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  • Case Manager II (Pool)

    Encompass Health 4.1company rating

    Clinical case manager job in Knoxville, TN

    Case Manager Career Opportunity- $38/hr Monday-Friday availability with some weekends as needed. Recognized for your abilities as a Case Manager Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing. Starting Perks and Benefits At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to: Affordable medical, dental, and vision plans for both full-time and part-time employees and their families. Generous paid time off that accrues over time. Opportunities for tuition reimbursement and continuous education. Company-matching 401(k) and employee stock purchase plans. Flexible spending and health savings accounts. A vibrant community of individuals passionate about the work they do! Become the Case Manager you always wanted to be Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences. Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans. Participate in planning for and the execution of patient discharge experience. Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations. Facilitate team conferences weekly and coordinate all treatment plan modifications. Complete case management addendums and all required documentation. Maintain knowledge of regulations/standards, company policies/procedures, and department operations. Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. Understand commercial contract levels, exclusions, payor requirements, and recertification needs. Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs. Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission. Perform assessment of goals and complete case management addendum within 48 hours of admission. Educate patient/family on rehabilitation and Case Manager role; establish communication plan. Schedule and facilitate family conferences as needed. Assist patient with timely procuring/planning of resources to avoid discharge delays or issues. Monitor compliance with regulations for orthotics and prosthetics ordering and payment. Make appropriate/timely referrals, including documentation to post discharge providers/physician Ensure accuracy of discharge and payor-related information in the patient record Participate in utilization review process: data collection, trend review, and resolution actions. Participate in case management on-call schedule as needed. Qualifications License or Certification: Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling). If licensure is required for one's discipline within the state, individual must hold an active license. Must meet eligibility requirements for CCM or ACM™ certification upon entry into this position OR within two years of entry into the position. CCM or ACM™ certification required OR must be obtained within two years of being placed in the Case Manager II position. · Minimum Qualifications: For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an associate degree. For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred. 2 years of rehabilitation experience preferred. The Encompass Health Way We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing! At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification. We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!
    $38 hourly Auto-Apply 60d+ ago
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  • Social Security Disability Case Manager

    Garza Law Firm

    Clinical case manager job in Knoxville, TN

    Full-time Description Social Security Disability Paralegal/Case Manager works closely with other Paralegals/Case Managers, assigned attorneys, and administrative staff to provide legal support and case management for Social Security Disability Claims. The SSD Paralegal/Case Manager does not have the authority to practice law, give legal advice, or set strategy on a pre-case/per-client basis. Requirements Responsibilities Case Management & Client Support: Manage a caseload of SSD applicants from initial application through appeals. Maintain frequent client communication, providing updates and answering questions regarding their claims. Application & Documentation Support: Assist clients in completing SSD forms, questionnaires and filing appeals. Collect, review, and submit medical records, work history, and other supporting documents. Attorney & Hearing Support: Prepare case files for attorney review, ensuring all necessary evidence and forms are included. Assist attorneys in drafting legal correspondence and hearing preparation materials. Coordinate and schedule medical evaluations and SSA hearings. Compliance & Process Management: Ensure all claims adhere to Social Security Administration (SSA) guidelines and deadlines. Track case progress, follow up on pending applications, and respond to SSA requests. Stay updated on Social Security Disability laws, regulations, and procedural changes. Work Experience Required : Proficient with Microsoft 365 Suite Applications, including but not limited to, Outlook, Word, and Teams. Verbal and Written Communication Skills. Organizational Skills. Preferred : Experience with Case File Management such as Filevine and Chronicle. Experience with lead generation systems such as Lead Docket. Experience in Customer Service via in-person and over the phone, while monitoring and diffusing escalated issues. Experience talking on the phone regularly and corresponding through email with a professional and confident tone. Education / Certifications / Other Qualifications / Success Traits Required : Must have a High School Diploma or Equivalent. Ensure Accountability: Takes responsibility for their work and the performance of the firm. Owns commitments and shows a willingness to answer for their actions without being defensive or shifting blame. Client Focus: Intentionally seeks to understand Client needs. Proactively identify opportunities to serve or create a benefit for the Client. Looks to exceed Client expectations by creating delight. Establishes and maintains effective Client relationships. Situational Adaptability: Rebounds from setbacks vs. emotionally responding with drama. Is confident under pressure. Handles or manages change or crises effectively. Maintains a positive attitude despite adversity. Grows from hardships and negative experiences. Action Oriented: Embraces challenges and takes action, without unnecessary delay. Identifies and seizes new opportunities. Displays a can-do attitude in good and bad times. Steps up to handle tough issues without avoidance. Preferred : Secondary education, bachelor's degree preferred, or equivalent combination of education, training, and experience.
    $30k-45k yearly est. 60d+ ago
  • Case Manager

    Quality Private Duty Care

    Clinical case manager job in Knoxville, TN

    Manages and coordinates team functions and performance to ensure appropriate home care services from admission to discharge, for assigned patients. Plans and coordinates the delivery of each assigned patient's plan of care in accordance with physician orders. Plans, renders, and evaluates hands on care provided to all assigned patients. Supervises and teaches team members, including RN's, LPN's, CNA's and HMA's in the efficient and effective delivery of quality patient care in accordance with agency policies and procedures and physician's orders. QUALIFICATIONS: Registered Professional Nurse, currently licensed in the state of Tennessee. Minimum two years of home health experience. Working knowledge of the home health care program with previous management/supervisory experienced preferred. Previous experience scheduling home health visits preferred. Must be able to provide direct patient care and take on-call. Must be able to travel - trips vary in length and may require overnight stay. Computer data entry and word processing skills desirable. KEY RESPONSIBILITIES: Assists with calls or inquiries from any referral source (hospitals, physicians, patients/family members etc.) and provides accurate and reliable information regarding the requirements for admission to home health care. Assists with the solicitation of necessary patient specific information (name, address, phone, insurance, diagnosis, services required, physician etc.) at the time of referral in order to coordinate care needs and schedule a timely admission visit. Obtains all patient insurance information including member ID numbers, contact numbers for insurance, and other pertinent numbers from card. Conducts initial admission visits and assures that services are initiated in a timely manner as ordered by the physician. Completes supporting documentation in an accurate and timely manner, including but not limited to; referral form, consent/service agreement, OASIS, 485 initial plan of treatment, care plan/plan of care, medication profile, progress note, personal care, care plan, etc. Establishes and maintains effective and efficient primary care teams and assists with scheduling in-home staff and monitors all services according to the plan of care. Coordinates referrals for MSS and home health care as needed for rehab or nursing services. Supervises and evaluates services provided by the RN's, LPN's, CNA's and HMA's in accordance with the plan of care, organizational policies, procedures, processes, and applicable regulations. Develops and revises personal care plans as needed. Performs case management visits as ordered by the MD to improve the quality of patient care. Provides frequent communication to physicians, in-home staff members and others in effort to coordinate changes in patient care and to assure that appropriate follow-up and supporting documentation is done. Coordinates requests/referrals for oxygen, medical equipment, pharmacy needs, community services, etc. according to patient need and physician order. Assures coordination of care with physicians, labs, in-patient facilities, etc. providing relevant information in a timely manner (lab results, transfer/discharge info, status reports, etc.). Monitors patient's inpatient status on a frequent basis and coordinates resumption of private duty services as needed. Conducts resumption of care and recert visits in a timely manner as ordered by the physician. Completes supporting documentation in an accurate and timely manner. Monitors all types of patient care and supporting documentation (admission, recert, resume, and routine, transfer/discharge) and assures compliance with physician orders and OASIS requirements to ensure efficient and effective patient care. Assists the Billing Department with verification and timely submission of information necessary to billing process. Assists with transaction on assigned patients as needed. Generates and reviews each assigned patient certification and recertification (485). Participates in team conferences for all assigned patients. Solicits input from all in-home staff involved in each patient's care, to evaluate progress toward individual patient goals. Assists with documenting above information and providing 60 day MD summary. Coordinates physicians appointments for patients. Ensures patient has scheduled face-to-face 8 weeks prior to end of patient's reauthorization end date, and notifies DOL Coordinator of this date. Assists patient in completing DOL Medical Travel Refund Request forms. Completes QPDC face-to-face form to assist family, staff, or patient with getting appropriate information in the physicians note. Accompanies patient to medical appointments as needed to ensure physician has complete and accurate information regarding current status of patient. Is available and rotates on-call assignments when requested. Understands and assures adherence to all organizational policies, procedures, and processes (administrative, personnel, clinical etc.). Seeks guidance and further clarification of organizational policies, procedures, and processes when uncertainty/confusion arises. Maintains compliance with all Federal/Medicaid/Medicare/State licensure requirements and assists with preparation and participates in all such surveys. Reports to immediate supervisor any comments and/or suggestions made by a surveyor. Evaluates or oversees the evaluation of all team member's job performance, including appropriate documentation of performance evaluations and competency verification, including direct observation of patient care staff. Attends in services, seminars, or other meetings as assigned by the immediate supervisor or other management. Maintains confidentiality of information related to business practices, business activities and personnel. Participates willingly with special projects and overtime work when requested. Maintains a professional attitude when working with staff, fostering the team philosophy and team environment for all personnel. Always provides proper notification and/or advance notice for absence or tardiness without abuse. Does not allow personal affairs to interfere with scheduled work time. Provides staff education and counseling regarding all aspects of patient care, employee performance and compliance with agency policies and procedures. Provides written documentation of employee education and counseling according to agency policies and procedures. Maintains a professional appearance at all times.
    $30k-45k yearly est. 10d ago
  • Case Manager

