Clinical case manager jobs in Savannah, GA

Introduction Do you have the career opportunities as a Social Worker MSW you want in your current role? We invest in what matters most to nurses like you - at home, at work, and at every stage in your career. We have an exciting opportunity for you to join Memorial Health University Medical Center which is a part of the nation's leading provider of healthcare services, HCA Healthcare. Do you want to work where you have a voice? Case Management is at the forefront of our commitment to the care and improvement of human life. At HCA Healthcare, there are many ways for Social Workers to have a voice through professional practice councils, advisory councils, vital voices surveys, and units of distinction. We learn from our multi-generational patient care family. We partner with our Nurses at Memorial Health University Medical Center! Job Summary and Qualifications The Complex Social Worker (MSW) is responsible for non-clinical, biopsychosocial assessments and interventions for the inpatient floors and the outpatient emergency department. The MSW performs crisis intervention, patient/family interventions, high-risk screening, focused emotional support, and referrals for financial assistance or other identified resource needs. The MSW assists in post-acute care placement on all discharges, primarily with those patients identified with post-discharge behavioral health and patient assistance/resource needs. The MSW is dedicated to patient and family-centered care that values personal self-determination, prioritization, and engages in creative and compassionate problem-solving. The scope of this role includes intensive care units, Trauma, Oncology, NICU, Transplant, and ED. The MSW responds to physician, non-discharge planning social work consults throughout the facility.What you will do in this role:You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to proactively identify and address patient needs.You will identify and address barriers to discharge and recovery. These barriers include financial, emotional, psychosocial, medical, and spiritual.You will maintain a thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility.You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs.You will coordinate and facilitate meetings between the care team and patients/families/caregivers. You will assist patients and families in making difficult decisions while honoring their preferences and values.You will intervene with patients/families/caregivers for psychosocial needs, assistance, and support in coping with chronic acute terminal illness. You will engage in consultation, discharge planning, education, counseling, advocacy, and information referrals to meet the emotional, social, and financial aspects of care.You will provide emotional support to patients and family members during complex and/or emotionally charged issues, such as end-of-life, terminal illness notifications, death notification (with physician), and crisis interventions. What qualifications you will need: Masters Degree in Social Work is required Licensure as a LMSW or a LCSW is preferred, but not required3-5 years of experience in hospital patient care is strongly preferred3 years of Hospital Social Work experience required Benefits Memorial Health University Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services * Wellbeing support,including free counseling and referral services * Time away from workprograms for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence * Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling * Education supportthrough tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing * Additional benefitsfor fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. "Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare Memorial Health University Medical Centerhas provided quality healthcare services since 1955, giving patients access to highly-trained physicians and advanced technology. Our600+ bed hospitalis one of the regions leading acute care facilities that serves 35 counties across southeast Georgia and southern South Carolina. Located in Savannah, Georgia, we are a regional referral center for heart care, cancer care, trauma care, childrens care, high-risk pregnancies and high-risk newborn care. Our hospital includes the regions only Level I trauma center and childrens hospital, as well as the Savannah campus of Mercer University School of Medicine. At Memorial Health, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. If this opportunity is your next step in your career path, we encourage you to apply for our Social Worker MSW opening. We review all applications. Qualified candidates will be contacted by a member of our team.We are interviewing apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Select Specialty Hospital Critical Illness Recovery Hospital (LTACH) Case Manager Full Time: Monday-Friday 8-5pm Requires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines). And Previous discharge planning experience preferred. Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives - and our team plays a central role in providing compassionate, excellent care every step of the way. Responsibilities We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state guidelines. Develops and implements a patient specific, safe and timely discharge plan. Performs verification of utilization criteria reviews. Builds relationships and coordinate with payor sources to assure proper reimbursement for hospital provided services, promote costs attentive care via focus on resource management within the plan of care. Demonstrates compliance with facility-wide Utilization Management policies and procedures. Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled. Maintains fiscal responsibilities. Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification forms to minimize risk. Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists. Qualifications We are seeking results-driven team players. Qualified candidates must be passionate about providing superior quality in all that they do. Minimum requirements: Current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist (RN preferred) OR current license / certified Social Work license per state guidelines Previous RN/LPN/RT/SW/CM experience in an inpatient hospital setting dealing with critical care/acute care patients. (example: ICU, step-down, med surg, vents) Preferred qualifications that will make you successful: Specific experience in Care Management and Discharge Planning is preferred. Working knowledge of the insurance industry and government reimbursement. Additional Data General Benefits Full-time Start Strong: Extensive and thorough orientation program to ensure a smooth transition into our setting Recharge & Refresh: Generous PTO and Paid Sick Time for full-time team members to maintain a healthy work-life balance Your Health Matters: Comprehensive medical/RX, health, vision, employee assistance program (EAP) and dental plan offerings for full-time team members Invest in Your Future:Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members Your Impact Matters:Join a team of over 44,000 committed to providing exceptional patient care Equal opportunity employer, including disabled veterans

Job Description Job Summary: Under general supervision, Provides on-going supportive and/or case management functions to consumers having long-term mental illness in accordance with the problems, needs, and strategies identified within the service plan in order to help the clients achieve the stated goals and objectives. Participates in regular interdisciplinary staff meetings with the interdisciplinary team to best help consumer, including Behavioral Health Specialists, Staff Psychiatrist, Registered Nurses, quality assurance specialists, paraprofessionals. Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Documentation and Compliance Records services accurately that relate directly to the treatment outcomes, within approved timeframes. Completes required clinical documentation according to agency standards. Maintain all documentation in accordance with applicable policies, laws and instructions. Ensure that all services provided are within the guidelines and document care in compliance with agency requirements and standards. Ensure that all notes will be in Care Logic and signed no later than the allotted time the day after the service was provided. Maintain a minimum chart audit score of 70% or better for all consumers on case-load. Ensure all weekly reports have been addressed and cleaned up (if necessary) within hours specified by supervisor. Community Outreach Collaborate with behavioral health providers, hospitals, emergency rooms, jails and shelters through regular meetings in order to engage and transition consumers throughout systems of inpatient and or community care. Productivity Meet the minimum direct time requirements of individual billed hours per year. Enroll no fewer the 5 % individuals into case management services each month until reaching capacity. Minimum of 4 face to face visits must be delivered on a monthly basis. Additional contacts may be either face to face or telephone collateral contact, depending on the individuals support needs. Required Knowledge & Skills: Working knowledge of the nature of serious mental illness; behavior modification techniques and related treatment modalities, interventions and techniques; of different types of assessments and their uses in treatment planning. Knowledge of consumers' rights; agency and federal policies, procedures and guidelines. Knowledge of local community resources and service delivery systems such as housing, social, welfare, educational, etc. Knowledge of client record documentation requirements; and of client services plan development and implementation. Knowledge of crisis intervention techniques, Knowledge of individual and group therapy techniques; family dynamic and family support groups Ability to observe, record and report on an individual's functioning; Ability to read and understand assessments, evaluations, observation, and use in developing treatment plan. Ability to identify community resources and services for clients and coordinate provision of services; to establish effective working relationships with internal agency staff as well as with relevant community organizations; Ability to effectively interact and communicate with consumers and their families in diverse populations. Ability to communicate effectively, verbally and in writing, to maintain confidentiality, and to work independently under general supervision. Ability to demonstrate strong interpersonal and “Listening” skills. Ability to establish and prioritize goals and objectives of assigned program. Ability to facilitate relationships between Gateway, consumer families/legal guardians and various social service community resources, such as housing assistance, healthcare, job training and placement and substance abuse support groups. Competencies: Communication Accountability/Responsibility Cooperation/Teamwork Creative Thinking Customer Service Dependability Flexibility Initiative Analytical Thinking Job Knowledge Judgement Professionalism Quality/Quantity of Work Stress Management Planning/Organization Required Education & Experience: Bachelor's degree from an accredited program and a minimum of 2 years related experience. Must possess a valid GA Driver's license. Supervisory Responsibilities: None Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Some minor travel between Gateway sites is required. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Employee is frequently required to walk, sit, stand or kneel and occasionally required to climb or balance and stoop. Employee must frequently lift and/or move up to 15 pounds. Must have the ability to sit for long periods of time at a computer. Employee frequently uses fine hand/eye coordination, hearing and visual acuity. Lighting and temperature are adequate, and there are not hazardous or unpleasant condition caused by noise, dust, etc. Employee must be able to travel between Gateway sites. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Gateway CSB promotes a drug/alcohol free work environment through the use of mandatory pre-employment drug testing. 2 years of related experience in case management Must work well as a team and on their own in the field

About Us The Mike Hostilo Law Firm, a prominent personal injury law firm with locations across the Southeast, is seeking a dedicated Case Manager to join our team in Macon or Augusta. We take pride in building trust and delivering exceptional care to every client. We expect our team to embody our core values of Respect, Trust, Quality, Integrity, and Productivity, ensuring our clients receive the best possible outcomes. Position Overview As a Case Manager, you will serve as the main point of contact for assigned clients, overseeing the administrative aspects of their case journey. You'll work closely with the legal team to collect, organize, and manage case details, facilitating communication and supporting the settlement process. This role requires a client-focused approach, strong attention to detail, and a collaborative spirit to drive efficient case progression. Responsibilities Client Care & Communication Conduct weekly follow-up calls with clients to provide proactive updates on case status. Respond to incoming client calls, address questions, and collaborate with the legal team to resolve any concerns (non-legal advice only). Case Documentation Coordinate with clients to gather necessary bills, records, and documents related to their case. Prepare documentation for settlement negotiations and draft demand letters for review by the attorney. Generate and send essential correspondence, including requests for bills and records, MedPay letters, and Subrogation letters. Case Management & Coordination Manage assigned caseload efficiently through effective time management and organizational strategies. Facilitate communication between medical providers, adjusters, and relevant third parties to gather necessary case information. Collaborate with attorneys to strategize on potential conflicts or concerns in client cases. Support the legal team and contribute to firm-wide efforts in client service. Requirements High School diploma or equivalent required; Associate's degree preferred. Minimum of two years' experience in a customer-centric role, preferably within a legal environment. Strong proficiency in Microsoft Office is required; familiarity with Case Management software (e.g., FileVine) is advantageous. Knowledge of basic medical terminology and experience with auto insurance claims are beneficial. Detail-oriented, with an emphasis on documentation accuracy. Excellent verbal and written communication skills. High standards of integrity and confidentiality. Demonstrates commitment to quality and accountability in all tasks. Compensation & Benefits Competitive salary and benefits package Health, dental, and vision insurance 401(k) retirement plan Paid time off and flexible scheduling Full-time, hourly position Physical Requirements This position primarily involves desk-based work, including the use of computers and phones. Some occasional lifting of office supplies (up to 25 pounds) may be required. Reasonable accommodations will be made for individuals with disabilities.

Job Summary: Under general supervision, Provides on-going supportive and/or case management functions to consumers having long-term mental illness in accordance with the problems, needs, and strategies identified within the service plan in order to help the clients achieve the stated goals and objectives. Participates in regular interdisciplinary staff meetings with the interdisciplinary team to best help consumer, including Behavioral Health Specialists, Staff Psychiatrist, Registered Nurses, quality assurance specialists, paraprofessionals. Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Documentation and Compliance Records services accurately that relate directly to the treatment outcomes, within approved timeframes. Completes required clinical documentation according to agency standards. Maintain all documentation in accordance with applicable policies, laws and instructions. Ensure that all services provided are within the guidelines and document care in compliance with agency requirements and standards. Ensure that all notes will be in Care Logic and signed no later than the allotted time the day after the service was provided. Maintain a minimum chart audit score of 70% or better for all consumers on case-load. Ensure all weekly reports have been addressed and cleaned up (if necessary) within hours specified by supervisor. Community Outreach Collaborate with behavioral health providers, hospitals, emergency rooms, jails and shelters through regular meetings in order to engage and transition consumers throughout systems of inpatient and or community