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The Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

YEAR

Elevance Health Inc

Nurse Case Manager II

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We are a Legal Staffing firm placing Legal/Litigation Secretaries, Paralegals, Receptionists, Runners, Accounting, Management Positions, and Attorneys, in California and Las Vegas, providing quality service to our clients and candidates. Ms. Carver has worked in the legal field for many years at the capacity of a Litigation Secretary, Paralegal, Office Administrator, Temp, and now owns and operates her third legal staffing firm.

HOUR

Law Tyme

Personal Injury Case Manager

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Bilingual Personal Injury Case Manager

Preference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance. In this role at PwC, you will help drive work across payer core operations, payer core technology, and front and middle office operations, with focus areas that may include claims processing, reimbursement models, government program support, core platform execution, care and utilization management, digital experience, and customer growth.

PwC’s accounting practice originated in London well over a century ago. As times changed and PwC expanded worldwide, our commitment to clients—like you—never wavered. With us, you’re always supported by a global network of more than 223,000 people in 157 countries with one goal: to help your business thrive.

PwC’s professional services include audit and assurance, tax and consulting that cover such areas as cybersecurity and privacy, human resources, deals and forensics. We help resolve complex issues and identify opportunities across these industries.

Let’s combine your ​aspirations with our world-class capabilities to achieve your goals.

PricewaterhouseCoopers LLP

Payer Middle Office / Technology / Operations Consultant, Senior Manager

Roofing experience is a major plus, but we will consider proven D2D leaders from solar, pest control, alarms, security, fiber, telecommunications, and other direct sales industries. We have an established sales process, proven training, operational support, marketing resources, leadership support, and a strong reputation in the home services industry.

Advosy

D2D Sales Manager - Roofing and Restoration

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The following certifications are preferred: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), and Certified Professional Coder (CPC) Ability to manage demanding investigative case load Strong written skills with ability to compose detailed investigative reports and professional internal and external correspondences Strong interpersonal skills, high level of professionalism, integrity and ethics in performance of all duties Excellent problem solving and decision-making skills with attention to details Experience in working with QNXT or any claim's processing application is preferred. www.uhs.com Qualifications Qualifications and Requirements: Bachelor's Degree or equivalent years of relevant work experience in Health-Related Field or Insurance required 3-5 years' experience in healthcare such as insurance, medical claims, medical front/back office, contracting, finance or Provider Relations Experience in healthcare fraud investigations, auditing, data analytics or related field Ability to apply knowledge of medical terminology to review claims system for approval or denial of coverage for claims related to accident/illness.

University Health Services Inc

Manager FWA and Subrogation

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Experience/Qualification Level Minimum of 3-5 years of experience: o Job-related experience with project builds over 200 sites Reports to CM3 (Lead) or IM Lead. Interfaces with External Interfaces: ASP/SP, Customer PM Internal Interfaces: IM Lead, Project Admin, Project Sponsor, CPM Responsibilities Include.

Adex Corporation

Construction Manager II

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Further responsibilities include pledging and securitizing loans, extensions, revision, or loan modifications, disbursing and reconciling residential real estate escrow accounts, tracking collateral insurance, handling warranty and insurance claims, default monitoring, staying abreast of any new or updated regulatory servicing requirements and reporting, general ledger integrity and IRS reporting is correct, as well as ensuring data integrity such that analytics on the loan portfolio is optimized. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following but are not limited to: Ensures that all department functions conform to all state and/or national legislative and regulatory requirements and to all credit union policies, operating guidelines, and procedures in a timely manner, preparing response(s) to audit/examination findings and correcting deficiencies in a timely manner both for internal and external serviced loans.

Silver State Schools Credit Union

Loan Servicing Manager

Nature and Scope: This position must possess extensive healthcare claims knowledge and have been responsible for the appropriate, compliant billing to insurance companies and patients, including third-party payer arrangements, legal proceedings, and the use of private collection agencies, with an understanding of how the revenue cycle processes and systems integrate information from the entire patient encounter to ensure appropriate follow-up to provide expedient, accurate collections to attain the departmental goals and objectives. Responsible for the management of Pre-Accounts Receivable to include Discharged, Not Final Billed accounts, Charge Router and Charge Review Work Queues, Claim Edit Work Queues and claims processing, remittance adjudication, the balancing of cash and credit balances, no response claims, clinical and technical denials through a strong follow-up and appeal process for designated payors.

Renown Health

Manager of Business Office

As Portfolio & Investment Operations Manager, you'll own asset management for a portfolio of residential transition loans (RTL)/bridge loans and home equity lines of credit (HELOCs) across securitizations, forward flow agreements, and joint ventures. You'll be the primary point of accountability for the ongoing performance, compliance, and economics of these portfolios and joint ventures, bridging deal structuring and live operations by turning portfolio management objectives and servicing, warehouse, and sale documents into repeatable practices.

Figure Technologies Inc

Portfolio & Investment Operations Manager

You will also oversee demand preparation, resolve final liens, and manage cases through to completion, ensuring that attorneys have comprehensive, well-documented files to effectively build and negotiate each case. Our products enable law firms to secure faster settlements, higher payouts, and better outcomes for victims injured through no fault of their own in vehicle collisions, accidents, natural disasters, and more.