    Morgan & Morgan 4.5company rating

    Clinical case manager job in Knoxville, TN

    At Morgan & Morgan, the work we do matters. For millions of Americans, we're their last line of defense against insurance companies, large corporations or defective goods. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the winning fight for consumer rights. Our over 6,000 employees are all united by one mission: For the People. Summary We are seeking a Case Manager to join our team. As a Case Manager you must be highly organized and able to work on a varied caseload. The Case Manager will assist the attorney in developing settlements, preparing documents and correspondence as needed. The ideal candidate is customer focused and empathetic. Responsibilities Daily interaction with existing and potential clients, via telephone and in person Order medical records from providers and communicate with clients and providers during the course of treatment Obtain documents necessary to support injury and/or liability positions Interact with insurance carriers and healthcare providers to secure records and account balances Work directly with multiple coworkers involved in the management and support of case files Maintain organized case files Prepare comprehensive demands and assemble support for submission to carriers under the direct supervision of an attorney Interact with attorneys and present case synopsis when required Manage case files from intake to closing under the direction of an attorney Performs other related duties as assigned to meet the needs of the business Qualifications Bachelor's degree (preferred) Prior experience as a Personal Injury Case Manager or Prelitigation Paralegal (strongly preferred) At least 2 years of working in a legal position or insurance adjuster experience (strongly preferred) Ability to be a team player and follow procedures Proactive interaction with clients, insurance companies and medical providers Must possess the ability to multi-task, prioritize, and manage workload with a positive attitude and minimal supervision Highly organized with the ability to juggle multiple deadlines in a fast-paced environment Strong writing and communication skills along with attention to detail Extensive computer and database expertise, Microsoft Word, Excel, Outlook, and type no less than 35 wpm Remote and/or hybrid not eligible #LI-KL1 Benefits Morgan & Morgan is a leading personal injury law firm dedicated to protecting the people, not the powerful. This success starts with our staff. For full-time employees, we offer an excellent benefits package including medical and dental insurance, 401(k) plan, paid time off and paid holidays. Equal Opportunity Statement Morgan & Morgan provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. E-Verify This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the I-9 Form. Privacy Policy Here is a link to Morgan & Morgan's privacy policy.
    $26k-32k yearly est. Auto-Apply 3d ago
  • Case Manager - Group Home

    Smoky Mountain Children's Home 3.5company rating

    Clinical case manager job in Sevierville, TN

    Smoky Mountain Children's Home, a faith-based non-profit organization, is seeking a Case Manager for the Sevierville, TN campus. In this role, you will be in a position to make a positive difference in the lives of at-risk youth. You will join a team of dedicated individuals who oversee all aspects of welfare for an assigned case load of at-risk youth. At Smoky Mountain Children's Home, our mission is critical and our quality of care is only as good as our people. That is why we are committed to excellence in building a talented and diverse team of passionate people who will leave a legacy in the lives of youth for whom they are responsible. Read on and learn more about this exciting opportunity to join our team of child welfare advocates. Responsibilities: Prepare a written intake study to help determine the appropriateness of care. Provide weekly casework services for each youth on caseload. Participate in the planning and implementation of plan treatment. Prepare case for staffing when needed. Attend court and school meetings, child and family team meetings, and any other type of meeting or staffing deemed necessary. Set up case record on each child and see that it is kept up-to-date with necessary forms, reports, and narrative summaries. Prepare monthly progress reports for family or referring agency. Monitor youth's school attendance and progress. Arrange monthly family visits. Attend all staff meetings and in-service training sessions. Position Requirements: Must have a minimum of a bachelors degree in social work or a related field (i.e. education, psychology, etc.).* Bilingual in Spanish/English is preferred. Must be able to work as a team member and accept supervision. Must be able to pass a drug test and extensive background checks. Must be physically capable of performing all job duties including sitting, standing, climbing stairs, and lifting up to 40lbs. Must have excellent interpersonal skills with a caring approach. Must be authorized to work in the U.S. What's in it for you? Paid training 100% paid medical coverage option with paid life insurance policy $50 stipend toward cell phone service Paid vacation (including major holidays), sick leave, bereavement leave, and personal days (after the prerequisite length of employment is met) Mileage Reimbursement Work Schedule: Schedule is varied based on the needs of the youth on your caseload. Each day consists of duties that require sitting, standing, and walking. There is no definite schedule. Salary Information: $30,500 - $35,000 per year based on level of education attained. Why Smoky Mountain Children's Home? For more than 100 years, Smoky Mountain Children's Home has been meeting the needs of at-risk youth. We provide exceptional care for at-risk children and teens through our Residential, Foster Care, and Adoption programs. Through family counseling, individual therapy, educational opportunities and structured group living, the Smoky Mountain Children's Home provides a continuum of care tailored to each resident's need. Creating a safe and supportive environment allows residents to discover their talents and build on their strengths. This is accomplished by the excellent care of a trained staff and provides each resident the opportunity to overcome the circumstances of their past, while exploring a world of opportunity for their future. *Degree must be from a school accredited by an agency recognized by the Secretary of Education of the U.S. Department of Education or equivalent program from an international university. *Smoky Mountain Children's Home does not provide any form of sponsorship to applicants not authorized to work in the US. Smoky Mountain Children's Home is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $30.5k-35k yearly 60d+ ago
  • Case Manager

    University of Tennessee Medical Center 4.4company rating

    Clinical case manager job in Knoxville, TN

    Please use that was attached to req # 32004 Please use job description for req # 32004
    $32k-43k yearly est. 35d ago
  • Case Manager Intake Coordinator

    Cherokee Indian Hospital Authority

    Clinical case manager job in Robbinsville, NC

    The Case Manager/Intake Coordinator is responsible for processing applications received for the Residential Treatment Program, initial patient orientation, maintaining accurate patient files, and upkeep of patient information. Serves as a Case Manager for individuals with mental health and substance use disorders who require assistance to gain access to necessary care: medical, behavioral, social, and other services appropriate to their needs. Services include case management assessment, person-centered planning, referral and linkage, monitoring, and follow-up. This position is specific to the Kanvwotiyi Residential Program. Essential Duties and Responsibilities Direct Service Duties Provide the following case management functions according to CIHA policy: case management assessment, person-centered planning, referral and linkage, and monitoring and follow-up. Process applications received for the Residential Treatment program, coordinating the applicant interview, requesting additional information as necessary, scheduling the intake appointment, and providing patient orientation to the program. Maintains caseload by identifying new patients assigned in a timely manner and discharging patients according to CIHA policy and procedures. Provides documentation of all treatment and clinically significant events in the Electronic Health Record as prescribed by CIHA policies and procedures and quality assurance standards. Gather and document necessary information in the EHR, including medical, physical and functional, psychosocial, behavioral, financial, social, cultural, environmental, legal, and vocational or educational areas. Engage patients in the person-centered planning process to assist them in obtaining the outcomes, skills, and symptom reduction they desire. Link clients to needed services and supports. Provide timely information to treatment team members regarding client status, progress, and safety. Utilize judgment in carrying out CIHA policy for risk assessment and crisis intervention. Collaborate with the medical staff and other health professionals/agencies to facilitate patient care, discharge, and follow-up. Provide consultation to patients and family in matters directly related to patients' limitations, finances, adjustments to medical conditions, and ongoing treatment. Work with internal and external providers to coordinate discharge planning, follow-up care, and transfers to other behavioral health facilities as appropriate. Responsible for attending clinical staffing as an integral component of a treatment team, facilitating the discussion of client data, and formulating changes to the treatment plan. Participate in meetings to review and identify opportunities to improve the program and treatment provided, and support the team in problem-solving when concerns are identified. Provide written, telephonic, and face-to-face consultation services to various persons and organizations that affect the patient. These include schools, courts, probation officers, physicians, hospitals, medical care providers, law enforcement officers, social services, community agencies, etc. Provide support to patients in the office setting as well as the community setting by conducting home visits with patients and collaterals as needed. Represents CIHA at regular team meetings for progress review and during emergency meetings dealing with high-risk situations. Participate in community planning and implementation of programs to help resolve issues related to client care. Collect and report on data necessary for client care according to procedure and as directed by the supervisor. Expected to obtain continuing education both through in-service training and through access and tuition payment for approved training seminars and workshops. Maintains appropriate personal and professional boundaries while working with community members, the population served and stakeholders Other duties as assigned. Support the Tribal Option Care Managers as needed. Education/Experience/Qualifications A graduate of college or university with a bachelor's degree in a human service field. Must have experience working with substance use disorder and/or mental health disorder. Must possess a valid driver's license. Specific experience working with Native Americans preferred. Two years' experience with the population preferred. Experience in recovery Services; experience with working with individuals with a substance use disorder and mental health challenges Must demonstrate a recovery-oriented philosophy Job Knowledge Knowledge of crisis intervention with individuals and families experiencing acute episodes of distress. Ability to ascertain the potential lethality of a situation and respond and refer accordingly. Ability to learn computerized treatment systems such as EHR, and ability to maintain records and files manually and on the computer. Originality and initiative are required in the daily performance of tasks. Knowledge of principles, techniques, and practices, and their application to complex casework, group work, and community problems. Knowledge of a wide range of medical, behavioral, and psychosocial problems and linkage to treatment. Knowledge of governmental and private organizations and resources in the community. Knowledge impact of mental illness on patients' ability to negotiate treatment recommendations, current treatment approaches, modalities of care, and substance abuse and other programs or services available to patients. Skill in establishing rapport with a patient and in applying techniques of engaging patients. Willingness to learn more about Cherokee culture/population and to have considerations for this when identified. Ability to establish and maintain effective working relationships with patients and their families, other professional disciplines, and a variety of governmental and private resources and organizations in the community. Ability to express ideas clearly and concisely and to plan and work effectively in a team. Complexity of Duties This position is responsible for assisting in maximizing the available resources to develop and maintain behavioral health services for EBCI children and families that best meet the constantly changing needs of the community. Must have the ability to interpret policy, laws, and regulations in order to make decisions when a precedent is not available. Duties require the application of judgment and problem-solving skills in order to be effective. Supervision Received Works under the direct guidance of the supervisor, manager, and/or behavioral health clinical director, where goals, objectives, policies, and procedures are well defined. Works independently within applicable licensing regulations where latitude for creative thinking, initiative, and discretion is given to achieve department goals and objectives. Responsibility for Accuracy Errors should be identified and corrected in a timely manner. Failure to properly document, convey, or interpret clinical data can adversely impact client care. Ineffective health planning could have adverse effects on the health status of the community by limiting access to necessary resources. The accuracy of data and research is critical in the allocation of tribal resources. The employee is responsible for adherence to policy and procedure. Inappropriate actions or inaccuracies in judgment could result in improper diagnosis and treatment, serious liability for CIHA, or more serious health risks to patients. Contacts with Others Interacts frequently with coworkers, hospital staff, patients, and other health professionals for the purpose of exchanging information, obtaining, or providing assistance. Serves on various local, community, and health committees, boards, and advisory councils, as appropriate. Tact, courtesy, and professional conduct are required to maintain positive working relationships. Utmost sensitivity and confidentiality are required when dealing with patients and families. Confidential Data The provision of medical care requires that the incumbent maintain strict appropriate confidentiality regarding all patient information. The employee will have access to patient records and highly confidential information and must function with utmost integrity to safeguard this information. The employee complies with EBCI policy on confidentiality of patient records, Cherokee Indian Hospital Authority Confidentiality policy, HIPAA, 42CFR, and other federal law requirements. Violations of confidentiality regulations may result in disciplinary action and other actions as allowed by federal regulations. Mental/Visual/Physical Environment Job duties can be mentally and emotionally stressful at times, given the complexity of the duties, management and supervision of staff, and the clinical areas being addressed with the people being served. Close mental concentration and attention to detail are required. Physical activities require the ability to be mobile, sit, reach, bend, and be in front of groups and deliver training for extended periods of time. Some physical exertion and stamina is required, such as those required to transport training materials or to travel. Must have visual acuity, manual dexterity, and the ability to speak and hear. Must be able to lift 30 lbs. Position requires: stand (under 1/3 time); walk (under 1/3 time); sit (to 2/3 time); talk or hear (over 2/3 time). Weight lifted or force exerted: none. Special vision requirements: Close vision (clear vision at 20 inches or less). Work Environment The employee works primarily in a hospital, inpatient, or outpatient clinical environment and the community, but may be required to work at other offices and locations. The work environment involves moderate risks of exposure to infectious disease, radiation, electrical hazards, and irritant chemical and explosive gases. Employees must strictly adhere to OSHA guidelines and protocol for maintaining sterile conditions. Some travel is required. Infrequent overnight travel may be required for meetings or to attend training. Customer Service Consistently demonstrates superior customer service skills to patients/customers by demonstrating characteristics that align with CIHA's guiding principles and core values. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.
    $41k-63k yearly est. Auto-Apply 50d ago
  • Targeted Case Manager - Child and Family