care. Productivity Meet the minimum direct time requirements of individual billed hours per year. Enroll no fewer the 5 % individuals into case management services each month until reaching capacity. Minimum of 4 face to face visits must be delivered on a monthly basis. Additional contacts may be either face to face or telephone collateral contact, depending on the individuals support needs. Required Knowledge & Skills: Working knowledge of the nature of serious mental illness; behavior modification techniques and related treatment modalities, interventions and techniques; of different types of assessments and their uses in treatment planning. Knowledge of consumers' rights; agency and federal policies, procedures and guidelines. Knowledge of local community resources and service delivery systems such as housing, social, welfare, educational, etc. Knowledge of client record documentation requirements; and of client services plan development and implementation. Knowledge of crisis intervention techniques, Knowledge of individual and group therapy techniques; family dynamic and family support groups Ability to observe, record and report on an individual's functioning; Ability to read and understand assessments, evaluations, observation, and use in developing treatment plan. Ability to identify community resources and services for clients and coordinate provision of services; to establish effective working relationships with internal agency staff as well as with relevant community organizations; Ability to effectively interact and communicate with consumers and their families in diverse populations. Ability to communicate effectively, verbally and in writing, to maintain confidentiality, and to work independently under general supervision. Ability to demonstrate strong interpersonal and “Listening” skills. Ability to establish and prioritize goals and objectives of assigned program. Ability to facilitate relationships between Gateway, consumer families/legal guardians and various social service community resources, such as housing assistance, healthcare, job training and placement and substance abuse support groups. Competencies: Communication Accountability/Responsibility Cooperation/Teamwork Creative Thinking Customer Service Dependability Flexibility Initiative Analytical Thinking Job Knowledge Judgement Professionalism Quality/Quantity of Work Stress Management Planning/Organization Required Education & Experience: Bachelor's degree from an accredited program and a minimum of 2 years related experience. Must possess a valid GA Driver's license. Supervisory Responsibilities: None Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Some minor travel between Gateway sites is required. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Employee is frequently required to walk, sit, stand or kneel and occasionally required to climb or balance and stoop. Employee must frequently lift and/or move up to 15 pounds. Must have the ability to sit for long periods of time at a computer. Employee frequently uses fine hand/eye coordination, hearing and visual acuity. Lighting and temperature are adequate, and there are not hazardous or unpleasant condition caused by noise, dust, etc. Employee must be able to travel between Gateway sites. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Gateway CSB promotes a drug/alcohol free work environment through the use of mandatory pre-employment drug testing. 2 years of related experience in case management Must work well as a team and on their own in the field

Job Description Since inception in 2004, BI Incorporated has operated ISAP for the Department of Homeland Security (DHS) and U.S. Immigration and Customs Enforcement (ICE) and Enforcement and Removal Operations (ERO). ISAP is an essential part of ERO, providing intensive supervision of individuals in immigration proceedings. The program achieves positive results by combining comprehensive case management with proven supervision technology. In addition, BI maintains an extensive list of community-based partners to provide critical assistance for participants' basic life needs. With consistent positive outcomes, ISAP continues to grow and evolve, serving an ever-increasing number of participants. Responsibilities Summary Provides case management of Intensive Supervision Appearance Program (ISAP) participants from entry to release by administering the program's policies and procedures as defined by the Department of Homeland Security (DHS) contract. This position is operating independently at a government site without a Program Manager on site. Primary Duties and Responsibilities Works independently to manage all aspects of case management within the program requirements. Develops, implements, coordinates, reviews and updates case management and service plans for ISAP participants in conformance with state and federal regulations and program requirements. Meets with participants regularly as required by contractual obligations. Develops and maintains accurate and complete case records for all ISAP participants from entry to release from ISAP. Proactively manages cases using all appropriate tools and techniques. Maintains confidentiality of all records. Manages program participant violations, including no-shows and repeat violators. Prepares documentation to acquire Department of Homeland (DHS) direction and action if disciplinary measures are necessary. Administers Security Plan for a specific office, including daily operations, security contingencies, emergencies and mitigation plans, security of Company and DHS employees, clients and the general public. Performs daily security check of the office area. Ensures that