FULL_TIME

FEED

UNKNOWN

Collaborates with physicians, other members of the interdisciplinary health care team, and patient/family in the development, implementation, and documentation of appropriate, individualized plans of care to ensure continuity, quality, and appropriate resources as it relates to wound care. Regardless of past practices, all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.

HOUR

InnovAge

RN Wound Care Specialist

[AW]-iCims

REQUIREMENTSCompletion of an approved Nurse Practitioner programCandidates at all experience levels are invited to apply, including new graduates and those with established experience in women's healthNational certificationProfessional clinical experience in a clinic setting is preferredCandidates should have exceptional people and communication skills, be highly skilled in multi-tasking in a fast paced environment, a commitment to achieving a high level of accuracy and attention to detail, and a no-task-too-small to approach the workIf you are ready to build a career and meet the above qualifications, this is the opportunity for you. Collaborate with physicians in managing medical needs of patientsReview and order laboratory studies, x-rays and other diagnostic and therapeutic procedures with supervising physician as indicatedReview lab and radiology results, in consultation with supervising physician as indicatedSubmit patient health care plan and goals of individual patients for review and evaluation by physicianRefer patient to physician or specialist for consultationReview consultation reports, in consultation with the supervising physician as indicatedCounsel patients and their families on health promotion, diagnosis, prognosis, and management options.

Sante Health

Nurse Practitioner (UGSC)

Talent Acquisition

Vacation Benefit: At completion of 3-month introductory period, vacation accrual up to an annual max of 40 hours in the first 23 months, at 24 months, accrual up to an annual max of 80 hours with a rollover balance. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices.

Pacific Medical Inc.

Medical Billing Specialist (on-site)

partner JazzHR

The primary goal is to collaboratively work with patients to positively affect their health outcomes providing the right products and services at the right time while maintaining alignment with organizational goals and objectives. One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.

AdaptHealth Corp

Advanced Care Specialist

The job requires you be client focused, and develop strong partnerships that include communications and interactions with insureds, brokers and other internal business unit contacts to ensure smooth claims settlement, negotiations and resolutions. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals.

Tokio Marine Group

Senior Litigation Specialist, SLU

Works with Safety, Procurement, and Clinical Engineering and Clinical Operations to identify medical device and equipment failures for purposes of improving organizational risk, patient safety and for reporting to the Food and Drug Administration (FDA). Serves as a risk management generalist to facilitate and perform the duties of the risk management department on a variety of hospital and clinic related topics including collaboration and communication with various stakeholders, patients, and medical staff.

Adventist Health System

RN, Risk Management Specialist

Under the direction of the Vice President of Human Resources, the Human Resources Specialist of Leaves and Benefits, performs a variety of professional-level administrative, clerical, technical and analytical duties in support of the College's human resource functions including leaves, files, legal documents forms, recruitment, selection, classification, wage and salary administration. May provide support of the worker's compensation and disability programs; review initial claims and determine the type of claim to be established; serve as liaison with injured workers, college departments, attorneys, medical providers, and investigators in the management of claims; work closely with employees and department managers regarding return to work issues.

YEAR

Barstow Community College

HUMAN RESOURCES SPECIALIST-LEAVES & BENEFITS

OTHER

As a Regulatory Affairs Specialist III, you will help ensure critical diagnostic products meet global regulatory requirements, support product development initiatives, and maintain regulatory compliance across international markets. This role offers the chance to work with cross-functional teams, contribute to international regulatory submissions, and play a key role in bringing compliant healthcare solutions to markets around the world.

Manpower

Global Regulatory Affairs Specialist

appcast_organic

Three (3) or more years of experience in one or more of the following areas: healthcare, medical malpractice claims, patient safety, healthcare risk management, quality improvement, clinical review, clinical data analysis, claims analytics, healthcare data analysis, or healthcare data science. We offer competitive compensation, an incentive bonus plan, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program.

The Doctors Company

Patient Safety Specialist

Tokio Marine America Insurance Company

RN, Risk Management Specialist (White Memorial)

Veteran's Credit: Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions. Reviews applications for required documentation; verifies credentials, education, employment history, licensure, professional references, hospital affiliations and liability claims history by performing on-line queries from a variety of resources, such as the National Practitioner Data Bank, American Medical Association, Drug Enforcement Administration, and Office of the Inspector General.

Los Angeles County

CREDENTIALING SPECIALIST

The Intake Specialist plays a vital role in supporting patient access to care by coordinating referrals, reviewing clinical documentation, and ensuring services are set up accurately and efficiently. In accordance with California law, candidates applying for positions located in California that require on-site presence at a Home Medical Device Retailer (HMDR) facility must obtain a California Department of Public Health (CDPH) Exemptee License.

