RN Case Manager - Augusta, GA
Case manager job in Augusta, GA
This job is located in Augusta, GA.
The RN Case Manager is primarily responsible for the daily management and support of the Case Management strategies for care coordination for a group of members who are associated with a Medicare Advantage plan. Visit (in person and/or telephonic) patients to ensure proper nursing care. Interview or correspond with physicians to correct errors or omissions and to investigate questionable claims. Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans.
This position requires an individual who is a self-starter and team player, has the ability to manage multiple priorities, work with minimal supervision on assigned projects and activities, and demonstrates excellent communication and presentation skills. This individual must be able to adapt quickly to change and be able to collaborate with multiple teams
Here are a few of our benefits:
Annual performance wage increases
401k retirement plan with a company match
Medical, dental and vision insurance
$50,000 basic life insurance - paid by the company
Paid time off
UKG Wallet - access your pay faster!
Holiday pay
Telehealth through 98point6 - free to all employees
Continuing Education opportunities
Career Advancement Opportunities
Qualifications/Requirements:
Minimum of 2 years of experience in clinical nursing or rehabilitation for the geriatric population.
2-years managed care experience required.
Minimum of 3-5 years' experience doing case management in a managed care environment preferably with a managed care organization or like facility, Preferred.
Essential Functions:
Complete Health Risk Assessments for members as assigned.
Initiate, update and/or revise care plans as needed.
Maintain a case load of patient as assigned.
Evaluates, coordinates, and plans patient care in collaboration with an interdisciplinary health team; reassesses and revises plans of care in collaboration with other members of the health care team.
Provides patient/family education based on identified learning needs utilizing available teaching resources
Provides education based on identified learning needs utilizing available teaching resources to members of the Home/Facility staff as needed.
Coordinates outpatient discharge planning based on patient needs, clinical circumstances and benefit coverage.
Participates in all Managed Care related audits; generates, maintains and tracks periodic and annual reports/documents via MS Office program, e-mails to support Care Coordination program.
Performs improvement projects involving development of monitoring/collection tools, review of medical records, data entry, analysis, and preparation of audit findings and reports.
Participates in patient care conferences, committee meetings, staff development and educational programs to increase or maintain professional competency.
Correctly applies medical management criteria.
Researches clinical questions from employers, members and payers as required.
Educate members on health access options.
Responds, manages, and resolves day-to-day problems presented in care coordination and communicates effectively with the Facility/Home.
Other duties as assigned.
Education:
Graduate of an accredited RN program.
Bachelor's Degree preferred.
Licensure/Certifications:
Current license to practice as a register nurse in assigned state.
Current CCM license, Preferred
CPR for Healthcare Professionals certification.
Current valid driver's license.
Current motor vehicle insurance.
ExperienceRequired
2 year(s): Geriatric Care
Preferred
2 year(s): Skilled Nursing
Licenses & CertificationsRequired
Registered Nurse
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Wound Care Clinician
Case manager job in Macon, GA
Piedmont Macon Medical Center is a 310-bed facility providing compassionate, patient-centered care across a wide range of specialties, including:
24-hour emergency room
Inpatient and same-day surgery, including innovative robotic surgical procedures
Spine care and surgery
Rehabilitation programs
Behavioral health and substance abuse care
An advanced cardiac center offering noninvasive heart procedures and open-heart surgery
Cancer care and survivorship programs
Robotic surgery procedures
A birthing center for labor and delivery with access to a Level III Neonatal Intensive Care Unit
Responsibilities:
RESPONSIBLE FOR:
Responsible for the assessment, evaluation, and treatment of patients, specifically those with acute and/or chronic wounds, ostomy management and education as well as management of fistulae, tubes, skin, and incontinence issues. Works in conjunction with physicians, nursing staff and ancillary staff to evaluate, propose, plan and perform patient assessment and treatments.
Qualifications:
MINIMUM EDUCATION REQUIRED:
Graduate of an accredited school in the field of Nursing, Physical Therapy, or Occupational Therapy.
MINIMUM EXPERIENCE REQUIRED:
Two years of clinical experience required.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
BLS certification through AHA with current licensure in the State of Georgia as a Physical Therapist, Registered Nurse, or Occupational Therapist. Must maintain CEU?s as required by the state.
ADDITIONAL QUALIFICATIONS:
Minimum Bachelor?s degree preferred. Two (2) years of clinical experience in wound/ostomy care and management preferred. Certified Wound Specialist (CWS) or Certified Wound Ostomy Continence Nurse (CWOCN) preferred. Experience working in research, analysis of data, and editing collateral preferred.
Business Unit : Company Name: Piedmont Macon Medical
Auto-ApplyClinical Supervisor (RN)
Case manager job in Tucker, GA
Become an RN Clinical Supervisor with Georgia Hospice Care We are looking for impeccable leaders to join our team who are committed to creating meaningful patient experiences.
As a clinical supervisor at Georgia Hospice Care you'll manage the coordination, supervision, and implementation of professional and supportive services for our hospice patients in a safe, cost-effective manner. The clinical supervisor will oversee the care team and provide education and training related to clinical practice, regulation and reimbursement changes as well as help orient new employees. As a clinical supervisor at Georgia Hospice Care, you'll serve as a key member of our care team to ensure every patient receives the highest quality care.
And just like all of our team members, our RN clinical supervisors have access to Georgia Hospice Care's supportive leadership team and professional development opportunities with plenty of room for advancement.
There are Benefits to Joining the Georgia Hospice Care Team!
Tuition Reimbursement
Immediate Access to Paid Time Off
Employee Referral Program Bonus Eligibility
Matching 401K
Annual Merit Increases
Years of Service Award Bonuses
Pet Insurance
Financial and Legal Assistance Program
Mental Health and Counseling Programs
Dental and Orthodontic Coverage
Vision Insurance
Health Care with Low Premiums
$500 Matching Health Savings Account
Short-term and Long-term Disability
Virgin Pulse Wellness Program
Fertility Assistance Program
About Georgia Hospice Care
A leading hospice and palliative care provider in Georgia, Georgia Hospice Care is dedicated to serving patients and families with love and delivering the highest quality care. With a career at Georgia Hospice Care, you'll not only have the opportunity to use your skills to make a real difference, but you'll also be part of an inclusive, respectful work environment filled with peers who have answered the call to care for others.
Our Company Mission
Georgia Hospice Care's mission is to serve with love, providing comfort and support through compassionate care and meaningful experiences. For our team members, these aren't empty words. In every interaction, no matter how big or small, we're dedicated to providing a superior experience for patients facing life-limiting illnesses and their families.
Qualifications:
A heart to serve patients and families and a passion for providing the best possible care
Education: Graduate of an accredited nursing school (BSN preferred). Current state license as a registered nurse
Experience: 2-3 years of supervisory experience as a registered nurse in an appropriate clinical care setting, home health, or hospice environment (preferred). Evidence of clinical and supervisory knowledge and experience appropriate to the assigned supervision responsibilities
Required: Reliable transportation. Ability to sit, stand, bend, move intermittently and lift at least 80-100 lbs and bear the weight of an average adult effectively.
We've worked hard to build a caring culture of integrity, communication, diversity and positive experiences, and we'd love for you to join our team.
*Pay is determined by years of experience and location.
Appcast Apply Goal Priority: Hot
Home Health Consultant
Case manager job in Tampa, FL
At Residential Home Health and Hospice (‘Residential'), we're looking to add to our extraordinary care team. Grounded by our belief that outstanding care is best delivered in a team-based environment, our Home Health Consultant will partner with our field staff and leaders to provide the best support to the patients that we serve.
With our 20-year track record, Residential is a strong leader in the industry. We are consistently named a Top Workplace by our employees and genuinely care where you are in your career path.
Our high value rewards package:
Up to 22 paid holiday and personal days off in year one
401k plan with matching contributions
DailyPay: Access your money when you want it!
Industry-leading 360 You™ benefits program
Company paid emotional health and wellness support for you and your family
Adoption assistance
Access to Ramsey SmartDollar
Certain benefits may vary based on your employment status.
What you'll do in this role:
Maintain relationships with all existing referral sources.
Actively prospect for new referral sources based on the Agency's scope of service.
Work closely with Marketing, Agency Administrator and Clinical Management to ensure that the demand for clinical care is aligned with our capacity and at no time compromises the Agency's ability to provide the best quality care for our patients.
Educate referral sources on the Home Health, Journey, Palliative, and Hospice offering. This may include: hospitals, skilled nursing facilities, assisted living facilities, independent living facilities, and physicians.
We are looking for compassionate Home Health Consultant with:
Associates Degree, Bachelor Degree preferred
One-year of healthcare marketing experience preferred
We are an equal opportunity employer and value diversity at our company.
NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.
By supplying your phone number, you agree to receive communication via phone or text.
By submitting your application, you are confirming that you are legally authorized to work in the United States.
JR# JR251078
Case Manager/ In-Take Specialist- MVA Focused
Case manager job in Miami, FL
A fast-growing company in the litigation finance space is urgently hiring an experienced Case Manager / Intake Manager to support its expanding Motor Vehicle Accident (MVA) case vertical. You'll work alongside a high-performing teammate and help manage high-volume Personal Injury campaigns.
About the Role:
You'll manage intake and case operations for a high-volume MVA portfolio, ensuring accuracy, organization, and smooth coordination across multiple law firms and marketing partners. This role requires someone who thrives under pressure, stays ahead of deadlines, and keeps data clean and updated at all times.
What They Are Looking For:
Personal Injury law firm experience
Strong MVA (motor-vehicle accident) background
Highly self-motivated
Excellent communication + time management
Extremely organized / Type-A
Able to adapt across different firms, marketers & workflows
Strong Excel skills (tracking, reporting, data updates)
Location
• Miami Beach office (preferred)
•OR Remote for an exceptional U.S.-based candidate
Compensation
• Salary: DOE
• Bonus: Discretionary
• Benefits: Full benefits
Please submit your resume for consideration!
You can use WorkGrades to collect and manage your references for free and share them with us or anyone else you choose by visiting workgrades.com/home/candidate. Candidates with references are always preferred by our clients. Now is the most important time to stand out from the crowd. We suggest that you ensure you have updated your LinkedIn profile and that you start collecting your references early.
Bilingual Personal Injury Case Manager
Case manager job in Miami, FL
Bilingual Case Manager (English/Spanish) - Personal Injury
📍 Miami, FL | ⏳ Temp-to-Hire | 🕗 Monday-Friday, 8:00 AM - 5:00 PM
We are seeking a dedicated and detail-oriented Bilingual Case Manager with personal injury experience to join our team in Miami, FL. This is a temp-to-hire opportunity with a consistent weekday schedule and the chance to join a supportive, fast-paced legal environment focused on helping injured clients navigate their medical and legal processes.
About the Role:
As a Case Manager, you will play a key role in coordinating Examinations Under Oath (EUOs) and Independent Medical Exams (IMEs) while managing ongoing communication and documentation for personal injury cases. Your ability to handle sensitive information, communicate effectively in both English and Spanish, and manage detailed casework will directly impact the success of our clients' outcomes.
Key Responsibilities:
Schedule and coordinate EUOs and IMEs; send timely and accurate notices to all involved parties
Maintain ongoing follow-up with clients regarding treatment updates and case progress
Request, receive, and organize medical records and billing documentation
Review and analyze medical documentation for accuracy and completeness
Communicate regular case status updates to clients
Maintain well-organized, confidential, and compliant case files
Requirements:
Minimum 1 year of personal injury case management experience
Bilingual - fluent in English and Spanish (written and verbal)
Strong organizational skills with high attention to detail
Excellent communication and customer service skills
Ability to manage confidential information with discretion
Must be able to start immediately
Comfortable working Monday through Friday, 8:00 AM to 5:00 PM
Case Manager
Case manager job in Miami, FL
The Case Management Coordinator is responsible for telephonic and face-to-face care coordination for Medicaid Long Term Care members. This role involves assessing, planning, implementing, and monitoring care plans for medically complex members to support overall wellness, improve outcomes, and ensure appropriate utilization of services
Responsibilities:
Conduct comprehensive member assessments using care management tools and data review
Develop, implement, and monitor individualized care plans
Coordinate services including prior authorizations, PCP and specialist collaboration, medication review, and community resources
Perform in-home and facility visits to support member needs
Document case activity in compliance with regulatory and accreditation guidelines
Skills:
Case management experience required
Long-term care experience preferred
Strong critical thinking, organization, and multitasking skills
Proficient in Microsoft Office (Excel required)
Effective verbal and written communication skills
Experience:
Case management experience required
Long term care experience preferred
Microsoft Office including Excel competent
Education:
Bachelor's degree required (Social Work or related field)
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Recruiter Details:
Recruiter Name: Shwetark Singh
Email ID: *******************************
Internal ID: 25-55186
Nurse Director of Case Management
Case manager job in Albany, GA
Community healthcare facility looking to bring on Director Care Management! Bonus Incentives and Full Relocation!
Responsible for directing the overall Care Management program, staff, and operations including resource allocation, budgeting, planning, and regulatory compliance. Sets priorities and provides administrative leadership for functions of utilization review, care management/care coordination, denial management, social work, and transition planning.
Team consist of, 2 RN managers, 8 UR RNs, 13 RN Case Managers, 9 MSWs, 7 Case Managers Assistant, 1 clerical support, 1physican advisor
Qualifications:
4 year Bachelor's Degree in Nursing, Healthcare Administration (Required)
Master's Degree in Nursing or related field (Preferred)
3+ years of Acute care case management (Required)
3+ years of Management and leadership
Lead Counsel
Case manager job in Palm Beach, FL
We are working with a real estate development and investment firm with a portfolio of projects exceeding $20 billion in expected value.
The Company is seeking an experienced and strategic Corporate Counsel to lead its Legal Department. This individual will be responsible for managing litigation, risk, compliance, and corporate governance, while also providing legal guidance across the Company's operating divisions. This position reports directly to the Chief Operating Officer.
Responsibilities:
Construction Litigation experience would be very helpful but is not required.
Develop and execute legal strategies that protect corporate assets and support long-term organizational goals.
Serve as a key legal advisor to all business units on a wide range of issues, including day-to-day operations, employment matters, and external legal affairs.
Manage litigation and dispute resolution processes, including engagement and oversight of outside counsel, with an emphasis on proactive risk management and cost control.
Oversee the company's insurance portfolio and implement strategies to reduce exposure and improve coverage efficiency.
Support capital markets activities, including structuring and reviewing external financing arrangements and equity investments.
Ensure compliance with corporate policies, regulations, and partnership agreements
Qualifications:
JD with minimum of 6 years of relevant legal experience, including litigation and/or corporate law, and/or real estate.
Preference is for top 15% from law school.
Excellent communication skills, with the ability to work effectively across all levels of the organization.
Highly organized and self-driven, with the ability to manage multiple priorities and deliver high-quality work in a fast-paced environment.
If interested, contact David Block at ************ x 1 or email at **********************
Wound Care Clinician
Case manager job in Atlanta, GA
Experience the advantages of real career change
Join Piedmont to move your career in the right direction. Stay for the diverse teams youll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. Youll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future.
Required Hours: Full time day shift
Responsibilities:
RESPONSIBLE FOR:
Certified Clinician responsible for the assessment, evaluation, and treatment of patients, specifically those with acute and/or chronic wounds, ostomy management and education as well as management of fistulae, tubes, skin, and incontinence issues. Works in conjunction with physicians, nursing staff and ancillary staff to evaluate, propose, plan and perform patient assessment and treatments.
IND789
#LI-POST
#GD
Qualifications:
MINIMUM EDUCATION REQUIRED:
Graduate of an accredited school in the field of Nursing, Physical Therapy, or Occupational Therapy.
MINIMUM EXPERIENCE REQUIRED:
Two (2) years of clinical experience required unless completion of an approved Wound Care/Ostomy residency program.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
One of the following certifications active and in good standing with their respective board:
APTA CWON
CWCA CWS
CWCN WCC
CWOCN OMS
BLS certification
Current licensure in the State of Georgia as a Physical Therapist, Registered Nurse, or Occupational Therapist.
Must maintain CEUs as required by the state and certification board.
ADDITIONAL QUALIFICATIONS:
Bachelors degree preferred. Experience working in research, analysis of data, and editing collateral preferred.
Business Unit : Company Name: Piedmont Hospital
Auto-ApplyMedical Case Manager I
Case manager job in Fort Walton Beach, FL
CAN Community Health is now hiring a Medical Case Manager I
Schedule: Full-Time | Day Shift | Monday-Thursday 8:00 am - 5:30 pm Friday 8:00 am - 12:30 pm
Salary Range: $21.00-$24.00 per hour
Are you passionate about patient care and ready to make a difference every day? We are looking for someone who is passionate about serving the needs of individuals impacted by HIV, Hepatitis C, STI's, and other infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values.
We have received recognition for more than six (6) years NPT's Best Non-Profit to Work for Award.
Why You'll Love It Here
Competitive pay
Generous paid PTO and Sick time
11 Paid Company Holidays
Paid training and certification support
Health, dental, vision, with generous company contribution, paid life and disability plans & retirement plan with generous match of up to 8% of your contribution additional match of 1%.
Tuition Reimbursement Plan
Other voluntary plans are available to support you and your family
Career growth opportunities in a supportive environment
What You'll Do
The Medial Case Manager is responsible for coordinating and delivering comprehensive case management services to clients, ensuring access to care and support in compliance with local, state, and federal guidelines. This role involves eligibility screening, care planning, resource linkage, and collaboration with healthcare teams to promote optimal health outcomes.
Screen clients for program eligibility and conduct biannual reassessments for continued enrollment.
Verify insurance coverage and coordinate required pre-authorizations.
Develop, implement, and update individualized care plans based on patient needs and establish goals in collaboration with the patient aimed at increasing level of functioning and self-sufficiency in all areas of life.
Acts as liaison between patients and the care team to address identified needs
Utilize advanced skills to assist in collaborating, developing, implementing, monitoring, and evaluating the case management process
Performs comprehensive assessments to identify individualized needs in the areas of health, mental health, social support, addiction, financial resources, benefits, legal, language/culture, and employment.
Evaluate client medical acuity to establish individualized care priorities and implement evidence-based standards of service delivery
Coordinates client access to primary medical care and treatment. Attends client medical appointments as needed.
Submits timely and accurate monthly billing documentation in accordance with grant standards.
Accurately document all client encounters within software applications within 48-72 hours.
Responsible for testing as needed.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of an employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Requirements:
Education/Professional:
Bachelor's degree in social work, Nursing, Public Health, or related field.
One year of HIV prevention/intervention experience
Experience with Phlebotomy helpful.
Please refer to state requirements per jurisdiction
Must be able to operate a motor vehicle and have valid insurance and driver's license.
Must be able to pass a Level I and Level II Background check as required
CAN Community Health, Inc. is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
PIbecdea36a269-37***********7
Travel Clinical Supervisor (RN), Georgia
Case manager job in Georgia
Become a Travel RN Clinical Supervisor with Georgia Hospice Care Do you value the time you spend with your patients? Is it important to you that your patients and their families know and feel that you are with them? We are looking for travel RN clinical supervisors who are committed to creating meaningful patient experiences.
As a clinical supervisor at Georgia Hospice Care, you'll manage the coordination, supervision, and implementation of professional and supportive services for our hospice patients in a safe, cost-effective manner. The clinical supervisor will oversee the care team and provide education and training related to clinical practice, regulation and reimbursement changes as well as help orient new employees. In this role, you'll travel to locations across Georgia with the possibility of overnight stays.
And just like all of our team members, our RN clinical supervisors have access to Georgia Hospice Care's supportive leadership team and professional development opportunities with plenty of room for advancement.
There are Benefits to Joining the Georgia Hospice Care Team!
Tuition Reimbursement
Immediate Access to Paid Time Off
Employee Referral Program Bonus Eligibility
Matching 401K
Annual Merit Increases
Years of Service Award Bonuses
Pet Insurance
Financial and Legal Assistance Program
Mental Health and Counseling Programs
Dental and Orthodontic Coverage
Vision Insurance
Health Care with Low Premiums
$500 Matching Health Savings Account
Short-term and Long-term Disability
Virgin Pulse Wellness Program
Fertility Assistance Program
About Georgia Hospice Care
A leading hospice and palliative care provider in Georgia, Georgia Hospice Care is dedicated to serving patients and families with love and delivering the highest quality care. With a career at Georgia Hospice Care, you'll not only have the opportunity to use your skills to make a real difference, but you'll also be part of an inclusive, respectful work environment filled with peers who have answered the call to care for others.
Our Company Mission
Georgia Hospice Care's mission is to serve with love, providing comfort and support through compassionate care and meaningful experiences. For our team members, these aren't empty words. In every interaction, no matter how big or small, we're dedicated to providing a superior experience for patients facing life-limiting illnesses and their families.
Qualifications:
A heart to serve patients and families and a passion for providing the best possible care
Education: Graduate of an accredited school of nursing with a current state license as a registered nurse
Experience: 2+ years of nursing experience in a clinical care setting (hospice experience preferred)
Required: Reliable transportation. Ability to sit, stand, bend, move intermittently and lift at least 80-100lbs and bear the weight of an average adult effectively
We've worked hard to build a caring culture of integrity, communication, diversity and positive experiences, and we'd love for you to join our team.
*Pay is determined by years of experience and location.
Appcast Apply Goal Priority: Hot
Medical Case Manager
Case manager job in Atlanta, GA
Field Nurse Case Manager - Atlanta, GA
This is a full-time, permanent opportunity with a growing Case Management Company that offers nurses greater autonomy in managing their caseloads while still providing the ability to earn bonuses. We are seeking highly skilled, self-motivated Registered Nurses (RNs) with experience in workers' compensation nurse case management.
As a Field Case Manager, you will evaluate, coordinate, and manage medical care for injured workers by collaborating with treating providers, therapists, employers, and insurance carriers-delivering results that truly make a difference.
Requirements:
Active Georgia Registered Nurse (RN) license
CCM (Certified Case Manager)
Georgia Rehabilitation Supplier designation preferred
Minimum 2 years of clinical nursing experience
Previous workers' compensation case management experience
Valid driver's license and Georgia auto insurance
Proficiency in Microsoft Office Suite (Outlook, Word, Excel)
Benefits:
Flexible hours
Home office equipment provided
Competitive salary range: $85,000-$95,000
Monthly bonus potential: $500-$2,500 uncapped
Mileage reimbursement
Comprehensive benefits package including health insurance and 401(k)
Who We Are
Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm specializing in placing healthcare professionals-from staff to leadership-in both clinical and non-clinical roles. Our comprehensive, customer-focused workforce solutions include Right-to-Hire Contract Staffing, Direct Placement, and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationwide.
Pivotal Placement Services is an Equal Opportunity Employer.
Claims Advocate
Case manager job in Orlando, FL
Claims Advocate
Employment Type: Full-Time
Department: Claims Advocacy
Agency
Hatcher Insurance Agency is a boutique firm based in Orlando, Florida, offering the capabilities of a large brokerage with the personalized service of a local agency. We specialize in Commercial Lines, Employee Benefits, Surety Bonding, and Personal Lines, and are committed to delivering competitive insurance solutions with a world-class client experience.
Position Overview
We are seeking a highly skilled and client facing Claims Advocate to lead and establish our internal Claims Advocacy department. This individual will serve as the primary liaison between clients and insurance carriers, ensuring that claims are managed with professionalism, transparency, and empathy. The ideal candidate will bring extensive experience in Property & Casualty (P&C) insurance, with a strong background in General Liability (GL) claims and mediation.
This is a strategic and client-facing role, offering the opportunity to build out a key function within the agency and directly impact client satisfaction and retention.
Key Responsibilities
Serve as the primary point of contact for clients throughout the claims process.
Lead mediation efforts in complex General Liability claims and advocate for fair outcomes.
Manage claims across all P&C lines, including commercial and personal insurance.
Develop and implement internal claims advocacy procedures and best practices.
Communicate effectively with insurance carriers, legal representatives, and internal teams.
Maintain accurate documentation of claim activity and provide regular updates to clients.
Identify trends and opportunities for process improvement and enhanced client service.
Qualifications
Minimum of 5 years of experience in insurance claims handling, with a focus on GL and P&C.
Demonstrated success in client-facing roles and mediation or dispute resolution.
Strong understanding of insurance coverages, carrier protocols, and legal considerations.
Excellent communication, negotiation, and organizational skills.
Proficiency in agency management systems and Microsoft Office Suite.
Florida insurance license preferred.
Why Join Hatcher Insurance Agency?
Opportunity to build and lead a new department within a growing agency.
Collaborative and service-oriented work environment.
Access to professional development and career advancement.
Make a meaningful impact on the client experience and agency operations.
Bilingual Corrections Case Manager
Case manager job in Miami, FL
ESSENTIAL FUNCTIONS
Being thoroughly familiar and executing all policies outlined in the federal F.B.O.P. Statement of Work.
Completing with residents and individualized reentry plan
Providing case management reviews of reentry plan for a full caseload of RRC inmates/residents.
Developing and utilizing a network of community resources to assist inmates/residents in their re-integration into the community.
Checking Veritracks for those on HC
Communicating with federal officials and community resources on behalf of inmates/residents.
Conducting program orientation with new arrivals and their family when applicable.
Preparing and maintaining all appropriate paperwork such as reentry plans, progress and case notes, contact logs, terminal reports, monthly reports, special incidents, employment verification and release plans.
Monitoring a resident's progress to assist in reintegration through home visits and home confinement.
Maintaining a resident's file up to date with all required paperwork to include legal, financial, passes and case notes.
Conducting field work as assigned to verify inmates employment and residence.
Conducting monthly paycheck verifications for each inmate/resident.
Ensuring subsistence is properly collected and billing turned in each week and tracking payments. Turning in rent logs.
Collecting client subsistence.
Being involved in the discipline process: reporting, investigating, conduct hearings for inmates.
Completing assignments in a timely manner to include report.
Updating Emergency list on a weekly basis
Attend staff meetings and Case Manager meetings monthly.
Possess and maintain CPR/First Aid Certification.
Perform other duties as assigned.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION AND/OR EXPERIENCE: Four-year degree in a social, human services, criminal justice or behavioral science program from accredited college or university. A minimum of one year of experience working in human services, corrections, or community-based services. Work experience may be substituted for academic studies exchange one year of work experience in a related field for one year of academic education. Total work experience needed in lieu of the combination of education and work experience is five years.
LANGUAGE SKILLS: Ability to read, write and speak in English; Spanish (or other languages) helpful. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures or governmental regulations. Ability to write reports, business correspondence and procedures manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public.
MATHEMATICAL SKILLS: Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.
REASONING ABILITY: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.
OTHER SKILLS AND ABILITIES: Computer Skills: word processing and spread sheets; other company specific software; detail-oriented, thorough, accurate, diligent, reputable; meets deadlines and follows good business practices.
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is frequently required to stand, walk and reach with hands and arms. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.
WORK ENVIROMENT: 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 moderate.
Job Type: Full-time
Work Location: In person
Re-Entry/Correctional Case Manager.
Case manager job in Hollywood, FL
The Center for Behavioral Health Department Re-Entry Program provides culturally appropriate, community based Re-Entry services to Seminole Tribe Community. Services are designed to help STOF Re-Entry participants improve their quality of life and provide successful re-entry into their communities by using a risk based case planning model. The incumbent in this position is responsible for tracking and monitoring the progress of Tribal Member participants who reside in local jails, prison facilities. The individual performs duties according to the policies and procedures of the Center for Behavioral Health Department Re-Entry Program.
Bachelor's Degree from a regionally accredited institution with provision of a transcript confirming completion of a major field of study in Criminal Justice, Prevention, Social Work, Psychology, Mental Health, or Social Service delivery, is required. Minimum of three (3) years work experience in the field of re-entry services, prevention, behavioral health, including experience working with multi-diagnosed individuals (e.g. mental health disorders/substance dependence-related conditions), family systems work, and community-based treatment, is required. Possession of a valid Florida Driver's Licensed is required. Demonstrate proficiency utilizing Microsoft software packages. Demonstrate excellent interpersonal and organizational skills. Demonstrate excellent written and verbal communication skills. Ability to work a flexible schedule including evenings, weekends and holidays. Out of town travel and overnight assignments are required of the Center for Behavioral Health Department employees in order to meet the needs of the tribal communities or individual clients.
Social Worker
Case manager job in Union Springs, AL
Social Worker (LMSW, LCSW, LPC)
Shift: Days
Guaranteed Hours: 40/week
Hourly Pay Rate: $50- $55 (Traveler)
Qualifications:
Master's degree in psychology, Counseling, Social Work, or related field
State licensure or certification as a Behavioral Health Professional
Experience in conducting therapy sessions and behavioral interventions
Knowledge of art therapy, gender issues counseling, and psychopharmacology is preferred
Strong communication and interpersonal skills
Ability to work effectively in a team environment
Compassionate and empathetic approach to client care
Duties:
Conduct assessments and develop treatment plans for clients
Provide individual and group therapy sessions
Implement evidence-based therapeutic interventions
Monitor and evaluate clients' progress
Collaborate with multidisciplinary teams to ensure comprehensive care
Maintain accurate and timely clinical documentation
Case Manager
Case manager job in Graceville, FL
NEW Pay: $19.00/hr. Status: Full Time, 8hrs Benefit package includes: * Medical, vision, and prescription drug benefits * Dental benefits * Life insurance * Accidental death and dismemberment insurance * Short-term and long-term disability benefits
* 401(k) retirement plan
* Employee assistance program
* Paid time off (PTO)
* 9 paid holidays
* Bereavement leave
* Civic duty and military leave
* Opportunities for job advancement
Impact lives with Management & Training Corporation (MTC)! At the Graceville Correctional Facility in Graceville, FL, our foundation is based upon the philosophies of caring about others, giving back, and making a social impact. We provide a safe and secure working environment for our staff while helping an at-risk population receive the treatment necessary for success on their road back to a healthy, productive life.
Position Summary:
Reports to the case manager supervisor. Responsible for planning, coordinating, developing and implementing a professional individual and group counseling program for assigned inmates in compliance with American Correctional Association (ACA) standards, Management & Training Corporation (MTC), Florida Department of Corrections (FDOC) and Florida Department of Management Services (DMS) directives.
Essential Functions:
* Review detailed background file, conduct personal interview and test as necessary to analyze and recommend a program for each assigned inmate.
* Initiate and maintain individual personal social development (PSD) folder on each assigned inmate.
* Provide direct aid and counseling to inmates with personal needs or problems, i.e., sickness, injury, family problems, and other related personal problems.
* Provide continuous educational, vocational, personal and social adjustment counseling on an individual and group basis.
* Recommend necessary program modifications throughout each assigned inmate's stay.
* Assist with development of plans, missions, objectives, schedules, policies, and programs for units within the facility.
* Make rounds through other areas in the facility where inmates may be temporarily housed, programmed and/or work which requires long periods of standing and walking.
* Make daily rounds through units to evaluate operations and to communicate with staff and inmates.
* Perform investigative duties involving incidents within units to include unit staff and/or inmates.
* Assist with pre-release and release preparation as required for contractual compliance.
It is expected that the incumbent shall perform other duties as assigned within his/her capabilities as determined by management.
Education and Experience Requirements:
Associate's degree in counseling or related field required. Bachelor's degree and one (1) year related experience preferred. Directly related experience may be considered in lieu of formal education requirements. A valid driver's license in the state of Florida with an acceptable driving record required, unless waived by management.
Post Hire Requirements:
Must successfully complete annual in-service training requirements.
Management & Training Corporation (MTC) is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, disabled status, veteran status, genetic information, national origin, or any other category protected by federal law. MTC participates in E-Verify. We strive to provide reasonable accommodation for qualified individuals with disabilities, including disabled veterans, in our job application and hiring process. If you are interested in employment opportunities with Management & Training Corporation and need assistance, please contact our staffing department through ***************************** or ************.
Case Manager
Case manager job in Graceville, FL
NEW Pay: $19.00/hr.
Status: Full Time, 8hrs
Benefit package includes:
Medical, vision, and prescription drug benefits
Dental benefits
Life insurance
Accidental death and dismemberment insurance
Short-term and long-term disability benefits
401(k) retirement plan
Employee assistance program
Paid time off (PTO)
9 paid holidays
Bereavement leave
Civic duty and military leave
Opportunities for job advancement
Impact lives with Management & Training Corporation (MTC)! At the Graceville Correctional Facility in Graceville, FL, our foundation is based upon the philosophies of caring about others, giving back, and making a social impact. We provide a safe and secure working environment for our staff while helping an at-risk population receive the treatment necessary for success on their road back to a healthy, productive life.
Position Summary:
Reports to the case manager supervisor. Responsible for planning, coordinating, developing and implementing a professional individual and group counseling program for assigned inmates in compliance with American Correctional Association (ACA) standards, Management & Training Corporation (MTC), Florida Department of Corrections (FDOC) and Florida Department of Management Services (DMS) directives.
Essential Functions:
Review detailed background file, conduct personal interview and test as necessary to analyze and recommend a program for each assigned inmate.
Initiate and maintain individual personal social development (PSD) folder on each assigned inmate.
Provide direct aid and counseling to inmates with personal needs or problems, i.e., sickness, injury, family problems, and other related personal problems.
Provide continuous educational, vocational, personal and social adjustment counseling on an individual and group basis.
Recommend necessary program modifications throughout each assigned inmate's stay.
Assist with development of plans, missions, objectives, schedules, policies, and programs for units within the facility.
Make rounds through other areas in the facility where inmates may be temporarily housed, programmed and/or work which requires long periods of standing and walking.
Make daily rounds through units to evaluate operations and to communicate with staff and inmates.
Perform investigative duties involving incidents within units to include unit staff and/or inmates.
Assist with pre-release and release preparation as required for contractual compliance.
It is expected that the incumbent shall perform other duties as assigned within his/her capabilities as determined by management.
Education and Experience Requirements:
Associate's degree in counseling or related field required. Bachelor's degree and one (1) year related experience preferred. Directly related experience may be considered in lieu of formal education requirements. A valid driver's license in the state of Florida with an acceptable driving record required, unless waived by management.
Post Hire Requirements:
Must successfully complete annual in-service training requirements.
Management & Training Corporation (MTC) is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, disabled status, veteran status, genetic information, national origin, or any other category protected by federal law. MTC participates in E-Verify. We strive to provide reasonable accommodation for qualified individuals with disabilities, including disabled veterans, in our job application and hiring process. If you are interested in employment opportunities with Management & Training Corporation and need assistance, please contact our staffing department through ***************************** or ************.
