Clinical Case Manager - Cost Optimization & Claims Analysis

ullico inc.; Bethesda (MD); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Health/Dental/Vision

Pension

401K

Health Savings Account

Life Insurance

Paid Time Off

Job summary

Ullico Inc. is actively recruiting a Case Manager for the Silver Spring, MD office. The role involves analyzing claims for potential financial exposure, gathering clinical information, and providing recommendations. Ideal candidates will possess a BSN and RN license with at least 5 years of clinical experience.

Benefits include health insurance, a pension plan, and a 401K. The company has been a proud partner of the labor movement for over 95 years, ensuring protection for its customers.

Qualifications

• Five plus years of significant clinical experience.
• Minimum of 5 years of clinical experience required.
• Knowledge of HIPAA regulations.

Responsibilities

• Analyze reports to identify potential financial exposure early in claims.
• Gather clinical information from providers for cost containment.
• Compose clinical correspondence and communicate with stakeholders.

Skills

Clinical experience

Customer service skills

Communication skills

Multi-tasking

Education

Bachelor of Science in Nursing (BSN) or higher

Active RN license or APRN license

Tools

PC

Microsoft Word

Microsoft Excel

Connexure ESL platform

Job description

Ullico Inc. is actively recruiting a Case Manager for the Silver Spring, MD office. The role involves analyzing claims for potential financial exposure, gathering clinical information, and providing recommendations. Ideal candidates will possess a BSN and RN license with at least 5 years of clinical experience.

Benefits include health insurance, a pension plan, and a 401K. The company has been a proud partner of the labor movement for over 95 years, ensuring protection for its customers.