Case Manager III- Medical Respite
Remote job
The Case Manager III (CM III), a key member of the primary care interdisciplinary team, provides services for patients with complex care needs. This position conducts patient outreach, engagement and psychosocial service assessment, assists in developing a patient-centered care plan, is the lead implementer of Enhanced Case Management (ECM) and coordinates service referrals and delivery. The case manager meets clients in home, clinic, or community as appropriate or required by the specific program/site. The CM III provides services to specific populations that have multiple complex health and social services needs and often provides care outside of a traditional health center setting, such as home visits, hospitals, supportive housing sites, encampments and shelters. In addition they provide comprehensive housing navigation support to clients.
This is a grant funded, full time, benefit eligible opportunity, at our Oakland locationS (Medical Respite & Street Medicine)
This position is represented by SEIU-UHW. Salaries and benefits are set by a collective bargaining agreement (CBA), and an employee in this position must remain a member in good standing of SEIU-UHW, as defined in the CBA.
LifeLong Medical Care is a large, multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community. Our patient-centered health home is a dynamic place to work, practice, and grow. We have over 15 primary care health centers and deliver integrated services including psychosocial, referrals, chronic disease management, dental, health education, home visits, and much, much more.
Benefits
Compensation: $29.20 - $33.85/hour. We offer excellent benefits including: medical, dental, vision (including dependent and domestic partner coverage), generous leave benefits including ten paid holidays, Flexible Spending Accounts, 403(b) retirement savings plan.
Responsibilities
Outreach, via telephone and in person at LifeLong, community and residential sites, to patients who meet case management program eligibility criteria or are prioritized by LifeLong for this service
Proactively meet and engage with patients to build effective relationships and assess strengths and needs through use of standard intake, screening tools, and health, and social services records review
Actively involve patients and caregivers, as appropriate, in designing and delivering services, including development of care plans, assuring alignment with patients' values and expressed goals of care
Provide and facilitate referrals for internal and external resources, and collaborate with the patient to complete required applications, forms, or releases of information
Maintain a patient caseload in accordance with LifeLong standards for the specific population served or site requirements
Utilize data registries and reports to manage caseload, meet program requirements, maintain grant deliverables, and promote high quality care
Provide health education and training to patients, including but not limited to, harm reduction and disease risk-mitigation strategies that empower patients to manage their own health and wellness (e.g. overdose prevention, mitigating spread of communicable diseases)
Assist patients with accessing and retaining public benefits and insurance (e.g. MediCal, SSI/SSDI, CalFresh, General Assistance), and affordable/subsidized housing
Respectfully and routinely communicate with patients, their care team members, external partners, and identified social supports
Maintain knowledge of patients' medical/behavioral health treatment plans and facilitate utilization of services by providing resources such as accompaniment, transportation, in-home care, reminder calls etc.
Participate in team meetings to coordinate care, support patient goals, and reducing barriers to accessing services
Provide case management services to patients with multiple complex acute or chronic medical or behavioral health conditions (e.g. HIV/AIDS, Hep C, congestive heart failure, severe diabetes, severe hypertension, psychosis, pregnancy, and homelessness)
Provide general housing case management services that includes document readiness, housing problem solving, and assessments for Coordinated Entry System
Assess patients to identify cognitive and/or behavioral health needs and provide brief interventions and short-term support using standardized tools and effective approaches for patient care
Co-facilitate patient groups
Provide intensive case management to a caseload size in accordance with site or program standards focusing on a subset of the highest acuity patients
Provide specialized housing navigation services to patients who are matched to a housing resource through Coordinated Entry System
Lead crisis intervention response, de-escalation procedures, notification of the local mental health department and/or crisis response team, and follow-up care
Provide and document billable services to eligible populations that result in revenue generation for LifeLong
Advocate on behalf of patients to get their needs met and/or support patients to learn advocacy strategies for themselves.
Keep current on community resources and social service supports to effectively serve the target population
Document patient contacts/services in required data systems (EHR, HMIS etc.) according to LifeLong policy
Specific activities may vary depending on the requirements of the program and funder.
Promote diversity, equity, inclusion, and belonging in support of patients and staff
Represent LifeLong positively in the community and advocate on behalf of underserved populations
Qualifications
Commitment to working directly with low-income persons from diverse backgrounds in a culturally responsive manner
Commitment to harm reduction, recovery, housing first, age-friendly and patient centered care
Strong organizational, administrative and problem-solving skills, and ability to be flexible and adaptive to change while maintaining a positive attitude
Excellent interpersonal, verbal, and written skills
Ability to prioritize tasks, work under pressure, and complete assignments in a timely manner
Ability to seek direction/approval on essential matters, yet work independently, using professional judgment and diplomacy
Works well in a team-oriented environment
Conducts oneself in external settings in a way that reflects positively on your employer
Ability to be creative, mature, proactive, and committed to continual learning and improvement in professional settings
Job Requirements
High School diploma or GED
At least three (3) years of progressively responsible work or volunteer experience in a community-based health care or social work setting or at least one (1) year of experience as a Case Manager II or equivalent position or registration or certification as a Certified Alcohol and Drug Counselor by one of the two certifying bodies in California
Proficient skills using Microsoft Office applications like Word, Excel, and Outlook, as well as the ability to work in and/or manage databases
Access to reliable transportation with current license and insurance
Bilingual English/Spanish
Job Preferences
Bachelor's Degree in Social Work, Health or Human Services field
Lived experience of homelessness, incarceration, foster care, mental health services, substance use services or addiction, or as a close family member of someone who has this experience
Auto-ApplyRESEA Case Manager
Remote job
Job Title: RESEA (Reemployment Services & Eligibility Assessment Program) Specialist
Reports to: Business Services / Area Manager
Non-Exempt
Wage range: $19 - $21 per hour
Primary Objectives of Position: Provides integrated workforce planning services to career center job seekers. Aids job seekers in developing, evaluating, and effectively initiating and implementing plans to find employment and/or employment skills. Work involves developing and maintaining contact with job seekers, and/or service providers for service needs. Helps job seekers to engage in self-assessment.
Essential Job Functions:
Outreaches to potential program participants, explaining the benefits and requirements of the program, and the effects of non-participation for mandatory participants.
Connects participants with services to start a career that maximizes their earnings potential.
Triages customer needs and refers to other workforce programs that align.
Facilitates program orientation virtually or in person.
Schedules meetings with customers.
Meets with customer in person or remote based on their needs, providing the following services:
Enrollment into the Employment Service program
Review work search activities
Provide information about available jobs based on the customers' skills and interests.
Assist in creating an individual employment plan, with next steps in career goals.
Schedule workshops, services or other follow up meetings.
Interviews job seekers to assess ongoing service needs, obtain occupational information and explore the full range of employment opportunities and/or training.
Coaches job seekers to present themselves effectively as candidates and obtain optimal placement in employment or further occupational information.
Provides career advisement including the development of individual employment/placement plans, referrals to jobs, placement in training or education programs, job placement or advancement, and retention services.
Performs visits to job seekers' homes, training providers' sites, and /or employment sites.
Accurately documents job seeker interactions through well-written case notes in an automated system.
Ensures that case files meet or exceed programmatic requirements.
Addresses the unique needs and barriers of job seekers and create and maintain an environment of inclusion for all participants by making job seeker referrals to appropriate workshops, assessments, and internal programs while ensuring equitable access for all individuals regardless of needs or barriers.
Utilizes Extreme Job seeker Service behaviors in all interactions with internal and external job seekers.
Reports issues with UI eligibility and non-participation to state agencies.
