Upvote
Downvote
TPA Medical Case Manager
Share Job
- Suggest Revision
Full-time
- General Description: Manages medical aspects of workers compensation and disability claims for Third Party Administration (TPA) accounts by coordinating with patients, physicians, other health care providers and employers to facilitate positive patient outcomes, timely return to work if applicable and efficient claims resolution.
- Manages activities of workers compensation and disability claims, case management and utilization review according to established policies and procedures and applicable legal and regulatory guidelines.
- Presents case management and utilization review information and overviews to prospects and clients as needed.
- Excellent understanding of managed care industry practices, including medical case management, utilization review and related legal and regulatory guidelines.
- CCM, CRS or CDMS certification required.
Active Job
Updated 2 days agoSimilar Job
Relevance
Active