Pediatric Case Manager RN- Bilingual. The RN Case Manager utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychos...
They are looking for a driven, experienced Case Manager to work closely with their top notch litigators. Managing and negotiating cases with insurance providers. Effectively manage a full case load. Organize and maintain case files, preparing files to be submitted to demand writers. ...
Provide Case management service to clients as outlined in the case management procedure manual in accordance with Children and Families Rules and Regulations. Conduct case management activities for assigned clients to include assessment of strengths and needs, service goals, service planning, client...
URAC recognized Case Management Certification must be obtained within 4 years of hire as a Case Manager. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc. Provides active case management, assesses se...
Provide Case management service to clients as outlined in the case management procedure manual in accordance with Children and Families Rules and Regulations. Conduct case management activities for assigned clients to include assessment of strengths and needs, service goals, service planning, client...
Presents cases at case conferences/rounds to obtain multidisciplinary view in order to achieve optimal outcomes. The Pediatric Care Manager RN will support a population of primarily medically complex pediatric members across the MMA and Florida Healthy Kids Medicaid lines of business with an emphasi...
Telephonic Nurse Case Manager . Must have at least one year of Florida Workers’ Compensation or occupational case management experience. Providing telephonic case-management in a Workers’ Compensation environment; focusing on medical appropriateness of care to injured worker with cost savings by coo...
PATH is seeking candidates passionate about helping others make a positive change in their lives to join our Care Coordination Services team as the Lead Case Manager role at the Santa Ana location. As part of the Care Coordination Services team, the Lead Case Manager is a seasoned social services pr...
Responsible for performing case management telephonically and/or by home visits, and/or inpatient and outpatient provider facilities within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Responds to more complex cases and account spec...
PATH is seeking master's level social services professionals to join our Orange County Interim Housing team as a Clinical Case Manager. Case Managers help Interim Housing guests break the cycle of homelessness by assisting them with the establishment and pursuit of a permanent housing plan through a...
Serving Children and Reaching Families LLC isseeking aTargeted Case Manager to provide Outpatient Mental Health servicesto adults and adolescents in need. ...
A Field Case Manager role is a remote, home-based position, with travel locally to doctors' offices, hospitals, and various other locations. The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured w...
Pediatric RN Case Manager – Hybrid. Pediatric RN Case Manager – Hybrid. Daily Responsibilities for Pediatric RN Case Manager – Hybrid:. Required Qualifications for Pediatric RN Case Manager – Hybrid:. ...
Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Fulfills the obligation of requested and/or accepted case assignments. ...
In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: dev...
Reporting to the Nurse Case Manager Supervisor, you will telephonically screen and manage workers’ compensation medical claims, review medical documentation, prepare written correspondence, and communicate with physicians regarding major contributing causes of medical conditions as it relates to the...
The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, identifying member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member’s receive services and r...
Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Fulfills the obligation of requested and/or accepted case assignments. ...
One year of hands-on experience with young children and families in a teaching, case management, or counseling role, or with individuals with special needs and/or developmental delays of any age in a case management role. Bachelor's degrees in other fields require a minimum of 3 years of experience ...
The Case Manager role’s main function is to assist clients in breaking the cycle of homelessness by utilizing a “whatever it takes” approach. The Case Manager assists clients with accessing and maintaining necessary services among health care, social services, interpersonal support systems, and navi...
IEM is looking for a Full-time Case Manager to join our dynamic team! The Case Manager plays a vital role in guiding homeowners through various stages of the program, from intake to closeout. Requests for accommodation will be considered on a case-by-case basis. Identifies and escalates issues to th...
We are seeking a Telephonic Case Manager to cover the East coast. The Telephonic Case Manager provides . A Telephonic Case Manager assists consumers in their recovery so that they may return to the highest level of function as possible. The Telephonic Case Manager works with all parties to the claim...
Serving Children and Reaching Families, LLC is seeking a Targeted Case Manager to provide Outpatient Mental Health services to adults and adolescents in need. Flexible schedule, including morning, day, evening, and weekend shifts as neededHybrid position with 50% travel requiredRemote meetings and t...
Available to work every other weekend and rotate major/minor holidays.No planned time off throughout contract.Required: +yrs recent acute CM RN exp in a hospital setting strongly preferred, BLS, Discharge planning experience, prior travel.Utilization Review exp a plus but not mandatory.Cerner, MCG e...
Identify resources needed for a fully integrated care coordination approach including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. Document all case management services and intervention in the electronic heal...