About Us. Excelsia Injury Care provides management services to a network of healthcare companies, supporting them in delivering comprehensive rehabilitation, diagnostic, surgical, and pain management services for individuals affected by post-traumatic neuro-musculoskeletal injuries. With 95 locations across Idaho, Illinois, Maryland, Missouri, Nevada, New Jersey, Pennsylvania, Utah, and Virginia, we ensure accessible, high-quality care tailored t...
About Us. Excelsia Injury Care provides management services to a network of healthcare companies, supporting them in delivering comprehensive rehabilitation, diagnostic, surgical, and pain management services for individuals affected by post-traumatic neuro-musculoskeletal injuries. With 95 locations across Idaho, Illinois, Maryland, Missouri, Nevada, New Jersey, Pennsylvania, Utah, and Virginia, we ensure accessible, high-quality care tailored t...
About Us. Excelsia Injury Care provides management services to a network of healthcare companies, supporting them in delivering comprehensive rehabilitation, diagnostic, surgical, and pain management services for individuals affected by post-traumatic neuro-musculoskeletal injuries. With 95 locations across Idaho, Illinois, Maryland, Missouri, Nevada, New Jersey, Pennsylvania, Utah, and Virginia, we ensure accessible, high-quality care tailored t...
Position Summary. The Senior Manager of Claims Operations is responsible for overseeing the intake, adjudication, and processing of medical claims in compliance with ERISA, CMS, and health plan guidelines. This leadership role ensures strategic operational excellence, fosters vendor and partner collaboration, and drives continuous process improvements. The Senior Manager will provide mentorship to a growing team of claims and appraisal staff, dev...
POSITION SUMMARY. The Junior Eligibility Analyst is responsible for maintaining member data in EZ-CAP. Ensures that all eligibility data is current and accurate. Responsible for resolving eligibility inquiries and communicating outcomes to other departments within AMM. RESPONSIBILITIES-DUTIES. Responsible for verifying member eligibility including coordination of benefits. Responsible for responding to calls and/or emails requesting eligibility v...
POSITION SUMMARY. The Clinical Audit Manager is responsible for ensuring all UM/CM reporting is completed on or before due dates set by our contracted Health Plans. The Clinical Audit Manager is responsible for completing and passing all Health plan audits by due dates set by our contracted Health Plans. The Clinical Audit Manager will work directly with the UM Manager to ensure functions are conducted in a compliant manner. The Clinical Audit Ma...
Position Summary. The Senior Program Manager, MSO Operations is responsible for overseeing the ongoing optimization and seamless functioning of the MSO’s operational units, with a strong focus on Claims Operations, EDI, Eligibility, Capitation, and other core MSO functions. This role ensures that operational processes run efficiently, are technologically enabled, and remain compliant with regulatory standards under Medicare Advantage full-risk va...
About Us. Excelsia Injury Care provides management services to a network of healthcare companies, supporting them in delivering comprehensive rehabilitation, diagnostic, surgical, and pain management services for individuals affected by post-traumatic neuro-musculoskeletal injuries. With 95 locations across Idaho, Illinois, Maryland, Missouri, Nevada, New Jersey, Pennsylvania, Utah, and Virginia, we ensure accessible, high-quality care tailored t...
About Us. Excelsia Injury Care provides management services to a network of healthcare companies, supporting them in delivering comprehensive rehabilitation, diagnostic, surgical, and pain management services for individuals affected by post-traumatic neuro-musculoskeletal injuries. With 95 locations across Idaho, Illinois, Maryland, Missouri, Nevada, New Jersey, Pennsylvania, Utah, and Virginia, we ensure accessible, high-quality care tailored t...
About Us. Excelsia Injury Care provides management services to a network of healthcare companies, supporting them in delivering comprehensive rehabilitation, diagnostic, surgical, and pain management services for individuals affected by post-traumatic neuro-musculoskeletal injuries. With 95 locations across Idaho, Illinois, Maryland, Missouri, Nevada, New Jersey, Pennsylvania, Utah, and Virginia, we ensure accessible, high-quality care tailored t...
About Us. Excelsia Injury Care provides management services to a network of healthcare companies, supporting them in delivering comprehensive rehabilitation, diagnostic, surgical, and pain management services for individuals affected by post-traumatic neuro-musculoskeletal injuries. With 95 locations across Idaho, Illinois, Maryland, Missouri, Nevada, New Jersey, Pennsylvania, Utah, and Virginia, we ensure accessible, high-quality care tailored t...
POSITION SUMMARY. Reports to the UM Manager. This position is a position for a California Licensed Nurse whose primary responsibilities are to perform the prospective and retrospective review of the requests for service authorizations in order to monitor the continuity and coordination of care and to assist in the utilization of appropriate services. The Prior authorization Nurse conducts these reviews of authorization requests to verify accurate...
