Licensed Professional Counselor
Case manager job in Orlando, FL
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Licensed Professional Counselor (LPC)
Wage: Between $120-$131 an hour
Licensed Professional Counselor - Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It's all on one free-to-use platform, no commitment required.
About you
● You're a fully-licensed Professional Counselor at a Master's level or above with LPC, LPCC, LCPC, LCPCS, LPCC-S licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance.
● You're ready to launch a private practice, or grow your existing business by taking insurance.
About Headway
Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who'd otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless - empowering you to accept insurance with ease, so you can do what you do best. So far, we've helped over 50,000 providers grow their practices, reaching countless people in need.
How Headway supports providers
- Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner.
- Built-in compliance: Stay compliant from day one with audit support and ongoing resources.
- Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid.
- Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network.
- Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on.
- Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
- Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy.
How Headway supports your clients
● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance.
● Instant verification: Clients can easily check their insurance status and get the care they need without disruption.
Please note: At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license.
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Claims Advocate
Case manager job in Orlando, FL
Claims Advocate
Employment Type: Full-Time
Department: Claims Advocacy
Agency
Hatcher Insurance Agency is a boutique firm based in Orlando, Florida, offering the capabilities of a large brokerage with the personalized service of a local agency. We specialize in Commercial Lines, Employee Benefits, Surety Bonding, and Personal Lines, and are committed to delivering competitive insurance solutions with a world-class client experience.
Position Overview
We are seeking a highly skilled and client facing Claims Advocate to lead and establish our internal Claims Advocacy department. This individual will serve as the primary liaison between clients and insurance carriers, ensuring that claims are managed with professionalism, transparency, and empathy. The ideal candidate will bring extensive experience in Property & Casualty (P&C) insurance, with a strong background in General Liability (GL) claims and mediation.
This is a strategic and client-facing role, offering the opportunity to build out a key function within the agency and directly impact client satisfaction and retention.
Key Responsibilities
Serve as the primary point of contact for clients throughout the claims process.
Lead mediation efforts in complex General Liability claims and advocate for fair outcomes.
Manage claims across all P&C lines, including commercial and personal insurance.
Develop and implement internal claims advocacy procedures and best practices.
Communicate effectively with insurance carriers, legal representatives, and internal teams.
Maintain accurate documentation of claim activity and provide regular updates to clients.
Identify trends and opportunities for process improvement and enhanced client service.
Qualifications
Minimum of 5 years of experience in insurance claims handling, with a focus on GL and P&C.
Demonstrated success in client-facing roles and mediation or dispute resolution.
Strong understanding of insurance coverages, carrier protocols, and legal considerations.
Excellent communication, negotiation, and organizational skills.
Proficiency in agency management systems and Microsoft Office Suite.
Florida insurance license preferred.
Why Join Hatcher Insurance Agency?
Opportunity to build and lead a new department within a growing agency.
Collaborative and service-oriented work environment.
Access to professional development and career advancement.
Make a meaningful impact on the client experience and agency operations.
Med Aide & Crisis Prevention Intervention Training
Case manager job in Orlando, FL
Train for a Wonderful Career in Healthcare!
Other Classes:
Crisis Prevention Intervention (CPI)
Behavioral Health Tech (BHT / CBHT)
Wound Care Management
Peer Support Specialist1
Medication Tech (Med Tech)
Restorative Aide
CEU / In-service
Hurry!
CALL TODAY: 954-719-6767
Case Manager - Government Services
Case manager job in Tavares, FL
HORNE is a professional services firm founded on a cornerstone of public accounting. As a top 25 business advisory firm, our team members serve clients from offices and project locations across the nation and Puerto Rico. Our Government Services practice is at the forefront of economic recovery programs nationwide with one of the most experienced and innovative teams anywhere. Our team provides program and project management, compliance, grant management, subject matter expertise and disaster recovery solutions needed to help government agencies affect positive change.
As a Case Manger you will be the primary contact for a dedicated population of program applicants who require financial assistance to reconstruct, repair, or rehabilitate their homes after Hurricane Ian. You should maintain a complete understanding of all applicable program policies, requirements, and procedures and review all cases within the guidelines established. You may assist with or lead day-to-day case management activities, which may include processing, monitoring, tracking, and reporting applications within a functional area with little or no direct supervision. You may specialize in specific subjects within the functional area.
Essential Functions:
Provide excellent and consistent customer service and support to applicants, the client, constituents, and program team members.
Assist applicants with the completion and submission of their program applications, as needed.
Review submitted applications for completeness and ensure that the program has received all documentation and information needed to perform an eligibility review.
Review applicant vulnerability factors and assign appropriate priority status to their application.
Conduct an orientation and introductory call to assigned applicants and request any application documentation or information needed to make the application complete.
Ensures program applicants are continuously updated regarding the status of their program application. Frequent, diligent, and professional communication required.
Obtains a working knowledge of applicant needs and program eligibility criteria.
Understands program requirements and other key objectives.
Understands program processes from start to finish and communicates those processes clearly to applicants.
Gathers applicant documentation and uploads to program system of record.
Records all communications in the program system of record.
Position is required in office in one of the intake centers in order to collaborate directly with case management and leadership regarding program applicantions.
Qualifications:
A Case Manager should possess 2 years of demonstrated experience in the qualifications identified below:
Experience relevant to the functional area and/or experience providing specialized advisory service, which may include construction, financial, housing, and/or related industry knowledge. Experience with CDBG housing and/or FEMA hazard mitigation and similar programs/projects is preferred.
Ability to manage effectively with or without subordinates.
Knowledge, skills, and abilities necessary to perform the job function with little to no supervision, while remaining acutely aware of timelines, meeting deadlines, and performance measures.
Ability to acquire a working knowledge of applicable rules and regulations and the ability to provide technical assistance.
Excellent written and oral communication skills, strong analytical skills, ability to work independently, and effective interpersonal skills.
Intermediate level Microsoft Office skills; knowledge of creating tables and graphs in Microsoft Excel; ability to quickly learn new software applications.
Associate degree preferred
Local travel may be required at times. A valid driver's license and a good driving record are required.
Detail-oriented with close attention to program compliance requirements, record keeping guidelines, and file closeout expectations.
Strong customer service skills and knowledge of customer service best practices.
Ability to maintain the confidentiality of program information.
Bi-Lingual in Spanish Preferred
HORNE Values…
A forward thinking, anticipatory professional driven by a passion to pursue your full potential and dreams.
A work environment that promotes collaboration, consistency, and community service to empower people.
An inclusive culture that promotes career/life integration and invests in developing people in areas of focused expertise.
HORNE Offers…
An unrivaled distinctive, special culture that values collaboration, innovation, and positive energy which HORNE calls “Deliver with Care.”
A team of professionals grounded in strong, personal relationships and a sense of belonging to a common purpose for adding value and making a difference.
A dedicated team of individuals from diverse backgrounds working together to leave our clients better than we found them.
The firm you'll be joining is a decidedly different business advisory firm. HORNE goes beyond traditional accounting to collaborate, advise, and align with clients to transform rapid change and uncertainties into opportunities for growth and profitability.
We are a team that focuses on reaching our full potential, rewards high performance, and prioritizes leadership development for every team member. HORNE emphasizes health and personal development through our multiple wellness programs. Despite our size, HORNE takes time to recognize, support, and celebrate one another's successes, working together for the highest good. Come join us at team HORNE!
