Medical Case Manager

Roles and Responsibilities: • PH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured worker back to work. • Nurses...

Roles and Responsibilities:• PH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured worker back to work.• Nurses have...

Nurse Case Manager Job OverviewThis Nurse Case Manager position requires a strong background in clinical review and case management. The ideal candidate will have experience working with workers' compensation laws and regulations.Responsibilities:Partner with adjuster to develop medical resolution strategies to achieve maximal medical improvement or the...

- Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information- Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions,...

- Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information - Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions,...

About the RoleLifetrack Medical Systems is a next-generation PACS solution that enables you to connect and distribute images to your entire practice setup. We are seeking a skilled Medical Imaging Specialist to join our team and contribute to the success of our platform.In this role, you will be responsible for reviewing and interpreting medical images,...

- Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information - Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions,...

What will you do?o Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational informationo Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...

What will you do? o Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information o Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...

Key ResponsibilitiesDevelop and implement defensible case recommendations for concurrent admission, continued stay, and concurrent denial casesCollaborate with Physician Advisors to ensure accuracy and consistency in case recommendationsStay up-to-date on relevant medical guidelines and best practices to inform clinical decisionsCommunicate effectively with...

What will you do? o Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information o Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...

Role DescriptionThe Nurse Case Manager will work closely with our claims team and healthcare providers to coordinate medical care and rehabilitation services for individuals with work-related injuries. Key responsibilities include:• Developing and implementing individualized return-to-work plans in collaboration with healthcare providers and employers•...

We are seeking a highly skilled Complex HR Case Manager to join our team at Goodyear Dunlop Tires Germany GmbH. The successful candidate will have a strong background in HR operations, employee relations, and HR systems.The Complex HR Case Manager will be responsible for:Managing and resolving complex HR cases, including employee relations, compensation, and...

Job SummaryWe are looking for an experienced Expert Radiologist to join our team at Lifetrack Medical Systems. In this role, you will be responsible for providing expert consultation and image interpretation to a network of healthcare facilities via a sophisticated teleradiology network.You will also provide mentoring and training to new members, ensuring...

Job DescriptionWe are seeking an experienced Radiology Consultant to join our team at Lifetrack Medical Systems. In this role, you will be responsible for providing expert consultation and image interpretation to a network of healthcare facilities via a sophisticated teleradiology network.You will also provide mentoring and training to new members, ensuring...

ResponsibilitiesPerform prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service, and level of care.Review, research, and prepare documentation related to retrospective review requests and appeals in accordance with local,...

Job OverviewAt Gratitude Philippines, we are committed to providing exceptional service to our clients. As a Nurse Case Manager, you will play a critical role in ensuring that our clients receive the highest quality care and support. Responsibilities:• Assess client needs and develop individualized return-to-work plans• Coordinate with healthcare...

About the RoleThis Medical Appropriateness Assessor position plays a critical role in ensuring that injured employees receive appropriate levels and intensity of care. The ideal candidate will have a solid understanding of workers' compensation laws and regulations.Responsibilities:Use clinical/nursing skills to determine whether all aspects of patient care...

Responsibilities: Carry out quality assurance oversight activities defined in the Client Managed Care National Best Practices and Quality Assurance Standards Conduct regular and systematic review of Managed Care internal and external claim files with focus towards validation of consistent evaluation of evidence-based medicine, comprehensive assessments,...

Responsibilities: Research, plan, develop, implement and evaluate training strategies, initiatives, and materials including comprehensive education programs to meet orientation and ongoing competency needs and professional development needs Assess data and information related to claim medical outcome and other pertinent situations including identification of...