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Cincinnati, OH  -  Nov 24
Salary: Employee Type:

Case Examiner I - Disability Management


Hardin Construction Company, LLC

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Orange, CA  -  Nov 24

Area Account Manager-AAM (Orange County)


Gould & Lamb

... & Lamb began providing Life Care Planning and Case Management services to the Workers' Compensation, Liability, and Auto ... Future Medical Cost Projections, Life Care Planning, Drug Management Services, and MSA Administration Services. With nearly 300 ...
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Omaha, NE  -  Nov 24

Area Account Manager (AAM) - Omaha, NE


Gould & Lamb

... & Lamb began providing Life Care Planning and Case Management services to the Workers' Compensation, Liability, and Auto ... Future Medical Cost Projections, Life Care Planning, Drug Management Services, and MSA Administration Services. With nearly 300 ...
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Los Angeles, CA  -  Nov 24

Sr Medical Only Examiner - Woodland Hills


Cascades Tissue Group-TN, Inc.

... depending on jurisdiction with physicians and follows medical management protocols. Authorizes payments according to set procedures. Establishes ... medical reserve and payment authority as established by management. Assists in cross-training of personnel. Performs extensive phone ... other department resources such as in-house counsel, nurses, case management, providers and field vendors. In addition to ...
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Los Angeles, CA  -  Nov 24

Medical Management Nurse - Woodland Hills


Cascades Tissue Group-TN, Inc.

Position Summary Provide telephonic medical case management of lost time and complex medical claims in accordance with the California Workers ...
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Helena, MT  -  Nov 22

(Sr.) Work Comp Claims Examiner


Capstone Search Group

... benefit; assign, direct and monitors rehabilitation and medical case management activities; respond to inquiries and participate in claims review meetings with customers and producers. ...
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Norcross, GA  -  Nov 22

Workers' Compensation Claims Supervisor


Cascades Tissue Group-TN, Inc.

... for oversight of 7 claims representatives and overall management of the workers' compensation unit, which includes 2 telephonic nurse case managers. All Georgia jurisdiction. Must have ability to build relationships with members. Minimum of 5 years supervisory experience and baccalaureate degree is preferred. Company ...
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Philadelphia, PA  -  Nov 21

Case Manager/Darby/FT


Cascades Tissue Group-TN, Inc.

... Equal Opportunity Employer. Drug Free Workplace. Summary: Coordinates management of care for a specified patient population in ... individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management and discharge planning. ...
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Irvine, CA  -  Nov 20

Medical Director, Outpatient Services


Cascades Tissue Group-TN, Inc.

... responsible for Clinical Services functions that include Referral Management, Case Management, and Disease Management Programs that include adherance to regulatory agencies policy ... physician's input is needed or required. Responsibilities: Referral Management Perform, or when necessary and appropriate, delegate to ...
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Farmington, CT  -  Nov 20

Case Manager


AXA Equitable

... Group with over $1.3 trillion in assets under management (6/30/06), we rank: #2 on the Fortune Global ... an equal opportunity and affirmative action employer. M/F/D/V Case Manager 11/20/2009 Report It See all jobs at this company | Save this job Saved Job (Notes) | Email this job Company: AXA Equitable ...
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Philadelphia, PA  -  Nov 19

ESIS Medical Programs Clinical Manager (RN)


Cascades Tissue Group-TN, Inc.

... and program recommendation relative to ESIS’ dedicated vendor case management staff. Major Duties & Responsibilities: 1. Review existing ESIS medical bill review rules and recommend adjustments to thresholds for complex review, down coding of ...
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Franklin, MA  -  Nov 18

MMQ nurse - 20 hours per week - RN required, 1-2 years of experience necessary - Experience preferr


Cascades Tissue Group-TN, Inc.

... ensure compliance with Medicare guidelines and managed care case management policy. Essential Functions: Identifies Medicare entitlement and eligibility ... Charts MDS and pertinent narrative data to optimize case mix scores. Conducts daily assessments of Medicare patients ... care mapping and discharge planning. Conducts weekly Medicare/case management meetings to review plan of care. Performs other ...
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Nov 18

MDS/Case Management Coordinator-St. George, UT-Full Time-RN


Cascades Tissue Group-TN, Inc.

At Kindred Healthcare, our mission is to promote healing, provide hope, preserve dignity and produce value for each patient, resident, family member, customer, employee and shareholder we serve. Kindred Healthcare, Inc. (NYSE:KND) is a healthcare services company, based in Louisville, Kentucky, with annual revenues of over $4 billion. At March 31, ...
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Atlanta, GA  -  Nov 17

Field Investigator


ICS|Merrill

About the Company: Examination Management Services, Inc is a national firm that provides a variety of risk management services to the insurance and business communities. We ... what they do. With our state-of the-ART online case management system, you will be provided all the tools ... necessary to ensure your success and achieve assigned case objectives for our clients. Responsibilities: The primary responsibilities ...
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Saint George, UT  -  Nov 17

MDS/Case Management Coordinator-St. George, UT-Full Time-RN


Kindred Healthcare

See all jobs at this company | Save this job Saved Job (Notes) | Email this job Job Overview ...
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San Antonio, TX  -  Nov 17

Field Investigator


ICS|Merrill

About the Company: Examination Management Services, Inc is a national firm that provides a variety of risk management services to the insurance and business communities. We ... what they do. With our state-of the-ART online case management system, you will be provided all the tools ... necessary to ensure your success and achieve assigned case objectives for our clients. Responsibilities: The primary responsibilities ...
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Birmingham, AL  -  Nov 17

Field Investigator


ICS|Merrill

About the Company: Examination Management Services, Inc is a national firm that provides a variety of risk management services to the insurance and business communities. We ... what they do. With our state-of the-ART online case management system, you will be provided all the tools ... necessary to ensure your success and achieve assigned case objectives for our clients. Responsibilities: The primary responsibilities ...
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Laredo, TX  -  Nov 17

Field Investigator


ICS|Merrill

About the Company: Examination Management Services, Inc is a national firm that provides a variety of risk management services to the insurance and business communities. We ... what they do. With our state-of the-ART online case management system, you will be provided all the tools ... necessary to ensure your success and achieve assigned case objectives for our clients. Responsibilities: The primary responsibilities ...
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Hartford, CT  -  Nov 17

Tele-App Specialist


Lincoln Financial Group

... IRC15808 Job Description The Tele-App Specialist position combines case management skills with interview skills. The person in this ... In addition the person will be handling the case management functions during the underwriting process to include the ... between the underwriter and the agent of the case. Job Requirements This position requires exemplary communication skills, ...
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Springfield, MA  -  Nov 14

Lead Case Manager / Springfield


Cascades Tissue Group-TN, Inc.

... Employer. Drug Free Workplace. Provide leadership for the case management team and oversee the hospital Case Management Department's daily activities. Coordinates the integration of Social Services/Case Management functions into the patient care, discharge, and home ... psychosocial aspects of healthcare delivery. Experience: TWO years' Case Management experience in a hospital setting. Essential Functions: ...
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