Nurse Consultant Salary in Houston, TX

Claims SpecialistSUMMARY: As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim.Duties include:You will submit claims or provide guidance on claim submission;Review coverages and resolve claims issues;Ensure carrier commitments are honored;Coordinate and participate in scheduled claims reviews;Serve as your client's advocate with adjusters and their coverage counsel;Resolve coverage disputes whenever possible;Assess and strategize to produce best possible claim outcomes;Duties may also include:Review of client's overall claims program and individual complex claims situations;Develop strategic action plans to reach desired outcomes;Provide guidance regarding potential large settlements;Recommend suitable vendor partners, including claims TPAs, nurse triage, and others;Review adjuster's claim action plans; facilitate claims resolutions;Evaluate insurance company claim reserves and push for reductions where appropriate;REQUIREMENTS: High School Diploma, Bachelor's degree preferred;Adjusters license;Knowledge of accepted industry standards and practices;Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges;Analytical skill necessary to make decisions and resolve issues inherent in handling of claims;We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & McLennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: http://marshmma.com/careers.

Description Location: Within 50 miles of any Elevance Health Pulse Point Location Shift: Full time Weekends, evenings, and/or overnight schedule - No 1st shift The Behavioral Health EAP Consultant II is responsible for providing 24/7 Behavioral Health and Employee Assistance services to up to approximately 10 million lives. How you will make an impact: Supports Employee Assistance Program (EAP) service department by responding to initial customer contacts and request for services; receives client request, assesses situation, determines appropriate course of action. Provides telephone and/or on-site support for crisis intervention, assessment, short term problem resolution and referral to appropriate provider(s). Manages Critical Incident Stress Debriefing requests. Assesses members and assists them in accessing behavioral healthcare benefits available under their health plan. Applies specialized knowledge in substance abuse, domestic abuse, grief counseling, workplace problems, and management consultation. Provides employer consultation to supervisors, managers, and Human Resources of the EAP contracted organization. Manages shared mailbox that is used by clients and external vendor to forward information that must be reviewed and placed in documentation system. Minimum Requirements: Requires minimum of 5 years of direct psychiatric and/or substance abuse experience and prior managed care experience; or any combination of education and experience, which would provide an equivalent background. Current unrestricted license such as (but not limited to) LPC (as allowed by applicable state laws), LCSW, LMSW, LMFT, LMHC, or Licensed Professional Counselor, in applicable state(s) required. Preferred skills, capabilities, and experiences: MA/MS preferred. For candidates working in person or remotely in the below locations, the salary* range for this specific position is $64,800.00 to $106,920 Locations: California; Colorado; Nevada; New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws . * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] assistance.

Assist residents with exercise to improve or maintain mobility and independence in the resident. Encourage residents to be active and out of bed unless contraindicated. Assist residents with transfers, ambulation and range of motion. Provide clean clothing and linens that are in good repair to residents. Assist the residents with bathing and dressing. Change positions of residents to prevent skin care issues Assist residents in being free of offensive odors. Assist with the Therapy Department with active/passive range of motion exercises. Complete charting of care. Create and maintain an atmosphere of warmth, positive emphasis and calmness. Report significant findings or changes in condition and potential concerns to the Charge Nurse, RN Supervisor, Director of Nursing and or Therapy Department. Assist residents in preparing for medical tests, activities, social programs, appointments and daily meals. Assist with elimination including emptying catheter bags as well as providing and sanitizing bedpans, urinals and bedside commodes. Assist residents with good personal hygiene, including care of skin, bathing, shampooing and grooming of hair, oral hygiene, shaving or beard trimming as well as cleaning and cutting of nails. Provide pressure relieving devises and skin protective measures. The RNA will be able to serve in a maintenance capacity in the therapist or consultant's absence. Supervisory Requirements This job has no supervisory responsibilities. Qualification Education and/or Experience High school diploma or equivalent. Current certificate as a Certified Nursing Assistant (CNA) and Restorative Aide Training. Current CPR certification. One year experience in a long term care facility preferred. Language Skills Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Ability to solve practical problems. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Certificates, Licenses, Registrations Current Certified Nursing Assistant (CNA), Current CPR certification. Restorative Aide Certificate. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the Department of Public Health License and Certification Division at all times. Physical Demands The essential functions of this position require the following physical abilities: Standing and /or walking very frequently. Sitting occasionally. Reaching with hands and arms frequently, pushing/pulling very frequently. Talking and /or hearing very frequently. Tasting and /or smelling very frequently. Lifting up to 50 pounds frequently. Climbing, balancing, stooping, kneeling, crouching or crawling occasionally. Close, distance, color, peripheral, and depth perception in vision: ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Claims SpecialistSUMMARY: As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim.Duties include:You will submit claims or provide guidance on claim submission;Review coverages and resolve claims issues;Ensure carrier commitments are honored;Coordinate and participate in scheduled claims reviews;Serve as your client's advocate with adjusters and their coverage counsel;Resolve coverage disputes whenever possible;Assess and strategize to produce best possible claim outcomes;Duties may also include:Review of client's overall claims program and individual complex claims situations;Develop strategic action plans to reach desired outcomes;Provide guidance regarding potential large settlements;Recommend suitable vendor partners, including claims TPAs, nurse triage, and others;Review adjuster's claim action plans; facilitate claims resolutions;Evaluate insurance company claim reserves and push for reductions where appropriate;REQUIREMENTS: High School Diploma, Bachelor's degree preferred;Adjusters license;Knowledge of accepted industry standards and practices;Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges;Analytical skill necessary to make decisions and resolve issues inherent in handling of claims;We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & McLennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: http://marshmma.com/careers. #MMASW