of the date of hire * Skills required for ...
NO Pain Management Managed Care Article 28 Facility NOT a 'No Fault' Practice Treat State Worker's Comp and Federal Worker's Comp patients EMGs are a plus but NOT required Average patient volume - 17 ...
NO Pain Management Managed Care Article 28 Facility NOT a 'No Fault' Practice Treat State Worker's Comp and Federal Worker's Comp patients EMGs are a plus but NOT required Average patient volume - 17 ...
Human Resources Coordinator
$23 - $30.25/hr
Monitor worker's comp claims and initiate when needed * Manage all leave and worker's comp paperwork * Prepare department budget and forecasting biannually * Audit I-9s on a periodic basis, and ...
Human Resources Coordinator
$23 - $30.25/hr
Monitor worker's comp claims and initiate when needed * Manage all leave and worker's comp paperwork * Prepare department budget and forecasting biannually * Audit I-9s on a periodic basis, and ...
Workers Comp Manager information
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Full-time
Re-posted 17 days ago
Job description
Virtue Clinical Solutions is actively seeking an experienced Regional Managed Care Manager to oversee Managed Care programs for skilled nursing facilities. This position is suited for a healthcare professional with a robust background in skilled nursing care management and a keen ability to lead remote teams.
Experience Requirements:
- Required: Minimum of 1-3 years direct experience in skilled nursing facilities, with specific skills in obtaining Managed Care authorizations and appeals
- Preferred: Over 5 years of experience, including supervisory roles overseeing team members and managing complex healthcare operations, preferably within managed care environments.
Responsibilities:
- Manage and track authorizations for HMO patients across multiple skilled nursing facilities.
- Supervise a team of case managers, and managed care coordinators ensuring seamless communication between Admissions, Social Work, Rehab, and Billing departments.
- Lead critical care committees and enhance overall service delivery and patient care.
- Coordinate with insurance case managers to discuss patient care plans, progress, and discharge plans, and advocate for patient care.
- Compile appeal packages for denied services or coverage.
- Promote ongoing professional development and ensure staff competencies align with the highest standards of care.
Qualifications:
- In-depth knowledge of Medicare, Medicaid, and Commercial Insurance guidelines, including specific programs like HARP, AARP, Obamacare, No-Fault, and Workers Comp.
- Experience within skilled nursing facility settings.
- Strong leadership capabilities with demonstrated skills in mentoring and developing remote teams.
- Proficient in Microsoft Excel and Word; exceptional verbal and written communication skills.
- Organizational with the ability to manage multiple tasks effectively .
About Care Network
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We provide information and guidance and practical and emotional support to help people and communities. We work alongside local people to improve confidence and connection. The passion and commitment of our team, combined with an army of dedicated local volunteers, means that we are truly embedded within communities across the districts of the county. We will always continue to work in this manner as it has repeatedly proven to be the most effective way to help and support local people. We are aware that for many, a lot of uncertainty lies around the future of access to health and social care services and we are committed to try and fill these gaps, supporting our service users along every step of their own personal journeys.
Industry
Non-profits
Company size
11 - 50 Employees
Headquarters location
Hardwick, Cambridgeshire, UK