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RN Telephonic Case Manager Job
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| Employer Name: HealthcareCrossing |
SpiderID: 2339289 |
| Location: Chicago, Illinois |
Date Posted: 7/4/2008 |
| Wage: |
Category: Healthcare |
| Job Code: 6038509 |
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Job Description:
Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been recently the Best TPA in America, in 2005 and 2006 and we are a continuing Employer of Choice award recipient, the first and only Third Party Administrator to receive this coveted designation. Come be a part of our team and Claim Your Future. PRIMARY PURPOSE: To perform initial evaluation assessments and evaluate need for alternative treatment; to negotiate claims with providers and employers; and to provide case direction and supervision to field case specialists when on-site intervention is required ensuring quality and appropriate service delivery.ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Performs initial evaluation assessment via telephone calls to client, employer, and physician. Evaluates need for alternative treatment. Negotiates level of care, intensity and disability duration with providers Negotiates and coordinates a prompt return to work with employer Maintains accurate record of management including costs, savings and demographic data Adheres to quality assurance standards Provides case direction and supervision to field case specialists when on-site intervention is required; ensures quality and appropriate service delivery Communicates effectively with handling claims examiner, client, claimant, and supervisor Supports the Total Performance Management initiative Qualifications Education & Licensing: Baccalaureate degree in nursing.
For more information, please click here to visit us at HealthcareCrossing
For further information, please visit us online at http://www.healthcarecrossing.com
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Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:
Contact Information:
| Contact Name: - |
Company Type: Employer |
| Company: HealthcareCrossing |
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| City: Pasadena |
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| State: California |
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| Zip: |
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Web Site: http://www.healthcarecrossing.com
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