The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals, aiming to support quality treatment and timely return to work. This involves assessing treatment plan appropriateness, communicating with physicians, and explaining conditions and plans to patients, family members, and adjusters.
Remote Jobs & Work From Home Positions in United States (121,784)
Remote in = United States
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and necessity, attending provider visits, and coordinating long-term care strategies.
Commercial Lines Client Service Manager - Forestry Team
Higginbotham
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Full Time
·
12 Weeks Ago
Higginbotham
The Client Service Manager assists producers and clients with maintaining commercial lines insurance coverage by processing policies, endorsements, audits, and cancellations. This involves preparing endorsement requests, following up with carriers, processing audits with rate verification, handling cancellations, and communicating with staff and clients as needed.
Commercial Lines Account Manager - Forestry, Logging & Transportation
Higginbotham
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Full Time
·
12 Weeks Ago
Higginbotham
The Commercial Lines Account Manager is responsible for providing prompt, accurate, and courteous service to clients, producers, and company personnel while supporting the maintenance and expansion of commercial accounts. Essential tasks include planning and implementing insurance programs, staying updated on industry changes, negotiating terms with carriers, and preparing necessary documentation like proposals and summaries of insurance.
This role focuses on operational responsibilities centered around user operations and configuration, ensuring accurate user setup and access for both internal and external stakeholders using proprietary software. Responsibilities include managing user accounts, roles, and permissions, troubleshooting related issues, and acting as a liaison between end users and technical teams.
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The Director will manage the client performance management team, overseeing customer setup, implementation, training, support, and reporting processes for CareIQ services. This role involves directing the communication strategy for client performance and ensuring service expectations are successfully established and operationalized.
Senior Claims Specialist - West Virginia
CorVel Corporation
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Full Time
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12 Weeks Ago
CorVel Corporation
The Senior Claims Specialist manages complex Workers' Compensation claims by confirming coverage, determining compensability through investigation, and establishing reserves while authorizing payments within limits. This role involves developing action plans with case managers to reduce claim costs, coordinating return-to-work efforts, managing subrogation and litigation, and ensuring adherence to client and carrier guidelines.
The Account Manager is responsible for executive-level customer interaction, acting as a client extension to understand and communicate expectations, and increasing market share by delivering service that meets or exceeds customer goals. Key duties include managing accounts with significant revenue, conducting client stewardship, handling collections, and driving revenue growth with existing accounts.
Sr. Talent Acquisition Sourcing Specialist
HomeServices of America
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Full Time
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12 Weeks Ago
HomeServices of America
The role involves full-cycle recruiting and staffing for professional and management positions across the United States, focusing heavily on sourcing active and passive candidates using various channels. Key duties include coordinating the recruitment process, maintaining candidate pipelines, and advising hiring managers on best practices.
Sr Account Manager, Manchester - Midwest
Clearwater Paper Corporation
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Full Time
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12 Weeks Ago
Clearwater Paper Corporation
The Sr Account Manager is tasked with developing and executing sales activities within a defined geographic market to meet established sales and profitability objectives, which includes direct account management and channeled growth aligned with company vision. This role involves establishing business plans and strategies, collaborating with sales leadership, and contributing to training programs for customers and internal staff.
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals to support quality treatment and timely return to work. This involves assessing treatment plans, communicating with physicians, and coordinating care delivery such as negotiating durable medical equipment.
The Nurse Practitioner will conduct comprehensive annual wellness exams for patients both in-home and virtually, delivering personalized, compassionate medical care primarily to individuals with CKD and/or ESRD/ESKD. Responsibilities also include documenting patient information, coordinating care with other providers, prescribing medications, ordering tests, and ensuring timely completion of all required paperwork.
The role involves leading the design and technical execution of the Enterprise Performance Management (EPM) ecosystem, acting as the primary authority on the OneStream unified platform. Key duties include defining architectural strategy, overseeing multi-cube design, and hands-on development of complex business rules and data integrations.
The Advanced Practice Provider will conduct comprehensive annual wellness exams for patients in-home or virtually, delivering personalized, compassionate medical care primarily to individuals with CKD and/or ESRD/ESKD. Responsibilities also include coordinating care with other providers, maintaining accurate records, educating patients and families, and prescribing medications while collaborating with the Monogram physician.
CA WC Senior Claims Specialist (SIP, 4850)
CorVel Corporation
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Full Time
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12 Weeks Ago
CorVel Corporation
The Senior Claims Specialist manages complex Workers' Compensation claims by confirming coverage, determining compensability through investigation, and establishing reserves and authorizing payments. This role involves developing action plans with case managers to reduce claim costs, coordinating return-to-work efforts, and managing subrogation and potential recoveries.
