Medical Case Manager
3 days ago
About Us
At Travelers Insurance Company, we are dedicated to providing exceptional care to our customers, communities, and employees. Our commitment to innovation and collaboration drives us to deliver extraordinary results.
About the Job
We are seeking a skilled Registered Nurse (RN) or Licensed Practical Nurse (LPN) / Licensed Vocational Nurse (LVN) to join our team as a Medical Case Manager in our Concierge Location Support role. This position involves working with injured employees to ensure they receive the necessary medical treatment and support for a timely return to work.
Key Responsibilities
- Meet with injured employees face-to-face following office visits at a provider's medical facility to assist with the claim process and ensure compliance with their medical treatment plan.
- Contact customers, medical providers, and injured parties on claims involving medical treatment and/or disability to coordinate appropriate medical care and return to work.
- Develop strategies to facilitate an injured employee's return to work and achieve maximum medical improvement. Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.
- C Coordinate with medical providers to ensure the injured employee is actively participating in a viable treatment plan.
- Evaluate medical treatment requests to ensure that they are reasonable and necessary based upon jurisdictional guidelines.
- Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor, peer reviews, MCU).
- Partner with Claim Professional to provide medical information and disability status necessary to create an overall strategy to achieve an optimal outcome.
- Utilize internal Claim Platform Systems to manage all claim activities on a timely basis.
- Utilize Preferred Provider Network per jurisdictional guidelines.
- Partner with Claim Professional to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves.
- Submit accurate billing documentation on all activities as outlined in established guidelines.
Requirements and Qualifications
- Bachelor's degree in Nursing (BSN) or higher required; registered nurse license (RN) or licensed practical nurse/licensed vocational nurse (LPN/LVN) certification required.
- Prior clinical experience preferred.
- Familiarity with URAC standards and knowledge of WC products and ability to apply available resources and technology to manage treatment plans and assist with claim resolution desired.
- Ability to communicate effectively with diverse stakeholders, including injured employees, medical providers, and claim professionals, in a fast-paced environment.
- Excellent analytical, problem-solving, and negotiation skills, with the ability to adapt to changing circumstances.
- Strong understanding of disability management principles and practices, including early intervention, return-to-work planning, and medical case management.
- Knowledge of insurance contracts, policies, and procedures, with the ability to interpret and apply relevant laws and regulations.
What We Offer
We offer a competitive salary of $83,300.00 - $137,400.00 per year, plus benefits such as health insurance, retirement plans, paid time off, and wellness programs. Join our team today and be part of a dynamic organization that values diversity, inclusion, and community engagement
-
Medical Case Manager
3 weeks ago
Paris, Île-de-France, United States Travelers Insurance Company Full timeCompany Overview:At Travelers Insurance Company, we prioritize delivering exceptional care to our customers and communities. Our commitment to innovation and collaboration has earned us a reputation as one of the best property casualty insurers in the industry for over 160 years.Salary: The estimated annual base salary range for this position is $83,300.00 -...
-
Nursing Professional
3 weeks ago
Paris, Île-de-France, United States All Medical Personnel Full timeAbout the RoleWe are seeking a skilled and dedicated Nursing Professional to join our team as a Cardiac Care Specialist. In this role, you will be responsible for assisting physicians with patient management, identifying irregular telemetry readings, and notifying the appropriate medical team members.
-
RN - Telemetry Specialist
3 weeks ago
Paris, Île-de-France, United States All Medical Personnel Full timeJoin a dynamic team of healthcare professionals at All Medical Personnel, a national leader in healthcare staffing recognized by Staffing Industry Analysts as one of the nation's largest healthcare staffing firms. As an RN - Telemetry Specialist, you will play a vital role in providing exceptional patient care and management.Salary: The estimated salary for...
-
Telemetry Nurse
3 weeks ago
Paris, Île-de-France, United States All Medical Personnel Full timeJob Title:Telemetry Nurse - Traveling Healthcare SpecialistAbout the Role:We are seeking a skilled Telemetry Nurse to join our team of healthcare professionals. As a Traveling Telemetry Nurse, you will have the opportunity to work in various medical settings and locations.Key Responsibilities:Assist physicians with patient management and provide high-quality...
-
Telemetry Nurse Specialist
3 weeks ago
Paris, Île-de-France, United States All Medical Personnel Full timeWe are seeking a skilled Telemetry Nurse to join our team at All Medical Personnel. This is a rewarding opportunity for a dedicated healthcare professional to work in a dynamic environment, providing high-quality patient care and collaborating with medical teams.Job SummaryThe Telemetry Nurse will be responsible for monitoring patients' vital signs and...
-
Telemetry Nurse Specialist
3 weeks ago
Paris, Île-de-France, United States All Medical Personnel Full timeAt All Medical Personnel, we are seeking an experienced Telemetry Nurse to join our team. This rewarding role offers a competitive salary and excellent benefits package.About the RoleThe successful candidate will be responsible for providing high-quality patient care in a dynamic healthcare environment. As a Telemetry Nurse, you will work closely with...
-
Senior Claims Resolution Manager
3 weeks ago
Paris, Île-de-France, United States Gallagher Bassett Full timeRole HighlightsGallagher Bassett seeks a talented Senior Claims Resolution Manager to join our Claims Adjuster team. As a key member, you will be responsible for investigating, evaluating, and resolving complex workers compensation claims. You will work in partnership with our clients to deliver innovative solutions and enhance the claims management...