    Cherokeehospital

    Clinical case manager job in Cherokee, NC

    Targeted Case Manager serves individuals with mental health and substance abuse disorders who require assistance to gain access to necessary care: medical, behavioral, social, and other services appropriate to their needs. Services include case management assessment, person-centered planning, referral and linkage, monitoring, and follow-up. The Targeted Case Manager will follow specific policies and procedures for the Family Safety Program and Family Intensive Treatment. Essential Duties and Responsibilities Direct Service Job Duties Provide the following case management functions according to CIHA policy and procedure and DMA Clinical Coverage Policy 8L: case management assessment; person-centered planning; referral and linkage; and monitoring and follow-up. Provides documentation of all treatment and clinically significant events in the Electronic Health Record as prescribed by CIHA policies and quality assurance standards. When assigned to provide services for adults, or for children and families, the employee will fulfill duties as outlined in CIHA policy and procedure related to the specific population served. When assigned to provide case management services for clients in the Buprenorphine Clinic, the employee will fulfill duties as outlined in CIHA policy and related procedures. Gather and document necessary information, including medical, physical and functional, psychosocial, behavioral, financial, social, cultural, environmental, legal, and vocational or educational areas. Develop a person-centered treatment plan which incorporates what is important to and for the client, and which is geared to achieve clinical outcomes. Provide timely information to treatment team members regarding client status, progress, and safety. Utilize judgment in carrying out CIHA policy for risk assessment and crisis intervention. Collaborate with the medical staff and other health professional/agencies to facilitate patient care, discharge and follow-up. Provide consultation to patient and family in matters directly related to patients' limitations, finances, adjustments to medical condition, and ongoing treatment. Develop and implement discharge plans, follow-up care, and transfers to other behavioral health facilities as appropriate. Implement and follow the provisions contained in all applicable privacy/confidentiality policies, procedures, and practices for maintenance and release of patient records and clinical information, including EBCI, CIHA, IHS, DHHS, HIPPA, JCAHO, CFR 42, or other licensing bodies. Responsible for attending clinical staffing as an integral component of a treatment team, facilitating the discussion of client data, and formulating changes to the treatment plan. Participate in meetings to review and identify opportunities to improve the program and treatment provided, and recommend corrective action when problems are identified. This includes assisting with changes in policy and procedure, which would improve service delivery. Assists with changes in CIHA/Analenisgi policy and procedure, as needed. Provide written, telephone, and face-to-face consultation services to various persons and organizations that affect the patient. These include schools, courts, probation officers, physicians, hospitals, medical care providers, law enforcement officers, social services, and community agencies. Represents CIHA at regular team meetings for progress review and during emergency meetings dealing with high-risk situations. Participate in community planning and implementation of programs to help resolve such complex issues as improving coordination of services or developing programs to serve the community. Collect and report on data necessary for client care according to procedure and as directed by supervisor. Expected to obtain continuing education both through in-service training and through access and tuition payment for approved training seminars and workshops. This position may be expected to provide sufficient billable/reimbursable Targeted Case Management services to achieve the productivity standard established for areas of responsibility if needed. this position. Standard is may be based on "actual minutes" billable/reimbursable hours of service provided, divided by available hours in a given period. Effectively utilize an electronic medical record and other software required for operation in the CIHA system This position may require support to CIHA primary care nurse care managers as defined by standards set for specific populations. Other duties as assigned. Education/Experience/Minimum Qualifications “Qualified Professional” means within the mh/dd/sas system of care: Individual who holds a license, provisional license, certificate, registration or permit issued by the governing board regulating a human service profession, except a registered nurse who is licensed to practice in the State of North Carolina by the North Carolina Board of Nursing who also has four years of full-time accumulated experience in mh/dd/sa with the population served; or Graduate of a college or university with a Master's degree in a human service field and has one year of full-time, pre or post-graduate degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional who has one year of full-time, pre or post-graduate degree accumulated supervised experience in alcoholism and drug abuse counseling; or Graduate of a college or university with a bachelor's degree in a human service field and has two years of full-time, pre or post-bachelor's degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional who has two years of full-time, pre or post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling; or Graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, pre or post-bachelor's degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional who has four years of full-time, pre or post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling. This category includes Substance Abuse Professional, Certified Alcohol and Drug Counselors (CDAC), Certified Clinical Supervisor (CCS), Licensed Clinical Additions Specialist (LCAS) * Job Knowledge Knowledge of the population served. Knowledge of Cherokee culture preferred. Skill in establishing rapport with a patient and in applying techniques of assessing psychological, behavioral, and psychosocial aspects of patients problems. Ability to establish and maintain effective working relationships with members of caseload and their families, other professional disciplines, and a variety of governmental and private resources and organizations in the community. Ability to express ideas clearly and concisely and to plan and execute work effectively. Knowledge of crisis intervention with individuals and families experiencing acute episodes of distress. Originality and initiative are required in the daily performance of tasks. Knowledge of principles, techniques, and practices, and their application to complex casework, group work, and community problems. Knowledge of a wide range of medical, behavioral and psychosocial problems and linkage to treatment. Knowledge of governmental and private organizations and resources in the community. Knowledge of the laws, regulations, and policies, which givern the program. Knowledge of the impact mental illness on patient's ability to negotiate treatment recommendations, current treatment approaches, modalities of care, and substance abuse and other programs or services available to patients. Willingness to learn more about Cherokee culture/population and to have considerations for his when identified. Complexity of Duties This position is responsible for assisting in maximizing the available resources to develop and maintain behavioral health services for EBCI children and families that best meets the constantly changing needs of the community. Must have the ability to interpret policy, laws and regulations in order to make decisions when a precedent is not available. Duties require the application of judgment and problem solving skills in order to be effective. Judgment often involves decisions that may have life or death results. At times may be dealing with individuals who are highly agitated, emotional, or out of touch with reality. Supervision Received Works under the direct guidance of the Family Safety Supervisor. , Child Services Manager, and/or Behavioral Health Clinical Director where goals, objectives, policies, and procedures are well defined. Works independently within applicable licensing regulations where latitude for creative thinking, initiative and discretion are given to achieve department goals and objectives. Responsibility for Accuracy Errors should be identified and corrected in a timely manner Failure to properly document, convey or interpret clinical data can adversely impact client care. Ineffective health planning could have adverse effects on the health status of the community by limiting access to necessary resources. Accuracy of data and research is critical in the allocation of tribal resources. Employee is responsible for adherence to policy and procedure. Inappropriate actions or inaccuracies in judgment could result in improper diagnosis and treatment, serious liability for CIHA, or more serious health risks to patients. Contact with Others Interacts frequently with coworkers, hospital staff, patients, and other health professionals for the purpose of exchanging information, obtaining, or providing assistance. Employee may serve on committees, boards and advisory councils, as appropriate. Tact, courtesy, and professional conduct are required to maintain positive working relationships. Utmost sensitivity and confidentiality is required when dealing with patients and families. Confidential Data The provision of medical care requires that the incumbent maintain strict appropriate confidentiality regarding all patient information. The employee will have access to patient records and highly confidential information and must function with utmost integrity to safe guard this information. The employee complies with EBCI policy on confidentiality of patient records, Cherokee Indian Hospital Authority Confidentiality policy, HIPAA, and other federal law requirements. Violations of confidentiality regulations may result in disciplinary action and other action as allowed by federal regulations. Emergency Privileges In the case of an emergency, any member of the Medical Staff, to the degree permitted by his/her license shall be permitted to do everything possible to save a patient's life or save a patient from serious harm, regardless of the individual's clinical privileges. This shall be defined as those situations in which a delay could result in serious harm or death and in which a more qualified member is not immediately available. Mental/Visual/Physical Environment Job duties can be mentally and emotionally stressful at times given the complexity of the duties, management and supervision of staff and the clinical areas being addressed with the people being served. Close mental concentration and attention to detail are required. Physical activities require the ability to be mobile, sit, reach, bend, and be in front of groups and deliver training for extended periods of time. Some physical exertion and stamina is required such as required to transport training materials or to travel. Must have visual acuity, manual dexterity, and the ability to speak and hear. Must be able to lift 30 lbs. Position requires: stand (under 1/3 time); walk (under 1/3 time); sit (to 2/3 time); talk or hear (over 2/3 time). Weight lifted or force exerted: none. Special vision requirements: Close vision (clear vision at 20 inches or less). Work Environment The employee works primarily at the PHHS building with occasional service provisions in the community, at the hospital, inpatient or outpatient clinical environment but may be required to work at other offices and locations as needed. The work environment involves moderate risks of exposure to infectious disease, radiation, electrical hazards, irritant, chemical and explosive gases. Employee must strictly adhere to OSHA guidelines and protocol for maintaining sterile conditions. Some travel is required. Infrequent overnight travel may be required for meetings or to attend training. Customer Service Consistently demonstrates superior customer service skills to patients/customers by demonstrating characteristics that align with CIHA's guiding principles and core values. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.
    $28k-39k yearly est. Auto-Apply 48d ago
  • Construction Liability Major Case Specialist