HORNE does not accept unsolicited agency resumes. Please do not forward unsolicited agency resumes to our website, employees or Human Resources. HORNE will not be responsible for any agency fees associated with unsolicited resumes.
Personal Injury Case Manager
Case manager job in Lake Mary, FL
At Postman Law we are dedicated to creating a workplace where passionate professionals can make a real difference. Our team of experienced personal injury attorneys and case staff work together to advocate for individuals who have been wronged or injured. We guide clients through every step of their journey to ensure they receive the justice and compensation they deserve. Our mission is to achieve exceptional results for our clients, drive innovation in the practice of law, and pursue unparalleled excellence in everything we do.
Purpose
We are seeking a Personal Injury Case Manager to join our growing team. This individual will play a critical role in case development, client communication, and overall case management from intake through settlement. The ideal candidate will be highly organized, customer-focused, and empathetic, with a strong ability to manage multiple cases in a fast-paced environment.
This position will work a hybrid schedule of 3 days per week in the office and 2 days per week remote with the in-person component at our office in Lake Mary, Florida. The salary range is $55,000 - $70,000 per year, plus discretionary bonus and benefits.
Key Responsibilities:
Serve as primary contact for clients, providing updates, support, and guidance on the legal process from intake to settlement and following-up regarding treatment status.
Manage a high-volume caseload with organized, up-to-date case files, including document gathering, client updates, and attorney communication.
Order and track medical records to support injury claims, including coordinating with medical providers to ensure proper treatment records are obtained.
Assist attorneys in negotiating settlements with insurance companies and negotiate reductions on medical bills and liens, advocating for the client's best interests.
Prepare comprehensive demand packages with all necessary documents for submission to insurance carriers.
Collaborate with attorneys, other case managers, paralegals, and legal assistants to ensure seamless support of each case.
Interact with insurance carriers and healthcare providers to verify account balances, process claims, and settle case payments.
Skills:
Excellent negotiation and communication skills with insurance adjusters, clients, and healthcare providers.
High attention to detail and proven ability to prioritize and manage multiple cases and deadlines in a fast-paced environment with minimal supervision.
Strong interpersonal and relationship-building skills.
Proficient in legal case management software and Microsoft Office Suite.
Qualifications:
Bachelor's degree preferred but not required.
3+ years of experience as a Personal Injury Case Manager or Paralegal role preferred.
Experience in a high-volume personal injury practice is highly preferred.
Keller Postman is an Equal Opportunity Employer. For California Applicants, please find our CRPA information here.
Auto-ApplyCase Manager
Case manager job in Orlando, FL
Case Manager - Youth Behavioral Health Job Type: Full-Time Pay: $45,000 - $48,000 based on experience
About Youth Opportunity & Orange Youth Academy
Youth Opportunity is a nationally recognized leader in residential and behavioral health treatment for at-risk youth. Orange Youth Academy in Orlando, Florida, is a secure Youth Academy serving males ages 13 to 17, offering trauma-informed care for mental health and substance abuse needs. The program integrates clinical therapy, education, restorative justice, therapeutic recreation, and life skills development. Youth typically stay based on treatment progress, participating in individual, family, and group therapy; victim impact awareness; pre-vocational preparation; and enrichment activities such as art, music, and recreation. Small group living units and licensed dietitian-managed nutrition support stabilization and reintegration planning.
Benefits
• Medical, dental, and vision insurance
• 401(k) with up to 4% employer match with Immediate Vesting
• Paid time off (PTO) and holidays - Earn 4 hours of PTO every pay period
• Free RX delivery on most medications
• Tuition reimbursement and professional development
• Robust Employee Assistance Program
• Supportive, mission-driven work environment
About the Role
As a Case Manager, you will work under the clinical supervision of a licensed mental health professional to deliver case management services for youth in care. You will coordinate treatment activities, facilitate communication between stakeholders, and help youth and families prepare for successful reintegration into their communities.
Key Responsibilities
• Provide case management services, including communication with youth, families, and Juvenile Probation Officers
• Complete or coordinate required mental health and substance abuse assessments
• Develop and update treatment plans, aftercare plans, performance summaries, and discharge summaries
• Support data collection for post-release tracking and outcomes
• Serve as liaison between the program, DJJ, families, and external agencies
• Prepare families for visitation, home leave, aftercare, and group/family meetings
• Connect youth and families to appropriate community resources
• Participate in internal audits and reviews to ensure policy compliance
Qualifications
Required:
• Bachelor's degree in counseling, social work, psychology, rehabilitation, or related human services field
• Valid driver's license and ability to pass background checks
• Emotionally and physically able to engage in youth activities and program duties
Preferred:
• Two years of experience working with youth with emotional or substance use challenges
• If the candidate has a master's degree in an appropriate field, the experience requirement is preferred, but not required.
• Experience in juvenile justice, Medicaid-funded environments, or group facilitation
• Familiarity with treatment planning, case documentation, and family engagement strategies
Apply Today
Make a difference with us. Apply through Indeed or visit *************************
Youth Opportunity is an Equal Opportunity Employer.
Medical Case Manager I
Case manager job in Orlando, FL
Job Description
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Orlando, FL area.
Work from home, and on the road. Monday - Friday, regular business hours.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source
Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans
Provides assessment, planning, implementation, and evaluation of patient's progress
Evaluates patient's treatment plan for appropriateness, medical necessity, and cost effectiveness
Attends doctors, other providers, home and in some cases, attorney's visits
Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy
Conducts home visit for initial evaluation
Implements care such as negotiating the delivery of durable medical equipment and nursing services
This role requires regular travel, dependent on the injured worker's injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
This role may require overnight travel
Additional duties as required
KNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment
Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers
A cost containment background, such as utilization review or managed care is helpful
Strong interpersonal, time management, and organizational skills
Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets
Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred
Graduate of accredited school of nursing
Current RN Licensure in state of operation
Certification as a CCM, CIRS, or other Case Management certifications preferred
A valid driver's license, reliable transportation, and ability to travel to assigned locations is required
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: $62,306 - $93,123
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 - Medical Case Managers:
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. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
MSW Case Manager
Case manager job in Orlando, FL
MSW Hospital Case Manager Orlando, Florida
Medical Social Worker (MSW) Case Manager provides patient-centered care for at-risk populations through comprehensive Care Coordination, Discharge Planning, and Transitions-of-Care Management. MSW Case Manager evaluates post-hospital needs, develops and implements care plans, and ensures safe, timely patient throughput. The hospital MSW addresses complex psychosocial needs, assists with social program eligibility, and connects patients to community resources. The MSW Case Manager collaborates daily with the interdisciplinary team, promotes patient safety and satisfaction, prevents readmissions, and educates staff.
