Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Care Manager: Long-Term Care Eligibility & Claims

illumifin Corporation

LTCG in Minnesota is seeking a Claims Eligibility Analyst to review medical records and conduct phone assessments to determine initial and ongoing eligibility for claimant benefits. The role involves evaluating provider eligibility using licensing data and state regulations, and communicating findings to clients and internal teams. Successful candidates will participate in case conferences, adhere to quality metrics, and support modifications to care plans as needed. #J-18808-Ljbffr illumifin Corporation

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Care Manager: Long-Term Care Eligibility & Claims in Saint Paul, MN vacancy
  • $60k

     ...'s leading administrator of long term care insurance services is looking...  ...for the insurance industry, managing over 1.3 million long-term...  ...ongoing claimant and provider eligibility. RESPONSIBILITIES 1....  ...written, all aspects of the claim benefit determination process... 
    Claims
    Full time
    Contract work
    Work experience placement
    Work at office
    Remote work

    LTCG

    Saint Paul, MN
    3 days ago
  • $54.1k - $155.54k

     ...by passionate colleagues who care deeply, innovate with purpose...  ...Holding, Inc (AHH) is a medical management company that is a division...  ...multidisciplinary focus to benefit overall claim management. Using a...  ...This full‑time position is eligible for a comprehensive benefits... 
    Claims
    Hourly pay
    Full time
    Local area
    Remote work
    Work from home
    Flexible hours

    CVS Health

    Saint Paul, MN
    1 day ago
  •  ...career with us, experience our caring culture, and enjoy work-life...  ...& Insurance RN Field Case Manager We are growing all across...  ...from. ~ Tuition reimbursement eligible. ~401K plan that matches 50...  ...the world's leading risk and claims administration partner, which... 
    Claims
    Full time
    Work at office
    Remote work
    Work from home
    Relocation package
    Flexible hours

    Sedgwick

    Saint Paul, MN
    3 days ago
  • $19 - $27 per hour

     ...Specialist with hands-on experience in claim submission, denial management, payment posting, accounts...  ...logs, and checking patient insurance eligibility. Processing of claims for reimbursement...  ...compassionate, state of the art dermatologic care to each patient with an emphasis on... 
    Claims
    Hourly pay
    Live in
    Work at office
    Remote work

    Tareen Dermatology

    Saint Paul, MN
    2 days ago
  • $23.32 - $25.65 per hour

     ...medications and services provided to long-term care facilities and their...  ..., and processes insurance claims; resolves discrepancies, rejections...  ...reports to the Billing Manager. Radius Living Rx is a...  ...Benefits Full-time benefits-eligible employment begins at a... 
    Claims
    Hourly pay
    Daily paid
    Full time
    Temporary work
    Part time

    Presbyterian Homes & Services

    Saint Paul, MN
    18 days ago
  • $74.5k - $104.3k

     ...people’s lives. As a Nurse Case Manager, you will serve as a medical...  ...manage workers’ compensation claims. Working primarily by phone,...  ..., including assessment, care planning, and coordination of...  .... Free life insurance, short-term & long-term disability coverage. Incentive... 
    Claims
    Temporary work
    Work at office
    Local area
    Remote work
    Flexible hours

    SFM Mutual Insurance

    Saint Paul, MN
    1 day ago
  • $24 - $32 per hour

     ...organization provides specialized eye care and surgical services with a...  ...cycle by ensuring medical claims are processed accurately and on...  ...promptly. Review insurance eligibility, benefits, and coverage requirements. Obtain and manage prior authorizations as required... 
    Claims
    Permanent employment
    Contract work
    Work at office

    Dahl Consulting

    Minneapolis, MN
    1 day ago
  • $23 - $26 per hour

     ...Representative! We are a dedicated and caring organization known for our...  ...as requiredChecking benefits and eligibility for DME coveragePreparing and reviewing claims using billing softwareChecking insurance...  ...time offpaid holidayslong-term disabilityshort-term disabilityfree... 
    Claims
    Full time
    Contract work
    Local area

    Handi Medical Supply

    Saint Paul, MN
    3 days ago
  •  ...spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our...  ...thrive. We are seeking a full-time Nurse Case Manager to cover the Minneapolis / St. Paul area....  ...Case Manager works with all parties to the claim including: the injured person, the claim’... 
    Claims
    Full time
    Internship

