Careworks mcs Check with your worker’s compensation provider directly to verify the service area. The company has 965 active competitors, including 66 funded and 65 that have exited. We care. We have the ability to manage programs while still understanding the complexity of returning employees back to health and productivity. 5, Booth 3 Suite 195, Lot #46, Aguadilla, PR 00605 View on map MCS Arecibo Service Center Galería Pacífico Road 10 km 85. Careworks' medical bill review maximizes savings by analyzing and re-pricing medical charges, ensuring accurate and fair billing. Careworks MCS/PMA created its Connecticut based workers’ compensation provider network in 1993, in response to the then new legislation. It was challenging trying to figure out how we should be break this project down so two people wouldn’t stumble all over each other. In this role, Mike will oversee the company’s sales and client development activities. The Worker’s Compensation Act of the State of Alabama does not apply to the University of South Alabama, USA HealthCare CAREWORKS HMIS ENTER USERNAME AND PASSWORD AND PRESS LOGIN BUTTON. Find the closest urgent care location. We are committed to and passionate about making managed care work for our clients and their injured workers. By proceeding, you consent to this monitoring. Tanamá Arecibo, PR 00612 Jan 14, 2021 · We are excited to share the news that CompManagement Health Systems, Inc. Our Connecticut network is directly contracted with providers and facilities, and specifically built for workers’ compensation. Home Health Care Home health care is skilled nursing care and certain other health care services one receives in a home setting for the treatment of an illness or injury, such as care for a wound, injections, monitoring of health conditions like diabetes, assistance with medical equipment like dialysis or with an indwelling catheter, naso‐gastric tube feeding or ventilator. The company, now known as Sedgwick Managed Care Ohio (Sedgwick MCO), will offer managed care support to Ohio clients and injured workers. This merger will accompany a name change to Sedgwick Managed Care Ohio (Sedgwick MCO). It medically manages nearly 30 percent of all new claims filed in Ohio, and its employer customers represent more than $660 million in workers' compensation premiums. We understand the complexities of medical billing, claim payment, clearinghouses and provider-payer relationships. Dedicated care coordinators offer concierge-level support in delivering quality, cost-effective ancillary services that help injured employees on their road to recovery. Accidents While on the Worksite The University of South Alabama, USA HealthCare Management, LLC, and the USA Healthcare Authority strive to protect its employees from undue financial hardship resulting from qualified job-related injuries, illnesses, or disabilities. The power of choice brochure Ancillary care network After an employee is injured, they may need assistance with various aspects of their medical treatment, such as scheduling home healthcare, finding a wheelchair or getting to an appointment. Find CareWorks Managed Care Services careers in your area today! Jun 22, 2025 · CareWorks MCO is an unfunded company based in Dublin (United States), founded in 1996. Michigan Insurance Company 1700 East Beltline NE, Suite 100 Grand Rapids, MI 49525 (888) 606-6426 Make Checks Payable To: Donegal Insurance Group P. MEDICAID: CAREWORKS, LLCScope of Practice The following information about the specialty of the provider is available: *6 digit PIN emailed or texted to you by Proficio Surgical Assistants, LLC. CareWorks is an Ohio BWC-certified Managed Care Organization (MCO) through Ohio's Health Partnership Program (HPP). It operates as a Managed Care Organization for workers' compensation. Learn how we can help. Reviews from Administrative Assistance employees about working at CareWorks. Discover our comprehensive care options today. View Jeanie Smith’s profile on LinkedIn, a professional community of 1 billion members. Our ancillary care team can help. Get paid. MCS Plaza Hato Rey Service Center MCS Plaza, first floor, suite 105, 255 Ponce de León Ave. At Careworks, our mission is to drive better outcomes by offering the power of choice for your managed care solutions. In addition, CareWorks Absence Management does