Qualifications:
Masters in Social Work (MSW) experience in an Acute Hospital setting
Licensed Clinical Social Worker (LCSW) or Licensed Clinical Social Worker Associate (LCSW-A) per state requirement
Knowledge of state and federal guidelines pertinent to Medical Case Management
Responsibilities:
Escalates issues barriers to appropriate level of Care Management leadership
Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan
Proactively identifies patients who no longer meet medical necessity and escalates potential denials, documents avoidable days, and facilitates progression of care
Collaborates with Utilization Management staff for collaboration on patient status changes and medical necessity discussions
Ensure all patients on assigned unit(s) are moved timely and effectively to appropriate levels of care
Ensures reassessment of discharge needs provided anytime a patient's condition changes and/or the circumstances impacting the provision of post-hospital care changes
Serves as a resource to provide information and intervention related to treatment decisions, terminal illnesses and end-of-life issues
Provides grief counseling and crisis intervention skills
Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the Healthcare System
Provides de-escalation services for patient/family as appropriate
Provides Motivational Interview techniques for patients with substance use and addictive disorders
Provides patient/family education, adjustment-to-illness counseling, grief counseling and crisis intervention
Provides education to patients/families/caregivers regarding resource options and coping with diagnosis, treatment and prognosis
Works in collaboration with hospital and community agencies to obtain needed services and resources for patients/families/caregivers
Provides assessment and reporting interventions
Provides consultation services for patients who may possibly lack decision making capacity
Follows the guardianship (temporary/ permanent) policies and procedures and coordinates with Care Management leadership throughout the process
Facilitates full team discussion including patient and family when ethical dilemmas arise
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization
For our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at ************************ or visit our Case Management website at ******************************************************
If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience.
Michelle Boeckmann | President Case Management Recruitment
Direct Dial ************
************************
*********************************************
A member of the Sanford Rose Associates network of offices
America's Best Professional Recruiting Firms | Forbes 2025
Top 10 U.S. Search Firm - Executive Search Review
Easy ApplyCase Manager
Case manager job in The Villages, FL
The case manager will be responsible for conducting patient calls as part of the Care Coordination Department. The Case Manager will work closely with the Directors of Care Coordination and other team members to efficiently and effectively execute initiatives created for enhanced patient care. The Case Manager must be highly detail-oriented and capable of communicating well with patients. Additionally, this position will need to communicate effectively with companies providing ancillary clinical services including but not limited to home health, physical therapy, hospice care, and rehabilitation. The position requires a sound understanding of ancillary clinical services and the importance of appropriate utilization of the same in-patient care.
This position will work closely with the providers and their clinical team and other internal departments involved in patient care such as Home Health, Referrals, and DME. The position will manage the needs of the patients by assessing the social and financial realities of patient. The position will leverage many competencies such as: verbal communication, compassion, time management skills, analytical mindset, attention to detail, and a drive to be successful.
Essential Functions:
Leverage internal and external resources to map outpatient needs.
Generally, coordinate and establish reliable cadence/communication with provider clinical team.
Identify patients at high risk of admissions.
Assess understanding and compliance of patients towards their medical management.
Bring information together regarding social and financial determinants for the patient.
Provide compassion and care for the patient and act as an extension of the provider's clinical team.
Aid in the strategic management of patients.
Work and coordinate with other Care Coordination team members for overlapping patients.
Function as a point of contact for patients on behalf of the practice.
Document interactions with patients within a workflow set up to track outcomes.
Other duties as assigned.
Knowledge, Skills, and Abilities:
Compassion, composure, and patience.
Excellent organizational skills
Strategic orientation and ability to creatively problem-solve.
Assertive, with the ability to work well as part of a team and under deadline pressure.
Strong oral and written communication skills
Proficiency in Word, Excel, and PowerPoint and Experience
Outstanding communication and listening skills
Ability to juggle multiple projects simultaneously with thoroughness and precision, to prioritize high-risk patients and time-sensitive patient needs.
Competencies:
Detail Oriented
Teamwork
Excellent verbal and writing ability.
Interpersonal Skills
Highly self-motivated
Creative problem solver who can work independently.
Self-Directed
Training and Experience
Minimum Education Required: A college degree or equivalent
Minimum Work Experience: 2-5 years inpatient care settings
Supervisor: Clinical Director of Care Coordination
Position Location: Wildwood, Florida
Supplementary Information:
This description is based on management's assessment of the requirements and functions of the job as of the date this description was prepared. It is a general guideline for managers and colleagues. But it does not purport to be an exhaustive list of all the elements of the job. Management reserves the right on a temporary or indefinite basis to meet production, scheduling, or staffing needs.
Job Type: Full-time
Auto-ApplyCase Manager - Inpatient Rehab Hospital
Case manager job in Wildwood, FL
Full-time Description
Exalt Health is thrilled to announce the commencement of our recruitment process for the brand-new Exalt Health Rehabilitation Hospital in Wildwood, Florida!
Exalt Health, an acute rehabilitation hospital, provides an intensive rehabilitation program, and admitted patients must be able to tolerate three hours of intense rehabilitation services per day. Focused on caring for patients with complex rehabilitative needs such as stroke, spinal cord injury, brain injury, head trauma, medically debilitation conditions, neurological disorders, cardio-pulmonary amputations, orthopedic injuries, and multiple major traumas.
Position Summary
In collaboration with the physician, the Case Manager provides individual program management for each patient to ensure the patient's progression through the continuum of care in a manner that achieves the desired clinical and financial outcomes. Monitors and manages clinical and financial coordination of treatment plans of assigned patients to ensure timely, cost-effective, individualized service delivery. Works with rehabilitation patients with various disabilities including, but not limited to: spinal cord injury, brain injury, cerebrovascular accident, amputation, neurologic disorders, orthopedic conditions, and arthritis.
Essential Duties and Responsibilities
Comprehensive Assessment: Conduct thorough psychosocial assessments for patients and their families, identifying needs, barriers to care, and support systems.
Collaborative Care Planning: Participate in interdisciplinary team meetings to develop individualized care plans that address medical, functional, and psychosocial needs.
Resource Navigation: Identify and connect patients and families to appropriate community resources, financial assistance programs, and post-discharge support services.
Discharge Planning: Proactively initiate and coordinate comprehensive discharge plans, ensuring safe and timely transitions to the next level of care (home, skilled nursing facility, etc.).
Insurance and Authorization Management: Work closely with insurance providers to obtain authorizations for treatment, provide updates on patient progress, and address any coverage-related issues.
Advocacy and Support: Serve as a patient and family advocate, providing emotional support and guidance throughout the rehabilitation process.
Documentation and Reporting: Maintain accurate and timely documentation in patient records, including assessments, care plans, progress notes, and discharge summaries.
Requirements
Knowledge, Skills, and Abilities
Licenses or Certifications
Current, unencumbered licenses are required based on educational training (i.e., RN, LMSW, LVN); a Certified Case Manager is preferred.
Education, Training, and Experience
A minimum of one to three years of healthcare and clinical experience in a hospital setting, preferably one year of medical rehabilitation experience.
Skills and Abilities, Proficiency and Productivity Standards
Respect patient rights and promote customer satisfaction.
Organizes and prioritizes tasks and projects, accurately completing job responsibilities within the specified time constraints.
Excellent attention to detail and accuracy.
Analytical and problem-solving abilities.
Ability to work under deadlines and handle multiple tasks.
Speaks and communicates English effectively in verbal and written format; writes legibly.
Reading and comprehension at the level necessary to perform job duties appropriately.
Works cooperatively with co-workers and other hospital employees
Functions proficiently in a Microsoft Windows environment (Outlook, Word, Excel, PowerPoint)
Exalt Health is an equal opportunity employer, drug-free workplace, and complies with ADA regulations as applicable.
Coordinator / Case Manager
Case manager job in Rockledge, FL
Job Description
MISSION:
The mission of BAC is to provide persons with disabilities innovative services and opportunities to achieve personal success.
Coordinates Transition Services Training program activities for BAC participants to include goal planning, work assignments, progress reports, and communications to Individuals with Disabilities (IWD) to allow them the opportunity to grow and learn within the work environment. Schedules day-to-day work activities/lessons to provide optimum efficiency and productivity. Work is performed independently under limited supervision with moderate latitude in the use of initiative and independent judgment. Position typically requires processing and interpreting of more complex, less clearly defined issues.