    Paradigm

    Minneapolis, MN
    3 days ago
  • $29 - $46.5 per hour

     ...with a commitment to quality care and service in a Christian environment...  ...supports Skilled Nursing/Long Term Care facilities in Minnesota...  ...data into Customer Referral Management (CRM) and the electronic...  ...time employees. Depending on eligibility, a variety of benefits include... 
    Full time
    Part time
    Work experience placement
    Remote work
    Monday to Friday
    Shift work
    Weekend work
    Day shift

    Good Samaritan

    Saint Paul, MN
    1 day ago
  • $37 per hour

    Senior Care Specialist (Registered Nurse) Work From...  ...offerings for clinical, case management, member engagement,...  ..., payment integrity, claims cost containment, and analytics...  .... Daily Pay: Eligible employees may have access...  ...to applicable program terms. Join a Team with Purpose... 
    Claims
    Hourly pay
    Daily paid
    Seasonal work
    Remote work
    Work from home

    Sagility

    Saint Paul, MN
    22 hours ago
  • $37 - $40 per hour

     ...exceptional, individualized care leads to lasting...  ...Responsible with medication management including education,...  ...(EyeMed) Short-term and long-term disability insurance...  ...first whole pay period. Eligible employees enjoy seven...  ...3 weeks ago Clinical Claims Review RN - National Remote... 
    Claims
    Hourly pay
    Full time
    Temporary work
    Remote work
    Relocation package
    Night shift
    Weekend work
    Afternoon shift

    The Emily Program

    Saint Paul, MN
    1 day ago
  • $63k - $92.1k

     ...Job Duties SUMMARY: The Nurse Case Manager (NCM) is responsible for applying medical...  ...knowledge in reviewing workers' compensation claims to assess, evaluate, plan, implement and...  ..., discusses and finalizes alternative care and return to work programs with permanency... 
    Claims
    Full time
    Contract work
    Casual work
    Work at office
    Shift work

    Emergent Holdings

    Minneapolis, MN
    22 hours ago
  •  ...as a medical resource and educator to assist with the management of workers' compensation claims. Most work is done telephonically. You will work collaboratively...  .... Coordinates discharge planning, DME, and home health care needs.Makes recommendations to the claims rep resources... 
    Claims
    Remote work

    SFM Mutual Insurance

    Minneapolis, MN
    3 days ago
  •  ...accurate patient account records to support timely reimbursement and cash flow. You will process and submit bills, enter charges and payments, follow up with insurers on submitted claims, perform electronic billing, post cash receipts, and balance AR. #J-18808-Ljbffr
    Claims
    Work at office

    Acadia Healthcare

    Saint Paul, MN
    1 day ago
  •  ...programs here at Aetna. We care about each other, our customers...  ...’ Compensation Field Case Management team. This opportunity offers...  ..., including injured workers, claims adjusters, attorneys, employers...  ...scanner all in one. Benefit eligibility may vary by position. Click here... 
    Claims
    Full time
    Local area
    Remote work
    Work from home
    Monday to Friday
    Flexible hours
    Shift work

    Aetna

    Saint Paul, MN
    3 days ago
  •  ...Medical Records SpecialistMedlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’... 
    Claims
    Full time
    Work experience placement
    Work at office

    Medlogix

    Minneapolis, MN
    2 days ago
  •  ...regulatory knowledge, and strong attention to detail to ensure accurate billing and compliance. Collaboration with staff and time management are essential. Experience across coding levels I-III and commitment to maintaining credentials are required. #J-18808-Ljbffr... 
    Claims

    Gillette Children's

    Saint Paul, MN
    4 days ago
  • WPS, a health solutions company, is hiring an Appeals Nurse to review medical records and claims for first-level appeal cases, ensuring medical necessity and adherence to Medicare guidelines. The role collaborates with Appeals Examiners to ensure timely redeterminations... 
    Claims
    Remote job

    WPS—A health solutions company

    Saint Paul, MN
    3 days ago
  •  .... is seeking an experienced Medical Collections professional to manage outstanding accounts receivable for Commercial and Medicaid payers...  ...follow-up, denial resolution, and accurate resubmission of claims in a fast-paced healthcare environment. Ideal candidates will have... 
    Claims