Works in a fast-paced environment involving multiple appointments with job seekers on a daily basis.
Updates processes quickly if changes are made by program management.
Other Job Duties: This job description is not intended to be all-inclusive. The employee may be requested to perform other reasonable related duties as assigned by the immediate supervisor and other management as required. The company reserves the right to revise or change job duties as business requirements dictate. It is also understood that the company reserves the right to change work schedules as required, including requiring overtime.
Physical Demands/Work Environment: Physical requirements include carrying/lifting to 5 pounds, frequently; up to 10 pounds, regularly; and up to 25 pounds, occasionally. Visual acuity, speech, and hearing; hand and eye coordination and manual dexterity necessary to drive an automobile and operate computer keyboard and basic office equipment; subject to carrying, lifting, twisting, and reaching to perform essential job functions. Working conditions are primarily in an office environment with the possibility of weekly scheduled travel to other locations.
Education: Bachelor's degree or equivalent experience is required.
Experience: Minimum of two years' experience in case management or workforce development with at least one year's experience working with computer systems for data entry and data review. Previous experience in staffing and recruiting is preferred.
Required Competencies: Job seeker/client focus, learning orientation, communication proficiency, teamwork orientation. Exceptional outreach skills. Ability to work quickly and provide uniform results. Technical capability including the ability to learn and operate new applications quickly and proficiently. Ability to deal with challenging situations. Adept at adapting processes quickly with little notice due to continued changes and development within the RESEA program.
Skills/Abilities: Understand the recruitment, data entry, and customer requirements for assigned programs. Understand and follow program policy. Knowledge of employment recruiting practices. Ability to engage, understand, and respond to the needs of business accounts. Proficient with Microsoft Office. Excellent verbal and written communications skills are necessary. Ability to accurately document customer interactions through well-written case notes is a must. Knowledge of business practices within specific industry is preferred. Must have the ability to work in a fast-paced and diverse environment. Strong familiarity with regulatory entities and their laws and guidance that apply to job posting and recruitment, individual training accounts, employed worker training, customized training, and on-the-job training.
Additional Requirements: Must have valid driver's license and adequate vehicle insurance coverage.
Equal Opportunity Employer
Dynamic Workforce Solutions is an equal opportunity employer/program and auxiliary aids and services are available upon request to individuals with disabilities.
* $500.00 hiring bonus after 90 days employment. Eligible for up to $600.00 bonus every month. Flexible schedule or work from home available after training period. The Case Manager, Non-Residential, Community Corrections, is responsible for programmatic goals, ensuring program conditions are met, and assisting in the establishment or reestablishment of community ties as required. Ensures contractual deadlines are met, and the clients' performance is monitored and documented properly. Provides exceptional customer service and complies with company and contractual policies and procedures.
ESSENTIAL FUNCTIONS:
* Supervises caseload of clients to ensure program, court and referring agency requirements are met. Provides client with community resource assistance. Conducts client assessments, evaluates programming progress and participates in client progress meetings.
* Ensures accountability of clients in the community via phone calls, onsite checks, drug and alcohol screenings, observations, and verification of submitted documentation and requests
* Reviews and oversees clients' financial obligations. Collects supervision payments from clients and completes daily deposits.
* Reviews and evaluates client behavior. Notifies appropriate agency of infractions or determines if disciplinary measures are needed.
* Ensures client physical and electronic file is up-to-date and contains all relevant and pertinent information. Maintains sentencing case plan and tracks the client's progress through treatment and other programs, ensures client's required timelines are met and goals are accomplished as outlined by court or referring agency's requirements.
* Maintains and monitors the confidentiality of client records and administrative files.
* Complies with the requirements of applicable regulations, laws, rules, procedures, policies, standards and/or contractual requirements.
* Works with court and court officials to write and update client reports. Testifies in court when required.
* Domestic U.S. travel may be required.
* Other duties as assigned
BASIC QUALIFICATIONS:
* Bachelor's Degree from accredited college or university required
* Proficiency with Microsoft Office (Word, Outlook and Excel) preferred.
* Effective verbal and written communication skills required and apply problem solving techniques to complex issues.
* Strong organizational and clerical skills required.
* Demonstrate ability to complete pre-service and other training programs as required.
* Valid driver's license is required.
KNOWLEDGE, SKILLS, ABILITIES
* Plan, organize and assign the work of others
* Apply policies, procedures, and best practices
* Perform computer data entry
* Clearly communicate concepts and instructions
* Coordinate efforts with other staff and divisions
* Create and maintain accurate records and reports
* Work within a team structure
* Define problems, collect and analyze data, and determine valid solutions
* Recognize and meet needs of customer/end user
* Maintain focus and perform required duties while interacting with disagreeable customers/end users
* Bend, stoop, lift objects up to 10lbs., and maintain mobility necessary to perform minimum functions associated with the position
Benefits Include:
Medical
Dental
Vision
401K
Short Term Disability
Long Term Disability
Basic Life
Care for the Community as a Medical Case Manager
Remote job
We know that many in our healthcare community have been affected by recent workforce changes. At GPHA, we are dedicated to creating opportunities where your compassion and skills continue to make an impact. Founded in 1970 as South Philadelphia Health Action and subsequently incorporated as Greater Philadelphia Health Action, GPHA is a non-profit healthcare organization with a commitment to provide compassionate and affordable healthcare services regardless of an individual's ability to pay. Since 1970, GPHA has expanded to become one of the premier providers of primary and behavioral healthcare in the Greater Philadelphia area.
GPHA offers GREAT PAY, Performance BONUSES, Comprehensive Medical, Dental, Vision, Life, and LTD Insurance. We also offer 401k with a very lucrative company match, Employee Assistance and Self-Care, and Professional Activity, Educational, and Tuition Reimbursements, Paid Vacation, Paid Sick, Paid Personal Days, Paid Educational Days, Holiday Pay, Loan Forgiveness, and many positions have Flexible, Hybrid or REMOTE WORK Schedules.
We are presently seeking full-time Medical Case Managers
The positions will Enhance the delivery of ambulatory care by facilitating appropriate utilization of medical services and by providing counseling, case management, referral services and psychosocial assessment for patients and their support system.
Must have Bachelor's Degree with at least two years' experience in ambulatory care in a similar position; Bilingual (fluent/proficient: in speaking, writing and speaking): Mandarin, Vietnamese, Cambodian, French, Creole or Spanish; HIV or/and OB caseload tracking experience; Outreach health services experience is a plus; Able to float throughout GPHA's sites/ network; Organized/proactive; Versatile as needed: ability to work independently or in a team; Communication skills: clear and precise both written and verbal; Experience in integrated Health Services and Clinical Case Review are pluses; Running support groups experience is a plus; and, Experience in assessing / determining patient's Social and health Determinate barrier (s).
At Greater Philadelphia Health Action, Inc. (GPHA), we respect diversity and promote equity through action, advocacy, and policy through a dedicated team of representatives committed to listening, learning, and enacting systemic change. We create different channels, outlets, and programs to enhance safe spaces within GPHA, creating a shared understanding and language around justice, diversity, equity, and inclusion. GPHA is an Equal Opportunity Employer. GPHA does not and will not discriminate in employment and personnel practices to include hiring, transferring and promotion practices on the basis of race, color, sex, age, handicap, disability, religion, religious creed, ancestry, national origin, or any other basis prohibited by applicable law.
Join a network that values dedication, balance, and purpose. Visit us at ****************
Auto-ApplyJob DescriptionRemote Case Manager (Behavioral Health & Housing)
Title: Remote Case Manager Behavioral Health, Housing & Support Services Status: Full-time (Remote must be available during Eastern Time business hours)
ME Living / COCAS / King Compassion is hiring a Remote Case Manager to provide high-quality, billable case management services to clients with mental health, substance use, housing, domestic violence, and re-entry needs.
You will be the main point of coordination between the client, therapist, medical providers, housing, benefits, and our billing team (BillingParadise). Your job is to make sure clients get what they need and that every appropriate service is documented and billable.
Core Responsibilities
1. Intake & Assessment (Case Management Side)
Complete comprehensive case management assessments after clinical intake (or same day when needed).
Identify needs in:
Housing & shelter
Income / employment / vocational training
Medical and mental health care
Substance use treatment
Legal, probation, parole, child welfare
Benefits (Medicaid, Medicare, Marketplace plans, SNAP, TANF, SSI/SSDI, victim compensation, childcare, transportation, etc.).
Obtain and maintain signed ROIs to coordinate care with all relevant parties.
2. Service Planning & Coordination
Develop individualized service plans with measurable goals that match the clinical treatment plan.
Coordinate:
Housing placements and transitions
Medical and therapy appointments
Transportation arrangements (with our transportation team)
School, job training, employment, and childcare resources
Legal and community resources (probation, courts, DV programs, shelters, etc.).
Track progress and update service plans regularly (at least every 3090 days or as payer requires).
3. Ongoing Remote Case Management Contacts
Provide case management via:
Phone calls
Video/telehealth
Secure messaging / portals
Occasional coordination with partners by phone/email.
Use structured, billable contacts, not casual check-ins:
Problem / need identified
Specific interventions (calls, applications, arrangements made)
Education, coaching, and advocacy
Concrete outcomes and next steps.
4. Documentation & Billing Support
Complete same-day documentation for all contacts using our DAP/SOAP or agency-approved format.
Accurately record:
Date, start/end time, and total minutes
Location / POS and modality (telehealth/phone/community)
Service type (case management, eligibility support, care coordination, etc.).
Ensure every note supports medical necessity and clearly ties back to the service plan.
Use our internal billing cheat sheets and follow coding guidance (e.g., T1016 or other case management codes) so BillingParadise can submit clean claims.
Communicate with Billing / Eligibility when:
Authorization is needed, expiring, or out of units
A claim is denied due to documentation or eligibility issues
Client insurance changes or lapses.
5. Client Advocacy & Crisis Coordination
Help clients navigate crises related to housing, safety, food, transportation, and access to care.
Collaborate with therapists, medical providers, and leadership when higher clinical intervention is needed.
Follow agency protocols for risk, safety plans, and mandated reporting.
6. Teamwork & Systems Use (Remote)
Work daily inside:
Our EMR/practice management system
Microsoft Teams (chat, meetings, channels)
Phone/telehealth platforms (for calls and video sessions).
Attend case reviews, staff meetings, and trainings via Teams.
Help refine case management SOPs and suggest improvements to workflows as we grow.
Qualifications
Required:
Experience in case management, care coordination, or social services (behavioral health, community mental health, re-entry, homeless services, or DV strongly preferred).
Strong skills in documentation, organization, and follow-through.
Comfortable working 100% remote using EMR, Teams, and phone/telehealth tools.
Preferred:
Experience with Medicaid/Medicare or managed care case management.
Knowledge of community resources for housing, benefits, and behavioral health services.
Prior work in a billable environment (where notes must support CPT/HCPCS codes).
Degree in social work, counseling, psychology, human services, or related field; relevant experience may substitute.
Apply Today
Send your resume + short cover letter to: ************
Questions? Call ************ Ext. 4444
Apply online: *************
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Subject line: Case Manager Application
Dont just take a job. Take a role where your work is the lifeline someones been waiting for.
Easy ApplySSDI Case Manager
Remote job
OverviewAt Advocate, our mission is to empower Americans to obtain the government support they've earned. Advocate aims to reduce long wait times and bureaucratic obstacles of the current government benefits application process by developing a unified intake system for the Social Security Administration, utilizing cutting-edge technologies such as artificial intelligence and machine learning, crossed with the knowledge and experience of our small team of EDPNA's and case managers.
We are seeking a highly organized and dedicated Case Manager to join Advocate and oversee the progress of disability cases at the Initial Application (IA) and Reconsideration (Recon) levels. You will manage a large caseload and work directly with claimants, ensuring they receive regular updates and assistance throughout the process. Your role will include analyzing medical records, filing recon appeals, and collaborating with SSA/DDS to resolve case-related issues. If you have strong time-management skills and thrive in a fast-paced, client-focused environment, this position will allow you to make a meaningful impact on the lives of claimants.Job Responsibilities
Conduct Welcome Calls, file appeals, take action on claims needing attention, respond to Claimant calls, SMS, and emails, and other claim management work streams
Offer an empathetic, best-in-class experience for our claimants
Proactively communicate with claimants, ensuring they are informed of the progress of their cases.
Collaborate with SSA/DDS to resolve case-related issues and keep the case on track.
Use our technology to support claimants through the application and adjudication process
Help improve our technology and operations, providing feedback to strengthen our ability to help claimants
Proactively identify challenges and offer solutions.
Qualifications
Minimum of one year of SSDI/SSI case management experience is required.
Strong organizational and time-management skills to handle a large caseload.
Thorough knowledge of Social Security's disability process and familiarity with DDS/SSA forms.
Ability to work in a fast-paced environment while maintaining attention to detail and task completion.
Preference for a small start-up environment with high ownership and high responsibility.
Desire to transform the disability application and adjudication process.
Ability to quickly pivot, change process, and adopt new ways of doing things.
Familiarity with Salesforce or a similar CRM
This is a remote position and Advocate is currently a fully remote team. Advocate is an equal opportunity employer and values diversity in the workplace. We are assembling a well-rounded team of people passionate about helping others and building a great company for the long term.
Auto-ApplyTexasWorks-Remote Sped Teacher and 504 Case Manager
Remote job
Role Mission:
ResponsiveEd Special Education teachers are responsible for the achievement and support of critical students. Special education teachers work with students who have a wide range of learning, cognitive, emotional, and physical disabilities. They provide the crucial bridge between home and school for our highest need students and their families. They partner with parents, general education teachers, and administrators to develop and implement individualized education plans to meet the needs of students with disabilities and ensure compliance with all federal, state and district SPED requirements.
What You'll Do:
Work collaboratively with campus administration to ensure ongoing child find efforts, including but not limited to, review of general education records and requesting special education records according to specific timelines.
Schedule and conduct Admission, Review, and Dismissal (ARD) meetings to ensure the appropriate placement and development of individual education plans for students with disabilities within specific timelines.
Assist in acquiring contracted service providers as needed.
Schedule Full and Individual Evaluations/Review of Existing Evaluation Data (REED) ensuring that all timeline requirements are met.
Collaborate with general education teachers and administrators to provide special education accommodations and services to special needs learners.
Ensure student individualized education programs (IEPs) are appropriately written and implemented.
Ensure that student progress is evaluated on a regular basis, and that the findings are used to make special education services more effective.
Update and send IEP Report Cards to parents at the same time that the general report cards are sent.
Plan the necessary time, resources, and materials to support general education teachers in accomplishing educational goals of students receiving special education services.
Ensure compliance with all state mandated assessments and alternative assessments, including their selection and administration.
Assist the campus administrator with the Response to Intervention process.
Develop and implement transition services for special education students as determined by the ARD.
Serve as the campus resource person and trainer for all campus staff to support students with disabilities.
Ensure that campus curriculum renewal is continuous and responsive to student needs.
Seek assistance as needed from IDEA Coordination supervisor.
Demonstrate support for the campus's student management policies and assist with behavior management strategies as they relate to students with disabilities.
Establish and maintain open lines of communication by conducting conferences with parents, students, teachers, and administrators.
Recommend sound policies to improve program.
Implement ResponsiveEd's Special Education school board policies, procedures, and operational guidelines.
Compile and maintain all reports, records, and other documents required by law and/or the Director of Special Education.
Perform special projects, during and after normal business hours, and other duties as assigned. NOTE: After normal business hours may include, but is not limited to, Saturday Mandatory State Tutorials.
What You'll Bring:
A passion for students, especially students with disabilities.
Ability and patience to work interactively with students, especially students with disabilities.
Advanced knowledge of and compliance with federal and state special education law.
Working knowledge of and compliance with individualized services for students with disabilities.
Advanced knowledge of and compliance with the Admission, Review, and Dismissal (ARD) Committee process.
Knowledge of the development and implementation of the Individual Education Plan (IEP) process.
Knowledge of and compliance with Transition.
Strong organizational, communication, and interpersonal skills.
Strong computer skills to implement multiple and diverse programs.
Excellent verbal and written communication skills.
Learn and implement teaching curriculum software programs and instruct students on utilization.
Communicate effectively with all levels of students with disabilities, parents, administrative staff, and Campus Directors.
Ability to effectively interpret policy, procedures, and student data such as diagnostic test results, state assessments scoring, transcripts, and grade point average.
Ability to transition with district, campus, and/or department changes.
Ability to communicate effectively with and receive guidance from supervisors
Manage multiple priorities effectively.
Education and Experience:
Must have a Bachelor's degree from an accredited four-Year College or University, preferably in the area of Special Education.
Valid Texas teaching certificate in the area of Special Education.
(If alternative certified, letter of eligibility for special education certification is required)
Additional grade level or content area certification may be required for select positions.
Compensation:
Salaries for people entering this role are commensurate with relevant experience and qualifications and in alignment with our base salary schedule. This role is also eligible for various stipend opportunities and incentives. Supplemental hourly compensation is provided for after school tutoring or Saturday school. Additionally, we offer medical, dental, vision, and supplemental benefits as well as retirement plans and a generous vacation package.
CA UR Case Manager I
Remote job
Job Description
The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay while supporting the goals of the Case Management department and of CorVel.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Identifies the necessity of the review process and communicates issues of concern to the appropriate claims staff/customer
Collects data and analyzes information to make decisions regarding certification or denial of treatment
Documents all work in the appropriate manner
Promotes utilization review services with stakeholders
Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
Additional duties as assigned
KNOWLEDGE & SKILLS:
Must have thorough knowledge of both CPT and ICD coding
Ability to interface with claims staff, attorneys, physicians and their representatives, as well as advisors/clients and coworkers
Effective organization skills in a high-volume, fast-paced environment
Strong time management skills with the ability to meet designated deadlines
Excellent written and verbal communication skills
Ability to work both independently and within a team environment
Strong interpersonal skills
Ability to utilize Microsoft Office including Excel spreadsheets
Knowledge of the workers' compensation claims process preferred
Knowledge of outpatient utilization review preferred
EDUCATION & EXPERIENCE:
Graduate of accredited school of nursing with an associate's degree, Bachelor of Science degree or Bachelor of Science in Nursing
Current Nursing licensure in the state of operation required; RN is required unless local state regulations permit LVN/LPN
4 or more years of recent clinical experience
Prospective, concurrent, and retrospective utilization review experience preferred
Experience in the clinical areas of OR, ICU, CCU, ER and/or orthopedics preferred
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $29.95 - $44.77 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
V108 - Virtual Legal Case Manager
Remote job
For ambitious, culturally diverse, curious minds seeking booming careers, Job Duck unlocks and nurtures your potential. We connect you with rewarding, remote job opportunities with US-based employers who recognize and appreciate your skills, allowing you to not just survive but thrive.
As a lifestyle company, we ensure that everybody working here has a fantastic time, which is why we've earned the Great Place to Work Certification every year since 2022!
Job Description:
Join Job Duck as a Bilingual Case Manager and become an essential part of a dynamic legal team. In this role, you will coordinate key case activities, manage client communications, and ensure smooth scheduling for depositions and mediations. Your ability to stay organized and think quickly will help streamline processes and support attorneys in delivering exceptional service. This position is ideal for someone who thrives in a fast-paced environment, values precision, and enjoys building strong professional relationships. If you're detail-oriented, adaptable, and ready to make an impact, we'd love to hear from you.
Salary Range: • 1,220 USD to 1,320 USD
Responsibilities include, but are not limited to:
• Communicate with opposing counsel and insurance companies
• Handle client intake and maintain accurate case information
• Schedule appointments and manage calendars
• Utilize Smokeball CRM and RingCentral for case management and communication
• Maintain clear and professional communication with clients
• Assist with litigation processes
• Coordinate depositions and mediations
• Obtain and organize medical records
Requirements:
• Strong organizational and coordination skills
• Quick learner and adaptable
• Attention to detail
• Excellent communication skills
• Ability to manage multiple tasks efficiently
• Legal background, preferable
Work Shift:
9:00 AM - 6:00 PM [EST][EDT] (United States of America)
Languages:
English, Spanish
Ready to dive in? Apply now and make sure to follow all the instructions!
Our application process involves multiple stages, and submitting your application is just the first step. Every candidate must successfully pass each stage to move forward in the process.
Please keep an eye on your email and WhatsApp for the next steps. A recruiter will be assigned to guide you through the application process. Be sure to check your spam folder as well.
Auto-ApplySF II Case Manager Portsmouth/Virginia Beach/Norfolk
Remote job
Job DescriptionBenefits:
401(k)
Dental insurance
Health insurance
Training & development
Vision insurance
Service Facilitator II (SFII) Case Manager Daily local travel to client homes
Degree Required: Nope!
Make a Difference Every Day
At Moms In Motion, our Service Facilitators are everyday heroes. Youll spend your days connecting with families, helping them navigate Virginias Medicaid Waiver programs (CCC+, CL & FIS, EPSDT), and making sure those you serve can live safe, healthy, and independent lives.
If youre compassionate, organized, and love the idea of making your community a better placeyoull fit right in!
What Youll Do
Hit the road (locally!) to visit clients in their homes.
Be the go-to guide for families navigating waiver programs.
Write up plans of care and assessments that actually make a difference.
Troubleshoot challenges like service authorizations, timesheets, and more.
Build lasting relationships with families built on respect, patience, and trust.
Work remotely from your laptop/tablet.
What Were Looking For
At least 2 years of experience supporting individuals with disabilities or the elderly.
No degree required (we care more about heart and experience).
Tech-savvy enough for email, docs, spreadsheets, portal navigation and video calls.
A valid drivers license & reliable vehicle (no client transport).
Great communicationboth written and spoken.
Able to pass a background check + provide 2 professional references.
Bonus points if youve got Person-Centered Thinking/Planning training.
Perks & Benefits
Weve got you covered with:
Paid Training (we set you up for success!)
Paid Holidays
Memorial Day
Juneteenth
Independence Day
Labor Day
Columbus Day
Veteran's Day
Thanksgiving
Day after Thanksgiving
Winter Break: December 24th through January 1st
1 Floater Holiday: 8 hours to be used on any day of your choice
Medical, Dental & Vision Insurance
Disability, Life, and AD&Dcompany paid!