EXAMPLES OF ESSENTIAL FUNCTIONS:
The list of essential functions below is intended to be representative of the tasks performed within this job. Other duties may be assigned based on business need.
Conduct comprehensive assessments of participants by gathering information through interviews, observations, and record reviews. This includes conducting intake assessments for new participants to identify their needs, strengths, and challenges, which will help determine suitable services and required ratios
Provide orientation sessions/tours for new participants to explain available services, program policies, and procedures, ensuring they understand their rights and responsibilities.
Provide various transition services to participants based on area of assignment and in accordance with the transition team plan.
Assist with program planning and implementation activities; monitor and evaluate effectiveness; suggest improvements as needed.
Maintain accurate documentation on individual participant objectives and progress towards goals; submit documentation to program administrators and other authorized recipients as scheduled.
Serve as a liaison between participants and family/community members to ensure accurate and timely relay of information.
Collaborate with transition services instructors to develop training methods and monitor participant goals.
Through observation of participant behaviors, develop and implement corrective measures to ensure safety and emotional well-being, and resolve participant complaints and concerns, communicating any issues with appropriate parties in a timely manner.
Plan, coordinate, and execute special events as needed, providing supervisory support to participants and/or families during events.
Utilize internal and external case management software to document participant interactions, track progress, manage case files, and ensure compliance with regulatory standards.
Respond to emergencies and provide behavioral strategies, including safety planning and referrals to appropriate services.
Work collaboratively with other professionals, including healthcare providers, WSCs, and community organizations, to ensure best services for participants.
Perform personal care tasks, including assistance with basic personal hygiene, grooming, toileting, feeding, transitioning, and ambulation.
Provide departmental assistance as needed (e.g., staff coverage, lunch supervision).
Coordinate and attend meetings as required to discuss participant progress and program effectiveness.
Stay current with best practices, legal regulations, and ethical standards through continuous professional development and training.
Work with management on special projects and assist in training new Transition Services Coordinators.
Transports program participants to and from training sites or offsite tour locations as required.
Assist with monthly billing and attendance processes.
Supervisory Responsibility:
None
MINIMUM QUALIFICATIONS:
Associate's Degree in related field.
Four or more years of experience in education and/or working with individuals with disabilities (IWD).
An equivalent combination of education, certification, training, and/or experience may satisfy the above requirements.
Must satisfy Florida Department of Children and Families (DCF) Level 2 background screening requirements.
Must have, or obtain within the first 90 days, first aid, cardiopulmonary resuscitation (CPR), and automated external defibrillator (AED) certifications and eight hours of continuing competence units (CCU's) as specified by the Agency for Persons with Disabilities (APD).
May be required to have or obtain additional formal industry certification(s) based on area of assignment.
Must have a valid Driver's License, have a clean driving record (verified by Motor Vehicle Report screening) and reliable transportation.
Must be able to pass a pre-employment drug screening.
PREFERRED QUALIFICATIONS:
Experience working with IWD.
Experienced in Behavioral Management.
In addition to meeting the minimum qualifications listed above, an individual must be able to perform each of the established essential functions in order to perform this job successfully.
KNOWLEDGE, SKILLS, AND ABILITIES:
Knowledge of the principles, practices, techniques and professional standards in the field of habilitation services for individuals with disabilities (IWD).
Knowledge of community organizations and social service programs.
Knowledge of principles and procedures for employee support services.
Knowledge of the Health Insurance Portability and Accountability Act (HIPAA).
Ability to operate a computer using Microsoft Office suite and applicable department/organization specific software.
Ability to handle confidential employment information with tact and discretion.
Ability to read, analyze, and interpret program related laws and regulations and establish necessary work processes and procedures.
Ability to manage multiple priorities to ensure that deadlines are met.
Ability to use critical thinking skills to arrive at solutions and suggest improvements to processes.
Ability to establish and maintain effective and collaborative working relationships with those contacted in the course of work.
Ability to drive a 10 person van.
Ability to regularly attend work and arrive punctually for designated work schedule.
Ability to communicate effectively orally and in writing.
TRAVEL:
No Travel is expected for this position.
WORK AUTHORIZATION/SECURITY CLEARANCE (IF APPLICABLE):
None
PHYSICAL REQUIREMENTS:
Depending on the functional area of assignment, tasks involve the routine performance of moderately physically demanding work, usually involving lifting, carrying, pushing and/or pulling of moderately heavy objects and materials (up to 40 pounds). Tasks that require moving objects of significant weight require the assistance of another person and/or use of proper techniques and moving equipment. Tasks may involve some climbing, stooping, kneeling, crouching, or crawling. These requirements can be done with or without reasonable accommodation.
ENVIRONMENTAL REQUIREMENTS:
Tasks are regularly performed inside without exposure to adverse environmental conditions (e.g., dirt, heat, cold, rain, fumes). General, incidental outdoor exposure may occur infrequently.
SENSORY REQUIREMENTS:
Some tasks require manual dexterity, in addition to visual and hearing acuity.
Availability: Full Time/Monday- Friday; 8am-4:45pm
Salary
: Starting at $21.45 per/hr.
Benefits:
Medical insurance is offered.
Free Dental and Vision insurance for employees.
Paid holidays, vacation, sick, and personal days.
Additional programs include company paid term life and AD&D insurance, short and long-term disability coverage.
Full-time employees are eligible to participate in the 401k plan on the first of the month following their date of hire. Employer match is 50% of the first 8% contributed by employee.
Supplemental voluntary life and AD&D insurance is available.
Additional Supplemental benefits are available including Accident, Critical Illness and Hospital.
Employee Assistance Program.
Tuition reimbursement.
Eligible for performance bonus plans.
Eligible for 401k Profit-Sharing program.
Accepting applications until positions filled…
Applications may be completed through our website: **********************
*A completed application is required*:
BAC
Providing innovative services for individuals with disabilities to achieve personal success!
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. We are a Drug-Free Workplace.
Medical Field Case Manager
Case manager job in Orlando, FL
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.
Be part of a team that makes a real difference.
Job Description
This is a full-time, field position, remote when not traveling locally. The candidate must be located in the Orlando, FL area due to regular local travel for in-person patient appointments
$5000 sign-on bonus ($2500 sign-on bonus, $2500 retention paid out after 1 year of employment)
Candidates without a URAC credential will not be considered
Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers' compensation case management training.
Join our compassionate team and help make a positive difference in an injured person's life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:
* Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
* Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.
* Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.
* Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.
* Work with employers and physicians to modify job duties where practical to facilitate early return to work.
* Evaluate and modify case goals based on injured/disabled person's improvement and treatment effectiveness.
* Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
* Complete other duties, such as attend injured worker's appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.
Qualifications
* Education: Associates Degree or Bachelor's Degree in Nursing or related field.
* Experience: 2+ years clinical practice preferred. Workers' compensation-related experience preferred.
* Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.
* Certifications, Licenses, Registrations:
* Active Registered Nurse (RN) license required. Must be in good standing.
* URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC).
* Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
* Internet: Must have reliable internet.
Benefits
We're committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $68,000 - $76,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.
The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
#LI-VH1
#FCM
Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers' Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager
Case Manager II - Forensic Beds - 112
Case manager job in Clermont, FL
LifeStream is a behavioral health and social services organization that provides high-quality treatment, education, care management, rehabilitation, primary care and homeless services to children, adolescents, and adults. Located in Central Florida, LifeStream primarily serves the residents of Lake, Citrus and Sumter Counties, with additional programs located in Orange, Marion, and Hernando Counties.
CASE MANAGER II - Forensic Beds 112
JOB SUMMARY: The Case Manager II functions as an advocate and support person to those individuals assigned to their assigned program and links them to appropriate services and monitors the progress or lack of progress by the individual and his or her family. The Case Manager II will work closely with the individual, the individual's family, LifeStream staff, and other community organizations to meet their needs and to allow the individual to live as independently as possible within the community.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES:
* Advocates in the client's best interest
* Conduct a thorough assessment of the consumer (family's) home stability to establish significant changes in the consumer (family's) home environment
* Based on this assessment, develop and review the service plan as required to meet consumer needs when there are significant changes in the consumer (family's) situation
* Schedule face-to-face contact with consumer (family) served, preferably in their natural living environment as required assigned by program guidelines; review and update service plan and provide encouragement and monitor progress
* Involve significant others in the consumer (family's) treatment to augment or create additional supports for the consumer (family)
* Convenes/attends staffing as necessary for assessing and coordinating services for consumer (family)
* Coordinates the discharge of consumer from the Center's Psychiatric Hospital or other inpatient or residential settings
* Assist the consumer (family) when possible to improve the consumer (family's) home environment
* Advocates in the consumers (family's) best interest and links to needed services
* Assesses needs and develops a plan to meet the best needs of consumer
* Monitors and evaluates service provision and individuals' progress
* Perform case management intake and ongoing assessment, including social history
* Work with consumer (family) to develop treatment plans with long and short-term goals
* If servicing youth, provide transition services for youth nearing 18 years of age to an adult system of care
* Assists the consumer (family) to develop connections to natural supports within their own network of associates, including friends and neighbors, community organizations, including service and religious organizations and through participation in clubs, organizations, and other civic activities
* Arranges for procurement of incidental expenses of any additional temporary supports that may be necessary to move the family towards greater independence, stability and achieve resiliency goals as documented in their Plan of Care
* Assists in coordination of any adjunctive services that are out of the scope of practice and therefore not provided by Staff
* Assists with transporting consumer (family) to medical appointments, court hearings, or other related activities outlined in the Plan of Care
* Communicate and liaison with the individual, family and service providers
* Must complete required Center, Agency (DCF), funding, legal, statistical and fiscal documentation in an accurate and timely manner
* Must be able to document accurately and remain current with all documentation
* Must be able to attend team meetings as scheduled on a regular basis
* Must be able and willing, to work flexible hours
* If servicing youth, must be able to assist with short term supervision of a consumer away from the family to offer temporary relief as a planned event or to improve family stability in a time of crisis for a maximum of four hours per day
* If servicing you, must be able to assist with the provision of tutoring and remedial academic instruction to enhance educational performance
* Maintain consumer files including all agreements, release forms, service plan and up to date progress notes at required by program guidelines
* Maintain confidentiality at all times
* Assist with Transportation as necessary
* Participate consistently in all in-service training programs
* Ability to successfully complete initial and annual Techniques for Effective Aggression Management (TEAM) physical restraint training and verbal de-escalation training as required for position requirements
* The ability to comply with the regulations requiring a workplace of dignity and respect and equal employment opportunity compliance
* The ability to work collaboratively with others and to accept constructive criticism from supervisors and managers
* Willingness to abide by the company's published rules and regulations
* Any other duties as assigned by Leadership
KNOWLEDGE AND JOB SKILLS:
* Must be knowledgeable about the CAT Model.
* Must have a clear understanding of the characteristics and problems of youth with a mental health diagnosis(es) or co-occurring mental health and substance abuse diagnosis with behavioral issues placing them at risk for an out of home placement or involvement with the Department of Juvenile Justice.
* Must demonstrate excellent verbal and written communication skills and be able to manage computer related tasks effectively.
* Displays excellent telephone and customer service skills.
* Must be able to function effectively within a team; however, must also be able to function autonomously.
* Must possess excellent problem-solving, advocacy, resource development, time management, and organizational skills.
* Knowledge of medications and ability to monitor clients' self-administration of medications is important. Crisis intervention skills are vital.
* Must have knowledge of life saving techniques including CPR certification and first aid.
* Patience and high tolerance for frustration is essential. Initiative, dependability and accuracy are important.
* The ability to analyze situations and manage them in a proactive manner is important.
* Must be able to work within a team and be flexible in job roles.
SPECIAL FACTORS:
* It is important for a person in this position to enjoy working with difficult children and act as a role model whenever possible.
* Must be able to meet deadlines.
* Must have a valid driver's license and a clean driving record.
EDUCATION & EXPERIENCE:
* Bachelor's degree with major course work in the human services field required
* Minimum of Three (3) year of prior experience working with children or adults with serious emotional disturbances required
* Level II Background Clearance
* Driving Requirements: (add this section of a required driving position)
* Must be Over the age of 21 required
* Minimum of 5-years driving experience required
* Possess a Valid FL Driver's license (within 30 days of hire if currently do not possess)
* Possess a continuously valid US Driver's license for the past three years, from date of issue required
* Safe Driving record required
TRAINING & DEVELOPMENT: Completes all requirements according to Individual Training Plan within the first six months of hire and annually. Other training and/or professional development may be assigned due to evolution of programs.
CHECK OUT THESE GREAT BENEFITS!
* Health/Dental/Vision Insurance
* Short Term Disability
* Pension Plan
* 403(b)
* PTO (Over 4 weeks your 1st year!)
* Paid holidays
* Flexible Work Schedules
* Shift and Weekend Differentials
* Employee Discount perks and more!
Quick Apply or through LifeStream's Website: ********************************************************************
LifeStream is an eqal opportunity employer and does not discriminate against any applicant based on age, citizenship, color, covered veteran status, disability, gender identity, genetic information, marital status, race, religion, sex, sexual orientation, or other protected status in accordance with applicable federal, state, and local laws.
Case Manager
Case manager job in Maitland, FL
Get to know Thompson!
Thompson was founded in 1886 as an orphanage and has grown into an organization operating across the Carolinas, Florida, Tennessee and Kentucky. Thompson's continuum of care encompasses three domains: prevention, mental health services and foster care. All Thompson programs are trauma-informed and evidence-based/evidence-informed with the intention of building resilience in our clients (ages 0-18) and their families, both virtually and in person. Our values are Excellence, Innovation, Commitment, Caring and Integrity.
What will you do as a Case Manager?
As a Case Manager, you will coordinate care related to clients assigned in their programs which includes, but is not limited to, Dependency Saw Management, CFT coordination, communicating with external stakeholders, and managing other aspects of the youth's permanency and well-being. The individual contributor's performance will be measured by your individual outcomes, achieving your individual targets/goals, your contribution to your overall program team/department and your buy-in to the culture of the organization.
What does this position offer?
Fantastic Full-time benefits…
3 weeks paid time off (PTO) first year plus 10 paid holidays!
Health, Dental, Vision, Short-Term and Long-Term Disability and Life insurance options
401K Match
Education Reimbursement
Referral Bonus
Clinical Supervision Reimbursement of $60 for eligible candidates obtaining licensure
Eligibility to apply for Public Service Loan Forgiveness through FAFSA after 10 years of service
Eligibility to apply for the state loan repayment program that repays up to $50,000 of student loans
Paid time off for volunteering in the community
Free EAP services
Mileage Reimbursement
iPhone and Laptop provided for eligible roles
Multiple opportunities for growth
Requirements
Minimum Qualifications/Requirements:
Bachelor's Degree in human services or related field.
