53 msa nurse reviewer jobs found

We are seeking Medical Analysts with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation for medical treatment and prescription medications. Candidates will demonstrate knowledge of CMS policies related to preparing MSAs. Strong writing skills, analysis skills and application of guidelines are required for this position. Medical Analysts will work closely with our attorneys and other members of the medical team to prepare Medicare Set-Asides and Medical Cost Projections. About the Day to Day Responsibilities of the Role •            Through a review of relevant medical files and related documentation, provides a narrative and cost projection for future treatment related to Workers Compensation and Liability injuries consistent with the current guidelines •            Collaborates with a team of attorneys and medical professionals in identifying negotiating and...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Dallas, TX.   Work from home, and on the road. Monday – Friday, regular business hours.   As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others.  This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others. Utilizes their medical and nursing knowledge to...

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity...

At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees.    **This position is eligible to work from home anywhere in the United States** Exercises independent judgment in the investigation, evaluation, negotiation, and disposition of moderately complex workers’ compensation claims, within limitations of authority outlined in the Claims Guide. Communicates with insureds, agents, and experts regarding coverage and claim status or questions. Essential Functions Reviews and evaluates the claim notice, lawsuits, contracts, state statutes, and policies to verify the appropriate coverage, deductibles Initiates timely contact with insureds and injured worker to explain the claims process, and begin investigation to determine compensability, and appropriate...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in El Paso, TX.   Work from home, and on the road. Monday – Friday, regular business hours.   As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others.  This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others. Utilizes their medical and nursing knowledge to...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Louisville, Shelbyville, or Lexington.   Work from home, and on the road. Monday – Friday, regular business hours. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others.  This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others. Utilizes their medical and...

Excellence In Everything We Touch Position Summary • Great Work Life Balance! • Monthly Bonus Program! • Free CEU’s for licenses and certificates • License and national certification reimbursement   This is a work from home position requiring  local field case management travel to cover the Syracuse, Schenectady, Albany, Poughkeepsie, & Cooperstown NY region.   National Certification such as CCM, CRC, COHN, CRRC preferred. RN degree required. Prior Workers Compensation Case Management preferred.   To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers'...

Excellence In Everything We Touch Position Summary • Great Work Life Balance! • Monthly Bonus Program! • Free CEU’s for licenses and certificates • License and national certification reimbursement   This is a work from home position requiring local field case management travel. Candidates must reside within the Central IL area- Bloomington/Peoria/Champaign/Springfield.   National Certification such as CCM, CRC, COHN, CRRC preferred. RN degree required. Prior Workers Compensation Case Management preferred.   To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to...

Excellence In Everything We Touch Position Summary • Great Work Life Balance! • Monthly Bonus Program! • Free CEU’s for licenses and certificates • License and national certification reimbursement • Additional PTO accruals     This is a work from home position requiring  local field case management travel to cover the San Francisco, CA region. National Certification such as CCM, CRC, COHN, CRRC preferred. RN degree required. Prior Workers Compensation Case Management preferred.   To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group...

Excellence In Everything We Touch Position Summary • Great Work Life Balance! • Monthly Bonus Program! • Free CEU’s for licenses and certificates • License and national certification reimbursement   This is a work from home position requiring  local field case management travel to cover the Orlando, Florida region. National Certification such as CDMS, CCM, CRC, COHN, CRRC is REQUIRED . RN degree or Master's degree level with a national certification. Prior Workers Compensation Case Management preferred.   To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers'...

Excellence In Everything We Touch Position Summary To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management.   Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19.  If required, the hiring manager will discuss with you during your interview process.  Responsibilities • Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual’s medical status, identifies needs and obstacles to medical case resolution and RTW by providing...

Excellence In Everything We Touch Position Summary • Great Work Life Balance! • Monthly Bonus Program! • Free CEU’s for licenses and certificates • License and national certification reimbursement   This is a work from home position requiring  local field case management travel to cover the Los Angeles, California region. National Certification such as CCM, CRC, COHN, CRRC preferred. RN degree required. Prior Workers Compensation Case Management preferred.     To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and...

Excellence In Everything We Touch Position Summary • Great Work Life Balance! • Monthly Bonus Program! • Free CEU’s for licenses and certificates • License and national certification reimbursement   This is a part-time work from home position requiring local field case management travel to cover the Cleveland, Ohio region.   National Certification such as CCM, CRC, COHN, CRRC preferred. RN degree required. Prior Workers Compensation Case Management preferred.   To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability,...

Excellence In Everything We Touch Position Summary • Great Work Life Balance! • Monthly Bonus Program! • Free CEU’s for licenses and certificates • License and national certification reimbursement   This is a work from home position requiring  local field case management travel to cover the Shreveport, LA region. National Certification such as CCM, CRC, COHN, CRRC preferred. RN degree required. Prior Workers Compensation Case Management preferred.     To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care...

Excellence In Everything We Touch Position Summary • Great Work Life Balance! • Monthly Bonus Program! • Free CEU’s for licenses and certificates • License and national certification reimbursement   This is a work from home position requiring  local field case management travel to cover the Waterbury & New Haven, CT region. National Certification such as CCM, CRC, COHN, CRRC preferred. RN degree required. Prior Workers Compensation Case Management preferred.     To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability,...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Novi, MI.  As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others.  This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others. Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment...

The Legal Nurse Consultant reviews medical records and billing, applying nursing expertise to prepare a concise medical treatment analysis, opining medical treatment relatedness to an injury. This a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Communicate with customers clarifying specific requirements of case Assess, review and summarize medical records and bills in a clear, concise manner Prepare a timeline or other summary of documentation for medical records Perform evidenced based medical research Ability to apply nursing knowledge to prepare a summary, conclusion, and recommendations of medical record review and research Required to prepare concise, organized written reports within a specified timeframe Educate and advise attorneys and clients regarding relevant medical issues Required to read extensively May require serving as an expert witness in the court system Minimum Productivity Standard is 95% Requires regular and consistent...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Novi, MI. Work from home, and on the road. Monday – Friday, regular business hours.   As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others.  This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others. Utilizes their medical and nursing knowledge to discuss...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Fredericksburg, VA area.   Work from home, and on the road. Monday – Friday, regular business hours.  Applicants must reside in the Central VA area. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others.  This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Folsom, CA.   Work from home, and on the road. Monday – Friday, regular business hours.   As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others.  This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others. Utilizes their medical and nursing knowledge to...