401K with Employer Match
EAP & Telemedicine Access
Flexible Spending Accounts & Dependent Care Options
Supplemental Insurance (Accident, Cancer, Critical Care & more)
Annual Tech & Auto Stipends
Mileage & Cell Phone Reimbursement
Fun Employee Perks (discounts on car rentals, Verizon, AAA, oil changes & more!)
Compassionate. Organized. Community-focused.
If that sounds like you Apply today at *********************
Job title: Case Manager
Reports to: Director of Social Services
FLSA Status: Non-Exempt (Hourly) / Full Time
Date Issued: March 2021
The Case Manager provides direct casework services to clients/residents.
The essential functions of the job include, but are not limited to the duties listed in the job description.
Employee may be required to carry out additional duties as assigned by Supervisor.
ESSENTIAL JOB FUNCTIONS:
Through the employee's own efforts, the employee accomplishes the following essential functions:
Arranges meetings with newly assigned clients to assess basic needs and develop a service plan.
Conducts a psychosocial assessment to determine the individual needs of the client.
Carries an assigned caseload of residents/clients.
Performs all concrete casework requirements and referrals.
Completes all required paperwork, case management notes, referral sheets, and statistical requirements on a timely basis.
Resolves client incident reports and complaint reports as required.
Participates in all required consumer hearings and discharges.
Tracks client progress, make periodic report of each case, and analyze results of service plans.
Develops and implements a treatment plan; tracks progress and evaluates outcomes.
Make referrals to the appropriate resources to address the individual needs of the residents; determine eligibility/entitlement for referrals or information.
Participates in weekly supervision meetings for case and administrative consultation.
Handles emergencies as they arise; arranging for medical care or other services.
Attends agency or professional group seminars for on-going development.
Attends staff meetings as requested.
Employee may be required to carry out additional duties as assigned by Supervisor
ADDITIONAL JOB FUNCTIONS:
Adheres to all policies and procedures, including those prescribed in the Highland Park CDC Employee Handbook.
Maintain confidentiality and do not disclose information learned through the course of the job with people other than those who need to know including employee information, financial information, client information, etc.
COMPETENCIES:
To perform the job successfully, an individual demonstrates the following competencies.
Customer Service Orientation: Manages difficult or emotional situations with internal and external stakeholders; Responds promptly to customer needs; Responds to request for service and assistance. Maintains and communicates a positive “can do” attitude with internal and external stakeholders.
Problem Solving: Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Uses reason when dealing with emotional topics.
Systems Thinking: Demonstrates an ability to (a) see how organizational systems (
e.g., internal/external conditions, processes, people
) interact and influence each other, and (b) how these systems create and contribute to specific issues (
e.g., high voluntary turnover
) and strengths (
e.g., strong customer focus
).
Planning / Organization: Prioritizes and plans work activities; Uses time efficiently: Plans for additional resources; Develops realistic action plans. Leverages tools to manage workflow and reprioritizes accordingly.
Service and Teamwork - Understands the needs and wants of the organization, customers, co-workers and supervisors in order to provide accurate, complete and timely service and to further the mission, values and goals of the organization.
Oral Communication: Speaks clearly and persuasively in positive or negative situations; listens and gets clarification.
Written Communication: Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
Ethics: Treats people with respect: Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
Dependability: Follows instructions; Responds to management direction; Takes responsibility for own actions; Keeps commitments.
Initiative: Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed.
QUALIFICATIONS:
To perform this job successfully, and individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and / or ability required.
Minimum Required Education & Experience:
Bachelor's Degree in Social work or related field
Certification in First Aid, CPR
Preferred Education & Experience:
2 years related experience.
Previous work experience with homeless population, MICA, or Veterans community
Computer Skills:
Proficient in computer software programs (Word, Excel, Power Point, CARES, etc.)
Language skills:
Excellent verbal and written communication skills. Reads and comprehends simple instructions, short correspondence, and memos; Writes simple correspondence; Presents information in one-on-one and small groups situations outside stakeholders, clients and other employees.
Bilingual is preferred
GENERAL PHYSICAL REQUIRMENTS AND WORKING CONDITIONS:
GENERAL WORKING HOURS:
Generally, this position is Monday through Friday. Rotating Weekends coverage may be required.
WORKING FROM HOME:
Most essential functions of this job cannot be completed working from home.
TRAVEL:
May be required to travel about 5% of the time to purchase items or to attend a training or go to the post office as needed.
PHYSICAL REQUIREMENTS:
The physical activity for the Case Manager is:
Climbing & Ambulating Stairs: Ascending or descending stairs and ramps using feet and legs and/or hands and arms. Must be able to walk up and down stairs (about 10 flights) in order to patrol stairways, respond to security incidents, and assist in the evacuation of clients during an emergency. Body agility is emphasized. The amount of climbing required exceeds that required for ordinary locomotion.
Stooping: Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.
Kneeling: Bending legs at knee to come to a rest on knee or knees.
Crouching: Bending the body downward and forward by bending leg and spine.
Reaching. Extending hand(s) and arm(s) in any direction.
Walking. Moving about on foot to accomplish tasks, and has an ability to navigate from one location to another.
Standing: Remaining upright on the feet, particularly for sustained periods of time.
Lifting. Must raise objects from a lower to a higher position or move objects horizontally from position to-to-position.
Fingering: Picking, pinching, typing or otherwise working, primarily with fingers rather than with whole hand or arm as in handling. Ability to use computer tablet to write reports, notes and document compliance with patrol stops.
Grasping: Applying pressure to an object with the fingers and palm.
Talking: Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly.
Hearing: Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication, and making fine discriminations in sound.
Feeling. Must be able to perceive attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips. Assesses potential safety threats, such as by exposure to chemicals and heat from malfunctioning equipment.
Physical requirements for the Case Manager:
Sedentary work: Exerting up to 10 pounds of force occasionally and / or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, with walking and standing required only occasionally.
The visual acuity requirements for the Case Manager (
including color, depth perception and field vision
).
Required to have close visual acuity to perform an activity such as preparing and analyzing data and figures, transcribing, viewing a computer terminal; extensive reading; visual inspection to determine the accuracy, neatness, and thoroughness of the work.
The Case Manager will be subject to the following conditions in this position:
The worker is subject to inside environmental conditions, protected from weather conditions but not necessarily from temperature changes.
Auto-Apply
*$500.00 hiring bonus after 90 days employment. Eligible for up to $600.00 bonus every month.
Flexible schedule or work from home available after training period.
The Case Manager, Non-Residential, Community Corrections, is responsible for programmatic goals, ensuring program conditions are met, and assisting in the establishment or reestablishment of community ties as required. Ensures contractual deadlines are met, and the clients' performance is monitored and documented properly. Provides exceptional customer service and complies with company and contractual policies and procedures.
ESSENTIAL FUNCTIONS:
Supervises caseload of clients to ensure program, court and referring agency requirements are met. Provides client with community resource assistance. Conducts client assessments, evaluates programming progress and participates in client progress meetings.
Ensures accountability of clients in the community via phone calls, onsite checks, drug and alcohol screenings, observations, and verification of submitted documentation and requests
Reviews and oversees clients' financial obligations. Collects supervision payments from clients and completes daily deposits.
Reviews and evaluates client behavior. Notifies appropriate agency of infractions or determines if disciplinary measures are needed.
Ensures client physical and electronic file is up-to-date and contains all relevant and pertinent information. Maintains sentencing case plan and tracks the client's progress through treatment and other programs, ensures client's required timelines are met and goals are accomplished as outlined by court or referring agency's requirements.
Maintains and monitors the confidentiality of client records and administrative files.
Complies with the requirements of applicable regulations, laws, rules, procedures, policies, standards and/or contractual requirements.
Works with court and court officials to write and update client reports. Testifies in court when required.
Domestic U.S. travel may be required.
Other duties as assigned
BASIC QUALIFICATIONS:
Bachelor's Degree from accredited college or university required
Proficiency with Microsoft Office (Word, Outlook and Excel) preferred.
Effective verbal and written communication skills required and apply problem solving techniques to complex issues.
Strong organizational and clerical skills required.
Demonstrate ability to complete pre-service and other training programs as required.
Valid driver's license is required.
KNOWLEDGE, SKILLS, ABILITIES
Plan, organize and assign the work of others
Apply policies, procedures, and best practices
Perform computer data entry
Clearly communicate concepts and instructions
Coordinate efforts with other staff and divisions
Create and maintain accurate records and reports
Work within a team structure
Define problems, collect and analyze data, and determine valid solutions
Recognize and meet needs of customer/end user
Maintain focus and perform required duties while interacting with disagreeable customers/end users
Bend, stoop, lift objects up to 10lbs., and maintain mobility necessary to perform minimum functions associated with the position
Benefits Include:
Medical
Dental
Vision
401K
Short Term Disability
Long Term Disability
Basic Life
Auto-ApplyJob DescriptionVECRA is seeking a Full-Time CASE MANAGER VECRA, Inc. has a requirement for a Case Manager to support operational facilities in Baltimore, MD. The Case Manager will coordinate with all parties involved and provide well-structured and complete applications for Social Security Disability Benefits that will bring applications to fruition.
ROLES and RESPONSIBILITIES
The principal responsibilities of Case Manager are centered on providing participants with support and expertise to build complete and accurate case files to supplement or begin their successful application process for SSI/Disability. Case Managers on the MD DBAP project act as a liaison between disabled customers and the Social Security Administration, advocating on customers' behalf to obtain approval for Social Security Disability Benefits. Daily functions include such activities as scheduling and conducting interviews to determine medical eligibility, coordinating receipt and delivery of medical and other pertinent records, and conducting follow up with customers, medical treating sources, MD Department of Social Services, and the Social Security Administration as needed to support the TCA, TDAP, and PAA (cash assistance) population of Maryland in obtaining much needed long‐term disability benefits that provide them with additional financial stability and support.
Schedule and maintain a schedule of case screenings and follow‐up with SSDI application entities.
Complete face to face and phone interviews for SSDI case screenings and applications
Review SSDI process and documents with customers, set expectations and encourage communication.
Review all provided documentation and screening details and provide accurate assessment of the customer's eligibility for Social Security Disability Benefits
Obtain signatures on all necessary authorization and acknowledgement forms.
Obtains any medical documentation not yet provided.
Encourage customers participation in the active retrieval of all medical documentation.
Coordinate with customer, medical treatment sources, and the Social Security Administration's Disability Determination Services
Data entry and scanning/sorting of all case documents
Review all medical records received from treating sources to ensure accuracy of patient information.
Utilizes documentation to supplement or construct case files
Perform timely and regular follow up with Social Security Administration and Disability Determination Services
Contact claimants to obtain additional customer information when needed.
File all paperwork with Social Security in a timely manner.
Considers customer's need for expeditious support.
Recognize operational improvements and suggest and coordinate process changes with Supervisor.
Support other staff with caseload as time allows.
Maintain a clean, orderly workspace in compliance with all privacy regulations.
Communicate via in‐person meetings, telephone conversations, and email with all project stakeholders in a compassionate and professional manner.
Support management team, co‐workers, and customers with regular and predictable attendance
Provide additional support to Case Manager and MD Management team as Needed
Perform other duties as assigned by leadership.
QUALIFICATIONS:
3+ years of similar work experience in Case Management and/or Customer Services, experience with Social Security Administration disability or similar human services experience preferred.
Demonstrated teamwork skills.
Excellent verbal and written communication skills
Must be a US citizen.
Ability to work as a team member, as well as independently.
Ability to self‐start, take ownership of processes and motivate others to do same
Background check required.
DESIRED SKILLS
Attention to detail.
Ability to perform comfortably in a fast‐paced, deadline‐oriented work environment
Ability to manage and prioritize caseload
Critical thinking
Excellent written and verbal communication and interpersonal skills
Organizational skills
Strong computer skills including Windows and Microsoft Office
EDUCATION
Associate's/Bachelor's Degree preferred with Case Management Experience
High school diploma or GED required
OTHER
Req #: 004-M2
Shift: Days; 8:00am - 5:00pm
Schedule: Monday - Friday
FLSA: Non-exempt
Pay Range: $18-20/hour
Location | Place of Performance: USA\Maryland\Baltimore
Telework or Virtual: Yes
Other: Onsite training required in Baltimore. 100% remote thereafter. The government may require a return to onsite work in the future
Req Type: Full-Time, 40 hours
BENEFITS
We offer a competitive benefits package for full-time employees to include paid holidays, paid time off, medical, dental, short and long-term disability.
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Family Care Specialist - Case Manager
Remote job
at Clarvida - Oregon
About your Role:
As a Family Care Specialist you will work with a small caseload of families involved with Child Welfare living within Umatilla and Morrow counties. You will provide skill building, parent coaching and connect families to community resources to assist in the remediation of safety threats/concerns. Meeting with ODHS to provide updates and progress reports as well as attending team meetings and training sessions.
Perks of this role:
Competitive pay starting at $19.23/hour
Does the following apply to you?
High School Diploma or General Education Diploma (GED)
2 years of relevant experience (additional education may substitute for years of experience)
Willing and able to work irregular days and/or hours
Valid driver's license, clean driving record and auto insurance
Ability to walk up/down stair across uneven terrain for short/medium distances
Ability to sit/stand for extended periods of time
Reside in the county (one of the counties) being served
Ability to pass fingerprinting and background checks
What we offer:
Full Time Employees:
· Paid vacation days that increase with tenure· Separate sick leave that rolls over each year· Up to 10 Paid holidays*· Medical, Dental, Vision benefit plan options· DailyPay- Access to your daily earnings without waiting for payday*· Training, Development and Continuing Education Credits for licensure requirements
All Employees:
· 401K· Free licensure supervision· Employee Assistance program · Pet Insurance· Perks @Clarvida- national discounts on shopping, travel, Verizon, and entertainment· Mileage reimbursement*· Company cellphone
*benefits may vary based on Position/State/County
Application Deadline: Applications will be reviewed on a rolling basis until the position is filled. If you're #readytowork we are #readytohire! Now hiring!Not the job you're looking for?Clarvida has a variety of positions in various locations; please go to******************************************** To Learn More About Us:Clarvida @ **************************************************
Clarvida is an equal opportunity employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status or any other protected characteristic.
"We encourage job seekers to be vigilant against fraudulent recruitment activities that are on the rise across the healthcare industry. Communication about legitimate Clarvida job opportunities will only come from an authorized Clarvida.com email address, from a [email protected] email, or a personal LinkedIn account that is associated with a Clarvida.com email address."
Auto-ApplyLead Case Manager - Family Law
Remote job
Kimbrough Legal, PLLC, is seeking a Family Law Lead Case Manager to join our law firm in Austin, TX. This position entails overseeing all aspects of case management and requires individuals with a meticulous nature and a solid background in drafting legal documents, conducting research, and managing case files.
The ideal candidate will be adept at ensuring the efficient handling of our legal matters and possess strong communication skills. If you excel in developing processes, taking a proactive approach, and are looking for a new opportunity, we invite you to apply to join our team today!
Working hours:
Monday to Thursday: 8:00 a.m. - 5:00 p.m. in the office
Fridays: Work remotely from home
What Kimbrough Legal Can Offer You:
Dedicated Work-Life Balance
Competitive Base Salary
Bonus Structure to Reward Excellence
Health, Dental, and Vision Insurance
401(k) Retirement Plan with Match
Generous Paid Time Off (PTO) plus 10 Paid Holidays
Support for Professional Growth through Continuing Legal Education Assistance
Positive Work Environment that Values Integrity and Collaboration
Oversee and ensure adherence to all legal documents and all legal regulations
Aid attorneys in case management, which includes invoicing, monitoring deadlines, and issuing necessary prompts
Provide cost-effective suggestions to attorneys for achieving client objectives
Create legal paperwork for attorney assessment
Manage and organize case files and engagement details according to firm policies, whether in electronic or paper form
Furnish clients and external counsel with case status updates upon request
Work collaboratively with external vendors, staff, and attorneys to manage the firm's caseload efficiently, present case summaries, and meet deadlines
Minimum of 5 years of experience as a Lead Case Manager or Senior Paralegal in a family law practice
Professional certification or advanced education, specifically in case management
Bachelor's degree from an accredited four-year college or university, majoring in law, business, or a related field
Ability to efficiently handle multiple cases simultaneously
Demonstrated experience in drafting legal documents and conducting thorough legal research
Proficiency in using Microsoft products, plus case management and other legal software
Excellent communication and organization skills
Ability to reliably commute to Austin, TX 78746
Case Manager QIDP - Home Based Support Services (FT)
Remote job
Since 1961, The Association for Individual Development (AID) has served individuals with developmental, intellectual, physical and/or mental health challenges, those who have suffered a trauma, and those at risk. As a non-profit organization, our mission is to empower people with physical, developmental, intellectual, and mental health challenges to enjoy lives of dignity and purpose. We are looking for a Case Manager QIDP - Home Based Services who exemplifies that mission, and who wants to make a difference in the lives of their patients. Are you the right fit?
What will you be doing?
Assists the individual and the Family by providing training to enable self-directed services
Aids with budgeting and recruiting Personal Support Workers
Assist with the implementation of the Person-Centered Service Plan.
What will you bring to the table?
A bachelor's degree in a human services field (required)
Ability to meet qualifications as a QIDP
Ability to attend and pass DHS-mandated QIDP training within six months of hire
One year of experience working in the field of developmental disabilities
What will we bring to the table?
Tuition reimbursement
Health, dental, and vision insurance
Employer-paid life insurance plan
Employer-paid short-term and long-term disability plan
Holiday pay
Paid time off
Retirement plan
Employer-paid critical illness plan
What are the other requirements?
Solicits and updates service agreements with all providers every fiscal year and as needed to reflect changes in rates and type of services
Assists the family as needed with application for Medicaid benefits and providers referrals to other agencies so that the individual can receive services from a broad spectrum of areas
Ensures providers are enrolled as Medicaid waiver providers and have completed necessary forms to be reimbursed
The use of your personal vehicle or agency vehicles to transport clients
If we seem like a good fit, consider joining our growing team of compassionate, hardworking, and caring individuals, and start your path toward a fulfilling career that you can be proud of.
Auto-ApplyStructured Settlements Case Manager
Remote job
Arcadia is the first professional structured settlements firm in history, beginning in 1972 in California and growing to manage offices throughout the United States and Canada. In those years, we have helped provide certainty to all parties in more than 300,000 cases where guaranteed future payments fulfilled needs for as long as a lifetime. We are proud today to help 5,000 people and their families each year lead more certain lives after significant losses. We are even more excited to be growing our company to help 100,000 families a year. We are doing this with new technology, better models of service from empowered teams, and an expanded suite of products to respond to all aspects of long-term care.
Our Vision/Values
As a collaborative community our passion is to introduce options that restore stability, encourage hope, and create possibilities for people impacted and made vulnerable by injury. We also help people navigate change by providing effective financial solutions to support their goals. Our values are as follows:
Integrity: Do what is right.
Innovation: Seek opportunities to learn, improve, and encourage creative thought.
Collaboration: We are better together. Diversity of experience and thought enriches our work and lives.
Empathy: Acknowledge others and ask questions. Listen to find out what is important.
The Role
Arcadia Settlements Company is looking for a self-starter to join our remote field team as a Structured Settlement Case Manager. The Case Manager will be responsible for providing support to the field Consultant(s) and assisting with data entry of case work. This person is eager to learn a new industry and its intricacies along with being flexible and adept at handling competing priorities.
Key Responsibilities
Diaries and updates files in RESOLVER (completed within one day of notification).
Maintain office reference materials such as underwriting rules, life insurance company guidelines, inter-office filing system and other reference materials as needed.
Understanding of different life companies underwriting standards.
Proofs and distributes annuity policies and final documentation to clients (completed within one week of receipt of policy).
General support as requested by the Consultant(s) and/or Senior Case Managers.
Key Skills/Experience Required
Experience with structured settlements or similar industry preferred, such as legal or insurance.
Experience in both Liability and Post Settlement processes preferred but not required.
Education or year for year equivalent of kind and level of work to substitute for a degree.
Experience working with a case management system or equivalent level of system.
Strong customer relations and interpersonal skills.
Working knowledge of Microsoft Office.
Strong administrative and organizational skills, with strong attention to detail and accuracy.
Ability to communicate effectively, both orally and in writing with a variety of people.
Ability to handle multiple competing priorities and work under pressure.
Knowledge of annuity products and structured settlement business preferred but not required.
Advanced knowledge of Microsoft Office, preferred.
Experience working in the Financial Settlements, legal, or Insurance Industry, preferred.
Analysis of Data & Deductive Reasoning.
Initiative.
Working with Others.
Customer Focus.
Planning & Organizing.
Following Directions.
Reliability.
Work Environment
40-hour work week.
Must be available to work flexible hours as needed based on business needs.
Regularly communicates both verbally and in writing.
Sitting for extended periods of time.
Dexterity of hands and fingers to operate a computer keyboard, mouse, and other computer components.
Physical effort and activities include: Light physical effort is required by handling objects up to 20 pounds occasionally and/or up to 10 pounds frequently.
Job Information
Title: Structured Settlements Case Manager
Remote Work: Yes
Work from Home: Yes
Will these roles be fully remote? Yes, but home visits required (please confirm frequency). Typical Visit range 0-3 per week, but will vary based on member need
Are there any specific locations the candidates should be in? Greater Columbus, OH area
What is the expected schedule (include dates/time) 8/11 -11/7 Mon -Fri -8AM -5PM
What are the day to day job duties? Telephonic and/or visit with members receiving home care services;assessment of needs and authorization of appropriate services, creation /maintenance of member's care plan;monitoring of services
Top Skills Required: assessment, organization, independence, comfort working with individuals with chronic conditions.
Required Education/Certification(s): RN/LSW/LISW - must be licensed in OHIO
Required Years of Experience: Min. Of 1 year case management or managed care;1 year working with persons with chronic conditions and home care supports.
What IT equipment is required (laptop, monitor(s), docking stations, etc.)? Are monitors required or just a laptop? Laptop is required -monitors recommended
Is there potential for this to extend past 3 months? Unknown at this time
Responsible for health care management and coordination of Client Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care.
