Conduent Bi-lingual Telephonic RN WC Case Manager in Lakeland, Florida
Bi-lingual Telephonic RN WC Case Manager
Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve.
We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the customer interface for large segments of the technology industry and the operational and processing partner of choice for public transportation systems around the world.
Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning - Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn more at www.conduent.com .
I’m looking for
A strong Bilingual RN CASE MGR-WORKERS’ COMP for our client operations (REMOTE OPPORTUNITY)
The RN MGR-WC is responsible for the management and oversight of the case management and utilization management process for injured workers as designated by the client.
Manage all aspects of the case management process
Position requires the management of difficult, complex and/or catastrophic files as required
Ability to identify trends
Provide professional and analytical support to medical services programs
Implementation Operation and contract compliance (e.g., Medicare)
Utilization Review Condition Management Health Care Coordination
Case Management Insurance Claim Administration Pharmacy Services; Medical Services Collection Services
Negotiates liability settlement of medical claims with third parties or healthcare providers
Seeks reimbursement from healthcare providers and/or ensures payment of claims
Is it time to find an opportunity with a more balanced schedule?
What U need to WIN:
A BSN and a valid RN license (req’d)
Bilingual Eng/Spanish (req’d)
Min 3 years Case Management exp in WC
A valid Case Management designation (CCM, CRC, CRRN, COHN) (req’d)
If the timing is right to work somewhere AWESOME, please connect
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form at https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf .
Job Service Delivery Healthcare
Primary Location United States-Florida-Lakeland
Organization Financial Service Healthcare
Unposting Date Sep 10, 2018, 10:59:00 PM
Req ID: 18015920