Jobs
>
Las Vegas

    Patient Care Manager - Las Vegas, United States - Prove Partners

    Prove Partners
    Prove Partners Las Vegas, United States

    2 weeks ago

    Default job background
    Description

    Job Description

    Job Description

    ABOUT US:

    PROVE Partners, LLC, founded in 2003 and based in Las Vegas Nevada and Denver, Colorado, is a patient-centric personal injury claims administration and healthcare finance company that provides innovative services and financial products to injury victims, medical providers, and law firms in the United States.

    PROVE is primarily engaged in a fast-growing form of specialty reimbursement commonly referred to as medical lien funding that enables victims of third-party liability accidents (e.g., motor vehicle collisions) to access healthcare in their greatest time of need.

    PROVE is more than a medical lien funder—we offer patients a full suite of financial products including co-pay and deductible finance and pre-settlement loans, providers with comprehensive revenue cycle solutions including outsourced complex claims administration, and attorneys with patient concierge services and technology solutions to manage caseloads, reduce overhead and most importantly, maximize the outcome for their clients.

    PROVE maintains a fortressed balance sheet, supported by a group of institutional capital partners that manage more than $16 billion in assets under management.

    PROVE is backed by C9 Partners, LLC, a Los Angeles-based private equity firm focused on making investments in US-based businesses at the intersection of financial services, specialty finance, and healthcare services.

    JOB SUMMARY:

    • We are seeking an experienced Patient Care Manager to join our team. The Patient Care Manager will be responsible for managing a caseload of medical lien clients from initial intake to resolution. This includes communication with clients, medical providers, and attorneys to ensure timely and accurate processing of medical lien claims. The Patient Care Manager will also be responsible for maintaining client files, documenting case activity, and ensuring compliance with all company policies and procedures.

    DUTIES:

    • You will communicate and build rapport with law firms to facilitate a seamless process for their clients to access medical care required as a result of an injury.
    • The Patient Care Manager will be responsible for gathering all information necessary to present the underwriter with a complete file for determination of funding.
    • The Patient Care Manager will be responsible for underwriting to the level of authorized funding.
    • If the case is authorized for funding or declined for funding, the Patient Care Manager is responsible for communicating this status with the provider and the attorney.
    • The Patient Care Manager is responsible for updating CORE as required for ongoing medical lien funding.
    • The Patient Care Manager will be responsible to ensuring that all documents received are saved into the appropriate locations.
    • The Patient Care Manager will schedule patients with medical providers in the PROVE Provider Network and follow up with the patient and attorney for each medical encounter.
    • The Patient Care Manager will provide education for attorney firms and providers on the PROVE Portal.
    • The Patient Care Manager will correspond with attorney offices and providers to obtain all relevant case information.
    • The Patient Care Manager will develop and maintain productive customer relationships.
    • The Patient Care Manager will maintain HIPAA compliance with all correspondence.
    • The Patient Care Manager will deliver optimal customer satisfaction through timely, accurate case processing.
    • The Patient Care Manager will perform other related duties as assigned by the Operations Manager.

    SKILLS AND QUALIFICATION:

    • Bachelor's or associate degree is preferred but not required.
    • Experience in case management in the medical lien or healthcare industry is preferred.
    • Strong communication and interpersonal skills.
    • Excellent organizational and time-management skills.
    • Ability to work independently and as part of a team.
    • Strong problem-solving and critical thinking skills.
    • Excellent customer service skills.
    • Knowledge of medical terminology is preferred.
    • Bilingual or multilingual preferred.
    • The candidate must live in the Denver Metropolitan area, with a preference towards South Denver/Castle Rock.

    IDEAL CANDIDATE PROFILE:

    • Experience in personal injury cases.
    • Experience in case management.
    • Experience in medical appointment scheduling.

    DISCLOSURES:

    • Prove Partners is an Equal Employment Opportunity and Affirmative Action Employer committed to diversity in the workplace. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

    Powered by JazzHR

    MByHdr8Khp

  • Chrysalis

    Residential Care Manager

    1 week ago

    Chrysalis North Las Vegas, United States Full time

    Chrysalis is seeking to hire a full-time Residential Care Manager for In-Home Caregiving. Would you like to support individuals with developmental disabilities to lead self-directed, meaningful lives? · This entry-level position starts at a competitive wage of $17.50/hr . In ...

  • The Valley Health System

    RN Manager Care Management

    2 weeks ago

    The Valley Health System Las Vegas, NV, United States

    About Centennial Hills Hospital: · Centennial Hills Hospital Medical Center is a 336-bed facility that is part of the six-hospital The Valley Health System in the Las Vegas area. We provide a wide range of medical services and procedures, including comprehensive women's services ...

  • Chrysalis

    Residential Care Manager

    1 week ago

    Chrysalis North Las Vegas, United States

    Job Description · Job DescriptionChrysalis is seeking to hire a full-time Residential Care Manager for In-Home Caregiving. Would you like to support individuals with developmental disabilities to lead self-directed, meaningful lives? · This entry-level position starts at a compet ...

  • Care Network Home Health

    Home Health Care Manager

    2 weeks ago

    Care Network Home Health Las Vegas, United States

    Job Description · Job DescriptionWe are seeking an experienced and dynamic Home Health Manager to lead our team in providing exceptional home health services. The ideal candidate will have a strong background in home health management, possess exceptional business development ski ...

