Role Description The Care Advocate Nurse oversees initiatives surrounding assessing the severity of the injured workers’ reported injury(ies), reviews medical data in CareMC, validates and secures medical information, assesses and evaluates prescribed treatment of work related injury. The Care Advocate Nurse functions as a nurse consultant, supporting the goals of the Claims Management department and of CorVel. This is a remote role. Essential Functions & Responsibilities: - Initiates and receives telephonic contact with reported injured worker, employer, and medical providers to obtain treatment plan, secures medical documentation, and assesses if injured worker has returned to work. - Responsible for detailed documentation within the claim system focusing on medical condition, treatment plan, and return to work status. - Directs callers to appropriate medical and/or claim resources. - Identifies and communicates urgent situations related to treatment or patient condition directly to the claim team. - Functions as nurse consultant to the claim team. - Assesses appropriate medical follow-up and makes necessary recommendations to the claim team, working closely with team to assist in identifying potential red flags from the injury that may require further follow-up or additional services. - Adheres to the Care Advocate Nurse production standards and Account special handling guidelines. - Additional duties as assigned. Qualifications - Minimum of 2 years' clinical nursing experience. - Graduate of an approved accredited school of nursing. - Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained throughout employment with CorVel. Requirements - Fundamental concepts, practices, and procedures of early intervention in the field of Workers’ Compensation (WC). - Excellent verbal and written communication skills. - Ability to skillfully manage multiple, complex projects and competing priorities concurrently while working under pressure to meet production standards deadlines and maintaining strong customer service orientation. - Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Outlook, Word, and Excel spreadsheets. - Strong interpersonal skills. - Great attention to detail, and results focused. - Ability to work independently and as part of a team. Benefits - A comprehensive benefits package is available for full-time regular employees and includes: - Medical (HDHP) w/Pharmacy - Dental - Vision - Long Term Disability - Health Savings Account - Flexible Spending Account Options - Life Insurance - Accident Insurance - Critical Illness Insurance - Pre-paid Legal Insurance - Parking and Transit FSA accounts - 401K - ROTH 401K - Paid time off Company Description CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health, and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enables us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE-IT!).

Driven by Innovation and built on Trust, rockITdata is a unique SDVOSB services company that partners with leading commercial healthcare/life sciences organizations on cutting edge innovations - think AI, automation and data transformation. We then bring those commercially tested solutions to government entities to deliver predictable, measurable impact for the American taxpayer and consumer. rockITdata is seeking a Contact Center Specialist to serve as front-line support in assisting active duty service members, National Guard members, reservists, veterans and retirees who need access to mental health care when relocating, transitioning, or are in need of a new mental health provider for the first time. Key Responsibilities: - Serve as front line support for referrals, inbound/outbound engagement, intakes, PHRC support, coach scheduling, and case documentation. - Execute contact center procedures for case tracking, routing, escalation, and warm handoffs to coaches or escalations. Required Skills: - A minimum of one year of experience in a medical/hospital call center - A minimum of one year experience in triage, care management, motivational interviewing, and crisis counseling - Fluent in English and/or Spanish, both oral and written - Ability to handle inquiries and requests in a courteous and professional manner - Ability to listen to and empathize with Service members, Veterans, and others and acknowledge their concerns - Ability to gather information to determine a Service member, Veteran, or family member’s needs, as well as apply problem-solving skills, and resolve the inquiry/request effectively - Ability to communicate information clearly, accurately, and completely - Ability to record all pertinent information accurately and efficiently - Ability to handle crisis and abusive calls in a professional and effective manner - Ability to control the pace and flow of the inquiry/request and manage call time effectively #LIREMOTE Here at rockITdata, we are committed to following our 10 Guiding Principles. Our Guiding Principles define our culture. They’re who we are, how we work, and what inspires us to be the best. We empower our people to be themselves and encourage an entrepreneurial way of thinking. In our challenging, fast-paced environment, no day is the same. Know the Why. Value People Above All Else. Transparency to a Fault. Progress, Not Perfection. Be Good by Doing Good. Smart People Can Disagree. Bend but Don’t Break. Represent Your Brand. Think Differently. Be Amazing, Be Fearless, Smile, Have Fun! Interested in joining something unique? Join us on our rockIT ship as we begin to blast off to the next chapter in our organization! rockITdata has become aware of a recruitment scam where unauthorized individuals are impersonating rockITdata recruiters, issuing fake job offers, and attempting to setup payment for the job seeker’s new hire costs. No one is ever required to complete any monetary transactions before starting employment with rockITdata. Legitimate rockITdata communications only come from @rockitdata.com email addresses and our official Applicant Tracking system, JazzHR (@applytojob.com email addresses). Please refer to our official Careers page at www.rockitdata.com/careers to accurately submit your application with us. You may also verify any suspicious communication by contacting our recruitment team directly through our official email, dreamjob@rockitdata.com. rockITdata is an equal opportunity employer and is committed to non-discrimination in all employment practices and decisions. All qualified applicants will receive consideration for employment without regard to disability status, veteran status or any characteristic protected by Federal, state, or local law. rockITdata wants all interested and qualified candidates to be able to use our career site to review and apply for employment opportunities. If you have a disability and need an accommodation to access the application process, please contact us for assistance at dreamjob@rockitdata.com.

Millennium Health LLC is an accredited specialty laboratory with more than a decade of experience in medication monitoring and drug testing services, helping clinicians monitor the use and misuse of prescription medications and illicit drugs. The testing is used by healthcare professionals to obtain objective information about patients’ recent use of prescription medications and/or illicit drugs and helps monitor the effectiveness of treatment plans. The Customer Service Advocate (CSA) works in a Service Center environment and is the primary point of contact for inbound calls, Live Chat inquiries, and customer support cases. The CSA’s daily objective is to provide a superior customer experience by collaborating with multiple cross-functional operations teams to resolve customer issues.  Customer support tasks include, but are not limited to: new client set up, account and specimen management, clinical and billing support, shipping, equipment, and supply inquiries. The ideal candidate will possess healthcare administrative and clerical support experience, be a self-starter, and thrive in a fast-paced, customer-centric environment.  Essential Functions The following are intended to be examples of the tasks for which the person in this position is responsible.  These tasks are not intended to be complete or all-inclusive and do not preclude management from assigning other or related tasks and projects for which the individual has demonstrated competency through performance. - Successfully and effectively address all calls and cases received in the Service Center.   - Maintain accurate call records of customer interactions or transactions, including recording details of inquiries, complaints, or comments, to include action steps taken to resolve the reason for the call. - Perform outbound calls to obtain information to complete specimen or billing processing and/or investigate order issues. - Process and facilitate requests for amended reports, add-on tests, cancellation requests, and data entry errors. - Access, enter, update, and maintain accurate customer account information in Laboratory Information System, CRM, and other software platforms while speaking with the caller in real time. - Provide technical support for MH customer portal. - Route calls and cases to other departments when appropriate. - Ensure HIPAA, Confidentiality, and compliance policies, procedures, and standards are always adhered to. - Accurately process new client registrations, service contracts, customer agreements, and practice update forms.   - Utilize subject matter expertise to proactively identify customer training opportunities. - Effectively build rapport with diverse internal and external customer base. - Maintain competencies required for the position and specific areas assigned. - Ability to ensure administrative, physical, and technical cybersecurity controls are always adhered to. - Perform other duties and special projects as assigned.

Department: 13298 Enterprise Revenue Cycle - Eligibility: Illinois Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Virtual position. Standard hours are 10:30 AM–7:00 PM, with one weekday off (Tuesday or Thursday). Every other weekend is required (8:00 AM–5:00 PM). Schedule determined at hire. No holidays Pay Range $22.90 - $34.35 Major Responsibilities: - Calculates and provides patients with personalized estimates of their financial responsibility based on their insurance coverage prior to service. - Communicates patient liability clearly and accurately while adequately explaining concepts such as deductibles, coinsurance, and/or copayments and how they may affect the cost of care. Explains how non-covered and out-of-network services factor into the out-of-pocket cost. - Requests upfront payment toward self-pay amounts, including estimated out-of-pocket costs and outstanding previous balances. Establishes payment arrangements in advance of scheduled services when applicable, communicating due dates and the amount of each installment. - Interviews uninsured patients to assess for qualifying financial needs. Identifies available assistance programs and coordinates with patient to complete paperwork and applications for any potential coverage(s). Continues follow-up efforts to obtain a funding source for patient’s health services. - Initiates credit scoring to determine each patient’s eligibility for Medicaid, hospital-sponsored charity care, and other programs through a comprehensive patient interview. - Works in conjunction with state social worker and/or outside eligibility vendor to assist in the appropriate completion of Medicaid applications, ensuring this funding source is maximized based on patients’ eligibility. - Demonstrates working knowledge of insurance benefits, insurance companies, and Marketplace insurance options, and stays informed of other payer sources entering the markets. - Educates physician office/patient on the organization’s applicable policies such as Financial Assistance Policy, Patient Financial Responsibility, Non-Covered Services, and Deferral of Care. Coordinates with provider office to determine scheduling options based on the need to secure funding and clarify patient’s financial responsibility. - Stays current on regulations and eligibility requirements for government funding, especially Medicare and Medicaid. Understands and complies with all internal charity care policies and processes. Understands, complies with, and can articulate federal regulations around 501R. Performs in a HIPAA-compliant manner with all pertinent patient interviews, including management of demographic data, topics discussed, and actions taken. - Collaborates with peers in the operational flow for uninsured patients or patients that are concerned about costs for upcoming services. Serves consumers in various settings, including virtual, bedside, Emergency Department room, clinic exam room, Urgent Care, consult space, or a Financial Resource Specialist office. Licensure, Registration, and/or Certification Required: - None Required. Education Required: - High School Graduate, or - Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED). Experience Required: - Typically requires 2 years of experience in Patient Access, health care, insurance industry, or in a customer service setting. Knowledge, Skills & Abilities Required: - Ability to communicate clearly and proactively to management about issues involving customer service and process improvement opportunities. - Ability to articulate explanations of HIPAA and EMTALA regulations as they relate to all patient interactions within the operational flow involving the Financial Advocate, either virtually or in person. - Has solid knowledge of how various types of insurances operate related to denials and appeals processes. - Basic medical coding knowledge. - Understanding of insurances, billing and denials - Ability to use a combination of scripted notes and clear, written communication when documenting in patients’ accounts. Physical Requirements and Working Conditions: - This position requires travel, therefore, will be exposed to weather and road conditions. - Operates all equipment necessary to perform the job. - Exposed to a normal office environment. - Must be able to sit a majority of the workday - Occasionally lift up to 10 lbs. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.