EvenUp Inc

Spanish Bilingual | Personal Injury Pre-Litigation Case Manager

This inclusive resort provides you the perfect opportunity to entertain our guests as they stay in over 3,500 rooms and suites and play in our 77,000 square foot casino, and 15 acre backyard tropical retreat. Must be able to stoop, bend, jump, twist, crouch, grip, carry heavy loads, and maneuver quickly on level surfaces, as well as up and down stairs.

Caesars Entertainment Inc

Risk and Safety Manager (Flamingo LV)

5+ years of experience in a technical construction management role - EV charging, retail fueling/gas service stations, renewables, data center, or other physical infrastructure development role preferred. The Infrastructure Manager is a key role, strategically positioned to manage day-to-day operations and execute long-term planning of the company's physical expansion to new markets.

Moove

Infrastructure Delivery Manager Phoenix, AZ, Miami, FL, Las Vegas, NV · Hybrid

FULL_TIME

People Leadership & Capability Staff, train and coach the team; run the training plan to proficiency; Pay for Skill program for the warehouse operations, manage skills matrix coverage and succession; execute performance management and engagement routines. Data, Reporting & Master Data Stewardship Own the Logistics Scorecard, Power BI/AlplaMart logistics reports, Masterdata KPIs, and month end packs (FG/RM, eMIS); ensure data quality and timely, accurate submissions to Finance.

Alpla Inc.

Logistics Manager

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All roles may entail, to varying extents, the following physical demands: Long periods (potentially exceeding 8 hours per day) of walking, standing, sitting, bending, pushing, pulling, climbing, lifting, balancing, stooping, twisting, squatting, handling materials, repetitive hand-wrist motions, and traversing uneven surfaces; Exposure to both extreme heat and cold; Exposure to loud noises, fumes, and airborne particles; In addition to the above demands inherent in every role, the following roles may entail unique physical demands, including: Operators/Drivers may work inside or outside vehicles and may operate vehicles for over 8 hours per day. Maintenance Employees may be exposed to toxic or caustic chemicals in a ventilated maintenance shop and may work with personal computers, laptops, electronic hand-held devices, complex electrical schematics, diagnostic software and testing devices, and other heavy machinery.

Keolis America

Human Resources Manager - Reno

Lead and manage all project controls activities across the project portfolio, including planning, scheduling, cost control, forecasting, reporting, risk management, and change management. Lead project controls personnel, contractors, and consultants, including coaching, mentoring, performance management, and professional development.

Turner Mining Group

Project Controls Manager

Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Statement of Work (SOW) Management - Update and finalize the upcoming year's SOW, including submission of all required ServiceNow (SNOW) tickets, completion of project scoping activities, and preparation of supporting documentation for associated change orders.

Valeris Inc

Program Manager, Copay

Partner with P&C to hold new hire and PIT training completion at or above 95% across all associates and departments, and make sure onboarding safety training is finished before any new hire’s first shift on the floor. What experiences will help you in this role: 6+ years of safety or EHS experience in roles of progressive responsibility, ideally in an OSHA 1910 General Industry environment.

Spreetail

EHS Manager

Maintaining every holding in good standing, including unpatented BLM claims, patented claims (lode, placer, millsite), leasehold and fee interests across multiple western states, and exploration licenses and Crown land in the Yukon, along with the water rights that support those properties. The Land Manager also coordinates with Canadian land counsel and contract land professionals on Yukon and other Canadian filing obligations, and manages land access and stakeholder matters with private landowners, ranchers, and tribal and Indigenous entities.

Hecla Mining Co

Land Manager

Pharmacy Program Manager role includes: Collaborate with an interdisciplinary care management team (nurse case managers, medical directors, dietitians, social workers) to support members on their path to better health, decrease hospital readmissions, and reduce medical costs. Enhances clinical knowledge through attending rounds, giving presentations, composing weekly departmental newsletters, being up to date with clinical guidelines, and collaborating with colleagues to share clinical information.

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

Claims Manager Jobs in Nevada

Nurse Case Manager II Elevance Health Inc

Personal Injury Case Manager Law Tyme

Bilingual Personal Injury Case Manager Law Tyme

Payer Middle Office / Technology / Operations Consultant, Senior Manager PricewaterhouseCoopers LLP

D2D Sales Manager - Roofing and Restoration Advosy

Manager FWA and Subrogation University Health Services Inc

Construction Manager II Adex Corporation

Loan Servicing Manager Silver State Schools Credit Union

Manager of Business Office Renown Health

Portfolio & Investment Operations Manager Figure Technologies Inc

Spanish Bilingual | Personal Injury Pre-Litigation Case Manager EvenUp Inc

Risk and Safety Manager (Flamingo LV) Caesars Entertainment Inc

Infrastructure Delivery Manager Phoenix, AZ, Miami, FL, Las Vegas, NV · Hybrid Moove

Logistics Manager Alpla Inc.

Human Resources Manager - Reno Keolis America

Project Controls Manager Turner Mining Group

Program Manager, Copay Valeris Inc

EHS Manager Spreetail

Land Manager Hecla Mining Co

Pharmacy Program Manager CVS Health Corp

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