    The Travelers Companies 4.4company rating

    Clinical case manager job in Morristown, TN

    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? This role is eligible for a sign on bonus up to $20,000 Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Provides consulting and training and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required. This position does not manage staff. What Will You Do? * Directly handle assigned severe claims. * Full damage value for average claim (without regard to coverage or liability defenses): $500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value. * Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. * Work with Manager on use of Claim Coverage Counsel as needed. * Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. * Interview witnesses and stakeholders; take necessary statements, as strategically appropriate. * Complete outside investigation as needed per case specifics. * Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts. * Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. * Maintain claim files and document claim file activities in accordance with established procedures. * Develop and employ creative resolution strategies. * Responsible for prompt and proper disposition of all claims within delegated authority. * Negotiate disposition of claims with insureds and claimants or their legal representatives. * Recognize and implement alternate means of resolution. * Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers. * Utilize evaluation documentation tools in accordance with department guidelines. * Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis. * Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure. * Establish and maintain proper indemnity and expense reserves. * Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims. * Recommend appropriate cases for discussion at roundtable. * Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense. * Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others. * Apply the Company's claim quality management protocols, and metrics to all claims; document the rationale for any departure from applicable protocols and metrics with or without assistance. * Apply litigation management through the selection of counsel, evaluation. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * Bachelor's Degree. * 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims. * Extensive working level knowledge and skill in various business line products. * Excellent negotiation and customer service skills. * Advanced skills in coverage, liability and damages analysis with expert understanding of the litigation process in both state and federal courts, including relevant case and statutory law and procedure; expert litigation management skills. * Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims. * Able to make independent decisions on most assigned cases without involvement of supervisor. * Openness to the ideas and expertise of others and actively solicits input and shares ideas. * Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and effective claims handling practices. * Demonstrated strong coaching, influence and persuasion skills. * Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise. * Can adapt to and support cultural change. * Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information. * Analytical Thinking - Advanced. * Judgment/Decision Making - Advanced. * Communication - Advanced. * Negotiation - Advanced. * Insurance Contract Knowledge - Advanced. * Principles of Investigation - Advanced. * Value Determination - Advanced. * Settlement Techniques - Advanced. * Litigation Management - Advanced. * Medical Terminology and Procedural Knowledge - Advanced. What is a Must Have? * Four years bodily injury litigation claim handling experience 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 *********************************************************
    $30k-38k yearly est. 1d ago
  • Licensed Clinician

    Y.A.P.A. Apartment Living Program Inc.

    Clinical case manager job in Knoxville, TN

    At Project Transition, it's our mission to enable individual persons who have serious mental illness, co-occurring substance use disorder and/or a dual diagnoses of SMI and IDD live a life that is meaningful to her or him in the community on terms she/he defines. Summary of Job Duties: This position will provide individual therapy (standard and DBT desired but not required), and group therapy (standard and DBT skills training desired but not required), will participate and collaborate in a multi-disciplinary treatment team, and will support members in navigating a therapeutic community and treatment milieu. Specific Responsibilities: Therapist Provide individual and group therapy to assigned members Participate in meetings with members and families Participate in weekly treatment team meetings and additional consultation as needed Implementation and provision of DBT Education and Programming for Members and Staff desirable Provide group and individual therapy for a minimum of assigned members based on Levels of Care Facilitate a minimum of 2 Group Therapy sessions with members per our Levels of Care Provide family therapy/family meetings as needed Complete all required documentation within 48 hours of service provided Exhibit a clear and comprehensive understanding of Project Transition Program Description and Member Support levels Consult and confer with other providers for assigned members within PT and at other agencies as needed Complete Annual Psychological Evaluations for assigned members Complete all training and education required for all PT Clinicians Implement and provide DBT initiatives as assigned including DBT informed clinical consultation group for community Team (desired but not required) Facilitate understanding, and use of DBT concepts, contingency management, DBT skills with the Team/Staff, and members in the treatment milieu (desired but not required). Participate in monthly Senior Staff and Fidelity Team Meetings Participate in Peer Review Process Complete trainings as aligned with regulatory compliance Other duties as assigned For all Full-Time Employees our benefit package includes: • Paid Time Off • Health Insurance available within 60 days of hire • Company Paid Life Insurance • STD/LTD • Dental Insurance • Vision Insurance • Health Spending Accounts • Able to participate in company 401K after 6 months of hire • Company 401K match up to 3% All Employees have access to our Employee Assistance Program Qualifications We are hiring professionals who have a clinical license in the state of TN, either as a Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or Psychologist (PsyD., PhD.). We will consider license eligible. Desired minimum of 3 years of experience in providing comprehensive care for individuals who have multi-diagnostic psychiatric and co-occurring substance use disorders in a residential setting preferred. Ability and interest in collaborating with a multi-disciplinary Team consisting of psychiatrists, community directors, psychiatric rehabilitation counselors, addiction's counselors, peer specialists, recovery specialists, wellness specialists, and other therapists Excellent communication, interpersonal, organizational and time management skills Strong sense of teamwork and mentoring highly desired, including ability to work with leadership and extended team remotely Demonstrated organizational skills 2 years minimum of direct clinical experience Ability to collaborate and work well with others and independently Motivated individual with strong work ethic and ability to multi-task Must be a self-initiator Ability to maintain confidentiality Must give 4 weeks' notice for resignations We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
    $34k-62k yearly est. Auto-Apply 49d ago
  • Licensed Clinician

    Project Transition 4.1company rating

    Clinical case manager job in Knoxville, TN

    Job Description At Project Transition, it's our mission to enable individual persons who have serious mental illness, co-occurring substance use disorder and/or a dual diagnoses of SMI and IDD live a life that is meaningful to her or him in the community on terms she/he defines. Summary of Job Duties: This position will provide individual therapy (standard and DBT desired but not required), and group therapy (standard and DBT skills training desired but not required), will participate and collaborate in a multi-disciplinary treatment team, and will support members in navigating a therapeutic community and treatment milieu. Specific Responsibilities: Therapist Provide individual and group therapy to assigned members Participate in meetings with members and families Participate in weekly treatment team meetings and additional consultation as needed Implementation and provision of DBT Education and Programming for Members and Staff desirable Provide group and individual therapy for a minimum of assigned members based on Levels of Care Facilitate a minimum of 2 Group Therapy sessions with members per our Levels of Care Provide family therapy/family meetings as needed Complete all required documentation within 48 hours of service provided Exhibit a clear and comprehensive understanding of Project Transition Program Description and Member Support levels Consult and confer with other providers for assigned members within PT and at other agencies as needed Complete Annual Psychological Evaluations for assigned members Complete all training and education required for all PT Clinicians Implement and provide DBT initiatives as assigned including DBT informed clinical consultation group for community Team (desired but not required) Facilitate understanding, and use of DBT concepts, contingency management, DBT skills with the Team/Staff, and members in the treatment milieu (desired but not required). Participate in monthly Senior Staff and Fidelity Team Meetings Participate in Peer Review Process Complete trainings as aligned with regulatory compliance Other duties as assigned For all Full-Time Employees our benefit package includes: • Paid Time Off • Health Insurance available within 60 days of hire • Company Paid Life Insurance • STD/LTD • Dental Insurance • Vision Insurance • Health Spending Accounts • Able to participate in company 401K after 6 months of hire • Company 401K match up to 3% All Employees have access to our Employee Assistance Program Qualifications We are hiring professionals who have a clinical license in the state of TN, either as a Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or Psychologist (PsyD., PhD.). We will consider license eligible. Desired minimum of 3 years of experience in providing comprehensive care for individuals who have multi-diagnostic psychiatric and co-occurring substance use disorders in a residential setting preferred. Ability and interest in collaborating with a multi-disciplinary Team consisting of psychiatrists, community directors, psychiatric rehabilitation counselors, addiction's counselors, peer specialists, recovery specialists, wellness specialists, and other therapists Excellent communication, interpersonal, organizational and time management skills Strong sense of teamwork and mentoring highly desired, including ability to work with leadership and extended team remotely Demonstrated organizational skills 2 years minimum of direct clinical experience Ability to collaborate and work well with others and independently Motivated individual with strong work ethic and ability to multi-task Must be a self-initiator Ability to maintain confidentiality Must give 4 weeks' notice for resignations We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
    $31k-49k yearly est. 21d ago
  • MESH Social Work Intern

    Boys & Girls Clubs of The Tennessee Valley 3.6company rating

    Clinical case manager job in Knoxville, TN

    Primary Function: To identify needs of youth and implement individual, group and program strategies and interventions Key Roles & Responsibilities: Provide individual counseling, case management, and/or mentoring for youth at assigned club site(s) Facilitate small groups with curriculum focused on development of social and emotional learning skills Assist in needs assessments of programs, grant proposal writings, and program evaluations, based on need and experience Assist with or lead staff training, based on need and experience Assist in needs assessment of programs, proposal writing and program evaluations Other duties as assigned or as interest is expressed (position can be flexible and may be open to specific tasks that students wish to accomplish) Qualifications Skills & Knowledge Required: Enrolled in Social Work degree program an accredited college or university Enthusiasm to work with youth & their families and knowledge of youth development preferred Demonstrated ability to work both independently and as part of a team Strong communication skills, both verbal and written Strong leadership, organizational, and interpersonal skills Knowledge and practice of the Social Work Code of Ethics and Values
    $22k-29k yearly est. 18d ago
  • Surgery Counselor

    Sees Management 4.5company rating

    Clinical case manager job in Knoxville, TN

    Full-time Description ABOUT US: Our focus is to provide our patients with the best healthcare experience through innovation, professionalism, and compassionate care. Our physicians and staff share our passion for patient-centric care and are knowledgeable, skilled, and empathetic to our patients' needs. We continuously look for ways to improve our patient's experience through data analytics, patient surveys, and feedback. Our commitment to patient care is also investing in our employees through ongoing continuing education and training. POSITION SUMMARY: The Surgery Counselor is responsible for coordinating all aspects of surgical scheduling for an ophthalmology practice, ensuring a seamless experience for patients and providers. A Surgery Counselor is the Clinical counterpart to a Surgery Scheduler. This role serves as the primary liaison between patients, surgeons, and surgical facilities, managing pre-operative and post-operative appointments, insurance authorizations, and patient education. The Surgery Counselor plays a critical role in ensuring efficient surgical scheduling and a positive patient experience. Shape KEY RESPONSIBILITIES: Advanced Patient Care Coordination Coordinates and schedules surgeries, ensuring accuracy in procedure details, provider availability, and facility coordination. Communicates with patients regarding surgery dates, instructions, and necessary preparations, including pre-operative and post-operative care. Secures insurance authorizations and verifies coverage for surgical procedures, working closely with insurance companies and patients. Ensures all pre-operative requirements, such as medical clearances and diagnostic testing, are completed before surgery. Acts as a liaison between the practice, surgical facilities, and patients to ensure seamless coordination. Provides patients with detailed financial information regarding surgical costs, payment plans, and insurance coverage. Maintains an organized scheduling system to prevent conflicts and optimize surgical efficiency. Assists in the development and implementation of scheduling policies and best practices to improve workflow. Monitors and follows up on post-operative appointments to ensure continuity of care. Ensures compliance with HIPAA and OSHA regulations, maintaining patient confidentiality and safety at all times. Addresses and resolves scheduling conflicts, cancellations, or patient concerns promptly and professionally. Ensures 20/20 Patient Experience by: Anticipating patient's registration and billing needs, Anticipating patient's needs, such as water, snacks, etc. Providing consistent customer care Other Responsibilities Demonstrate a strong commitment to confidentiality, ensuring that all patient information is protected and handled in compliance with applicable regulations. Strong attention to detail, ensuring accurate record-keeping and documentation. Participate in all required trainings and employee engagement activities. Proficient with Microsoft Office Suite or related software Excellent verbal and written communication skills. Excellent organizational skills and attention to detail. REQUIREMENTS: High school diploma or equivalent required; Associate's or Bachelor's degree in healthcare administration or a related field preferred. Minimum of two years of surgical scheduling experience in a healthcare setting, preferably in ophthalmology. COA preferred. Advanced proven knowledge of all front desk procedures. **If internal applicant, must qualify for Ophthalmic Tech II. Must have a letter of recommendation from someone in leadership within SEES (Manager, Regional Director of Clinical Operations for your region, or Support Center Leadership.) Completion of at least 10 Qualifying SEES Advancement Credits every 24 months. Strong understanding of insurance verification, prior authorizations, and billing procedures related to surgical services. Experience with electronic health records (EHR) systems and practice management software. Excellent organizational and multitasking skills with attention to detail. Strong communication and interpersonal skills to effectively coordinate with patients, providers, and surgical facilities. Ability to problem-solve, manage time efficiently, and handle high-pressure situations with professionalism. Dependable transportation required for travel to other locations as needed. Other Responsibilities Demonstrate a strong commitment to confidentiality, ensuring that all patient information is protected and handled in compliance with applicable regulations. Strong attention to detail, ensuring accurate record-keeping and documentation. Participate in all required trainings and employee engagement activities. Proficient with Microsoft Office Suite or related software Excellent verbal and written communication skills. Excellent organizational skills and attention to detail KNOWLEDGE, SKILLS, AND ABILITIES: Patient Experience - Understanding and anticipate the patient's needs. Proactively strives to exceed our patient's expectations and provide ongoing education and communication. Proactive- Keep others informed. Ask for help when needed, brings any challenges or concerns to leadership. Analytical mind- capable of out-of-the-box thinking to solve problems. Professionalism- Displaying cautious, helpful, and ethical behavior. Maintaining composure even under difficult and challenging circumstances. Excellent Communication Skills - written & verbal. Focus on becoming an active listening to better understand the needs of co-workers and patients. Drive for Results - Strives for improving the patient experience by committing to continuous improvement and doing above and beyond for optimal outcomes. Focus on Efficiency - Utilizes technology, innovation, and process improvements to continuously improve efficiency and effectiveness. Teamwork- Participates as a team member and establishes strong working relationships with teammates and across the organization. Celebrates Change- Receptive to new ideas and responds to changes with flexibility and optimism. Forward-thinking attitude - Consider how your actions and behavior influence or affect others, and how will this impact your future growth in the company. Continues Learning and Improvement- Acknowledges own strengths and development needs and works to strengthen capabilities. OWNERSHIP SKILLS: Help foster a positive workplace environment that encourages accountability, collaboration, and transparency.?? Self-awareness; understanding your learning style and personality traits. Focus on your strengths rather than your weaknesses.? Pride in one's work by asking questions when needed, providing feedback, and completed job tasks in a timely manner.? Aligning job responsibilities and projects with the company's goal and mission.? Pro-active measures in daily work that anticipates problems and develops solutions.? Ask for clarification when needed. Work in an organized and structured environment to minimize stress during busy workdays.? Confidence to express ideas and solutions during meetings or projects. Openness to other employee's opinions and feedback.? Establish performance goals and align personal interest and career aspiration with new tasks and responsibilities. Offer solutions to problems rather than presenting issues. Ask for constructive feedback regarding job performance.??? Share responsibility for actively maintaining "workload items" for clinical and support buckets. PHYSICAL REQUIREMENT: Exerting up to twenty-five pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. Have close visual acuity to perform an activity including viewing a computer terminal, extensive reading, interpretation, etc. Must possess the physical, mental, and cognitive skills needed to complete essential tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for comprehension, problem-solving, and timely decision-making. Must be able to be stationary for prolonged periods of time. COGNITIVE REQUIREMENT: Executes tasks independently. Learns and memorizes tasks. Maintains concentration/focus on tasks. Performs task in a demanding environment requiring multi-task and prioritize work. Must be comfortable working and interacting with large groups of people daily. BENEFITS & PERKS: Generous PTO allowance Holiday Pay Health, Dental & Vision? Life Insurance Short-term disability Long-term disability 401k with discretionary match? Uniform Allowance (clinic only) Professional Development SEES Group LLC. is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any characteristic protected by law.
    $23k-38k yearly est. 12d ago
  • Case Manager (49191)