all participant records are kept in locked files to maintain confidentiality. Prepares written reports for DHS as necessary. Reviews and approves program participants' service plans to ensure compliance with state requirements and contractual obligations. Conducts intake interview and orientation session with each ISAP participant within contractual timeframes and requirements. Installs electronic monitoring equipment on ISAP participants as necessary and monitors compliance with electronic monitoring program. Assists ISAP participants with acquiring travel documents from the countries of citizenship. Maintains a log of travel document information for each participant. Evaluates English proficiency of ISAP participants to determine resources necessary to promote clear communication between ISAP staff and the participants. Coordinates and facilitates translation services for ISAP participants, including emergency translation services. Provides ISAP participants with community resources including, but not limited to, transportation, medical, educational, financial, legal, religious and other social adjustment or facilitative resources. Identifies and coordinates services as required. Supervises ISAP participants while in Company offices. Establishes schedules for ISAP participants that include, but are not limited to, recreation, life skills, counseling as needed, group interaction, free time, religious services, visitation, immigration Court appearances, and access to legal services. Reviews individual service plans, conducts risk/needs assessments and writes progress reports on a regular basis in compliance with contractual obligations. Coordinates with participants to ensure attendance at legal orientation and cultural orientation sessions, as well as supplemental services evaluations. Reports on program violations in a timely manner using established reporting parameters. Conducts home visits to verify ISAP participants' places of residence in compliance with contractual obligations. Makes referrals for emergency counseling for ISAP participants as needed. Conducts monthly audits of a specific office to ensure all program operations comply with the Quality Control Plan and contractual obligations. Prepares corrective action plans as necessary. Serves as the point of contact for DHS. Performs other duties as assigned. Qualifications Minimum Requirements Bachelor's Degree required. Degree in Sociology, Psychology, Social Work, Criminal Justice or related field preferred. At least two (2) years of customer service or case management experience required; experience in fields related to law, social work, detention, corrections or working with multi-cultural clients preferred. Bilingual Englsih/Spanish required. Valid driver's license required and the ability to safely operate a motor vehicle in order to perform home visits. United States citizenship required. Ability to receive client's approval to work on contract required. Must live in the US 3 of the last 5 years (military and study abroad included). Effective verbal and written communication skills with employees, community contacts, government officials and clients. Ability to interpret and articulate rules, orders, instructions and materials. Ability to compose reports. Demonstrated sound judgment and even temperament. Ability to maintain self-control in stressful situations, such as interpersonal confrontations or emergencies. Ability to deal tactfully with the public. Attention to detail. Must have great organizational and time management skills. Problem solving ability. Ability to deal with multicultural contacts with sensitivity. Basic knowledge of immigration laws, regulations and procedures. Basic computer skills. Ability to interpret electronic monitoring messages and daily summary reports. Ability to develop and maintain case records by performing data entry. Good typing skills to develop and maintain case records by performing data entry. Ability to work with computers and the necessary software typically used by the department. Working Conditions: Encountered on a regular basis as part of the work this job performs. Typical office environment. Some local travel is required. May be required to be available after hours. Use of standard office equipment such as copier, computer, keyboard, telephone and fax machine. Bending, stooping and use of hands and fingers to place electronic monitoring equipment on program participants. Ability to use hands and fingers to install electronic monitoring equipment and to perform data entry. Ability to stand, walk, sit, climb or balance, enter and exit a car and climb stairs multiple times in one day in order to make home visits. BI Incorporated

Compensation Range: $63500 - $83000 Case Manager Career Opportunity * PRN Position 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/physicians. * 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

