863 Remote Case Manager jobs in Lockport, IL

      New, Posted 4 hours ago
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      SIU Investigator Senior (Major Case Unit)

      USAA

      Chicago, IL 60695

      RemoteHealth InsurancePaid Time OffRetirement Benefit

      • Meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver's license.
      • US military experience through military service or a military spouse/domestic partner
      • Expert knowledge and understanding of fraud investigations as well as application of case law and state laws and regulations.
      • Experience in concurrent handling of specialty/complex/litigated claims/cases as well as mediation/arbitration/trial preparation and participation.
      • Ability to capture broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud.
      • Demonstrated ability to coordinate and prioritize workload, performing multiple tasks and devising solutions to problems.
      • 4+ years of P&C; SIU/Fraud investigation experience; OR 6+ years relevant fraud industry investigation experience.
      • Experience using computers and various software packages to enter and extract data for analysis from relevant data sources and systems.
      • High School Diploma or General Equivalency Diploma.
      • Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology.
      • Must be a skilled investigator with experience taking sophisticated statements from multiple parties to an event.
      SmartExplore AI is experimental.
      New, Posted 2 hours ago
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      RN CASE MANAGER

      Mount Sinai Health System

      Chicago, IL 60629

      ~ 46 min Onsite

      • Implementation and coordination of admission, discharge, and transition of care needs
      • Appropriateness of admission, level of care and external placements
      • Registered Nurse (RN) Case Manager
      • Under the direction of the Director of Case Management and Physician Advisor
      • RN
      • Comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs
      • Care coordination and discharge planning
      • Education to physicians and other members of the team on utilization review
      SmartExplore AI is experimental.

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