AdaptHealth

Intake Specialist

ea_via_bold

We are the premier independent calibration, repair, and asset services provider in the U.S. We provide our customers single-source, cost-effective, best-in-class solutions. Our team is comprised of talented professionals who excel at providing industry leading calibration, repair and asset management services to our customers.

Trescal SA

Delivery Driver & Logistics Specialist

Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and "How-To" documents. Maybe responsible for obtaining, analyze, and verify the accuracy of information received from referrals, create orders, and or schedule the patient to receive equipment as ordered by their doctor.

Customer Service Specialist

The Process Enhancement Specialist will also participate in implementation of new human resources technology solutions to eliminate barriers to efficient operations in the corporate and field human resources functions. Company Overview: Allied Universal, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose.

Allied Universal provides unparalleled service, systems and solutions to the people and business of our communities, and is North America's leading security services provider. With over 140,000 employees, Allied Universal delivers high-quality, tailored solutions, which allows clients to focus on their core business. For more information: 866.825.5433 or <a href="http://www.aus.com/" target="_blank">www.AUS.com</a>

Allied Universal

HR Compliance Specialist

Founded in 1988, Unicare Health helps patients with complex medical needs thrive at home through compassionate care, expert clinical support, and trusted partnership with families and healthcare providers. A strong coordinator and team player who works closely with clinical, billing, and delivery colleagues throughout the new patient intake process and the ongoing patient experience, so mission-aligned care is delivered without gaps.

Unicare Health

Patient Intake Specialist

The Contract Administrator may work with providers on the TERM, and/or Medi-Cal Fee-For-Service (FFS) Network(s) as well as Off Panel, Out of Network providers, Skilled Nursing Facilities, Hospitals, which includes the San Diego County Psychiatric Hospital and/or Edgemoor Hospital, as well as other medical professionals. Maintains and ensures the integrity of provider databases; responds to provider inquiries and provides exceptional customer service to providers, County partners, peers, staff in other departments and the general public.

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

<a href="https://www.youtube.com/watch?v=5PbNyi2IDkY">https://www.youtube.com/watch?v=5PbNyi2IDkY</a> 

Caring. Connecting. Growing together. 

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. <a href="https://careers.unitedhealthgroup.com/culture/what-we-offer/">Learn more about what we offer.</a> 

• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. <a href="https://careers.unitedhealthgroup.com/culture/">Learn more about our culture.</a> 

• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. <a href="https://careers.unitedhealthgroup.com/career-areas/">Discover all the ways you can learn, grow and develop.</a>

UnitedHealth Group Inc

Senior Provider Data Analyst & Resolution Specialist - Remote

PRIMARY PURPOSE: Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments, medically managing disability claims; coordinates investigative efforts, thoroughly reviewing contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse to determine if the claimant is disabled as defined by the disability plan.

Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.

Sedgwick Claims Management Services, Inc.

Disability Specialist

Data QA and reviews: Vet the quality of insurance knowledge work tasks and model outputs, spotting missing behaviors, thin reasoning, flawed actuarial assumptions, misapplied policy language, and answers that read well but would not survive professional scrutiny. Instruction specs and golden datasets: Write high-quality instruction specs, produce golden solutions to insurance and actuarial problems, and define new tasks that reflect how the work is actually done in practice.

Insurance Claims Specialist Jobs in California

RN Wound Care Specialist InnovAge

Nurse Practitioner (UGSC) Sante Health

Medical Billing Specialist (on-site) Pacific Medical Inc.

Advanced Care Specialist AdaptHealth Corp

Senior Litigation Specialist, SLU Tokio Marine Group

RN, Risk Management Specialist Adventist Health System

HUMAN RESOURCES SPECIALIST-LEAVES & BENEFITS Barstow Community College

Global Regulatory Affairs Specialist Manpower

Patient Safety Specialist The Doctors Company

Senior Litigation Specialist, SLU Tokio Marine America Insurance Company

RN, Risk Management Specialist (White Memorial) Adventist Health System

CREDENTIALING SPECIALIST Los Angeles County

Intake Specialist AdaptHealth

Delivery Driver & Logistics Specialist Trescal SA

Customer Service Specialist AdaptHealth

HR Compliance Specialist Allied Universal

Patient Intake Specialist Unicare Health

Senior Provider Data Analyst & Resolution Specialist - Remote UnitedHealth Group Inc

Disability Specialist Sedgwick Claims Management Services, Inc.

Insurance Domain Expert Weekday AI

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