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The Nurse Case Management Supervisor provides coaching, leadership and acts as a resource to a team of Nurse Case Managers and unlicensed clinical professionals. You are responsible for timely case assignments, quality reviews, and supporting staff members to maximize caseloads with high clinical value. You’ll also be responsible for assisting in budget preparation and adhering to budget parameters. This is a working leadership role and the supervisor will manage a modified caseload.
- Lead by example to support a highly functioning synergistic managed care team
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As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.
- Coordinate and implement medical case management to facilitate case closure
- Timely and comprehensive communication with with employers, adjusters and the injured workers.
- Assess appropriate utilization of medical treatment and services available through contact with physicians...
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As a Software Development Engineer (SDE), you will participate in the entire software development life cycle, debugging applications and configuring existing systems. We will look to you to implement robust and reliable solutions and work within a team of SDE’s to achieve software development results.
- Participates in requirements analysis, open to new ideas, stay up-to-date with latest tools and technologies
- Collaborates with internal teams to produce software design, architecture, design documentation (High & low)
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The position serves as a subject-matter expert for Medical Bill Review (MBR) operations, providing advanced production support, driving process improvements, and coordinating cross-functional issue resolution and project execution. As an Operations Analyst, you will support the processing of workers’ compensation medical and pharmacy bills from bill intake through bill payment and is a primary resource for issue resolution related to these processes. You will work directly with Berkley Operating Units to investigate bill processing issues and are responsible for problem-solving, identifying and triaging issues to technical teams, directly interfacing with multiple vendors to facilitate issue...