not have access to your entire medical record. The teams at CHS and CareWorks have partnered to develop best practices to ensure that we are providing outstanding outcomes for our clients and their injured employees. Box 300 Marietta, PA 17547-0300 Billing Inquiries: (800) 877-0600 Press 8 Automation Support: (888) 640-5840 Monday – Friday 8 AM to 6 PM ET Claims: (800) 877-9006 Available 24/7 Medical Billing Inquiries (Careworks): (888) 350-1150 Available Nov 14, 2018 · This page represents the NPI 1447729900 record. Durable Medical Equipment & Medical Supplies A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient?s use in the home and that are usable for an extended period of time. Feb 18, 2021 · The Ohio-based MCOs, CompManagement Health Systems, Inc. This merger enables a seamless transition in bringing additional resources and experience to clients, together providing claims and risk management consulting solutions for more than 65,000 Ohio employers, including organizations of all sizes operating in various Workers Compensation Insurance PlansBH Baptist Hospital GBH Gulf Breeze Hospital JH Jay Hospital UC Baptist Urgent Care BMC Baptist Behavioral Health Unit BMG Baptist Dec 4, 2017 · Franklin, TN (PRWEB) December 04, 2017 -- CareWorks Managed Care Services, a leading national provider of Workers’ Compensation managed care and cost containment services, today announced that Mike Lundberg has joined the company as Managing Vice President. Franklin, TN - CareWorks Managed Care Services recently announced that Mike Lundberg has joined the company as Managing Vice President. The company has 39 active competitors, including 8 funded and 8 that have exited. which was rebranded into CareWorksMCS in 2016). Get in touch with Careworks for managed care solutions. Jun 29, 2015 · CareWorks Managed Care ServicesThis information is the latest that the network has filed with TDI. In order to protect the information entrusted to Sedgwick, unauthorized access and/or unauthorized use of this information resource may be prosecuted to the fullest extent of the law. , two Ohio workers’ compensation managed care organizations (MCOs), have announced their merger under parent company Sedgwick. FIRST HEALTH FORTIFIED PROVIDER NETWORK (FPN) GALAXY HEALTH NETWORK HAWAII MAINLAND ADMINISTRATORS (PNA) HEALTH MANAGEMENT NETWORK HEALTH NET FEDERAL SERVICES – TRICARE PROGRAM ONLY HEALTHSMART HEALTHSMART COMPLETE HOMELINK Careworks MCS - Facebook Careworks MCS BILL REVIEW Questions concerning Bill review should be directed to Michael Hopkins at Careworks at 615-515-2415. Nov 12, 2025 · If you're looking for top-rated Huntington Beach in home care, CareWorks Health Services is the top choice for the Orange County area! CareWorks Health Services provides professional in-home care services in Huntington Beach and the Orange County area. Joseph Homelink Therapy Network Independent Medical Systems IHP Medicare Multiplan NBD Optum/United Health Pacific Health PNA Prime Health Service Procura Management About Careworks At the heart of any organization are its people. Log in for seamless care management. The threads are what connect injured employees, payers, providers and colleagues, and form the fabric of our… [Read more] For general questions, and additional information, please use the form below or give us a call, we are happy to help. (CompManagement MCO) effective Monday, December 21, 2020. Thanks to all colleagues and friends that connected with the York and CareWorks teams May 9, 2024 · Get the details of Brenda Calia's verified business profile including email address, phone number, work history and more. These connections — woven through each layer of our professional lives — teach us invaluable lessons. #2 km 126. You will recall that Sedgwick, CompManagement’s parent company, acquired CareWorks in 2019. Find top employees, contact details and business statistics at RocketReach. CareWorks Comp and CareWorks of Ohio provide comprehensive managed care and claims administration services to Ohio employers. Salaries, reviews, and more - all posted by employees working at CareWorks Managed Care Services. Simple as that. Careworks' case management ensures timely, appropriate care, helping injured workers return to health and work efficiently. Vincent Armentano, Senior Vice President of Business Insurance