Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Rehabilitation Nurse - (Kg12122)

Expired Job

Reliance Standard Phoenix , AZ 85002

Posted 4 months ago

The Rehabilitation Nurse reviews all medical (and other) documentation in claim files to answer the specific questions posed by claims examiners and managers. Coordinates and monitors independent medical examinations, peer reviews and functional capacity evaluations.

Duties and Responsibilities:
Determines whether questions posed by claims examiners and/or management can be appropriately addressed by the Rehabilitation Nurse. If not, refer the file to the appropriate member Ensures that appropriate files are presented to physicians and/or specialists for review.
Reviews and evaluates the medical (and other) records contained within the claim file and responds to the specific question(s) posed by the claims examiner or manager.
Performs case management responsibilities as required.
Provides reference information on the sickness or disease generally where appropriate.
Serves as a resource for examiners and consults with them about medical issues as necessary.
Recommends appropriate resource materials for purchase.
Assists with training of Claims Department personnel as requested by management, and provides feedback regarding training opportunities.
Participates in sales presentations as requested. Some travel may be required.
Schedules and monitors independent medical examinations, peer reviews and functional capacity evaluations.
Monitors the quality, efficiency and cost-effectiveness of vendors providing these services and makes appropriate recommendations.
May work with affiliated companies to achieve corporate results.
Suggests improvements to processes, procedures and products as appropriate.
May testify as necessary in legal proceedings.
All other duties as assigned.

Education, Qualifications and Experience:
BSN degree required.
Minimum of three (3) years of related experience.
Registered Nurse with current state licensure.
Strong clinical or case management background desirable.
Experience with the processing of insurance claims desirable. Experience with the handling of long-term disability claims or integrated disability claims helpful.
Proven ability to work well in a high visibility, public oriented environment, with excellent written and verbal communication skills.
Proven ability to work with the following equipment: P.C.(including Word and Excel), telephone, fax machine, calculator.
Prior experience using an automated claim system desirable.


See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Unit Secretary North Mountain Medical And Rehabilitation Center

Ensign Group

Posted 1 week ago

VIEW JOBS 12/6/2018 12:00:00 AM 2019-03-06T00:00 Unit Secretary Shift: Day Hours: Full Time Responsibilities: * Assist in planning, developing, organizing, implementing, and evaluating the activity programs of this facility. * Participate in community planning related to the interests of the facility and the services and needs of the resident and family. * Coordinate activities with other departments as necessary. * Arrange transportation for field trips when necessary. * Communicates professionally with residents, families and staff We prefer applicants come into our facility to fill out paper applications. Fill out an application any day of the week, from 7:30AM-8:00PM. Will you pledge to live CAPLICO? North Mountain Medical and Rehabilitation Center's commitment to excellence extends beyond delivering world class health care. Our company mission is to dignify and transform post-acute care. Our facility's success is dependent upon our highly motivated clinical professionals working to improve business operations. Our leadership team is driven to provide exceptional service by cultivating a workforce that is dedicated to upholding our company's mission of delivering care with compassion and integrity. We value innovation and creativity in our buildings and love a healthy debate that challenges us to learn and grow. Are you ready to discover the world of limitless possibilities that comes with being a member of our culture? Are you a Unit Secretary who is eager to make a difference? Explore more about this opportunity and how you can help us write a new chapter in our story of providing exceptional care and making a positive impact in the lives of everyone we serve. Living CAPLICO…… CAPLICO Customer Second: When we take care of our team first, it reflects positively on our customer care. Accountability: We strive for quality of life and reach for high standards as a team. Passion For Learning: We want to be at the forefront of change; there is always something we can learn. Love One Another: Treat others the way you want to be treated. It's simple, yet effective. Intelligent Risk Taking: If something makes sense, we're willing to give it a try. Celebration: We celebrate life every day of the year with our teammates and residents. Ownership: When everyone on the team is encouraged to take ownership of the care that they give, it positively improves their attitude, which affects everyone around them, from teammates to residents. We would love to meet you and hear your pledge to live CAPLICO with us. In addition to hiring a Unit Secretary who exhibits the above qualities that help us create a world class culture, we offer competitive wages, mentorship and training for new graduates, tuition reimbursement, dependent care and public transportation FSAs, cell phone and movie ticket discounts, 401(k) with matching contributions, career advancement opportunities, and medical, dental, and health insurance. Take a look at these benefits (and more!) at www.ensignbenefits.com Apply In Person! Fill out an application any day of the week, from 7:30AM-8:00PM. North Mountain Medical and Rehabilitation Center 9155 North 3rd Street Phoenix, AZ 85020 http://northmountain.net/ Unable to apply at the moment, or are you interested in hearing more about future opportunities with us? Join our talent network at https://ensignservices.jobs.net/join The employer for this position is stated in the job posting. Ensign Services, Inc. provides recruiting services for operations in the skilled nursing, assisted living, home health and hospice industries. Back to Jobs Ensign Group Phoenix AZ

Rehabilitation Nurse - (Kg12122)

Expired Job

Reliance Standard