Manager - Case Management (RN or LCSW) Employment Type: Full-Time, Permanent Schedule: Days | No Weekends Salary: Up to $105,000 annually (based on experience) Sign-On Bonus: Available (case by case) Overview A large, regional acute care medical center in Savannah is seeking an experienced Manager of Case Management (RN or LCSW) to provide operational and clinical leadership for hospital-wide case management services. This role supports patient-centered care, quality outcomes, effective throughput, and appropriate utilization of resources across a high-acuity inpatient environment, including adult and pediatric services. This opportunity is ideal for seasoned case management leaders who thrive in complex hospital settings and are seeking a stable weekday leadership role. Responsibilities Provide day-to-day leadership and oversight of the Case Management program for assigned service areas. Supervise, mentor, and support RN and social work case management staff. Ensure effective care coordination, discharge planning, and transitions of care across the hospital. Monitor quality, documentation accuracy, and regulatory compliance of case management activities. Promote patient throughput while balancing quality outcomes and appropriate resource utilization. Serve as a subject-matter expert and clinical resource for case management practices. Collaborate with physicians, nursing leadership, social services, and interdisciplinary teams. Support departmental goals related to quality, compliance, patient experience, and operational efficiency. Participate in performance improvement initiatives and data-driven decision-making. Qualifications Required Bachelor's Degree in Nursing OR Master's Degree in Social Work (LCSW). Active, unrestricted RN license OR LCSW/LMSW license in the state of practice. Minimum 3 years of acute care clinical experience (RN or hospital social work). Minimum 2 years of supervisory or leadership experience in an acute care setting. Strong knowledge of hospital-based case management, care coordination, and discharge planning. Preferred InterQual utilization management experience. Certification in Case Management (CCM, ACM) or InterQual/IQCI certification. Experience supporting large, complex hospital systems or academic medical centers. Compensation & Benefits Competitive leadership-level salary. Full-time weekday schedule with no weekend requirement. Relocation and sign-on incentives available for qualified candidates. Comprehensive medical, dental, and vision coverage. Retirement plan with employer contribution. Paid time off and holiday benefits. Ongoing professional development and leadership growth opportunities. Ideal For This role is well-suited for RN or LCSW case management leaders with strong acute care experience who are seeking a high-impact management position within a complex inpatient hospital environment. Keywords Case Management Manager, RN Case Management Manager, LCSW Case Management, Hospital Case Management Leadership, Utilization Management #SavannahHealthcareJobs #GeorgiaNursingLeadership #CaseManagementJobs #RNLeadership #LCSWJobs #HospitalManagement #HealthcareCareers

Job Description We are seeking a Licensed Nurse to fill our Clinical Scheduler (Case Manager) position to assist with all clinical scheduling needs for our Savannah patients. This position is to coordinate care for high-risk and transitional patients on a rotating 7-day track schedule. Triage new referrals, manage acute/urgent care cases, closely monitor scheduling buckets, and ensure timely follow-up and communication across care teams, patient intake, insurance verification, appointment scheduling, and documentation while ensuring compliance and continuity of care. Collaborate with both internal care teams and external resources to maintain seamless care coordination. This position will be working in the Macon office daily. This is a full-time, salary-based 12-hr position (7:00AM-7:00PM) 7on-7off schedule. About We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care. Why Choose a Career at Your Health? Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees. Competitive Compensation Package with Bonus Opportunities Employer Matched 401K Free Visit & Prescriptive Services with HDHP Insurance Plan Employer Matched HSA Generous PTO Package Career Development & Growth Opportunities What Are We Looking For? Your Health is currently looking for a Clinical Scheduler to join our growing Primary Care family. A successful Scheduler will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions. The following is a list of essential functions, which may be subject to change at any time and without notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s) Areas of Responsibility: Appropriately register, verify and timely schedule patients according to the Company's care model. Ensure new patients are being tracked and followed until scheduled. Schedule appointments for patients according to care model including follow-ups with healthcare providers based on availability, medical urgency, and patient preferences. Ensure all disciplines with schedules are fully optimized. Ensure patients are being followed and scheduled appropriately when discharged from an in-patient facility. Ensure TCM appointments are scheduled promptly and within the required window. Ensure strong documentation is implemented. A multitude of software systems (including tracking systems) will be utilized to ensure patient follow-up and better patient outcomes. Interact with patients via email, patient portal, telephone, AthenaText, in-person, etc. to gather necessary information, schedule and confirm appointments, and provide pre-appointment instructions. Qualifications Must have an active nursing license in the state of Georgia High school diploma or equivalent required, while an Associate's or Bachelor's Degree in Healthcare is preferred. Preferred CMA, LPN or RN Previous experience in a medical or healthcare setting, preferably a scheduling or administrative role. Familiar with medical terminology, procedures, and insurance verification purposes. Strong organizational and time management skills, with the ability to multitask and prioritize responsibilities effectively. Excellent communication and interpersonal skills with the ability to build strong relationships at all levels of the organization. Strong problem-solving abilities Ability to work effectively under pressure.