    Westcare 4.3company rating

    Clinical case manager job in Jefferson City, TN

    The Case Manager serves as a member of the Recovery team of WestCare Tennessee and works to ensure collaboration with the Counselor, Employment Specialist and Peer Support Specialist in the Substance Abuse and Mental Health Services Administration (SAMHSA) Next Chance Workforce grant. This role is responsible for case management services including, but not limited to exploring and identifying community resources, facilitate communication between community resources and other treatment providers, coordinate services and assist individuals in obtaining benefits. ESSENTIAL JOB FUNCTIONS: Embraces and embodies the mission, vision, guiding principles, and goals of WestCare Tennessee. Provide case management services and assistance to program participants struggling with substance abuse, and those in recovery. Deliver evidence-based curriculums to individuals in a group setting. Refer individuals to individual, group, and family group counseling services provided by WCTN or other appropriate service providers. Complete documentation required for the clinical recordings. Assesses the needs, conditions, and desires of assigned program participants. Educates and refers program participants to community agencies and businesses that appropriately address their needs for food, shelter, clothing, employment, transportation, etc. Assists participants with establishing or re-establishing community support systems. Acts as advocate on behalf of program participants to improve access to vital services. Participates in clinical staffing decisions regarding the participant's current strengths and resources, and their need for additional resources. Completes documentation of services provided in a timely manner. Provides input into the patient's treatment needs and disposition. Perform individual follow up interviews to document individual progress, to make additional referrals if needed and to maintain active communication throughout the duration of their enrollment in the program. Participates in case conferences involving assigned program participants. Prepares Discharge Summaries, as needed. Coordinates activities and monitors progress for sober living participants. Communicate with referral sources and conduct eligibility screens for sober living participants. Attend necessary monthly integrated staff team meetings. Maintain strong professional relationship boundaries with individuals served. Maintain strong professional relationship boundaries with organizations/ community agencies who refer individuals to WestCare Tennessee. Submit weekly report to Project Director. Work closely with Project Director, Research Assistant, and WestCare Foundation Evaluation team regarding the collection of data and reporting of program outcomes. Attend in-person and virtual program conferences and meetings, community meetings, and events as deemed necessary. Perform additional tasks that support a productive office workflow as deemed necessary by Project Director. Will engage and complete the required WestCare Tennessee eLearning, and any other program related trainings. Qualifications ESSENTIAL QUALIFICATIONS: To perform this job successfully, an individual must be able to perform the duties and responsibilities satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Experience and Competencies: Experience collaborating with individuals suffering from mental health and substance abuse disorders. Ability to define problems, collect data, establish facts, and draw valid conclusions. Intake and assessment experience. Excellent communication skills. Ability to exercise good judgment and discretion. Ability to work well in a team environment. Adherence to the highest standard of ethical conduct, especially to standards governing confidentiality. Professional appearance and demeanor. Must be culturally/linguistically sensitive to populations served. Valid driver's license and ability to obtain and maintain WestCare's vehicle insurance is required. During your tenure with WestCare there may be new requirements, including, but not limited to vaccinations that are issued by local, State, Federal, and/or Funders that WestCare may have to comply with. Should this occur Human Resources or appropriate personnel will inform you. EDUCATION and/or EXPERIENCE: One (1) year case management experience. Graduation with a four-year degree in Addiction Counseling, Psychology, Social Work, Community and Human Services, Rehabilitation Counseling, or related field or equivalent experience is required. LICENSURE/CERTIFICATION: Valid state driver's license is required. CADC is preferred. CPR Certification, First Aid Certification. WORKING CONDITIONS: Work is performed in an office or indoor setting. Some travel will be required to trainings and conferences. Local travel is associated with participating in stakeholder meetings and other potential meetings to fulfill the requirement of the Next Chance Workforce grant. ESSENTIAL PHYSICAL AND MENTAL DEMANDS OF THE JOB: The employee must be able to perform the following essential duties and activities with or without accommodation: PHYSICAL DEMANDS: Requires mobility and physical activity: Having an adequate range of body motion and mobility to work in an office, residential, or outdoor environment including standing and walking (even and uneven surfaces), sitting for extended periods of time, bending, twisting, reaching, balancing, occasional lifting and carrying of up to fifty pounds. Use of computer and telephone systems is required which includes coordination of eye and hand, and fine manipulation by the hands (typing, writing, and working with files). Requires the ability to defend oneself and individuals in physically abusive situations using approved physical de-escalation techniques. Requires talking: Expressing or exchanging ideas by means of the spoken word. Talking is required to impart oral information to employees, individuals, patients, and the public, and in those activities in which the employee is required to convey detailed or important spoken instructions to others accurately, loudly, or quickly. Requires hearing: Hearing is required to receive and communicate detailed information through oral communication. Requires seeing: Clarity of vision at 20 inches or less and at distance. This factor is required to complete paperwork for many of the employee's essential job functions and to observe individual behavior and activities in and out of the facility. The normal work routine involves no exposure to human blood, body fluids or tissues. However, exposure or potential exposure may be required as a condition of employment. Appropriate personal protective equipment will be readily available to every employee. MENTAL DEMANDS: Requires the ability to collect and analyze complex numerical and written data and verbal information to reach logical conclusions. Requires the ability to work and cooperate with individuals, co-workers, managers, the public and employees at all levels to exchange ideas, information, instructions, and opinions. Requires the ability to work under stress and in emotionally charged settings.
    $28k-39k yearly est. 18d ago
  • Financial Counselor - Summer Internship

    21St. Mortgage 3.2company rating

    Clinical case manager job in Knoxville, TN

    21st Mortgage is located in Knoxville with two office locations (Downtown and West Knoxville). Our interns have the opportunity to learn more about the mortgage industry and grow within a supportive and engaging professional team environment. The internship mimics the Financial Counselor role, which is the highest entry level position within the company. As an intern, you will co-manage a portfolio of loans, guide customers through financial challenges, and offer tailored solutions. Our internship program is designed to develop and shape the next generation of industry professionals, and each intern is paired with a mentor to be guided through the program. This is a unique chance to gain valuable experience in the finance industry and to grow within a dynamic and supportive professional team environment. Interns will also have the chance to participate in team outings and fun activities throughout Knoxville. As a paid internship with a potential $800 bonus, the position is highly competitive. Business Unit - 21st Mortgage 21st Mortgage Privacy Policy
    $45k-61k yearly est. Auto-Apply 24d ago
  • Orthodontic Clinician I

    Smile Doctors

    Clinical case manager job in Sevierville, TN

    Looking for a career that makes you smile? We're seeking an Orthodontic Clinician I to join our growing team. Responsible for delivering positive clinical experience to all patients while following strict adherence to company policies as well as state dental laws, rules and regulations under the direction and close supervision of an Orthodontist. How you'll make us better: Assist in placing and removing orthodontic appliances under close supervision of the Orthodontist Review patient charts, log appropriate patient data and transcribe doctor notes Perform laboratory procedures under close supervision of the Orthodontist Review remote monitoring dashboard including review/triage patient scans, responding to direct patient messages, and triage notifications Educate patients on orthodontic care and remote monitoring Clean, sterilize, and prepare the equipment and operatory following standard protocols Adhere to all infection-control policies and protocols Your special skills: We're proud of our company culture and heritage of awesomeness. If you've got the following, you'll fit right in: Ability build rapport with patients Ability to establish and maintain good working relationships with patients and coworkers Ability to use hand tools Ability to set priorities regarding patient care, manage full schedules and multi-task Prerequisites for success: High School Diploma or equivalent required Some dental/orthodontic industry experience preferred Dental Assistant certification if required by state Dental Board Radiography certification if required by state Dental Board CPR certification if required by state Dental Board The Perks: In exchange for the dynamic contribution you'll bring to our team, we offer: Competitive salary Medical, dental, vision and life insurance Short and long-term disability coverage 401(k) plan 2 weeks paid time off in your first year + paid holidays Discounts on braces and clear aligners for you and your family members Why Smile Doctors? As the nation's leading Orthodontic Support Organization, Smile Doctors partners with local orthodontic practices to offer world-class patient care with hometown heart. We exist to love people first, straighten teeth second, and we work hard to maintain a people-first culture and cultivate a fun, encouraging environment. Smile Doctors offers every Team Member the opportunity to be a part of something bigger. We nurture both talents and strengths, building each person's abilities to help them find success in their career and beyond. As the fastest-growing organization of our kind in the industry, we're looking for passionate, innovative professionals who can join us in changing the way the world smiles. This is the perfect opportunity to grow with an expanding organization! Apply today!
    $34k-62k yearly est. 19d ago
  • Large Animal Clinician; OPCVM

    Lincoln Memorial University 4.7company rating

    Clinical case manager job in Harrogate, TN

    Details Information Position Title Large Animal Clinician; OPCVM Department CVM Clinical Sciences Position Category Faculty Job Description The Large Animal Clinician will provide instruction primarily in the clinical veterinary curriculum. Teaching will include clinical case management with students in their required clinical year ambulatory rotations. The clinician would assist with development and ongoing delivery of a local ambulatory practice. The candidate should be service oriented and be able to develop herd health programs. There may be opportunity for didactic teaching in the preclinical curriculum as well as engagement in clinical skills laboratories Required Qualifications A DVM or equivalent degree Eligibility for licensure in the state of Florida Eligibility to obtain DEA licensure Large animal veterinary clinical experience in ambulatory/field settings Preferred Qualifications Advanced degree and/or specialty board certification highly desirable Experience in an academic setting Veterinary clinical experience Physical Demands Campus Orange Park Florida Job Duty Job Duty Supervise and instruct veterinary students in the field during ambulatory rotations Job Duty Guide students in history-taking, physical examination, diagnostics, treatment planning, and client communication during farm visits Job Duty Mentor students in herd health program design and implementation for local farms Job Duty Provide routine ambulatory care as part of the clinical teaching service Job Duty Drive and manage use of the large ambulatory van, ensuring safe student transport and appropriate deployment for farm visits Job Duty Demonstrate clinical decision-making and model professional conduct in all client and community interactions Job Duty Work closely with the partner veterinary practice to coordinate case assignments, scheduling, and service delivery Job Duty Ensure timely and accurate documentation of clinical cases in shared medical records systems Job Duty Collaborate with practice staff on inventory management, supply chain logistics, and vehicle stocking for ambulatory operations Job Duty Serve as liaison between the College and the partner practice to maintain a high-quality teaching and service environment Job Duty Monitor and document student performance in clinical rotations, providing timely and constructive feedback Job Duty Evaluate student competencies in clinical reasoning, technical skills, and professional communication Job Duty Maintain clear records of student progress aligned with curricular requirements Job Duty Participate in committees, accreditation activities, and reporting as assigned Job Duty Maintain accurate operational records for inventory including controlled substances, vehicle use, and case logs Job Duty Develop and/or engage in research/scholarship that enhances teaching and contributes to new knowledge in clinical veterinary medicine or veterinary education consistent with OPCVM mission and research expectations Job Duty Collaborate with colleagues on interdisciplinary research projects and grant applications Job Duty Mentor students in scholarly inquiry and research skill development Job Duty Cultivate strong relationships with local farms, equine operations, and agricultural stakeholders Job Duty Represent the College in community-based veterinary initiatives and educational events Job Duty Foster a cooperative working environment between faculty, students, staff, and external partners Job Duty Maintain professional veterinary licensure as appropriate for responsibilities of the role Job Duty Complete required continuing education as mandated by the Florida Commission for Independent Education and other relevant licensing or regulatory bodies Job Duty Demonstrate ongoing commitment to professional growth Job Duty Perform related duties in support of the College's and University's mission and evolving needs Posting Detail Information Posting Number F01597P Job Open Date 01/08/2026 Job Close Date 05/08/2026 Open Until Filled No Special Instructions Summary About the Institution Lincoln Memorial University is a values-based learning community dedicated to providing educational experiences in the liberal arts and professional studies. The main campus is located in Harrogate, Tennessee. For more information about employment opportunities, contact the Office of Human Resources at ************ or *************************
    $61k-84k yearly est. Easy Apply 1d ago
  • Case Manager - Group Home

    Smoky Mountain Children's Home 3.5company rating

    Clinical case manager job in Sevierville, TN

    Smoky Mountain Children's Home, a faith-based non-profit organization, is seeking a Case Manager for the Sevierville, TN campus. In this role, you will be in a position to make a positive difference in the lives of at-risk youth. You will join a team of dedicated individuals who oversee all aspects of welfare for an assigned case load of at-risk youth. At Smoky Mountain Children's Home, our mission is critical and our quality of care is only as good as our people. That is why we are committed to excellence in building a talented and diverse team of passionate people who will leave a legacy in the lives of youth for whom they are responsible. Read on and learn more about this exciting opportunity to join our team of child welfare advocates. Responsibilities: Prepare a written intake study to help determine the appropriateness of care. Provide weekly casework services for each youth on caseload. Participate in the planning and implementation of plan treatment. Prepare case for staffing when needed. Attend court and school meetings, child and family team meetings, and any other type of meeting or staffing deemed necessary. Set up case record on each child and see that it is kept up-to-date with necessary forms, reports, and narrative summaries. Prepare monthly progress reports for family or referring agency. Monitor youths school attendance and progress. Arrange monthly family visits. Attend all staff meetings and in-service training sessions. Position Requirements: Must have a minimum of a bachelors degree in social work or a related field (i.e. education, psychology, etc.).* Bilingual in Spanish/English is preferred. Must be able to work as a team member and accept supervision. Must be able to pass a drug test and extensive background checks. Must be physically capable of performing all job duties including sitting, standing, climbing stairs, and lifting up to 40lbs. Must have excellent interpersonal skills with a caring approach. Must be authorized to work in the U.S. What's in it for you? Paid training 100% paid medical coverage option with paid life insurance policy $50 stipend toward cell phone service Paid vacation (including major holidays), sick leave, bereavement leave, and personal days (after the prerequisite length of employment is met) Mileage Reimbursement Work Schedule: Schedule is varied based on the needs of the youth on your caseload. Each day consists of duties that require sitting, standing, and walking. There is no definite schedule. Salary Information: $30,500 - $35,000 per year based on level of education attained. Why Smoky Mountain Children's Home? For more than 100 years, Smoky Mountain Children's Home has been meeting the needs of at-risk youth. We provide exceptional care for at-risk children and teens through our Residential, Foster Care, and Adoption programs. Through family counseling, individual therapy, educational opportunities and structured group living, the Smoky Mountain Childrens Home provides a continuum of care tailored to each resident's need. Creating a safe and supportive environment allows residents to discover their talents and build on their strengths. This is accomplished by the excellent care of a trained staff and provides each resident the opportunity to overcome the circumstances of their past, while exploring a world of opportunity for their future. *Degree must be from a school accredited by an agency recognized by the Secretary of Education of the U.S. Department of Education or equivalent program from an international university. *Smoky Mountain Children's Home does not provide any form of sponsorship to applicants not authorized to work in the US. Smoky Mountain Children's Home is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $30.5k-35k yearly 22d ago
  • Case Manager Intake Coordinator

    Cherokee Indian Hospital Authority

    Clinical case manager job in Robbinsville, NC

    Job Description The Case Manager/Intake Coordinator is responsible for processing applications received for the Residential Treatment Program, initial patient orientation, maintaining accurate patient files, and upkeep of patient information. Serves as a Case Manager for individuals with mental health and substance use disorders who require assistance to gain access to necessary care: medical, behavioral, social, and other services appropriate to their needs. Services include case management assessment, person-centered planning, referral and linkage, monitoring, and follow-up. This position is specific to the Kanvwotiyi Residential Program. Essential Duties and Responsibilities Direct Service Duties Provide the following case management functions according to CIHA policy: case management assessment, person-centered planning, referral and linkage, and monitoring and follow-up. Process applications received for the Residential Treatment program, coordinating the applicant interview, requesting additional information as necessary, scheduling the intake appointment, and providing patient orientation to the program. Maintains caseload by identifying new patients assigned in a timely manner and discharging patients according to CIHA policy and procedures. Provides documentation of all treatment and clinically significant events in the Electronic Health Record as prescribed by CIHA policies and procedures and quality assurance standards. Gather and document necessary information in the EHR, including medical, physical and functional, psychosocial, behavioral, financial, social, cultural, environmental, legal, and vocational or educational areas. Engage patients in the person-centered planning process to assist them in obtaining the outcomes, skills, and symptom reduction they desire. Link clients to needed services and supports. Provide timely information to treatment team members regarding client status, progress, and safety. Utilize judgment in carrying out CIHA policy for risk assessment and crisis intervention. Collaborate with the medical staff and other health professionals/agencies to facilitate patient care, discharge, and follow-up. Provide consultation to patients and family in matters directly related to patients' limitations, finances, adjustments to medical conditions, and ongoing treatment. Work with internal and external providers to coordinate discharge planning, follow-up care, and transfers to other behavioral health facilities as appropriate. Responsible for attending clinical staffing as an integral component of a treatment team, facilitating the discussion of client data, and formulating changes to the treatment plan. Participate in meetings to review and identify opportunities to improve the program and treatment provided, and support the team in problem-solving when concerns are identified. Provide written, telephonic, and face-to-face consultation services to various persons and organizations that affect the patient. These include schools, courts, probation officers, physicians, hospitals, medical care providers, law enforcement officers, social services, community agencies, etc. Provide support to patients in the office setting as well as the community setting by conducting home visits with patients and collaterals as needed. Represents CIHA at regular team meetings for progress review and during emergency meetings dealing with high-risk situations. Participate in community planning and implementation of programs to help resolve issues related to client care. Collect and report on data necessary for client care according to procedure and as directed by the supervisor. Expected to obtain continuing education both through in-service training and through access and tuition payment for approved training seminars and workshops. Maintains appropriate personal and professional boundaries while working with community members, the population served and stakeholders Other duties as assigned. Support the Tribal Option Care Managers as needed. Education/Experience/Qualifications A graduate of college or university with a bachelor's degree in a human service field. Must have experience working with substance use disorder and/or mental health disorder. Must possess a valid driver's license. Specific experience working with Native Americans preferred. Two years' experience with the population preferred. Experience in recovery Services; experience with working with individuals with a substance use disorder and mental health challenges Must demonstrate a recovery-oriented philosophy Job Knowledge Knowledge of crisis intervention with individuals and families experiencing acute episodes of distress. Ability to ascertain the potential lethality of a situation and respond and refer accordingly. Ability to learn computerized treatment systems such as EHR, and ability to maintain records and files manually and on the computer. Originality and initiative are required in the daily performance of tasks. Knowledge of principles, techniques, and practices, and their application to complex casework, group work, and community problems. Knowledge of a wide range of medical, behavioral, and psychosocial problems and linkage to treatment. Knowledge of governmental and private organizations and resources in the community. Knowledge impact of mental illness on patients' ability to negotiate treatment recommendations, current treatment approaches, modalities of care, and substance abuse and other programs or services available to patients. Skill in establishing rapport with a patient and in applying techniques of engaging patients. Willingness to learn more about Cherokee culture/population and to have considerations for this when identified. Ability to establish and maintain effective working relationships with patients and their families, other professional disciplines, and a variety of governmental and private resources and organizations in the community. Ability to express ideas clearly and concisely and to plan and work effectively in a team. Complexity of Duties This position is responsible for assisting in maximizing the available resources to develop and maintain behavioral health services for EBCI children and families that best meet the constantly changing needs of the community. Must have the ability to interpret policy, laws, and regulations in order to make decisions when a precedent is not available. Duties require the application of judgment and problem-solving skills in order to be effective. Supervision Received Works under the direct guidance of the supervisor, manager, and/or behavioral health clinical director, where goals, objectives, policies, and procedures are well defined. Works independently within applicable licensing regulations where latitude for creative thinking, initiative, and discretion is given to achieve department goals and objectives. Responsibility for Accuracy Errors should be identified and corrected in a timely manner. Failure to properly document, convey, or interpret clinical data can adversely impact client care. Ineffective health planning could have adverse effects on the health status of the community by limiting access to necessary resources. The accuracy of data and research is critical in the allocation of tribal resources. The employee is responsible for adherence to policy and procedure. Inappropriate actions or inaccuracies in judgment could result in improper diagnosis and treatment, serious liability for CIHA, or more serious health risks to patients. Contacts with Others Interacts frequently with coworkers, hospital staff, patients, and other health professionals for the purpose of exchanging information, obtaining, or providing assistance. Serves on various local, community, and health committees, boards, and advisory councils, as appropriate. Tact, courtesy, and professional conduct are required to maintain positive working relationships. Utmost sensitivity and confidentiality are required when dealing with patients and families. Confidential Data The provision of medical care requires that the incumbent maintain strict appropriate confidentiality regarding all patient information. The employee will have access to patient records and highly confidential information and must function with utmost integrity to safeguard this information. The employee complies with EBCI policy on confidentiality of patient records, Cherokee Indian Hospital Authority Confidentiality policy, HIPAA, 42CFR, and other federal law requirements. Violations of confidentiality regulations may result in disciplinary action and other actions as allowed by federal regulations. Mental/Visual/Physical Environment Job duties can be mentally and emotionally stressful at times, given the complexity of the duties, management and supervision of staff, and the clinical areas being addressed with the people being served. Close mental concentration and attention to detail are required. Physical activities require the ability to be mobile, sit, reach, bend, and be in front of groups and deliver training for extended periods of time. Some physical exertion and stamina is required, such as those required to transport training materials or to travel. Must have visual acuity, manual dexterity, and the ability to speak and hear. Must be able to lift 30 lbs. Position requires: stand (under 1/3 time); walk (under 1/3 time); sit (to 2/3 time); talk or hear (over 2/3 time). Weight lifted or force exerted: none. Special vision requirements: Close vision (clear vision at 20 inches or less). Work Environment The employee works primarily in a hospital, inpatient, or outpatient clinical environment and the community, but may be required to work at other offices and locations. The work environment involves moderate risks of exposure to infectious disease, radiation, electrical hazards, and irritant chemical and explosive gases. Employees must strictly adhere to OSHA guidelines and protocol for maintaining sterile conditions. Some travel is required. Infrequent overnight travel may be required for meetings or to attend training. Customer Service Consistently demonstrates superior customer service skills to patients/customers by demonstrating characteristics that align with CIHA's guiding principles and core values. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.
    $41k-63k yearly est. 21d ago
  • Case Management Support - Primary Care

