Find The Best Case Manager/Program Manager Jobs For You

Where do you want to work?

0 selections

Behavioral Health Case Manager I/II - Telephonic Suicide Prevention Program

Anthem, Inc.
Remote or Cottage Grove, MN
SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities.

Join us and together we will drive the future of healthcare.This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Location: This is a remote position that will service our Suicide Prevention program. Qualified candidates must be licensed in the state they reside and must be within an hour's drive of an Anthem office.
Hours: 9:00 am - 5:30 pm or 10:00 am - 6:30 pm EST, Monday through Friday, local time.

The Behavioral Health Case Manager I/II supports our members with serious substance abuse, substance abuse-related disorders, and/or mental health-related illness and is responsible for performing case management, telephonically, within the scope of licensure for these members.

This position may be filled as BH Care Manager I or II - the level will be determined based on the candidate's experience and background

Primary responsibilities include, but are not limited to:

* Use appropriate screening criteria, knowledge, and clinical judgment to assess member needs.
* Conduct assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment.
* Monitor and evaluate the effectiveness of the care plan and modifies the plan as needed.
* Support member access to appropriate quality and cost-effective care.
* Coordinate with internal and external resources to meet identified needs of the members and collaborates with providers.

Behavioral Case Manager I Qualifications

* Requires a current, active, and unrestricted LCSW, LICSW, LPC, LMFT, LMHC, RN, or clinical psychologist license (as allowed by applicable state law), from the state in which you reside.
* Requires MS or MA in social work, counseling with a broad range of experience with complex psychiatric and substance abuse, or substance abuse disorder treatment; 3+ years of clinical experience, or any combination of education and experience, which would provide an equivalent background.
* Telephonic and/or face-to-face behavioral health case management experience is required.
* Excellent communication skills are required.
* You must be competent in Microsoft Word, Excel, and Outlook.

Preferred Qualifications:

* Experience with community mental health resources, CSB (Community Service Board), or similar is preferred.
* Experience and/or training in Suicide Prevention programs are very helpful.

Behavioral Case Manager II Qualifications

* Requires a current, active, and unrestricted LCSW, LICSW, LPC, LMFT, LMHC, RN, or clinical psychologist license (as allowed by applicable state law), from the state in which you reside.
* Requires MS or MA in social work, counseling with a broad range of experience with complex psychiatric and substance abuse, or substance abuse disorder treatment; 5+ years of clinical experience, or any combination of education and experience, which would provide an equivalent background.
* Telephonic and/or face-to-face behavioral health case management experience is required.
* Excellent communication skills are required.
* You must be competent in Microsoft Word, Excel, and Outlook.

Preferred Qualifications:

* Experience with community mental health resources, CSB (Community Service Board), or similar is preferred.
* Experience and/or training in Suicide Prevention programs are very helpful.

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.

Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For , is ranked as one of the 2020 World's Most Admired Companies among health insurers by Fortune magazine, and a 2020 America's Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.
New
3d ago

Behavioral Health Case Manager I/II - Telephonic Suicide Prevention Program

Anthem, Inc.
Remote or Morgantown, WV
SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities.

Join us and together we will drive the future of healthcare.This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Location: This is a remote position that will service our Suicide Prevention program. Qualified candidates must be licensed in the state they reside and must be within an hour's drive of an Anthem office.
Hours: 9:00 am - 5:30 pm or 10:00 am - 6:30 pm EST, Monday through Friday, local time.

The Behavioral Health Case Manager I/II supports our members with serious substance abuse, substance abuse-related disorders, and/or mental health-related illness and is responsible for performing case management, telephonically, within the scope of licensure for these members.

This position may be filled as BH Care Manager I or II - the level will be determined based on the candidate's experience and background

Primary responsibilities include, but are not limited to:

* Use appropriate screening criteria, knowledge, and clinical judgment to assess member needs.
* Conduct assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment.
* Monitor and evaluate the effectiveness of the care plan and modifies the plan as needed.
* Support member access to appropriate quality and cost-effective care.
* Coordinate with internal and external resources to meet identified needs of the members and collaborates with providers.

