Nurse Allocator- RN Medicare Compliance

Sedgwick • Augusta, ME • 1d ago

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Nurse Allocator- RN Medicare Compliance

Prior medical-set-aside experience highly desired for this position.

PRIMARY PURPOSE OF THE ROLE: To perform provider outreach, specialized document review, and analysis and interpretation of interventions for the preparation of Medicare Set-Aside allocations.

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

Apply your nursing or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury.

Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment.

Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting.

Enable our Caring counts® mission supporting injured employees from some of the world's best brands and organizations.

Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more.

Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

Contacts providers and attorneys to obtain clarification of documentation needed to support the preparation of Medicare Set-Aside allocations.

Creates customized correspondence for any applicable providers that will provide the clarity needed to proceed with the preparation of the Medicare Set-Aside.

Executes outreach activities with providers for each case via telephone, email, and fax, adhering to best practice guidelines.

Reviews and analyzes completed documentation from providers to ensure accuracy, completeness, adherence to quality assurance standards.

Determine the outcome of involvement to include efficacy of response, financial, and client satisfaction.

Maintains accurate record of management including costs savings.

Articulates and effectively documents clear and concise information.

EDUCATION AND LICENSING

Bachelor's degree from an accredited college or university preferred. Active unrestricted RN license issued in a state or territory of the United States required.

?TAKING CARE OF YOU BY

Thrives when allowed flexibility & autonomy.

Wants dynamic company culture.

Passionate about creativity.

Craves culture of support, both giving and receiving.

Thrives when everyone is working towards same vision/goals.

Strong team and customer service orientation.

Seeks clear role expectations.

Wants to e valued as a collective "we".

?We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.

NEXT STEPS

If your application is selected to advance to the next round, recruiter will be in touch.

nurse #medicare #medicaresetaside

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $$80,000-$86,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Similar Jobs

Lead Health Information Specialist

Datavant • Augusta, ME • 16h ago

Hospital & Medical

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is power...

16h ago

Go to Apply

Speech and Language Pathologist

Spurwink Services • Chelsea, ME • 16h ago

Hospital & Medical

Chelsea, ME, USA | Education | 75,000-80,000 per year | Full Time | $5000 Sign on Bonus! $5,000 Sign-On Bonus!!!! Spurwink Services is seeking a Speech-Language Pathologist to fill a full-time position within our Chelsea...

16h ago

Go to Apply

Principal Technical Program Manager - Health Operations

Oracle • Augusta, ME • 1d ago

Hospital & Medical

Job Description Oracle Health Data Intelligence (HDI) is hiring a Principal Technical Program Manager - Operations to lead key strategic and operational initiatives across the organization. This is a highly visible role...

1d ago

Go to Apply

Health information specialist 1

Datavant • Augusta, ME • 2d ago

Hospital & Medical

2d ago

Go to Apply

Advisor, Finance Operations (Medical Admin Fee Adjustments)

Cardinal Health • Augusta, ME • 2d ago

Hospital & Medical

What Finance Operations contributes to Cardinal Health Finance oversees the accounting, tax, financial plans and policies of the organization, establishes and maintains fiscal controls, prepares and interprets financial...

2d ago

Go to Apply

2 West - Medical Surgical Registered Nurse (RN) - NEW GRADUATES WELCOME!

MaineGeneral Health • Augusta, ME • 5d ago

Hospital & Medical

Job Summary: MaineGeneral Health. We're With You. Be With Us MaineGeneral Health is a comprehensive non-profit system with the mission of enhancing, every day, the health of our patients, our families and our communities...

5d ago

Go to Apply

Center Manager Physical Therapist-Waterville, ME-new clinic!

Select Medical • Hallowell, ME • 6d ago

Hospital & Medical

Overview Position: Physical Therapist - Outpatient Center Manager Location: Watervile, ME Schedule: Monday through Friday Compensation: Salary up to $100k based on experience Incentives: Sign on bonus up to $10k and stud...

6d ago

Go to Apply

Home Health Intake Coordinator Per Diem

CenterWell • Augusta, ME • 1w ago

Hospital & Medical

Become a part of our caring community and help us put health first This is a per diem position where the scheduled days/hours may vary from week to week. Availability requirements: Scheduled up to 19 hours a week. Must b...

1w ago

Go to Apply

Medical Coding Auditor

CenterWell • Augusta, ME • 1w ago

Hospital & Medical

Become a part of our caring community and help us put health first The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical cod...

1w ago

Go to Apply

3 West Medical Surgical/Post-Operative Registered Nurse (RN) - Per Diem

MaineGeneral Health • Augusta, ME • 1w ago

Hospital & Medical

Job Description Summary: MaineGeneral Health. We're With You. Be With Us MaineGeneral Health is a comprehensive non-profit system with the mission of enhancing, every day, the health of our patients, our families and our...

1w ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.