Location: Bridgeville, CA
nursing backssment, prioritizes patient needs, and refers to the appropriate level of care that will ensure an optimal outcome. Provides comprehensive backssment and utilizes evidence based guidelines, along with insight of the nursing process, and a proven ability to critically analyze information from the patient and available medical records in the decision making process.
Ensures access to care. Serves as the primary point of contact for telephone patients with a variety of health-related question or concerns. Collects subjective data related to the presenting problem and medical history. Utilizes critical thinking and problem solving skills to recognize and match symptoms to protocol,
assigning acuity (emergent, urgent, acute and non-acute) and ensuring safe, timely disposition of health related calls. Documents encounter and decision making in a concise and accurate manner, utilizing the patient's own words as appropriate.
Recalls knowledge of the teaching principles of health care information to pediatric, adult and geriatric populations. Ensures that the caller comprehends health information and clinical advice to make informed healthcare decisions. Establishes an immediate therapeutic rapport with callers, making every effort possible to resolve the problem. Listens, communicates and documents simultaneously while navigating computer programs to backss, process,
educate and document all information in a professional manner.
Demonstrates knowledge and use of the nursing process to identify physical, psychosocial, and developmental needs and interventions to promote favorable outcomes. Meets established quality standards, competencies, and educational training and requirements. Participates in staff meetings, in-services, committees, and continuing education opportunities. Adheres to organizational and departmental policies, procedures, and established best practices. Demonstrates a commitment to patient centered care. Shifts may include alternating shifts and/or on call, or a combination. Proficiency at directing patients to various resources/knowledge of available patient resources, working with offices/staff to accommodate patient needs and working with afterhours/answering services to ensure patients are triaged appropriately and needs are met timely.
Proficiency at obtaining medical records, obtaining authorizations, and developing any skills necessary to expedite and facilitate access and allocation of patient services. Proficiency to navigate necessary databases and resources. Proficiency with navigation across diagnoses and treatments, as well as knowledge of applicable resources with ability to triage, document and assist appropriately patient appropriately.
Graduate from an accredited school of professional nursing Registered Nurse with 3 or more years of experience in a medical-surgical, primary care, pediatric, ED, case management, or clinical environment Skilled at navigating EMR preferably EPIC, MS Word, and prior job experience with typing and computer usage Bachelor's Degree in Nursing Certification in nursing specialty Telephone triage experience Expertise in crisis intervention, teaching/coaching, disease management and diagnostic monitoring It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, interaction, national origin, interactionual orientation/gender identity or any other category protected by applicable federal, state or local law.
Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, interaction, national origin, interactionual orientation/gender identity, protected veteran status or disability. Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/interactionual Orientation/Gender Identity ( If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at rnia Consumer Privacy Act Employees, Contractors, and Applicants Notice For more details: jobs-search. org/insurance_bridgeville-c425658/medical-records-nurse-bridgeville_i1949643158
& Responsibilities Process paperwork for new and renewal business to include: Applications and other documents required for a submission Binders Certificates of Insurance Policies Invoices Finance Agreements Endorsements Audits Perform account reconciliation.
Review Loss Runs and Claim Status Reports. Order any missing loss runs or request updated loss runs as needed for marketing submission. Prepare Summary Of Insurance. Have good verbal and written communication skills for both client and internal communication. Maintain client files. File all documentation in Image Right per regions filing guidelines. Manage Tasks within Image Right. Participate in Errors & Omission audits. Establish
and maintain positive and effective working relations with other Associates and clients. Education and/or Experience A bachelor's degree is required, or a minimum of 2 - 5 years industry experience showing increasing responsibility directly related to the performance of the above duties A good understanding of insurance terminology, the general functions of an insurance broker, and the various lines of Business Insurance.
Demonstrated ability to successfully perform the duties of an Insurance Associate if currently employed at Marsh & Mc Lennan. Possess and maintain a valid unrestricted California Fire & Casualty Solicitors License. Currently hold or be in the process of obtaining an
insurance designation with a willingness to pursue advanced insurance designations and continuing education.
Proficiency with MS Office software (i. e. Word, Excel and Outlook). Prioritize tasks, and set and achieve goals, think logically in solving problems and present results neatly, with clarity and precision in both oral and written form. Strong attention to detail. Work Environment & Physical Demands Ability to use computer keyboard and sit in a stationary position for extended periods as well as use office machinery such as fax and copy machines, and telephones. Work is performed in a typical interior office environment. The applicable base salary range for this role is $17.57 to $37.42.
The hourly rate offered will be determined on factors such as experience, skills, training, location, certifications, and education. Decisions will be determined on a case-by-case basis. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs. We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & Mc Lennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, domestic partnership benefits, career mobility, employee network groups, volunteer opportunities, and other programs.
For more information about our company, please visit us at: http: ///careers. Requisition #: R_2120176ahf9io63
resolution in a timely manner. Provide routine status updates to service team on open claims. Communicate with claims professionals, clients and internal staff, and achieve successful results. Essential Duties & Responsibilities Provide effective claims management.