    Baxter International

    Saint Paul, MN
    3 days ago
  • $23.98 - $34.69 per hour

    Working Title: Provider Eligibility and Compliance Specialist Job Class...  ...and abuse. Minnesota Health Care Programs (MHCP) enrolls more...  ...PEC is charged with managing and maintaining the data in the...  ...Experience with MPSE, MMIS or other claims processing subsystems... 
    Claims
    Hourly pay
    Full time
    Temporary work
    Part time
    Live in
    Work at office
    Local area
    Remote work
    Monday to Friday
    Shift work
    Day shift

    State of Minnesota

    Saint Paul, MN
    1 day ago
  • $41.58 - $60.1 per hour

    Telework Eligible: Yes Job ID: 97987 Location: St. Paul...  ...Services Dept / DHS Manager Division/Unit: DHS-Central...  ...& Continuity of Care Section within the Behavioral...  ...integrity operations, claims review governance, and...  ...event of death Short-term and long-term disability... 
    Claims
    Hourly pay
    Permanent employment
    Full time
    Temporary work
    Part time
    Live in
    Work at office
    Local area
    Remote work
    Monday to Friday
    Flexible hours
    Shift work
    Day shift

    Minnesota Department of Human Services

    Saint Paul, MN
    3 days ago
  •  ...medication administration training. Reporting to the Executive Director of Nursing, the RN will also coordinate intakes and manage care plans. Eligible candidates must be licensed in Minnesota, with a minimum of two years free from chemical use problems. Strong computer... 

    Northstar Behavioral Health MN

    Saint Paul, MN
    3 days ago
  • $38.83 - $55.93 per hour

    Telework Eligible: Yes Job ID: 98242 Location: St....  ...Unit/Union: 216 - Middle Management Association/MMA FLSA...  ...of the continuity of care and complex transition...  ...prepayment review, focused claims review, or provider...  ...event of death Short-term and long-term disability... 
    Claims
    Hourly pay
    Full time
    Contract work
    Temporary work
    Part time
    Live in
    Work at office
    Local area
    Remote work
    Monday to Friday
    Flexible hours
    Shift work
    Day shift

    Minnesota Department of Human Services

    Saint Paul, MN
    12 hours ago
  •  ...Collections Representative for a full-time, on-site role. The position runs Mon-Fri, 8:30 am - 5 pm, and focuses on patient billing, claims processing, and customer service. Ideal candidates have Medicare/DME billing experience and a high school diploma; an AA degree is... 
    Claims
    Full time
    Local area

    Handi Medical Supply, Inc

    Saint Paul, MN
    12 hours ago
  • $70k - $92.68k

     ...evaluate insurance applications, review claims, and make decisions on policy approvals....  ...specified but are likely to be offered to eligible employees. The role is ideal for...  ...proficiency in Microsoft Office Suite, project management tools, and familiarity with industry-... 
    Claims
    Full time
    Work at office
    Remote work

    Nimbus Valley LLC

    Saint Paul, MN
    1 day ago
  •  ...are committed to providing high-quality care to its residents and is always looking to...  .... You will be responsible for submitting claims to all insurance carriers, and posting cash...  ...reviews with the business office manager. The ideal candidate will have experience... 
    Claims
    Work experience placement
    Work at office
    Local area
    Monday to Friday

    Addison Group

    Saint Paul, MN
    22 hours ago
  • $75k - $90k

     ...RN Case Manager – Hospice Pay: $75,000 – $90,000 per year Job...  ..., dignity, and compassionate care in the final chapter of life....  ...and personal use*Based on eligibility ~ Medical, dental, and vision...  ...insurance ~ Life insurance, Long term/Short term disability... 
    Full time
    Temporary work
    Monday to Friday

    Moments Hospice

    Saint Paul, MN
    2 days ago
  •  ...Monarch Healthcare Management Benefits Include: ~ UKG Wallet...  ...growing company! LPN Care Coordinator Position Summary...  ...; must meet employment eligibility per MN Department of Human...  ...is changing the way short-term rehabilitation and long-term care are delivered. Our... 
    Temporary work

    Monarch Healthcare Management

    Saint Paul, MN
    3 days ago
  • $70k - $78k

     ...grow your career with us, experience our caring culture, and enjoy work-life balance. Here...  ...Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering...  ...and builds relationships with the claims' examiner, client, injured worker, attorney... 
    Claims
    Full time
    Work experience placement
    Remote work
    Flexible hours

    Sedgwick

    Saint Paul, MN
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Care Manager: Long-Term Care Eligibility & Claims. Be the first to apply!