The Implementation Manager is responsible for product enhancement and development while managing the implementation process from prospect presentation through conclusion for new and existing clients. This role facilitates the transition of client programs to field operations and account management personnel for ongoing service.
Oil & Gas HBP Landman
Paramount Field Services, LLC
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Full Time
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12 Weeks Ago
Paramount Field Services, LLC
The primary responsibilities involve managing and analyzing Held By Production (HBP) assets across Texas and New Mexico by reviewing leases, drilling clauses, production data, and title to determine HBP status. This role also requires clear communication of findings to clients and teams while maintaining organized, client-ready documentation.
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CA WC Senior Claims Specialist (Floater)
CorVel Corporation
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Full Time
·
12 Weeks Ago
CorVel Corporation
The Senior Claims Specialist manages complex Workers' Compensation claims by confirming coverage, determining compensability through investigation, establishing reserves, and authorizing payments within authority limits. This role involves developing action plans with case managers to reduce claim costs, coordinating return-to-work efforts, managing subrogation and litigation, and communicating claim status to customers and claimants.
The Medical Case Manager provides in-person and telephonic case management to injured workers, involving various stakeholders to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and necessity, attending provider visits, and coordinating care elements like durable medical equipment.
The coder reverse codes previously coded medical bills to verify coding accuracy and is responsible for making claim-related recommendations. This role involves processing claims based on state rules, determining validity, and communicating claim status to relevant stakeholders.
Advanced Practice Provider - Cedar Rapids, IA
Monogram Health
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Full Time
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12 Weeks Ago
Monogram Health
The Advanced Practice Provider will conduct comprehensive annual wellness exams for patients primarily dealing with CKD and/or ESRD/ESKD, both in-home and virtually, while delivering personalized, evidence-based care to reduce hospitalizations. Responsibilities also include maintaining accurate patient records, coordinating care with other providers, educating patients and families, and participating in integrated care team meetings.
The Advanced Practitioner will deliver personalized, compassionate medical care primarily to individuals with CKD and/or ESRD/ESKD, conducting comprehensive annual wellness exams both in-home and virtually. Responsibilities also include coordinating care with other providers, maintaining accurate patient records, and participating in integrated care team meetings to improve patient outcomes and quality of life.
The RTW Coordinator facilitates safe, timely, and appropriate return-to-work outcomes for injured employees by coordinating activities with clients, employees, and healthcare providers to identify RTW potential. Responsibilities include actively working with physicians to clarify medical restrictions and coordinating job function modifications with client locations.
Senior Claims Specialist - New England
CorVel Corporation
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Full Time
·
12 Weeks Ago
CorVel Corporation
The Senior Claims Specialist manages complex Workers' Compensation claims, ensuring adherence to company standards, coordinating with case managers and attorneys, and handling subrogation and settlement negotiations. Responsibilities include confirming coverage, determining compensability, establishing reserves, authorizing payments, and developing action plans to reduce claim costs.
The Medical Only Claims Specialist manages non-complex, medical-only workers’ compensation claims under close supervision, supporting departmental goals. Key duties include receiving claims, confirming coverage, determining compensability, establishing reserves, and communicating claim status to all relevant parties.
The Advanced Practitioner will deliver personalized, compassionate medical care, primarily to individuals with CKD and/or ESRD/ESKD, conducting comprehensive annual wellness exams both in-home and virtually. Responsibilities also include documenting patient records, coordinating care with other providers, and delivering evidence-based care to reduce hospitalizations and maximize quality of life.
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The Advanced Practitioner will deliver personalized, compassionate medical care, primarily to patients with CKD and/or ESRD/ESKD, conducting comprehensive annual wellness exams both in-home and virtually. Responsibilities also include coordinating care with other providers, maintaining accurate records, and delivering timely care to reduce hospitalizations and maximize patient quality of life.
The manager is responsible for driving business results by achieving revenue goals, developing regional sales plans, and promoting the company's value proposition through active prospecting and customer engagement. This includes utilizing CRM tools, submitting required reporting, and providing accurate 12-month sales forecasts.
The Indemnity Claims Specialist manages lower-level, non-complex workers’ compensation claims within delegated authority, aiming for the best possible outcome under senior supervision. Essential functions include receiving claims, confirming coverage, determining validity, establishing reserves, authorizing payments, and communicating claim status to relevant parties.
The analyst will provide front-line technical support for proprietary government software applications via phone, email, and remote access, focusing on timely issue resolution. Key duties include building client relationships, troubleshooting application problems, documenting issues, and deploying software updates or training new clients.
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