Develop and maintain computer based task system of events and diary of routine status updates for P&C claims including dates critical to ensuring claims are properly set up, a timely coverage position is issued, a claims adjuster is assigned, defense counsel is assigned (when applicable), and status update of claims progress. Actively manage assigned claims independently. Participate and present successfully oral and written
P&C claims at client claim reviews in a professional manner and demonstrate B&B's added value and advocacy of claims. Review and summarize coverage positions, including evaluation of coverage denials and reservations of rights, as to appropriateness and present analysis and recommendations to client.
Report in a timely manner all new claims and establish claims files with appropriate tender documentation, adjuster contact information, and coverage positions. Review, strategize and make recommendations of next steps for disputed or denied claims as well as complex claims involving multiple carriers or layers and large loss claims. Identify when claims intervention is necessary and advocate
on behalf of clients to reduce reserves and successfully resolve disputed/denied claims.
Identify and address steps which can be taken to transfer risk and/or subrogate claims. Ensure key internal associates and clients are apprised of claim status. Develop working relationships with dedicated claim liaisons from insurance carriers to support the most effective way to handle claims successfully. Monitor claim files and obtain routine status updates, including providing regular status updates to service teams. Respond to requests for updates or questions from the service team or clients. Identify and notify producers and service teams of large complex claims, claims that have potential coverage obstacles, denied or disputed claims and your strategy to work with the adjuster to resolve issues.
Establish and develop client and company relationships to ensure good communication for the most effective claims handling. Take on assignments and duties as requested by the Director of Property & Casualty Claims or Property & Casualty Claims Supervisor. Education and/or Experience Successful candidate will be a service oriented individual with high personal standards and a hands-on work style. This position requires an individual who is comfortable working at a varying pace, managing multiple tasks and deadlines simultaneously, adjusting priorities often, and managing frequent interruptions.
This position interacts with and provides service to internal associates and has high levels of contact with external vendors. The Property and Casualty Claims Analyst must be positive and approachable, and work effectively with diverse personalities. In addition, the following is required unless otherwise noted: Successful work history to include 4 years of experience in a professional office setting directly related to job responsibilities specified above.
A Bachelor's Degree is highly desired. Obtain and maintain valid CPCU, CIC or ARM designations and meet continuing education requirements Maintain skills and knowledge through independent study, seminars and educational industry resources available for claims management or other job specific specialty areas. Proficiency with personal computers and Microsoft Office applications (i. e. Word, Excel and Power Point) with the ability to operate standard office equipment. Skill in organizing resources and establishing priorities. Demonstrated ability to resolve problems and present results neatly, with clarity and precision in oral and written form.
Demonstrated ability to develop, plan, and implement short- and long-range goals. Maintain a valid Driver's License & have reliable transportation. Work Environment & Physical Demands Ability to use computer keyboard and sit in a stationary position for extended periods. Work is performed in a typical interior/office work environment. 15% - 30% travel may be required. Travel consists of 1 - 2 overnight trips per year covering areas both in and out of state. In addition, 1 - 2 days per week are spent visiting clients in all of B&B's service area.
Extended work hours (10 - 12 hrs/day) required on occasion due to client meetings and industry functions that begin well before the workday, and may extend well into the evening. The applicable base salary range for this role is $56,400 to $120,500. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, and education. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.
We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & Mc Lennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, domestic partnership benefits, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: http: ///careers. Requisition #: R_231747tcv57hlu2
all decisions meet legal and policy requirements. Perform all duties in accordance with the company's policies and procedures, all US state and federal laws and regulations, wherein the company operates. The Loss Mitigation Underwriter II level is the Intermediate level role in the job family and generally handles the moderately complex underwriting files while gaining additional knowledge and experience on the more complex files.
The target pay range for this position is $25.00-$27.00 per hour. What you'll do: Perform a thorough analysis to ensure the quality of each loan and to determine compliance with Treasury, Company and Investor guidelines. Conduct Verification of Income (VOI).
Calculate customer's front and back-end debt to income ratio. Verify occupancy, hardship and income. Apply payment waterfall to determine workout eligibility (repurchase plans, forbearances, modifications or liquidation options).
If applicable, identify the type(s) and amounts of liquid assets the borrower holds. Determine and communicate needed conditions to properly document the file (reason for default letter, updated pay stubs, bankruptcy papers, etc. ). Complete system tasks as required to maintain compliance with Treasury, Company and Investor guidelines. Document final decision and update system of record. Perform other duties as assigned. What you'll need: High school diploma
or equivalent required. Two (2) to three (3) years of underwriting background or servicing/loss mitigation experience Our Company: Carrington Mortgage Services is part of The Carrington Companies, which provide integrated, full-lifecycle mortgage loan servicing assistance to borrowers and investors, delivering exceptional customer care and programs that support borrowers and their homeownership experience.
We hope you'll consider joining our growing team of uniquely talented professionals as we transform residential real estate. To read more visit: What We Offer: Comprehensive healthcare plans for you and your family. Plus, a discretionary 401(k) match of 50% of the first 4% of pay contributed.