Relevant professional experience preferred
Must have a valid Driver's License and meet any credentialing, licensing, and privileging standards as it pertains to the department you are in.
Proficient in Microsoft Office Suite application software
Excellent written and oral communication skills.
Ability to work well with different internal and external stakeholders.
All potential job candidates must pass a drug screening test, and an extensive background check is required.
You're the right fit for the Case Manager position if…
You add value in every interaction!
You enjoy knowing you're making an IMPACT on the lives of others!
EXCELLENCE, INNOVATION, COMMITMENT, CARING, AND INTEGRITY are important to you!
If your qualifications meet the requirements of the job and you want to be part of a winning culture, don't delay! Apply at thompsoncff.org where we are strengthening Children, Families, and Communities!
Thompson is an Equal Opportunity Employer.
Thompson participates in E-Verify and Diana Screen for Florida locations.
Case Manager - Family Intervention
Case manager job in Daytona Beach, FL
Job Scope: Case Managers facilitate integrated client carein the areas of living, learning, working and socialization by assessing client needs, evaluating treatment options, creating service plans, coordinating care, linking to services, and reviewing case progress to promote safety and well-being. They work closely with multidisciplinary team members such as physicians, APRNs, nurses, mental health and other health care professionals, as well as family and friends of clients to ensure clients are supported and can achieve the best outcomes. Case managers coordinate and provide care that is safe, timely, effective, efficient, equitable, and client-centered. Case Managers assist clients with improving their overall functioning through identification of strengths, weaknesses, abilities and preferences in order to attain future goals.
Essential Job Functions:
* Completes assessments and service plans that assist clients in developing goals and addressing areas of need, and reviews the assessments and service plans according to program guidelines.
* Completes authorizations and reauthorizations as required by program guidelines.
* Participates in client treatment planning and case review with other client care providers.
* Documents service activity in SMA's EMR, and ensures the medical record is up to date, accurate, and meets all documentation standards in accordance with program requirements.
* Coordinates and provides care that is safe, timely, effective, efficient, equitable, and client-centered.
* Executes linkages identified on the service plan and monitor progress of service delivery according to program guidelines.
* Facilitates client access to community resources, including locating recreational activities, housing, food, clothing, school programs, vocational opportunities or services, providers to teach life skills, and relevant mental health and substance use services.
* Assists clients with identifying financial assistance options for medications and other medical needs.
* Assists clients with developing natural resources and making contact with social support networks.
* Helps clients make informed decisions by acting as their advocate regarding their clinical status and treatment options.
* Communicates clients' progress by conducting/attending interdisciplinary meetings and evaluations; disseminating results and obstacles to therapeutic team and family; and identifying treatment influences.
* Provides limited crisis intervention under appropriate supervision.
* Reports any concerns regarding the health, safety, or well-being of a client to the appropriate authority.
* Facilitates access to and/or coordinates transportation for clients in order to execute linkages identified on the service plan.
* Attends court hearings as required by program guidelines.
* Maintains an awareness of proper safety procedures and guidelines and applies these in performing daily activities and tasks.
* Provides administrative support and performs general office duties such as answering the phone, communicating with internal and external customers, and cleaning as required by program.
* Adheres to professional standards as outlined by protocols, rules and regulations.
* Additional duties may be required as per specific program guidelines.
Qualification Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum Education and/or Experience: High School Diploma required.Bachelor's Degree from an accredited university or college with a major in counseling, social work, psychology, criminal justice, nursing, rehabilitation, special education, health education, or other related human services field preferred; a minimum of one year of full time or equivalent experience working with the target population preferred. A Bachelor's Degree from an accredited university or college in a discipline other than previously noted will be considered if the candidate has three years of full time or equivalent experience working with the target population. Preference will be given to those who are certified as Targeted Case Managers. Additional education and/or experience may be required as per specific program guidelines. Certification as a Targeted Case Manager may be required within six months of hire depending on program guidelines.
Knowledge/Skills/and Abilities:
* Skill in time and organizational management; ability to complete work under strict time lines, while maintaining flexibility to assist with client issues/concerns.
* Ability to quickly assess situations and use sound judgment in diffusing potentially risky situations; ability to identify services needed by clients during the rehabilitation process.
* Ability to follow both oral and written instructions and complete tasks as instructed.
* Ability to express oneself clearly and concisely both orally and in writing.
* Ability to prepare clear and concise written reports.
* Ability to communicate clearly with clients to develop a supportive and trusting relationship.
* Ability to establish and maintain effective working relationships with co-workers, medical and clinical professionals, educational systems, court systems, and the general public.
* Knowledge of community resources.
* Knowledge concerning current information in the area of mental illness and substance abuse and treatment and related behavioral problems specific to the age and population served.
* Knowledge of managed care environment and different payer sources.
* Knowledge of Agency for Persons with Disabilities requirements.
Necessary Special Requirements: Possession of a valid Florida driver's license, acceptable driving record, and proof of personal automobile insurance if required to drive an SMA vehicle and/or use a personal vehicle for SMA business. Complete State of Florida mandatory background screening prior to start of employment. Complete SMA required training during the first six (6) months of employment and updated if required.
Physical: Mobility and ability to bend and reach during an 8-12 hour day. Able to lift minimum 10 pounds. Visual and auditory acuity sufficient to evaluate, intervene, treat, and record client health care needs. Fine motor skills for legible and accurate charting, daily correspondence and presentation, either manually or orally. Work endurance ability to work 8-12 hour shifts with a meal break, as possible. Routine 8-12 hour shifts. Hours and days off may vary. Extra hours may be required. Work assignment locations may vary.
Application:This class specification is intended to identify the class and illustrate the kinds of duties that may be assigned to its incumbents. It should not be interpreted as describing all of the duties whose performance may ever be required of such an employee or be used to limit the nature and extent of assignments such individuals may be given.
Medical Case Manager - Workers' Compensation
Case manager job in Orlando, FL
Job Description
ABOUT US:
Founded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care. Our name reflects our mission - Forza means "strength," representing the power of our team, and
Care
reflects our compassion for those we serve.
ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative and risk mitigation solutions. Together, we're expanding our reach and strengthening our ability to deliver exceptional service across the workers' compensation industry. Learn more about ForzaCare and Ethos partnership here.
JOB SUMMARY:
As a Field Medical Case Manager at ForzaCare, you'll help injured workers navigate their recovery and return to work. You'll act as the central point of coordination, connecting the injured worker, medical providers, employers, and insurance carriers to ensure timely, transparent, and effective care management.
This role is ideal for licensed nurses or certified rehabilitation counselors. While prior experience in workers' compensation is strongly preferred, those who have it will find their background especially valuable in this role.
KEY RESPONSIBILITIES:
Coordinate care between medical providers, employers, insurance carriers, and injured workers.
Attend appointments with the injured workers, which may include visiting employers and injured workers at their place of employment.
Develop, document, and monitor individualized recovery goals and return-to-work plans.
Provide consistent communication and detailed progress reports to clients and stakeholders.
Ensure all case management work meets or exceeds customer and compliance requirements.
Build and maintain strong relationships with clients, providers, and internal team members.