Claims at Travelers, is the President of Kids’ Chance of Connecticut, Barbara Ruel, Associate Vice President of Paradigm, is Vice President, Brenda Calia Vice President , Managed Care of CareWorks MCS, is Secretary, Jason Dodge, senior partner at SDAZ, is Treasurer and Scholarship Congratulations to CareWorks MCS for receiving an exhibitor 'Best of Show' award at #RIMS2018 in San Antonio. Choose CareWorks as your new MCO. Nov 14, 2018 · About CAREWORKS MANAGED CARE SERVICES, INC. 2000 Mallory Lane, Suite 130-602 Franklin, TN 37067 Fax: 877-351-3847 Board of Directors Advisor @ Wisedocs Chief Operating Officer @ Wisedocs Chief Strategy Officer @ The IMA Group President, CareWorks MCS and EVP, York Risk Services Group @ York Risk Executive Vice President and Chief Operating Officer, Managed Care @ Avizent Risk Vice President, FOCUS Healthcare Management and Concentra Network Services Want to work at CareWorks Managed Care Services? Apply for CareWorks Managed Care Services jobs, learn about the culture, read reviews and more. Careworks offers managed care solutions, clinical care, and cost containment services to support your workforce. We are excited to share the news that CareWorks of Ohio, Ltd. Whether you need managed care solutions for a workers’ compensation or liability program, Careworks offers a wide range of choices to meet your needs. CAREWORKS MCS CORVEL/CorCare COVENTRY WORK COMP DEVON HEALTH SERVICES EQUIAN/HSI EVOLUTIONS HEALTHCARE SYSTEMS, INC. This information resource may be monitored for administrative and security reasons. Our PPO offering includes our proprietary national provider network and regional and national network partners, offering access to over 900,000 medical professionals across all specialties. Box 300 Marietta, PA 17547-0300 Billing Inquiries: (800) 877-0600 Press 8 Automation Support: (888) 640-5840 Monday – Friday 8 AM to 6 PM ET Claims: (800) 877-9006 Available 24/7 Medical Billing Inquiries (Careworks): (888) 350-1150 Available Yes, CareWorks Absence Management is HIPAA compliant and will maintain the privacy of your medical information. . This also includes state-level custom PPO mosaics that we implement to support clients and drive the best access to care and savings. Connect injured employees to quality ancillary services with Careworks' extensive network, ensuring effective treatment and cost control. Discover how the right provider network leads to better claim outcomes. Careworks MCS/ York Risk Services · Experience: York Risk Services Group · Location: Dallas-Fort Worth Metroplex · 42 connections on LinkedIn. We will continue to focus on early return-to-work and cost The power of choice for your managed care solutions. They understand the complexities of workplace accidents including the Description CareWorks offers a comprehensive suite of the products and services you need to help injured workers recover and return to work as quickly and cost-effectively as possible. When one of your employees is out of work for illness or injury, Careworks is there, ready to help them on their return to health, work and productivity. Nov 19, 2024 · West Virginia Offices of the Insurance Commissioner Approved Workers' Compensation Health Care Plans Medical claims processed by CareWorks MCS through the SLP/Zebra bill review application generate an Explanation of Review (EOR). LoginCopyright © 2025 - CareWork Inc. Carework Hiring Platform helps home care agencies hire more caregivers with national data and expert recruiter training. It operates as a Managed care solutions for healthcare industry. For fast, convenient, after-hours care, visit one of Geisinger's 24 ConvenientCare walk-in locations in Pennsylvania. The dataset includes a full list of field names, values and definitions as recorded by the NPI registry. Find address location and contact information for this medical supplier. Thats only part of what sets us apart. See what employees say it's like to work at CareWorks Managed Care Services. , San Juan, PR 00916-1919 View on map MCS Aguadilla Service Center Aguadilla Mall, State Rd. Careworks managed care solutions are designed to care for your injured employees by deploying the right resource at the right time. Sep 28, 2010 · Sr Manager/Network Services Executive for CareWorks MCS (formerly CompPartners, Inc. Thanks to all colleagues and friends that Mar 3, 2021 · Memphis, TN – Sedgwick recently announced that Ohio-based CompManagement and CareWorks Comp have merged and become Sedgwick. (CareWorks MCO), is merging with CompManagement Health Systems, Inc. Nova N et was founded in 1994 to participate in the rapid evolution of healthcare moving from traditional fee-for-service to a managed care environment. Careworks' PPO networks are tailor-made for you. and CareWorks of Ohio, Ltd. View Elma Garcia’s profile on LinkedIn, a Careworks Managed Care Services, Inc. agement and CareWorks to form Sedgwick MCO brings deeper resources and experience to our clients. 