• Managed Care Specialist

    Location US-GA-Gainesville
    Posted Date 1 week ago(1 week ago)
    Job ID
    24085
    # Positions
    1
    Category
    Claims
    Travel Percentage
    0 to 10%
  • Overview

    Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group’s member companies are subsidiaries of American Financial Group, a Fortune 500 company. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty property and casualty operations and a variety of financial services, there are always opportunities here to learn and grow.

    Responsibilities

    • Monitors and facilitates each claimant's medical treatment to ensure appropriate, effective, cost-efficient and quality care.
    • Coordinates with vendors of rehabilitative services to ensure that services are consistent with the diagnosis and the goal of returning the claimant to employability and / or normal activities.
    • Coordinates attendant care supervision, including the selection of appropriate care facilities. Assigns cases to vendors for utilization review.
    • Provides professional advice and expertise to Claims staff in developing and providing medical and cost control procedures.
    • Provides technical advice to lower level associates and other functional areas.
    • Leads the work of others (mentors, prioritizes, delegates and reviews assignments).
    • Performs other duties as assigned.

    Qualifications

    Education: Bachelor's Degree or equivalent; R.N. (Registered Nurse) preferred.
    Field of Study: Business, Biology, Nursing or a related discipline.
    Experience: 6 or more years of related experience, including Case Management experience.

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