QUALIFICATIONS:
Education & Licensure:
Active Registered Nurse (RN) or Certified Rehabilitation Counselor (CRC) license with associated college degree is required.
Additional certifications such as CCM, CIRS, or other case management credentials are preferred.
Must comply with all state-specific licensure and certification requirements.
Prior experience in workers' compensation case management is strongly preferred.
Valid driver's license, reliable transportation, and auto insurance with ability to travel to appointments.
Skills & Attributes:
At ForzaCare, we look for professionals who embody our values and thrive in a collaborative, purpose-driven environment:
Motivated -You take pride in exceeding goals and continuously improving.
Organized - You can manage a fast-paced workload and multiple priorities with ease.
Collaborative - You communicate clearly and work well with diverse teams and stakeholders.
Committed - You uphold ForzaCare's mission to deliver high-quality, compassionate care and comply with all safety, ethical, and professional standards.
ForzaCare is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.
Job Posted by ApplicantPro
Major Case Specialist, General Liability
Case manager job in Orlando, FL
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job Category
Claim
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$104,000.00 - $171,700.00
Target Openings
1
What Is the Opportunity?
Be the Hero in Someone's Story
When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most.
As a Major Case Specialist, you are responsible for investigating, evaluating, reserving, negotiating, and resolving complex, serious and severe claims typically with full damage value for average claim $500,000 to over a multi-million dollar value.
You will serve as an expert technical resource to claim professionals, business partners, customers, and other stakeholders.
This role is eligible for a sign on bonus.
What Will You Do?
* Oversee major General Liability claims from initiation to resolution, ensuring compliance with company policies and industry regulations.
Conduct detailed investigations to gather evidence, assess liability and determine extent of damages.
* Evaluate claim information and documentation to make informed decisions regarding coverage and settlement.
* Engage in negotiations with claimants, legal representatives, and other parties to achieve fair and equitable settlements.
* Maintain comprehensive and accurate records of all claim activities, communications, and decisions.
* Prepare and present detailed reports on claim status, trends and outcomes to senior management.
* Work closely with legal, underwriting, and other departments to ensure coordinated claim handling.
* Apply litigation management strategies through the selection of counsel and evaluation.
* In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements.
* Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
What Will Our Ideal Candidate Have?
* Bachelor's Degree.
* Ten years of experience in handling major General Liability claims and managing litigation and complex negotiations.
* Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims.
* Able to make independent decisions on most assigned cases without involvement of management.
* Thorough understanding of business line products, policy language, exclusions, and ISO forms.
* Demonstrated ability of strategic claims handling practices.
* Strong written and verbal communication skills with the ability to understand, synthesize, interpret, and convey information in a simplified manner.
* Familiarity with industry regulations and legal requirements specific to General Liability insurance.
* Ability to work independently and manage multiple high-value claims simultaneously.
What is a Must Have?
* High School Degree or GED required with a minimum of 4 years bodily injury litigation claim handling or comparable claim litigation experience.
What Is in It for You?
* Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
* Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
* Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
* Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
* Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
Case Coordinator, Child Protection Team - Osceola County Office
Case manager job in Orlando, FL
Please read the qualifications below before applying. Must have 2 years of child abuse experience as an investigator or child welfare case worker. The candidate will be servicing Osceola County and it is preferred that the candidate lives in area. An updated resume with specific experience related to the job is highly appreciated. This team is part of the Howard Phillips Program for Children as a part of protecting our vulnerable population. The Case Coordinator services as a neutral party in abuse and neglect cases to determine appropriate outcomes. Cases are open for about 60 days and as a case coordinator you will obtain facts and report findings as you receive information. You are considered unbias and an expert in your field. Former DCF involvement as an investigator or case worker is highly preferred. Responsibilities Child Protection Team CPT Case Coordinators provide expert consultation to community professionals involved in the investigation and assessment of child abuse allegations. Essential Functions • Decision making in this position entails a high degree of responsibility and expertise that significantly impacts the future risk to children of serious injury, including possible death. • Provides expert consultation to community professionals involved in the investigation and assessment of child abuse allegations. • Responsible for obtaining crucial forensic evidence necessary for criminal and dependency court cases of child abuse and neglect, including child homicides. • Provides highly specialized services including professional caliber photographic documentation of child abuse injuries and videotaped forensic interviews with suspected victims of maltreatment. • Participates in 24/7 on-call duties as part of 24/7 emergency response team coverage. Entails carrying a pager or cell phone and providing expert consultation on child abuse cases and responding in-person to Children's Advocacy Centers and hospitals in Orange and Osceola counties. • Maintains timely documentation in hospital charts for children admitted to Orlando Health hospitals when child abuse or neglect is suspected. • Provides depositions regarding case activities and findings for possible criminal prosecution of child abuse perpetrators. • Serves as expert witnesses in criminal and dependency court proceedings as needed. • Performs comprehensive, written psychosocial assessments of at-risk families. • Facilitates multi-disciplinary crisis planning sessions. • Coordinates and participate in examinations of children reported for abuse or neglect with CPT medical providers. • Serves as a resource to the community for case consultation on suspected cases of child abuse and neglect. • Conducts or participates in child and family interviews to assess factors contributing to suspected abuse or neglect. • Creates written reports with recommendations for services and interventions to reduce the risk of future harm to children. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. • Maintains compliance with all Orlando Health policies and procedures. Qualifications Education/Training Bachelor's Degree from an accredited college or university with major emphasis on social work, psychology, sociology, counseling, child development, or nursing. Four (4) years of directly related experience may substitute for Bachelor's degree major requirement if the degree is not in the aforementioned majors. (in addition to the requirements listed in the Experience section. Experience Two (2) years' experience working with children and families is required, one (1) year of which must be working with abused and neglected children. An MSW may substitute for one (1) year of experience. Must have a broad knowledge of child physical abuse, family dynamics, domestic violence, substance abuse, child sexual abuse, sexual predator typologies, Chapter 39 of Florida Statutes, Dependency Court, mental illness, child neglect, and medical neglect. Must be knowledgeable of standard computer office software, including word processing software. This is not a remote job and requires you to come into the office daily. This position is for Osceola County so the office is located in Kissimmee.
Education/Training Bachelor's Degree from an accredited college or university with major emphasis on social work, psychology, sociology, counseling, child development, or nursing. Four (4) years of directly related experience may substitute for Bachelor's degree major requirement if the degree is not in the aforementioned majors. (in addition to the requirements listed in the Experience section. Experience Two (2) years' experience working with children and families is required, one (1) year of which must be working with abused and neglected children. An MSW may substitute for one (1) year of experience. Must have a broad knowledge of child physical abuse, family dynamics, domestic violence, substance abuse, child sexual abuse, sexual predator typologies, Chapter 39 of Florida Statutes, Dependency Court, mental illness, child neglect, and medical neglect. Must be knowledgeable of standard computer office software, including word processing software. This is not a remote job and requires you to come into the office daily. This position is for Osceola County so the office is located in Kissimmee.