1 million in revenue and 46 employees. But th rusted relationships that have develope ver Will my claims be managed the same way? ices of Ohio’s two largest MCOs, and have incorporated the best aspects from each organization. is a Durable Medical Equipment & Medical Supplies Supplier in Clearwater, Florida. Access your Careworks account to manage services, review bills, and find providers. Aug 12, 2024 · By: Beth Burry, MA, CRC, ARM, Managing Director, Careworks At the heart of the workers’ compensation industry lies the connections we build. Kacey Cavinee posted images on LinkedInCongratulations to CareWorks MCS for receiving an exhibitor 'Best of Show' award at #RIMS2018 in San Antonio. “CareWorks MCS leverages technology Feb 23, 2021 · Dublin, OH – CompManagement Health Systems, Inc. Nurse Allocator at Careworks MCS · Experience: Careworks MCS · Location: Nashville Metropolitan Area. Solutions - Careworks The power of choice. , a provider established in Clearwater, Florida operating as a Durable Medical Equipment & Medical Supplies. Eligibility will depend on things like your household income, resources, and age. Acceptable Insurances For your convenience we are providing you a list of insurances we accept. Submit your network provider claims and invoices to Careworks efficiently using our online form for quick processing. Thanks to all colleagues and friends that connected with the York and CareWorks teams Eligibility & Process CalWORKs is designed to help parents or caretakers of kids under 18 and people who are pregnant. Learn about CareWorks culture, salaries, benefits, work-life balance, management, job security, and more. Mar 4, 2021 · Sedgwick announced that Ohio-based CompManagement and CareWorks Comp have merged and will operate under the Sedgwick name. 7, Bo. By providing the right care and coordination solutions — from clinical case management to networks and support — along with the best treatment and cost oversight, we’re Out-of-Network Referral Request Injured worker name Address Insurance carrier & Employer Claim number Date of injury CareWorks of Ohio CareWorks of Ohio CareWorks is an Ohio BWC-certified Managed Care Organization (MCO) through Ohio's Health Partnership Program (HPP). Coordinating with multiple service providers can be overwhelming. Reach out via phone, email, or our online form for prompt assistance and support. For the past 16 months UserName Password Remember My User NameForgotten Password? Click Here. If you have any questions regarding this list, please do not hesitate to call us at (619)437-6450 Please also note in addition to our primary fax number (619)259-5197, you may also send any referrals to (619)437-6672 COMMERCIAL / PPO INSURANCES AETNA(AZ,CA) […] Can you af ord to stick with your current MCO? Ohio BWC Managed Care Organization Open Enrollment is April 30 to May 25. Careworks provides a 48-hour scheduling guarantee for all services, and can schedule the same day or the next day for urgent requests. (CareWorks MCO), effective Monday, December 21, 2020. Use 6sense to connect with top decision-makers at Careworks MCS. But with the power of source control and open, clear communication, we flipped this project around quickly. Its top competitor s include companies like athenahealth, CareCloud and Notable. Access Careworks' resources for providers, including claim status portals, document submissions, and policy information. CareWorks Managed Care Services is an Insurance company located in Franklin, Tennessee with $69. DirectPay is a provider-friendly network and payment process designed to benefit all parties in the healthcare transaction — providers, patients and payers. Refund, returned, voided, and lost checks, as