    Cherokeehospital

    Clinical case manager job in Cherokee, NC

    Primary Function Under supervision, the incumbent is responsible for a variety of nursing assistant duties established by the Registered Nurse. Under supervision, he/she is responsible for following the plan of care established by the nurse assessing the patient. The Nursing Assistant assists in performing and providing nursing care, duties, and tasks for patients of all ages. Job Description Recognizes and reports to the registered nurse or medical provider abnormal findings related to vital signs, clinical signs and symptoms, and laboratory findings. Implements nursing care including, but not limited to: Takes and records vital signs and reports deviations to the registered nurse. Collects specimens (urine, stool, and sputum). Completes finger stick glucose monitoring. Monitors intake and output, including monitoring IVs. Documents vital signs and other medical data to the appropriate record. Initiates appropriate resuscitative measures in an emergency. Operates a variety of specialized medical equipment, such as suction pumps, oxygen equipment, automatic BP cuffs, and oxygen saturation units, etc. Recognizes malfunctioning and unsafe equipment and initiates corrective action. Initiates appropriate action when safety measures are required to protect patients. Maintains a safe environment through the practice of Universal Precautions and Body Substance Isolation, medical waste/chemical management and containment. Isolates infected patients. Cleans patient contact areas and equipment according to policies and OSHA regulations. Promotes patient advocacy and confidentiality. Directly observes and evaluates patient care. Participates in ongoing nursing quality assurance program. The Nursing Assistant will function in primary care under the supervision of the clinical nurse in the team with ultimate supervision by the Nursing Supervisors or his/her designee to ensure patient care is provided in a safe and efficient quality manner. Assists with and makes recommendations about supplies and equipment needs. Maintains clean, neat, and safe work environment. Demonstrates ability and willingness to adapt to special circumstances, such as, staffing shortages, patient emergencies, fluctuations in census, and disasters. Participates in cross training of services within the nursing department. The Director of Nursing for Primary Care/Senior Practice Manager or his/her designee will schedule cross training. The Nurse Supervisor, Clinical Nurse or his/her designee makes assigned duties. The Nursing Assistant provides nursing care according to established procedures; under the supervision of the Registered Nurse Supervisor/Clinical Nurse. This is done under the supervision of the Director of Nursing for Primary Care/ Senior Practice Manager, and Director of Division of Nursing or his/her designee. The work is evaluated for technical soundness and adherence to professional standards. Job Knowledge Knowledge and skill to perform basic clinical nursing care to acutely ill patients and assist patients in their daily living activities. Knowledge and skill to assist the care provider in treatment and examinations performed in the outpatient setting. A practical knowledge of performing prescribed treatment plans such as dressing changes or soaks. Knowledge of proper handling and collection of specimens, performing vital signs and recognizing abnormal values. Basic knowledge of diseases and illnesses and the ability to recognize and report changes in the patient's condition to the registered nurse. Page Break A practical knowledge of the medical facility's organization and services, the basic rules and regulations governing visitors and patient treatment, and practical knowledge of standard procedures, medical records, and medical terminology. A basic knowledge of diseases, medical and surgical procedures, as well as standard abbreviations used by the medical staff. A thorough knowledge of recording and documenting medical information. Knowledge and skills in operating specialized medical equipment, such as suction pumps, oxygen equipment, etc. Applicant must have a valid North Carolina driver's license. Education/Experience High school graduate or GED, Successfully completed an accredited program in Nursing Assistant, Certified as a Nursing Assistant (CNA), Current Basic Life Support (BLS), or Advanced Cardiac Life Support (ACLS) may be substituted, is required of the position. Can be acquired through the facility following appointment to position. Preference given to applicants who have specialized training in CNA. No experience required of position, will provide training. Proficiency rated at 6 weeks. Contacts with Others Contacts are with patients, families, hospital personnel, and community agencies. Contacts with patients and families are to provide and assist with care. With hospital personnel and community agencies, contacts are to exchange information for the purpose of coordinating patient care activities. The Nursing Assistant is assigned duties based upon the diagnosis of the patient, his/her condition, and special circumstances related to his/her needs. Confidential Data The incumbent has access to highly confidential patient medical and personal information. The Privacy Act of 1974 mandates that the incumbent shall maintain complete confidentiality of all administrative, medical and personnel records and all other pertinent information that comes to the individual's attention or knowledge. The Privacy Act carries both civil and criminal penalties for unlawful disclosure of records. Violation of such confidentiality shall be cause for adverse actions. Responsibility for Accuracy The incumbent is responsible for accuracy of work performed. The Team Leader, supervising registered nurse, or immediate supervisor reviews work for accuracy and determines steps to prevent errors from reoccurring. The Nursing Assistant will follow the plan of care established by the registered nurse according to individual patient needs and established hospital policies and procedures. The purpose of the work is to provide patient care that contributes to completion of the prescribed plan of care and discharge of the patient. The work affects the physical and psychosocial wellbeing of the patients and their families. Completion of duties affects the attitude of patients and efficiency with which the hospital provides service and therefore could have a negative effect on patient outcomes. Guidelines consist of nursing and medical policy and procedures, standing orders, standards of care, and hospital and agency policies. Must, also, comply with FPM, MRS, PHS, IHS, and State regulations. The employee determines the order and sequence of care provided to the patient based on the patient's condition and priorities of need. Mental/ Visual/ Physical Effort Work in the various services within the nursing department requires considerable walking, standing, bending, pushing, and lifting in helping patients to and from beds, wheelchairs, and stretchers. These same activities are required in moving equipment and medical supplies. May be responsible for lifting over 15 pounds. Resourcefulness and Initiative The Nursing Assistant works under the direction and supervision of a Registered Nurse. Environment The work environment involves moderate risks of exposure to infectious disease, radiation, electrical hazards, irritant chemicals and explosive gases. Customer Service Consistently demonstrates superior customer service skills to patients/customers by demonstrating characteristics that align with CIHA's guiding principles and core values. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.
    $26k-54k yearly est. Auto-Apply 29d ago

Learn more about clinical case manager jobs

How much does a clinical case manager earn in Knoxville, TN?

The average clinical case manager in Knoxville, TN earns between $28,000 and $52,000 annually. This compares to the national average clinical case manager range of $38,000 to $68,000.

Average clinical case manager salary in Knoxville, TN

$38,000
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