Position Summary Child Protection Team CPT Case Coordinators provide expert consultation to community professionals involved in the investigation and assessment of child abuse allegations. Essential Functions • Decision making in this position entails a high degree of responsibility and expertise that significantly impacts the future risk to children of serious injury, including possible death. • Provides expert consultation to community professionals involved in the investigation and assessment of child abuse allegations. • Responsible for obtaining crucial forensic evidence necessary for criminal and dependency court cases of child abuse and neglect, including child homicides. • Provides highly specialized services including professional caliber photographic documentation of child abuse injuries and videotaped forensic interviews with suspected victims of maltreatment. • Participates in 24/7 on-call duties as part of 24/7 emergency response team coverage. Entails carrying a pager or cell phone and providing expert consultation on child abuse cases and responding in-person to Children's Advocacy Centers and hospitals in Orange and Osceola counties. • Maintains timely documentation in hospital charts for children admitted to Orlando Health hospitals when child abuse or neglect is suspected. • Provides depositions regarding case activities and findings for possible criminal prosecution of child abuse perpetrators. • Serves as expert witnesses in criminal and dependency court proceedings as needed. • Performs comprehensive, written psychosocial assessments of at-risk families. • Facilitates multi-disciplinary crisis planning sessions. • Coordinates and participate in examinations of children reported for abuse or neglect with CPT medical providers. • Serves as a resource to the community for case consultation on suspected cases of child abuse and neglect. • Conducts or participates in child and family interviews to assess factors contributing to suspected abuse or neglect. • Creates written reports with recommendations for services and interventions to reduce the risk of future harm to children. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. • Maintains compliance with all Orlando Health policies and procedures.
Auto-ApplyBilingual Spanish / English Speaking Case Manager - Government
Case manager job in Tavares, FL
HORNE is a professional services firm founded on a cornerstone of public accounting. As a top 25 business advisory firm, our team members serve clients from offices and project locations across the nation and Puerto Rico. Our Government Services practice is at the forefront of economic recovery programs nationwide with one of the most experienced and innovative teams anywhere. Our team provides program and project management, compliance, grant management, subject matter expertise and disaster recovery solutions needed to help government agencies affect positive change.
As a Case Manager, you will be the primary contact for a dedicated population of program applicants who require financial assistance to reconstruct, repair, or rehabilitate their homes after Hurricane. You should maintain a complete understanding of all applicable program policies, requirements, and procedures and review all cases within the guidelines established. You may assist with or lead day-to-day case management activities, which may include processing, monitoring, tracking, and reporting applications within a functional area with little or no direct supervision. You may specialize in specific subjects within the functional area.
Essential Functions:
Provide excellent and consistent customer service and support to applicants, the client, constituents, and program team members.
Assist applicants with the completion and submission of their program applications, as needed.
Review submitted applications for completeness and ensure that the program has received all documentation and information needed to perform an eligibility review.
Review applicant vulnerability factors and assign appropriate priority status to their application.
Conduct an orientation and introductory call to assigned applicants and request any application documentation or information needed to make the application complete.
Ensures program applicants are continuously updated regarding the status of their program application. Frequent, diligent, and professional communication required.
Obtains a working knowledge of applicant needs and program eligibility criteria.
Understands program requirements and other key objectives.
Understands program processes from start to finish and communicates those processes clearly to applicants.
Gathers applicant documentation and uploads to program system of record.
Records all communications in the program system of record.
Position is required in office in one of the intake centers in order to collaborate directly with case management and leadership regarding program applicant calls.
Qualifications:
A Case Manager should possess 2 years of demonstrated experience in the qualifications identified below:
Experience relevant to the functional area and/or experience providing specialized advisory service, which may include construction, financial, housing, and/or related industry knowledge. Experience with CDBG housing and/or FEMA hazard mitigation and similar programs/projects is preferred.
Ability to manage effectively with or without subordinates.
Knowledge, skills, and abilities necessary to perform the job function with little to no supervision, while remaining acutely aware of timelines, meeting deadlines, and performance measures.
Ability to acquire a working knowledge of applicable rules and regulations and the ability to provide technical assistance.
Excellent written and oral communication skills, strong analytical skills, ability to work independently, and effective interpersonal skills.
Intermediate level Microsoft Office skills; knowledge of creating tables and graphs in Microsoft Excel; ability to quickly learn new software applications.
Associate degree preferred
Local travel may be required at times. A valid driver's license and a good driving record are required.
Bilingual in Spanish / English required. Ability to read, write, and speak English and Spanish.
Detail-oriented with close attention to program compliance requirements, record keeping guidelines, and file closeout expectations.
Strong customer service skills and knowledge of customer service best practices.
Ability to maintain the confidentiality of program information.
HORNE Values…
A forward thinking, anticipatory professional driven by a passion to pursue your full potential and dreams.
A work environment that promotes collaboration, consistency, and community service to empower people.
An inclusive culture that promotes career/life integration and invests in developing people in areas of focused expertise.
HORNE Offers…
An unrivaled distinctive, special culture that values collaboration, innovation, and positive energy which HORNE calls “Deliver with Care.”
A team of professionals grounded in strong, personal relationships and a sense of belonging to a common purpose for adding value and making a difference.
A dedicated team of individuals from diverse backgrounds working together to leave our clients better than we found them.
The firm you'll be joining is a decidedly different business advisory firm. HORNE goes beyond traditional accounting to collaborate, advise, and align with clients to transform rapid change and uncertainties into opportunities for growth and profitability.
We are a team that focuses on reaching our full potential, rewards high performance, and prioritizes leadership development for every team member. HORNE emphasizes health and personal development through our multiple wellness programs. Despite our size, HORNE takes time to recognize, support, and celebrate one another's successes, working together for the highest good. Come join us at team HORNE!
HORNE does not accept unsolicited agency resumes. Please do not forward unsolicited agency resumes to our website, employees or Human Resources. HORNE will not be responsible for any agency fees associated with unsolicited resumes.
Major Case Specialist, General Liability
Case manager job in Orlando, FL
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$104,000.00 - $171,700.00
**Target Openings**
1
**What Is the Opportunity?**
Be the Hero in Someone's Story
When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most.
As a Major Case Specialist, you are responsible for investigating, evaluating, reserving, negotiating, and resolving complex, serious and severe claims typically with full damage value for average claim $500,000 to over a multi-million dollar value.
You will serve as an expert technical resource to claim professionals, business partners, customers, and other stakeholders.
This role is eligible for a sign on bonus.
**What Will You Do?**
+ Oversee major General Liability claims from initiation to resolution, ensuring compliance with company policies and industry regulations.Conduct detailed investigations to gather evidence, assess liability and determine extent of damages.
+ Evaluate claim information and documentation to make informed decisions regarding coverage and settlement.
+ Engage in negotiations with claimants, legal representatives, and other parties to achieve fair and equitable settlements.
+ Maintain comprehensive and accurate records of all claim activities, communications, and decisions.
+ Prepare and present detailed reports on claim status, trends and outcomes to senior management.
+ Work closely with legal, underwriting, and other departments to ensure coordinated claim handling.
+ Apply litigation management strategies through the selection of counsel and evaluation.
+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements.
+ Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
**What Will Our Ideal Candidate Have?**
+ Bachelor's Degree.
+ Ten years of experience in handling major General Liability claims and managing litigation and complex negotiations.
+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims.
+ Able to make independent decisions on most assigned cases without involvement of management.
+ Thorough understanding of business line products, policy language, exclusions, and ISO forms.
+ Demonstrated ability of strategic claims handling practices.
+ Strong written and verbal communication skills with the ability to understand, synthesize, interpret, and convey information in a simplified manner.
+ Familiarity with industry regulations and legal requirements specific to General Liability insurance.
+ Ability to work independently and manage multiple high-value claims simultaneously.
**What is a Must Have?**
+ High School Degree or GED required with a minimum of 4 years bodily injury litigation claim handling or comparable claim litigation experience.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .