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Bi-Lingual Sr RN WC Case Manager

Company: Conduent
Location: Lakeland
Posted on: November 3, 2018

Job Description:

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 SR RN CASE MGR-WORKERS'COMP for our client operations (remote/virtual) TheSR RN CASE MGR-WC is responsible for the management and oversight of the casemanagement and utilization management process for injured workers as designatedby the client. Thisis a higher level revenue producing nurse case management position handing WCcases for the Spanish/Hispanic population for a national client. Thisis a partnership where the RN will assist with the account on strategic medicalplans as well as managing the injured workers medical care.* Manage all aspects ofthe case management process* Position requires themanagement of difficult, complex and/or catastrophic files as required* Ability to identifytrends* Provide professional and analytical support to medical services programs Implementation Operationand contract compliance (e.g., Medicare) Utilization Review ConditionManagement Health Care Coordination Case Management InsuranceClaim Administration Medical Services Collection Services* Negotiates liability settlement of medical claimswith third parties or healthcare providers* Seeks reimbursement from healthcare providersand/or ensures payment of claims Is it time to find anopportunity with a more balanced schedule? WhatU need to WIN:* A BSN and a valid RNlicense (req'd)* Bilingual Eng/Spanish(req'd)* Min 3 years CaseManagement exp in WC : 1 year in a supervisory role* A valid Case Managementdesignation (CCM, CRC, CRRN, COHN) (req'd) 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.'1822831

Keywords: Conduent, Lakeland , Bi-Lingual Sr RN WC Case Manager, Executive , Lakeland, Florida

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