Coordinates and monitors Client member's progress and services to ensure consistent cost effective care that complies with Client policy and all state and federal regulations and guidelines.
Provides case management services to members with chronic or complex conditions including.
Proactively identifies members that may qualify for potential case management services.
Conducts assessment of member needs by collecting in-depth information from Client information system, the member, member's family/caregiver, hospital staff, physicians and other providers. O Identifies, assesses and manages members per established criteria.
Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs.
Performs ongoing monitoring of the plan of care to evaluate effectiveness.
Documents care plan progress in Client information system. O Evaluates effectiveness of the care plan and modifies as appropriate to reach optimal outcomes.
Measures the effectiveness of interventions to determine case management outcomes.
Promotes integration of services for members including behavioral health and long term care to enhance the continuity of care for Client members.
Conducts face to face or home visits as required.
Maintains department productivity and quality measures.
Manages and completes assigned work plan objectives and projects in a timely manner.
Demonstrates dependability and reliability.
Maintains effective team member relations.
Adheres to all documentation guidelines.
Participates in Interdisciplinary Care Team (ICT) meetings.
Assists orientation and mentoring of new team members as appropriate. •Maintains professional relationships with provider community and internal and external customers.
Conducts self in a professional manner at all times. •Maintains cooperative and effective workplace relationships and adheres to company Code of Conduct. •Participates in appropriate case management conferences to continue to enhance skills/abilities and promote professional growth.
Complies with required workplace safety standards.
Demonstrated ability to communicate, problem solve, and work effectively with people.
Excellent organizational skill with the ability to manage multiple priorities. •Work independently and handle multiple projects simultaneously.
Knowledge of applicable state, and federal regulations. •Knowledge of ICD-9, CPT coding and HCPC. •SSI, Coordination of benefits, and Third Party Liability programs and integration. •Familiarity with NCQA standards, state/federal regulations and measurement techniques. •In depth knowledge of CCA and/or other Case Management tools. •Ability to take initiative and see tasks to completion. •Computer skills and experience with Microsoft Office Products
Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
Skilled at establishing and maintaining positive and effective work relationships with coworkers, clients, members, providers and customers.
Required Education:
Bachelor's degree in Nursing or Masters degree in Social Work, or Health Education (a combination of experience and education will be considered in lieu of degree).
Required Experience:
0-2 years of clinical experience with case management experience.
Required Licensure/Certification:
Active, unrestricted State Registered Nursing license or Licensed Clinical Social Worker LCSW or Advanced Practice Social Worker APSW in good standing. A combination of experience and education will be considered in lieu of LCSW or APSW. Must have valid driver's license with good driving record and be able to drive locally.
RN or LSW candidates will need to reside in the Columbus, Ohio area.
Prefer candidates with knowledge of Medicaid Waivers. Home visits are required. Candidate will need a laptop, wifi, cell phone, reliable transportation and a private workspace.
Job Details Hope Housing - Staten Island, NY Full Time Bachelor's Degree $23.53 - $23.53 Hourly DayDescription
The OASAS Housing Program provides individuals and families with a history of substance use with supportive case management services enabling them to work towards a less supported housing environment.
The Case Manager will be responsible for case managing clients in our OASAS funded Housing Programs.
Responsibilities:
Assist clients in working towards securing more independent housing.
Assist clients in the design and implementation of individual service plans that reflect mutually agreed upon short and long-term goals.
Assist clients in learning or refining the skills necessary to maintain their own housing which may include budgeting and money management, apartment upkeep and maintenance, employment, etc.
Assist clients in obtaining and maintaining all government benefits/entitlements and services when necessary.
Make appropriate referrals, such as medical care, mental health services, vocational services, recreational activities and substance abuse.
Conduct at least once a month home visits.
Accompany clients to appointments (medical, mental health, housing interviews, etc).
Coordinate care with outside providers (addiction treatment, mental health, child welfare, benefits, etc).
Maintain an accurate, confidential and current chart on all clients on caseload.
Attend regularly scheduled supervision meetings with Program Director.
Participate in Team Meetings and other Division meetings as scheduled.
The position is a hybrid role, with one day of remote work from home, and is subject to potential changes at any given time.
Qualifications
Bachelor's degree required, CASAC/CASAC-t a plus
Case management experience a plus especially working with individuals with a substance use disorder
Clean and valid driver's license required
Must be able to establish workload priorities and balance diverse duties
Must have excellent communication skills, both orally and in writing, with individuals and groups regarding confidential, complex and sensitive issues
Benefits:
Health, Dental and Vision Insurance, and more
Competitive PTO and employee perks/benefits
403 B
EAP
We are seeking a Case Manager who is passionate about making a difference in our community. At Lone Star Circle of Care (LSCC) we strive for exceptional, equitable patient care that leads to healthier communities. Our Case Manager serves as liaison and coordinates care for patients with biopsychosocial needs in the context of medical, emotional and/or behavioral problems. Assess for such needs at the individual level, as well as facilitating and tracking successful referral to resources. Participates in population-based Care Management supporting the integration of primary and mental health care to treat the whole patient. This position requires travel to various LSCC facilities as needed.
If you have the ambition and desire to work in a friendly and fun environment, LSCC is the place for you!
A Day in the Life of a Case Manager may look like this:
Assist clients and/or families in identifying and accessing community resources to alleviate social, environmental, and/or economic problems impacting health care needs.
Deliver case management, care coordination, and crisis intervention services to individuals and families, within the scope of practice.
Manage and track all aspects of the patient referral process, ensuring compliance with organizational policies and timelines.
Educate families on the implications of their medical condition and its impact on lifestyle.
Serve as a liaison and/or coordinates care between the client's providers, other treatment providers, community groups, and social service agencies.
Maintain accurate and up-to-date referral information, and initiate referrals as appropriate.
Refer clients and/or their families to community resources (programs, agencies, other providers, etc.) to assist in alleviating social, environmental, and economic problems affecting health care needs.
Update and maintain resources and contact points for providers as needed.
Adhere to patient care standards in alignment with LSCC health education and information guidelines.
Demonstrate a thorough understanding of national patient safety initiatives by consistently following all LSCC safety protocols and procedures.
Participate in data collection, focus groups, TJC, PCMH, and other quality improvement initiatives.
Maintain accountability for ongoing professional development and for sharing knowledge with others.
Responsible for knowledge of and compliance with all LSCC policies and procedures.
We ask our Case Manager to possess a minimum of:
Bachelor's degree in Social Work from an accredited college or university OR
Minimum two (2) years of experience as a case manager with a CCM (Certification in Case Management) in a community-based and/or medical setting with an understanding of behavioral health prevention science.
Basic Life Support (BLS) certification from the American Heart Association or American Red Cross
The following experience/skills are preferred:
Master's degree in Social Work
Experience in substance abuse screening, use, and/or treatment
Experience with screening, brief intervention, and referral to treatment (SBIRT)
Experience with motivational interviewing (MI) and smoking cessation services
Experience working in behavioral health and/or human services
Proficiency with Electronic Medical Record (EMR) system, as well as computer and web-based interfaces
Bilingual English/Spanish language skills
Key Success Factors
Some key factors that will make an individual successful in this role:
The ability to problem solve
Organizational skills
Attention to detail
Team player personality
Time management
Benefits
LSCC offers a competitive benefits package, including:
Competitive salary;
Medical, Dental, and Vision insurance;
LSCC paid Life insurance;
LSCC paid Short-Term and Long-Term Disability insurance;
Paid Time Off; and
403b Employee Retirement Plan
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