well as intra-agency transfers are subject to specific review, control, and processing to credit the appropriate cash and claim accounts. Careworks brings a broad range of services, expertise and local service delivery Learn how Careworks drives better outcomes for injured workers through customized care and coordination solutions, ensuring a swift return to productivity. CareWorks provides managed care solutions and clinical care within the healthcare sector. “As Find useful insights on Careworks MCS's company details, tech stack, news alerts, competitors and more. Nova N et is a preferred provider organization (PPO) that delivers Careworks MCS Cigna/ASH Corvel/CorCare Equian/HSI Evolutions HealthCare Systems First Health/CCN/Coventry FPN Health Management Network HealthNet HealthSmart HealthNet VA Hoag/St. Out-of-Network Treating Doctor Request Injured worker name Address Insurance carrier & employer Claim number Date of injury Current treating doctor name Jun 15, 2025 · CareWorks is an acquired company based in Dublin (United States), founded in 1997 by Michael Dolan. Its top competitor s include companies like InstaMed, Emdeon and CiOX Health. Congratulations to CareWorks MCS for receiving an exhibitor 'Best of Show' award at #RIMS2018 in San Antonio. (CompManagement MCO) is merging with CareWorks of Ohio, Ltd. CAREWORKS™ Healthcare Solutions Comprehensive suite of healthcare technology solutions designed for modern healthcare institutions Submit your network provider contracts to Careworks for seamless processing and compliance. If we are not your managed care CAREWORKS MANAGED CARE SERVICES, INC. This page provides the complete NPI Profile along with additional information for Careworks Managed Care Services, Inc. O. Render care. “CareWorks MCS leverages technology, analytics and expertise to create custom solutions that deliver cost savings to clients and the appropriate care to injured workers Learn how Sedgwick MCO helps Ohio’s injured employees return to work safely and quickly with tailored managed care services. have announced a merger under parent company Sedgwick. Discover what this merger with Sedgwick means. CareWorks has raised an undisclosed amount in funding. This strategic acquisition solidifies our longstanding commitment to the Ohio market by bringing together the most extensive array of capabilities and expertise for the benefit of our local clients. Access to this information resource is restricted to authorized users only. It began by providing coverage in Georgia, Alabama, and parts of Florida, and its acquisition of Tennessee Health Care in 2009 helped to complete its expansion into Tennessee. The company offers services including nurse triage, case management, surgery nurse services, behavioral health management, utilization review, pharmacy management, vocational rehabilitation, and return to work services. CareWorks MCO has not raised any funding yet. Mar 2, 2021 · CompManagement and CareWorks Comp have 50+ years of combined experience helping Ohio employers. Sedgwick MCO is a workers’… [Read more] Sedgwick MCO was formed when CompManagement Health Systems (CHS) and CareWorks of Ohio merged in 2020. Upload documents easily using our online form. Thanks to all colleagues and friends that connected with the York and CareWorks teams Address for Bills: Careworks Managed Services Attn: First Benefits Insurance Mutual Inc. “CompManagement and CareWorks Comp have more than 50 years of combined experience helping employers navigate Ohio's workers' compensation system, providing services to help them control claim-related costs and reduce premiums,” the company said in a statement. If you currently work with our company, we thank you for the trust you have placed in us. I had the privilege of working with another co-worker on this project. Ohio (OH) - Managed Care Ohio, For more than 20 years, we've been helping Ohio's injured workers get back to work safely and quickly. Medical claims processed by CareWorks MCS through the SLP/Zebra bill review application generate an Explanation of Review (EOR). They medically manage nearly 30 percent of all new claims filed in Ohio, and their employer customers represent more than $700 million in workers' compensation premiums. szhhphx asblj grrtrgp hut pfgbxv kqge eegw gtasy khi pjffnpj swxtxij xnzd wzwd xfcmu xgllcg