Access to several fitness, restaurant, retail (and more! ) discounts through our employee portal. Customized training programs to help you advance your career. Employee referral bonuses so you'll get paid to help Carrington and Vylla grow. Educational Reimbursement. Carrington Charitable Foundation contributes to the community through causes that reflect the interests of Carrington Associates. For more information about Carrington Charitable Foundation, and the organizations and programs, it supports through specific fundraising efforts, please visit: carringtoncf.
org. EEO/AAP Employer Notice to all applicants: Carrington does not do interviews or make offers via text or chat. #Carrington For more details: jobs-search. org/finance_anaheim-c426434/remote-loss-mitigation-underwriter-ii-anaheim_i1971596042
in confidence. With a focus on providing exceptional service to our merchants, we bestow integrity, teamwork, passion and delivering reliable service. Our company is growing incredibly fast and we are seeking experienced business professionals! If success and passion motivate you, join us and maximize your potential with Quantum e Pay.
The Underwriter is responsible for reviewing individual applications for merchant services to evaluate the degree of risk involved and to determine the acceptance of applications. ESSENTIAL DUTIES AND RESPONSIBILITIES: General understanding of the Credit/Risk scales and all bank underwriting requirements Interpret Credit Reports, Corporate Entity Registrations,
Financial Statements and Tax Returns Compile, verify and confirm information provided on Merchant Applications Assuring that daily merchant applications are processed timely and follow up to Agent responses on pending applications Identify problems and trends Navigate multiple system interfaces to status applications Perform additional duties as assigned QUALIFICATIONS: Strong working knowledge of Microsoft Office Suites and Adobe PDF Ability to quickly learn and adapt to new proprietary software (CRM) as well as third party vendor systems Demonstrate the ability to solve critical business issues using innovative solutions Proven ability in providing excellent and personalized customer service
Excellent verbal and written communication skills Excellent research skills Detail-oriented Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations Ability to write reports, business correspondence and procedure manuals Ability to calculate figures and amounts, such as, discounts, proportions, percentages, and volume EDUCATION AND/OR EXPERIENCE: 2+ years of Merchant Underwriting experience required Experience utilizing TSYS SALARY : This role includes quarterly profit-sharing bonuses as part of a total compensation package, in addition to a full range of medical, dental, retirement planning, and/or other benefits.
Base salary range: $52,000 - $60,000 Salary including quarterly profit-sharing bonus and comprehensive benefits program range (annualized): $70,125 - $79,725 WHY WORK HERE? Awarded Top Workplace of Orange County by the OC Register Flex PTO! New state of the art, open-concept facility with stand-up desks, balance boards, stationary bikes and more! Work hard, play hard culture! Bi-weekly Beer Socials and monthly BBQs! Proven " promote from within" mentality! 5 year anniversary gift is a ROLEX! Benefit offerings: Medical, dental, vision, acupuncture and chiropractic 401k Safe Harbor; 100% employer match processed semi-monthly, up to 4% Profit Sharing; paid on a quarterly basis Covid-19 Precautions: Regular sanitizing and disinfecting procedures in place Installed air scrubbers to kill airborne pathogens
full cycle through settlement. You will also be responsible for filing claims following an accident or an incident that caused damage to a motor vehicle. Duties/Responsibilities: Receives reports of claims damage via telephone and provides customer service to our auto loan holders/insurance adjusters.
Processes written claims, contacting policyholders to gather additional information as needed. When an accident has occurred, acquires a copy of the police report and gathers facts concerning the accident, any injuries, or property damage. Explains the claims management process to policyholders. Determines the location of the vehicle and assigns the claim to a claims examiner. Updates policyholder's
claim history by entering required information related to the claim. Handles all settlement of all claims Performs other related duties as assigned. Requirements: Prior Auto Claims experience required.
Bilingual (Spanish-English) required. Exceptional critical thinking and problem solving. Excellent organizational and multi-tasking abilities. Working knowledge of office devices and office procedures. Company Benefits 401K with company match Medical, dental and vision Optional life insurance Paid holidays Paid vacation and sick days Lobel Financial is an equal opportunity employer. Job Posted by Applicant Pro
life insurance401(k) savings plan Awards and recognition programs Responsibilities: Utilize the nursing process to backss, plan, implement, and evaluate patient care. On each assignment, provides skilled nursing care/services in accordance with prescribed orders Assess signs and symptoms indicating physiologic and psychosocial changes in the patient's condition.
Collects, analyzes, and interprets data and information from health care members and documents actual and/or potential nursing diagnoses. Qualifications: Currently licensed as an LPN/LVN in the state in which the LPN/LVN will practice. Current TB or Chest X-Ray. Current BLS card. About Maxim Healthcare Services Maxim Healthcare
Services has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities.
Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed. Maxim Healthcare Services is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to interaction, gender identity, interactionual orientation,
race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
For more details: jobs-search. org/insurance_mission-viejo-c426379/lvn-private-duty-nurse-home-health-mission-viejo_i1955393025