Nurse Allocator- RN Medicare Compliance

Sedgwick

74d • $80,000 - $86,000

About The Position

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. The primary purpose of the role is to perform provider outreach, specialized document review, and analysis and interpretation of interventions for the preparation of Medicare Set-Aside allocations. 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.

Requirements

• 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.

Nice To Haves

• Prior Medicare-set-aside (MSA) experience highly desired for this position.

Responsibilities

• 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.
• Determines 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.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• 401K and matching
• PTO
• Disability insurance
• Life insurance
• Employee assistance program
• Flexible spending or health savings account
• Other additional voluntary benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees