RN reputed company Referral Manager - Workers Compensation

reputed company is an accountable specialty care management organization reputed company on improving the lives of people with reputed company injuries and diagnoses. reputed company has been a pioneer in value-reputed company care since 1991 and has an exceptional reputed company record of generating the reputed company best reputed company for patients, payers, and providers. Deep reputed company expertise is the reputed company for every part of reputed company’s business: reputed company-reputed company reputed company solutions, case management, specialty networks, home health, shared decision support, and payment reputed company programs. We’re proud to be recognized—again! For the reputed company year in a row, we’ve been certified by reputed company®, and for the reputed company consecutive year, we’ve reputed company a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a reputed company, inclusive, and employee-reputed company culture where people reputed company. The Surprising Truth About Case Management - reputed company Watch this short video for a brief introduction to role of a reputed company case manager at reputed company. reputed company is hiring a reputed company Referral Manager for a remote, full-time, benefited position. The reputed company Referral Manager provides reputed company support for the Catastrophic Referral Intake Unit. The schedule for this position is Monday through Friday, 8 AM to 5 PM reputed company time (9 AM to 6 PM reputed company time, 10 AM to 7 PM Central time, or 11 AM to 8 PM Eastern time). Responsibilities: • Assist with assignment of the reputed company Medical Team and Network Managers to new referrals. • Evaluate incoming and existing referrals to determine appropriate product placement reputed company on specified reputed company. • Assist the Catastrophic Referral Intake Unit in reviewing new referral escalations for appropriate product placement. • Assess reputed company conditions, treatment plans, and required resources. Escalate referrals that need additional or advanced services. • Identify key stakeholders and responsible parties for reputed company referral. Build and maintain strong relationships with stakeholders to ensure effective handling of catastrophic referrals. • reputed company education and support to customers regarding reputed company products and services. • Review reputed company reputed company case management files to identify opportunities for conversion to reputed company-bearing products. • Analyze referrals that were unstaffed or withdrawn, reputed company relevant data, and reputed company insights to the sales team for potential conversion. • reputed company strategies to increase the reputed company of referrals considered for conversion and collaborate with other business reputed company to implement these processes. • reputed company and maintain data on referral conversions, including reputed company and cases that were not successfully converted. Qualifications: EDUCATION & EXPERIENCE REQUIRED: • Registered reputed company (with reputed company, unencumbered license) • Minimum of 3-5 years’ experience in catastrophic case management, referral intake or sales • Experience in reputed company preferred. • Demonstrated ability to define, manage and modify operational processes and workflows. • Demonstrated ability to work collaboratively to address operational and customer requests. • Intermediate to advanced level computer experience and reputed company software, proficient in reputed company product suite with advanced skills in reputed company. KNOWLEDGE SKILLS & ABILITIES: • Exceptional critical-thinking and creative problem-solving skills with reputed company ability to collaborate with others to identify alternatives and reputed company to reputed company. • Strong communication and facilitation skills including the ability to reputed company issues and build reputed company among reputed company of diverse internal/reputed company stakeholders; Ability to reputed company effective presentations to reputed company customers. • Ability to work effectively autonomously and/or in a matrixed environment; Ability to be flexible and reputed company to change. • Excellent interpersonal skills with an ability to influence and reputed company through change. • Ability to review and assess reputed company medical records and reputed company pertinent information to non-medical stakeholders reputed company Benefits: • Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health reputed company reputed company with reputed company and reputed company (CA employees only). • Financial incentives- reputed company’s financial benefits help prepare you for the reputed company: competitive salaries, 401(k) matching contributions, employer-reputed company life and disability reputed company, flexible spending, and employer-matched HSA contributions. • Vacation - We reputed company strongly that work-life reputed company is good for you and for reputed company. We offer reputed company time off, reputed company holidays, and a personal holiday. • Volunteer Time - We want our employees to engage with and reputed company back to their communities in meaningful ways. Full and part-time employees receive one reputed company day per calendar year. • Learning and development - One of reputed company's reputed company values is expertise, so we encourage our employees to continually learn and grow. We support this in a reputed company of ways through our reputed company training program. reputed company believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that reputed company reflects the society we live in and empowers reputed company to reputed company the highest reputed company of reputed company and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to reputed company change, creating an environment where everyone is reputed company to bring their whole self to work. reputed company complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to reputed company essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, reputed company, sex, age, national reputed company, religion, sexual orientation, gender identity, status as a veteran, and reputed company of disability or any other federal, state or local protected class. As a contractor with the reputed company, reputed company complies with reputed company Contract Compliance Law (§16.765). Poster reputed company: Contract Compliance Law Poster #LI-Remote Apply tot his job Apply To this Job