Behavioral Case Manager I Qualifications

* Requires a current, active, and unrestricted LCSW, LICSW, LPC, LMFT, LMHC, RN, or clinical psychologist license (as allowed by applicable state law), from the state in which you reside.
* Requires MS or MA in social work, counseling with a broad range of experience with complex psychiatric and substance abuse, or substance abuse disorder treatment; 3+ years of clinical experience, or any combination of education and experience, which would provide an equivalent background.
* Telephonic and/or face-to-face behavioral health case management experience is required.
* Excellent communication skills are required.
* You must be competent in Microsoft Word, Excel, and Outlook.

Preferred Qualifications:

* Experience with community mental health resources, CSB (Community Service Board), or similar is preferred.
* Experience and/or training in Suicide Prevention programs are very helpful.

Behavioral Case Manager II Qualifications

* Requires a current, active, and unrestricted LCSW, LICSW, LPC, LMFT, LMHC, RN, or clinical psychologist license (as allowed by applicable state law), from the state in which you reside.
* Requires MS or MA in social work, counseling with a broad range of experience with complex psychiatric and substance abuse, or substance abuse disorder treatment; 5+ years of clinical experience, or any combination of education and experience, which would provide an equivalent background.
* Telephonic and/or face-to-face behavioral health case management experience is required.
* Excellent communication skills are required.
* You must be competent in Microsoft Word, Excel, and Outlook.

Preferred Qualifications:

* Experience with community mental health resources, CSB (Community Service Board), or similar is preferred.
* Experience and/or training in Suicide Prevention programs are very helpful.

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.

Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For , is ranked as one of the 2020 World's Most Admired Companies among health insurers by Fortune magazine, and a 2020 America's Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.
New
3d ago

Behavioral Health Case Manager I/II - Telephonic Suicide Prevention Program

Anthem, Inc.
Remote or Morgantown, WV
SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities.

Join us and together we will drive the future of healthcare.This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Location : This is a remote position that will service our Suicide Prevention program. Qualified candidates must be licensed in the state they reside and must be within an hour's drive of an Anthem office.
Hours: 9:00 am - 5:30 pm or 10:00 am - 6:30 pm EST, Monday through Friday, local time.

The Behavioral Health Case Manager I/II supports our members with serious substance abuse, substance abuse-related disorders, and/or mental health-related illness and is responsible for performing case management, telephonically, within the scope of licensure for these members.

This position may be filled as BH Care Manager I or II - the level will be determined based on the candidate's experience and background

Primary responsibilities include, but are not limited to :

+ Use appropriate screening criteria, knowledge, and clinical judgment to assess member needs.

+ Conduct assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment.

+ Monitor and evaluate the effectiveness of the care plan and modifies the plan as needed.

+ Support member access to appropriate quality and cost-effective care.

+ Coordinate with internal and external resources to meet identified needs of the members and collaborates with providers.

Behavioral Case Manager I Qualifications

+ Requires a current, active, and unrestricted LCSW, LICSW, LPC, LMFT, LMHC, RN, or clinical psychologist license (as allowed by applicable state law), from the state in which you reside.

+ Requires MS or MA in social work, counseling with a broad range of experience with complex psychiatric and substance abuse, or substance abuse disorder treatment; 3+ years of clinical experience, or any combination of education and experience, which would provide an equivalent background.

+ Telephonic and/or face-to-face behavioral health case management experience is required.

+ Excellent communication skills are required.

+ You must be competent in Microsoft Word, Excel, and Outlook.

Preferred Qualifications:

+ Experience with community mental health resources, CSB (Community Service Board), or similar is preferred.

+ Experience and/or training in Suicide Prevention programs are very helpful.

Behavioral Case Manager II Qualifications

+ Requires a current, active, and unrestricted LCSW, LICSW, LPC, LMFT, LMHC, RN, or clinical psychologist license (as allowed by applicable state law), from the state in which you reside.

+ Requires MS or MA in social work, counseling with a broad range of experience with complex psychiatric and substance abuse, or substance abuse disorder treatment; 5+ years of clinical experience, or any combination of education and experience, which would provide an equivalent background.

+ Telephonic and/or face-to-face behavioral health case management experience is required.

+ Excellent communication skills are required.

+ You must be competent in Microsoft Word, Excel, and Outlook.

Preferred Qualifications:

+ Experience with community mental health resources, CSB (Community Service Board), or similar is preferred.

+ Experience and/or training in Suicide Prevention programs are very helpful.

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.

Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For , is ranked as one of the 2020 World's Most Admired Companies among health insurers by Fortune magazine, and a 2020 America's Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS56507-Morgantown-Morgantown
New
3d ago

Behavioral Health Case Manager I/II - Telephonic Suicide Prevention Program

Anthem, Inc.
Remote or Eagan, MN
SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities.

Join us and together we will drive the future of healthcare.This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Location: This is a remote position that will service our Suicide Prevention program. Qualified candidates must be licensed in the state they reside and must be within an hour's drive of an Anthem office.
Hours: 9:00 am - 5:30 pm or 10:00 am - 6:30 pm EST, Monday through Friday, local time.

The Behavioral Health Case Manager I/II supports our members with serious substance abuse, substance abuse-related disorders, and/or mental health-related illness and is responsible for performing case management, telephonically, within the scope of licensure for these members.

This position may be filled as BH Care Manager I or II - the level will be determined based on the candidate's experience and background

Primary responsibilities include, but are not limited to:

* Use appropriate screening criteria, knowledge, and clinical judgment to assess member needs.
* Conduct assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment.
* Monitor and evaluate the effectiveness of the care plan and modifies the plan as needed.
* Support member access to appropriate quality and cost-effective care.
* Coordinate with internal and external resources to meet identified needs of the members and collaborates with providers.

Behavioral Case Manager I Qualifications

* Requires a current, active, and unrestricted LCSW, LICSW, LPC, LMFT, LMHC, RN, or clinical psychologist license (as allowed by applicable state law), from the state in which you reside.
* Requires MS or MA in social work, counseling with a broad range of experience with complex psychiatric and substance abuse, or substance abuse disorder treatment; 3+ years of clinical experience, or any combination of education and experience, which would provide an equivalent background.
* Telephonic and/or face-to-face behavioral health case management experience is required.
* Excellent communication skills are required.
* You must be competent in Microsoft Word, Excel, and Outlook.

Preferred Qualifications:

* Experience with community mental health resources, CSB (Community Service Board), or similar is preferred.
* Experience and/or training in Suicide Prevention programs are very helpful.

Behavioral Case Manager II Qualifications

* Requires a current, active, and unrestricted LCSW, LICSW, LPC, LMFT, LMHC, RN, or clinical psychologist license (as allowed by applicable state law), from the state in which you reside.
* Requires MS or MA in social work, counseling with a broad range of experience with complex psychiatric and substance abuse, or substance abuse disorder treatment; 5+ years of clinical experience, or any combination of education and experience, which would provide an equivalent background.
* Telephonic and/or face-to-face behavioral health case management experience is required.
* Excellent communication skills are required.
* You must be competent in Microsoft Word, Excel, and Outlook.

Preferred Qualifications:

* Experience with community mental health resources, CSB (Community Service Board), or similar is preferred.
* Experience and/or training in Suicide Prevention programs are very helpful.

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.

Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For , is ranked as one of the 2020 World's Most Admired Companies among health insurers by Fortune magazine, and a 2020 America's Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.
New
3d ago

Lead Case Manager-Care Management

Trinity Health
Silver Spring, MD
The Weekend Lead Case Manager serves as the senior clinician for case managers in the case management department. With the managers, develops and implements standards which enhance the quality of case management interventions, consistent with the professional model and with the mission and policies of Holy Cross Hospital. Provides process oversight and education toward new staff orientation, staff competency development, and the continuous documentation improvement program (CDIP).

Position: Part-Time Every Other Weekend 8a-4:30p
Minimum Licensure/Certification Required

RN, Licensed by State of Maryland.

Minimum Knowledge, Skills, and Abilities Required:

+ RN with BSN is required

+ At least two years case management experience required, to include Quality Improvement and Clinical Documentation enhancement experience in the acute hospital setting.

+ Previous management/supervisory experience preferred.

+ Knowledge of overall hospital operations, especially in areas of reimbursement and regulatory matters.

+ Highly articulate with strong written and verbal communication skills. Demonstrated ability to act in an assertive, diplomatic and innovative manner.

+ Demonstrated public presentation skills. Demonstrated ability to maintain cooperative relationships with medical staff, nursing and other professional staff.

+ Computer literacy and analytic skills required.

+ Demonstrated ability to work with all age groups of patients.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status.

#WP

Trinity Health's Commitment to Diversity and Inclusion Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
11d ago

Behavioral Health Case Manager Lead

Anthem, Inc.
Remote or Clearwater, FL
SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.

Behavioral Health Case Manager I, Florida residency and FL license is required HOURS: Monday thru Friday, 8:00 am - 5:00 pm, EST. with some fleixibility. This is a Work at Home position.

The Behavioral Health Case Manager (CM ) job progression is primarily member facing and involves complete clinical assessment. Wheres the BH Care Manager (UM) job progression is primarily a provider-facing role although it does involve some member-facing activities such as collecting information and using clinical knowledge and expertise to ensure our members are directed to the appropriate level of care. Responsible for corrdinating operations and workflows related to care management activities that support the Case Management Program. Visits with our members occur most often in the hospital or emergency department or other safe environment, servicing our Medicaid members. Responsible for coordinating operations and workflows related to care management activities that support the Case Management Program.
Primary duties may include but are not limited to:

+ Provides support to member facing BH Case Mgrs and other Care management associates.

+ Provides oversight of program referrals and works with referral sources to ensure accurate and timely case assignment.

+ Coordinates with cross functional teams to ensure team collaboration member touch points and organization vision of integration is achieved.

+ Facilitates weekly clinical rounds and may conduct quality audits.

+ Works with the manager to ensure individual team and overall operational metrics are achieved.

+ Supports various projects and initiatives as assigned.

+ Assists with process improvement activities for regulatory requirements. Acts as departmental liaison to other areas of the business unit.

+ Primary support with training/mentoring new hires.

+ Participates in cross-functional teams projects and initiatives. Serves as a member of the leadership team.

Qualifications

Minimum Qualifications:

+ Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 5 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.

+ Current active unrestricted license such as RN LCSW LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.

+ Managed care experience required.

Prefered Qualifications:

+ Extensive experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders. .

+ Experience in health coaching and motivational interviewing techniques preferred.

The health and safety of our associates, members and communities is a top priority for Anthem. This priority has become increasingly important as we continue to face the challenges of the COVID-19 pandemic. Anthem believes vaccination is the best way to reduce the spread of COVID-19 and protect our members, our communities, our families and ourselves. To minimize the risk of transmission of the COVID-19 virus and maintain a safe and healthy workplace, vaccination is required for this role. (At Anthem, fully vaccinated means it has been at least two weeks since you have received the second dose of a two-dose vaccine such as Moderna or Pfizer, or the single dose of a single dose vaccine, such as Johnson & Johnson ).

If you do not meet the requirements for this position, we encourage you to review other positions that currently allow virtual work. If you have a medical or sincerely held religious reason for not being vaccinated, consistent with applicable law, Anthem will consider requests for reasonable accommodation on this basis. Should you have any questions regarding the requirement after applying, email TalentAcquisition_VaccinationSupport@anthem.com .

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. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For , is ranked as one of the 2020 World's Most Admired Companies among health insurers by Fortune magazine, and a 2020 America's Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS61183
8d ago

Senior Case Manager (remote option)

Assistrx
Remote or Orlando, FL
AssistRx has engineered the perfect blend of technology and talent to provide life sciences companies with an efficient solution to improve patient uptake, visibility and outcomes. Our talented team members provide therapy and healthcare system expertise to help patients achieve better results from care. As a growing organization, AssistRx views our people as our strongest asset. Join us as we continue to make a difference....
More About the Role:

+ We are hiring 15 new Case Managers to support a new drug program launch.

+ This role has the opportunity to go remote after 90 days of employment.

+ These positions will cover a range of shifts from 8a-4:30p to 11:30a-8p Monday through Friday.

+ Starting pay: $20.00/hour +

+ PTO: Year 1=12.5 days Year 2=17.5 days .....

+ Type: full time hire/ not a contract

+ Training/Work location: AssistRx at 501 West Church Street, Suite 450, Orlando, FL 32801

This position is responsible for exceeding the client's expectations by assessing perscription reimbursement needs. This is accomplished by process pharmaceutical appeals, problem-solving complex reimbursement issues and educating patient and health care providers.

Duties and Responsibilities

+ Carefully evaluate the purpose of inbound calls, prioritize their handling, and triaging the calls as needed. Maintain information regarding the program initiatives and explain them to our customers when appropriate.

+ Analyze appeals, identify trends, and recommends process improvement opportunities that will result in reduction and a simplified process.

+ Provide exceptional customer service to all customers; resolve any customer requests in a timely and accurate manner; escalates complaints accordingly.

+ Determine patient's eligibility and conducts patient enrollment activities (example patient assistance programs and copay assistance)

+ Accurately enter and maintain data as required in database and monitor outstanding items on each client case file.

+ Extensive knowledge of HIPAA regulations and follows all company policies.

Requirements

+ Associate degree (AA) or equivalent from a two-year college or technical school, or six months to one-year related experience and/or training, or equivalent combination of education and experience.

+ Computer skills: Microsoft Office Suite.

+ 3 to 5 years of benefit investigation involving the analysis and interpretation of insurance coverage preferred.

+ 3 to 5 years of experience interacting with healthcare providers regarding health insurance plan requirements preferred.

+ Pharmacy background/call center/health insurance or MD office experience preferred.

+ Exposure to enrollment, pre-assessment & benefits' processes preferred.

+ 340b claim experience preferred but not required.

Benefits

+ Supportive, progressive, fast-paced environment

+ Competitive pay structure

+ Matching 401(k) with immediate vesting

+ Medical, dental, vision, life, & short-term disability insurance

AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws.

All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position.

AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire
21d ago

Lead Case Manager-Care Management

Trinity Health Corporation
Silver Spring, MD
The Weekend Lead Case Manager serves as the senior clinician for case managers in the case management department. With the managers, develops and implements standards which enhance the quality of case management interventions, consistent with the professional model and with the mission and policies of Holy Cross Hospital. Provides process oversight and education toward new staff orientation, staff competency development, and the continuous documentation improvement program (CDIP).

Position: Part-Time Every Other Weekend 8a-4:30p
Minimum Licensure/Certification Required

RN, Licensed by State of Maryland.

Minimum Knowledge, Skills, and Abilities Required:

* RN with BSN is required
* At least two years case management experience required, to include Quality Improvement and Clinical Documentation enhancement experience in the acute hospital setting.
* Previous management/supervisory experience preferred.
* Knowledge of overall hospital operations, especially in areas of reimbursement and regulatory matters.
* Highly articulate with strong written and verbal communication skills. Demonstrated ability to act in an assertive, diplomatic and innovative manner.
* Demonstrated public presentation skills. Demonstrated ability to maintain cooperative relationships with medical staff, nursing and other professional staff.
* Computer literacy and analytic skills required.
* Demonstrated ability to work with all age groups of patients.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status.

#WP

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
30d ago

CHAM Behavioral Case Manager Lead Analyst - Evernorth

Cigna
Remote
The Custom High Acuity Model (CHAM) champions behavioral and medical integration and collaboration at the highest level to holistically address the needs of customers and their families. CHAM accounts have dedicated medical directors who are readily accessible via multidisciplinary rounds, behavioral rounds and on a 1:1 consultative basis. CHAM Case Managers are specially trained in coaching individuals with mental health, chemical dependency, autism and/or other medical conditions that can interfere with one's optimal behavioral functioning. Motivational interviewing techniques are used to help decrease both internal and external barriers that may otherwise prevent customers from initiating and/or engaging in behavioral treatment. This approach helps customers move toward readiness to change and results in the creation of goals that will improve their health and overall well-being.

This position is a great opportunity for a licensed behavioral health clinician to build relationships with multiple matrix partners and expand their clinical acumen as it relates to comorbid medical conditions.
Responsibilities: Provide customer-facing coaching and case management support via telephonic calls and digital solutions for post discharge, post crisis and when customers are otherwise identified for behavioral support. Educate customer/family members on the myriad of account-specific resources and treatment options that are available as part of their benefits. Seek consultation and collaboration with other team members including medical directors, pharmacists, medical coaches and nurse case managers. Assist in the identification of member health education needs and assess for when medical integration and/or case management services are needed. Assess customers' readiness to change and develop SMART goals that empower customers to improve their overall health and wellbeing. Ensure case management program objectives are met by exploring available health care services that support cost effective, quality care and treatment. Work closely with the behavioral UM teams to align on cases and assist with discharge planning needs. Actively participate in behavioral and multidisciplinary rounds, providing insights to promote whole person health. Offer in the moment coaching with customers and consultation with team members when available as appropriate. Coordinate with customers' other sources of support including outpatient providers (e.g. PCP, therapist, etc.) when clinically indicated. Locate community and educational resources to assist customers and their families based on their unique needs. Prepare for and participate in client visits and audits as needed. Perform other related duties incidental to the work described. Qualifications: Requires a Master's degree in the mental health discipline and independent licensure to practice in the state of employment (LICSW, LPC, LPCC, LMFT, Licensed Psychologist or Psych RN) Three to five years post-license mental health experience preferred but will also consider a new independently licensed therapist Due to multiple open positions on the CHAM team (which covers multiple specialty coaching programs): Experience working with Childhood Mental Disorders including Autism Spectrum Disorder is preferred, and/or Experience working with individuals with Substance Use Disorders is preferred Experience with direct member communication (written and verbal), experience in telephonic counseling/coaching is preferred Proven administrative abilities, with strong computer and software application skills. Excellent interpersonal skills and the ability to work in a collaborative, team environment. Demonstrated ability to set priorities including, but not limited to, time management, organizational skills and accurate case documentation. A high energy level and excellent written and oral communication skills are essential Ability to manage own caseload and coordinate all assigned cases This position is not eligible to be performed in Colorado. About Evernorth Evernorth, Cigna Corporation's health services segment, exists to elevate health for all. We're building on our legacy and redefining health care as we know it. Unbiased in how we think, we create without limitation. We partner without constraints, deliver value differently and act in the interest of humanity. Solving across silos, closing gaps in care, and empowering clients, customers, and people everywhere to move onward and upward. When you work with us, you'll be empowered to solve the problems others don't, won't or can't. Join us. What difference will you make? Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
20d ago

Nurse Case Mgr I

Anthem, Inc.
Reston, VA
SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.
Job Description:

The use of this job is limited to non-CareMore business units. If you believe this to be the best match for your position, please consult with your Human Resources partner prior to using this job (HRBP should work with Compensation).

+ Responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.

+ Primary duties may include, but are not limited to: Ensures member access to services appropriate to their health needs.

+ Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.

+ Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.

+ Coordinates internal and external resources to meet identified needs.

+ Monitors and evaluates effectiveness of the care management plan and modifies as necessary.

+ Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.

+ Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues.

Qualifications

Job Qualifications:

+ Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.

+ Current, unrestricted RN license in applicable state(s) required.

+ Multi-state licensure is required if this individual is providing services in multiple states.

+ Certification as a Case Manager is preferred.

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. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For , is ranked as one of the 2020 World's Most Admired Companies among health insurers by Fortune magazine, and a 2020 America's Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS60284-Virginia
10d ago

Behavioral Case Mgr - Remote Available

Centene Corporation
Remote or San Antonio, TX
22d ago

Remote Nurse Case Mgr I

Actalent
Remote or Decatur, GA
New
3d ago

Sr Mgr, Program Mgmt

Raytheon Technologies Corp
Herndon, VA
10d ago

Sr Mgr, Program Mgmt

Raytheon Technologies
Herndon, VA
9d ago

Case Manager

Catholic Charities USA
Arlington, VA
New
4d ago

Program Manager

Variq
Ashburn, VA
New
15h ago

Case Manager

Geo Group Inc.
Manassas, VA
9d ago

Mgr Program Control 3

Northrop Grumman
Dulles Town Center, VA
26d ago

Case Mgr - RN

Interim Healthcare
Remote or Portsmouth, OH
56d ago

Clinical Case Manager - Utilization Review

HCA
Dulles Town Center, VA
60d+ ago

Clinical Case Manager - Utilization Review

HCA, Hospital Corporation of America
Dulles Town Center, VA
60d+ ago

Case Manager

Thomas Allen Inc.
Remote or Saint Paul, MN
Opens new tabopen new tab
New
5h ago
Opens new tabopen new tab

APA Case Manager

Lutheran Immigration and Refugee Service
Fairfax, VA
New
3d ago

RN Case Manager- Remote

Aveanna Healthcare
Remote or Westminster, CO
Opens new tabopen new tab
New
1d ago
Opens new tabopen new tab

Case Manager - Registered Nurse (RN) - Full Time for Home Health

Bayada Home Health Care
Cascades, VA
Opens new tabopen new tab
New
3d ago
Opens new tabopen new tab

CR Program Mgr

Battelle Memorial Institute
Sterling, VA
60d+ ago

Case Manager

IEM
Arlington, VA
20d ago

Case Manager

Cardinal Health
Remote
13d ago

Case Manager

Ascension Health
Remote or Nashville, TN
8d ago

Case Manager-Care Management

Trinity Health
Silver Spring, MD
11d ago

Counselor/Case Manager

Lutheran Social Services of Illinois
Remote or Chicago, IL
22d ago

Relationship Case Manager

Ohio National Financial Services
Remote or Cincinnati, OH
New
2d ago

Telephonic Case Manager

Enlyte
Remote or Oklahoma
New
3d ago

Vocational Case Manager

The Hartford
Remote
27d ago

Case Manager - DD Waiver

Fraser
Remote or Minneapolis, MN
Easy Apply
8d ago

Behavioral Health Case Manager Lead

Anthem, Inc.
Remote or Los Angeles, CA
8d ago

Behavioral Health Case Manager Lead

Anthem, Inc.
Remote or New York, NY
8d ago

Behavioral Health Case Manager Lead

Anthem, Inc.
Remote or Reston, VA
8d ago

Nurse Case Mgr I

Anthem, Inc.
Reston, VA
14d ago

BH Case Manager I

Anthem, Inc.
Ashburn, VA
60d+ ago

Average Salary For a Case Manager/Program Manager

Based on recent jobs postings on Zippia, the average salary in the U.S. for a Case Manager/Program Manager is $37,222 per year or $18 per hour. The highest paying Case Manager/Program Manager jobs have a salary over $43,000 per year while the lowest paying Case Manager/Program Manager jobs pay $31,000 per year

Average Case Manager/Program Manager Salary
$37,000 yearly
$18 hourly
Updated October 23, 2021
31000
10 %
37000
Median
43000
90 %

Highest Paying Cities For Case Manager/Program Manager

0 selections
CityascdescAvg. salaryascdescHourly rateascdesc
San Francisco, CA
$53,421
$25.68
Seattle, WA
$39,676
$19.07
Indianapolis, IN
$39,000
$18.75
Boston, MA
$35,503
$17.07
Huntsville, TX
$34,539
$16.61
Duluth, GA
$33,921
$16.31

5 Common Career Paths For a Case Manager/Program Manager

Program Manager

A program manager is responsible for monitoring the project's progress, improving and developing new strategies, and coordinate various projects across the organization to ensure the success of the business objective. Program managers also manage the program's expenses, ensuring that the projects adhere to the budget goals without compromising the quality and accuracy of the result. A program manager should regularly connect with the different teams of every project under the program to keep track of the processes and procedures for the timely delivery of the product.

Program Director

Program directors are employees who oversee all aspects of a specific program in the company. They usually work in nonprofit organizations or are assigned to a department doing corporate social responsibility activities. Program directors ensure that the program is in line with the company's goals. They also ensure that the resources assigned to the program are properly managed and that all finances are accounted for. They create strategies to ensure the success of the program and communicate these to everyone involved. They lead the implementation and evaluation of the program.

Senior Case Manager

A senior case manager is responsible for meeting a client's health requirements. They provide care efficiently, handle case assignments, document case plans, and review the progress of cases. They are connected with social services and governmental agencies, particularly in the health sector.

Family Case Manager

Family Case Managers are responsible for helping at-risk youths find families and stable home environments. Family Case Managers generally work in social services, either for government or non-profit agencies.

Clinical Case Manager

A clinical case manager is responsible for providing high-quality care services for patients by researching treatment plans and developing efficient medications through various methodological approaches and data analysis. Clinical case managers review the medical histories and needs of patients to determine appropriate treatment programs and resources and prepare treatment reports upon actual applications. They also spend time observing laboratory examinations and procedures, strategizing on treatment processes within budget limitations and organizational requirements. A clinical case manager must have excellent knowledge of the medical industry, especially on responding to the patients' inquiries and concerns and present accurate health evaluations.

Illustrated Career Paths For a Case Manager/Program Manager