  • UMC Southern Nevada

    Director Managed Care, Hospital Services

    2 weeks ago

    UMC Southern Nevada Las Vegas, United States

    Position Summary · EMPLOYER-PAID PENSION PLAN (NEVADA PERS) · COMPETITIVE SALARY & BENEFITS PACKAGE · This position is considered AT-WILL and will serve at the pleasure of the CEO. · As an academic medical center with a rich history of providing life-saving treatment in Southern ...

  • Molina Healthcare

    Managed Care, Gov Contracts Sr. Specialist

    2 weeks ago

    Molina Healthcare Las Vegas, United States

    **Molina Healthcare of Nevada** is hiring for a **Managed Care, Gov Contracts Sr. Specialist** . This role can be worked remotely from anywhere in the state of Nevada.. · The Sr. Specialist role will involve coordination of all Government Contracts deliverables, primary focus wil ...

  • Grifols

    Customer Care Manager

    2 weeks ago

    Grifols North Las Vegas, United States

    Customer Care Manager North Las Vegas , Nevada **Join our team today as a** **Donor (Customer) Care Manager** **where you will have direct responsibility for designing, managing and maintaining customer (our plasma donors) success solution and technology to drive customer retenti ...

  • A-Line Staffing Solutions

    Telephonic Care Manager RN

    1 week ago

    A-Line Staffing Solutions Las Vegas, United States

    Job Description · Job DescriptionA-Line staffing is hiring Fully Remote Telephonic RN Care Managers in California or any RN's in a PST state that have a CA RN license · If interested APPLY NOW for IMMEDIATE consideration · RN Care Manager Details: · Location: Remote must live in ...

  • HCA Healthcare

    Manager of Critical Care MICU

    2 weeks ago

    HCA Healthcare Las Vegas, United States Full time

    Description · Salary Estimate: / year · Learn more about the benefits offered for this job. · The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years ...

  • Community Care Plan

    Provider Operations Long Term Care Manager

    2 weeks ago

    Community Care Plan Sunrise, United States

    Position Summary: · The Provider Operations Long Term Care (LTC) Manager will play a critical role in ensuring the effective management and optimization of long-term care provider relationships within our network. This role will be responsible for overseeing the day-to-day operat ...

  • Stellar Innovations

    Training in the high school program for retail

    1 week ago

    Stellar Innovations Verdi, United States

    Location: 70327 Stuttgart/Wangen | Contract type: Full-time, temporary | Job ID: 814217 · Start of training: | planned end of training: · PENNY is part of the REWE Group and employs over employees in around 2,140 stores, 10 logistics locations and the headquarters. In the PENNY ...

  • Crimson Solutions

    Career changer

    1 week ago

    Crimson Solutions Verdi, United States

    Entry-level position (m/f) - secure job · Starting immediately, full-time in Oerlenbach · Gi Group is an internationally operating personnel service provider with more than 500 locations in 40 countries. · Your responsibilities · You are responsible for receiving, processing, and ...

  • Res-Care, Inc.

    Registered Nurse

    3 weeks ago

    Res-Care, Inc. Las Vegas, NV, United States

    Our Company · ResCare Community Living · Overview · Join a team of passionate and caring clinicians who make a difference in people's lives. Our nursing group focuses on compassion and meeting the needs of our clients in a variety of settings. If your passion is outstanding patie ...

  • Sunrise Hospital

    Registered Nurse

    2 weeks ago

    Sunrise Hospital Las Vegas, United States

    Hourly Wage Estimate: $ $70.78 / hour · Learn more about the · benefits offered · for this job. · The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many year ...

  • MountainView Hospital

    RN Case Manager

    3 weeks ago

    MountainView Hospital Spring Valley, United States

    Description · Hourly Wage Estimate: $ $68.20 / hour · Learn more about the benefits offered for this job. · The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, ho ...

  • Southern Hills Hospital and Medical Center

    Case Manager RN

    1 week ago

    Southern Hills Hospital and Medical Center Las Vegas, United States HOS

    Description · Hourly Wage Estimate: $ $68.20 / hour · Learn more about the benefits offered for this job. · The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, ho ...

  • Southern Hills Hospital and Medical Center

    Case Manager RN PRN

    1 week ago

    Southern Hills Hospital and Medical Center Las Vegas, United States HOS

    Description · Hourly Wage Estimate: $ $55.60 / hour · Learn more about the benefits offered for this job. · The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, ho ...

  • MountainView Hospital

    Clinical Nurse Coordinator

    2 weeks ago

    MountainView Hospital Las Vegas, United States

    Hourly Wage Estimate: $ $65.87 / hour · Learn more about the · benefits offered · for this job. · The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many year ...

  • Southern Hills Hospital and Medical Center

    Manager of Emergency Services

    1 week ago

    Southern Hills Hospital and Medical Center Spring Valley, United States

    Description · Salary Estimate: $ $ / year · Learn more about the benefits offered for this job. · The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many y ...

  • Sunrise Hospital

    Clinical Nurse Coordinator Pediatric Cardiac ICU

    2 weeks ago

    Sunrise Hospital Las Vegas, United States

    Hourly Wage Estimate: $ $65.87 / hour · Learn more about the · benefits offered · for this job. · The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many year ...