Auto-ApplyFinancial Lending Advocate-Inbound (Dothan, AL)
Case manager job in Dothan, AL
Financial Lending Advocate - Inbound
Department: Consumer Lending
Classification: Non-exempt
REPORTING RELATIONSHIPS
Consumer Lending Manager
Positions supervised: none
All team members work toward a common purpose to Brighten the Financial Future of the Communities We Serve. Each employee supports our members by promoting and offering relevant services and products to meet their diverse needs. We deliver outstanding service by embracing our core values of Integrity, Collaboration, Accountability, Passion, and Self-Improvement.
POSITION PURPOSE
Responsible for utilizing sales leads to research lending and cross sell opportunities and then make outbound calls to qualified individuals in an effort to solidify additional business and improve member relationships. Prepares loan applications for credit approval. Cross sells products and services as appropriate. Honors the Five Star Service Standards pledge by providing professional service externally to members and visitors and internally to staff.
ESSENTIAL FUNCTIONS AND BASIC DUTIES
1.Assumes responsibility for the effective performance of loan solicitations.
Meets and exceeds monthly sales goals for loan volume and ancillary product sales.
Utilizes, researches, and identifies opportunities from loan leads provided by marketing and loan department. Then places outbound calls to members in an effort to solicit new business and increase member share of wallet. The primary focus is on inbound calls and internet leads.
Calculates terms, finance charges, insurance rates, etc. on loans for proper disclosure on promissory notes.
Receives, reviews, and processes related paperwork and refers all loan applications to Loan Underwriter. Follows up on paperwork to ensure its completeness and accuracy.
Ensures that members that accept sale offers are forwarded to closing team and all documents are completed and any additional steps needed to complete the loan process are full filled in a timely manner.
Ensures that services are provided in accordance with established Credit Union policies and are legally compliant. Ensures interviews and service requests are properly documented.
2.Assumes responsibility for establishing and maintaining effective and professional business relationships with members.
a. Addresses members' requests and questions promptly and courteously.
b. Informs members of Credit Union products and services. Provides routine information concerning loan applications, account balances, direct payment plans, etc.
c.Maintains the Credit Union's quality and professional reputation.
3.Assumes responsibility for related duties as required or assigned.
a. Ensures work area is clean, secure, and well maintained.
b. Keeps informed regarding policy and procedure changes.
c. Actively and professionally cross sells Credit Union services.
d. Performs other duties as required or assigned.
QUALIFICATIONS
Education/Certification: High school graduate or equivalent. Some college preferred but not required.
Required Knowledge: Fully knowledgeable of all Credit Union products and services and is able to confidently
offer appropriate solutions to fit member need.
Commands a thorough knowledge of the FSCU lending process from application to closing
to ensure maximum funding rates.
Experience Required: Previous experience with a full-service financial institution helpful.
Skills/Abilities: Excellent sales, interpersonal, oral and written communication skills required.
Good organizational skills and attentive to detail.
Proficient typing abilities.
Demonstrates the ability to use technology to effectively and efficiently perform the required
job functions.
Able to work effectively in a fast-paced team environment.
PHYSICAL ACTIVITIES AND REQUIREMENTS OF THIS POSITION
Finger Dexterity: Using primarily just the fingers to make small movements such as typing, picking up small
objects, or pinching fingers together.
Talking: Especially where one must frequently convey detailed or important instructions or ideas
accurately, loudly, or quickly.
Average Hearing: Able to hear average or normal conversations and receive ordinary information.
Repetitive Motion: Movements frequently and regularly required using the wrists, hands, and/or fingers.
Average Visual Abilities: Average, ordinary, visual acuity necessary to prepare or inspect documents or products, or
operate machinery.
Physical Strength:Sedentary work; sitting most of the time. Exerts up to 10 lbs. of force occasionally.
WORKING CONDITIONS
None: No hazardous or significantly unpleasant conditions (such as in a typical office).
MENTAL ACTIVITIES AND REQUIREMENTS OF THIS POSITION
Reasoning Ability: Ability to apply common sense understanding to carry out detailed but uninvolved
instructions and to deal with problems involving a few variables.
Mathematics Ability: Ability to perform basic math skills, use decimals to compute ratios and percents, and to
draw and interpret graphs.
Language Ability: Ability to use a passive vocabulary of 5,000-6,000 words; read at a slow rate; and define
unfamiliar words in dictionaries for meaning, spelling, and pronunciation.
Ability to write complex sentences, using proper punctuation, and using adjectives and
adverbs.
Ability to communicate in complex sentences, using normal word order with present and past tenses and good vocabulary.
INTENT AND FUNCTION OF S
s assist organizations in ensuring that the hiring process is fairly administered and that qualified employees are selected. They are also essential to an effective appraisal system and related promotion, transfer, layoff, and termination decisions. Well constructed job descriptions are an integral part of any effective compensation system.
All descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Peripheral tasks, only incidentally related to each position, have been excluded. Requirements, skills, and abilities included have been determined to be the minimal standards required to successfully perform the positions. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all inclusive. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
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