-
Travel Telemetry Registered Nurse
3 days ago
Paris, Île-de-France, United States All Medical Personnel Full timeAbout the RoleWe are seeking an experienced Travel Telemetry Registered Nurse to join our team at All Medical Personnel. As a member of our team, you will have the opportunity to work in various locations across the country, providing exceptional patient care and contributing to our mission of delivering the highest level of service to our patients and...
-
Hospital Equipment Manager
3 days ago
Paris 02 Bourse, Île-de-France, United States Odell Medical Search Full timeKey ResponsibilitiesThe successful candidate will be responsible for leading a team of sterile processing technicians, ensuring the efficient operation of the department, and maintaining high standards of quality and safety. Key responsibilities include:Oversight of decontamination and sterilization processesMaintenance of equipment and suppliesManagement of...
-
Medical Support Specialist
3 days ago
Paris 02 Bourse, Île-de-France, United States BioLife Plasma Services Full timeAbout BioLife Plasma ServicesWe are a leading plasma collection company dedicated to improving the lives of patients with rare diseases. Our team is passionate about providing exceptional customer service and ensuring the safety of our donors. We offer a competitive $25-$35 per hour salary, comprehensive benefits package, and opportunities for career...
-
Plasma Center Medical Assistant
3 days ago
Paris 02 Bourse, Île-de-France, United States BioLife Plasma Services Full timeJob Description:Are you passionate about working in a healthcare setting and providing excellent customer service? Do you have a strong background in medical terminology and procedures? If so, we encourage you to apply for our Medical Support Specialist position at BioLife Plasma Services in McKinney, TX.The estimated hourly wage for this position is...
-
Medical Support Specialist
3 weeks ago
Paris 02 Bourse, Île-de-France, United States BioLife Plasma Services Full timeWe are seeking a Medical Support Specialist to join our team at BioLife Plasma Services, a subsidiary of Takeda Pharmaceutical Company Ltd. in McKinney, Texas.**About the Role:**The Medical Support Specialist will be responsible for determining donor eligibility, managing donor adverse events, reviewing laboratory test results, and notifying donors of...
-
Senior Fundraising Professional
2 weeks ago
Paris 02 Bourse, Île-de-France, United States CommonGood Medical Full timeAbout CommonGood MedicalCommonGood Medical is a non-profit Christian ministry dedicated to providing free healthcare to uninsured individuals in our community.We are seeking an experienced and passionate Senior Fundraising Professional to lead our fundraising efforts and develop a comprehensive strategy to support our mission.Job Summary:The Senior...
-
Chief Fundraising Officer
2 weeks ago
Paris 02 Bourse, Île-de-France, United States CommonGood Medical Full timeCommonGood Medical seeks a seasoned Fundraising Director to spearhead our development efforts. The ideal candidate will possess at least 5 years of non-profit fundraising experience and share our commitment to serving the poor.About CommonGood MedicalWe are a non-profit Christian ministry dedicated to providing free healthcare to uninsured individuals in our...
-
Food Service Team Lead
3 weeks ago
Paris, Île-de-France, United States Sodexo Full timeAbout the RoleAs a Food Service Team Lead at Sodexo, you will play a vital role in ensuring the smooth operation of our food service operations. This includes coordinating the activities of workers and/or service employees engaged in food operations or services, performing day-to-day assignments in addition to supervision duties, and working with customers...
-
Claims Resolution Specialist
3 weeks ago
Paris, Île-de-France, United States Gallagher Bassett Full timeAbout Gallagher BassettGallagher Bassett is a leading provider of workers' compensation claims management services. We are committed to delivering exceptional results and building long-term relationships with our clients.Job OverviewThis role involves working as a key member of our experienced claims team, responsible for investigating, evaluating, and...
-
Diagnostic Imaging Specialist
3 weeks ago
Paris, Île-de-France, United States CareNow Full timeCareNow urgent care delivers quality, patient-centered care with unparalleled service. As a Diagnostic Imaging Specialist, you will be part of our team that provides extensive resources and support to our clinical teams.We are seeking a highly skilled Diagnostic Imaging Specialist who is passionate about providing compassionate, high-quality care. In this...
-
Mental Health Therapist
3 weeks ago
Paris 02 Bourse, Île-de-France, United States Exult Healthcare Solutions Full timeExult Healthcare Solutions is seeking a fully licensed or associate mental health therapist to provide therapy services for our teen intensive outpatient program (IOP).This role involves facilitating a 5-day-per-week group session, providing case management services, and offering psychotherapy sessions in-person at our facility. Our ideal candidate has...
-
Workers Compensation Claims Supervisor
3 weeks ago
Paris, Île-de-France, United States Gallagher Bassett Full timeAbout the Role:Gallagher Bassett seeks a dedicated and experienced Workers Compensation Claims Supervisor to lead a team of claims professionals in delivering exceptional service to our clients. The ideal candidate will have a strong background in lost time and indemnity workers compensation claims, with at least 5 years of supervisory experience and a...
-
Operational Specialist for Production
3 weeks ago
Paris 02 Bourse, Île-de-France, United States SLMP Full timeOverviewWe are seeking an Operational Specialist to join our team at Statlab Medical Products. This role is a key part of our production operations and requires attention to detail, strong organizational skills, and the ability to work independently.Key Responsibilities:Pull and verify work orders at the beginning and throughout each shift, ensuring accuracy...