Hours: Full-time (40 hours/week) This position will serve clients who reside in the southern half of Georgia and requires regular travel out of state. At Bethany Christian Services, we believe families provide the strongest foundation for care and connection. That's why we focus on strengthening and empowering families, always advocating for family-centered solutions to keep children safe. Our work began in 1944 with the care of a single child. Today, inspired by our faith, our aim is to demonstrate the love and compassion of Jesus in our services for children, youth, and families. Working at Bethany means joining a team of nearly 2,000 dedicated professionals with diverse skills, serving communities across the country. Together, we're united in our mission and these shared values: we're motivated by our faith, we support one another, we champion justice, we pursue excellence, and we're in it for the long haul. The Post Release Services (PRS), Case Manager is primarily responsible for Post Release Services (PRS) for Unaccompanied Children (UC) and families. This individual may be responsible for Home Study (HS) when program coverage is needed. This individual will also be responsible for helping children and families with resource referrals, community connections, and case management services while utilizing trauma informed care throughout service provision. This position is expected to function effectively with moderate supervision while following the guidelines given on procedures, along with agency, federal, and state regulatory requirements. ESSENTIAL JOB RESPONSIBILITIES * Provide culturally and linguistically appropriate Post Release Services (PRS) and comprehensive case management services; * Maintain a caseload in compliance with contract terms and agency expectations as defined by program supervisor; * Effectively maintain case capacity and trending of all caseloads; * Conduct home visits in accordance with contract requirements, when needed; * Conduct the reunification process by performing home study assessments as needed; * Perform resource referrals, community connections, and case management services while utilizing trauma informed care throughout service provision; * Conduct assessments tailored to the clients needs, while working collaboratively with the program supervisor; * Assess potential placements for unaccompanied children (UC), to include but not limited to interviews, outreach to family in home-country, and home study investigations; * Complete and document all required reports, case notes, and case contacts in the appropriate database in accordance with the expected timeframes and requirements; * Provide psycho-educational information, referrals, outreach, advocacy, and support to children and families; * Provide family stabilization counseling and assist qualified unaccompanied children in accessing services provided through TVAP services; * Develop and maintain positive networking relationships with community partners and resources for families; * Refer and connect families to available resources on an on-going basis; * Assess the safety and appropriateness of the placement on an ongoing basis using child welfare principles and social work best practices; * Serve clients within the entire state of the respective location, as assigned; * Participate in mandatory training requirements and ongoing trainings monthly and annually to meet all federal, state, and agency expectations; * Attend weekly meetings with supervisor to consult on cases, and to review case plan and direction; * Participate in peer to peer support opportunities within the branches for growth and sharing of innovation and case consultation within the sites; * Keep abreast of community resources and refer families for support, as needed; * Stay abreast of all agency, federal, and state regulatory requirements related to social services; * Complete other duties as assigned. QUALIFICATIONS: * Bachelor's degree in Human Services, Social Work or related field of study from an accredited college with at least two (2) years of case management experience in child and family services or at least three (3) years of case management experience in child and family services, family preservation, kinship care, or refugee and immigration fields in lieu of education; * Bilingual English and Spanish required; * Demonstrated ability to service a difference group of clients, to include refugees or other minority families; * Mature and stable judgment as well as sensitivity to various cultures and the unique history of refugees; * Knowledge of state, community and agency resources for victims of abuse; * Excellent verbal and written communication skills; * Demonstrated clinical, therapeutic, and crisis intervention skills; * Ability to work independently and exercise a high level of confidentiality; * Computer skills sufficient to perform essential functions including knowledge of Microsoft Office suite; * Adheres to all agency and departmental safety procedures including reporting any unsafe practices, equipment, and environment, and takes an active role in correcting the unsafe practice, equipment or environment through proper notification channels; Successfully pass a TB test annually and document preference to receive or decline Hepatitis immunization; * Must be 21 years old with a valid driver's license with at least 3 years driving experience in the U.S. to operate a vehicle on behalf of Bethany. Must also pass a Motor Vehicle Records (MVR) check and maintain a reliable vehicle with proof of adequate insurance coverage; * Pass a criminal history screen, including state and local child protection agency registries; * Subscription to and integration of the agency Statement of Faith, Mission Statement, and Commitment to Unity. #LI-CC1

Centerstone is among the nation's leading nonprofit behavioral health systems with thousands of employees dedicated to delivering care that changes people's lives. A dynamic, well-established organization, we offer rewarding opportunities to serve all ages in a variety of settings. Come talk to us about joining the Centerstone team! Centerstone, a trauma-informed organization, endorses an organizational culture built on understanding, recognizing and responding to those affected by trauma to strengthen resilience for our clients, staff and community. Come talk to us about joining the Centerstone team! JOB DESCRIPTION: SUMMARY OF POSITION The Case Manager is part of a multidisciplinary clinical team who serves as the bridge between clinical services and essential community resources. The Case Manager facilitates direct referrals for housing, employment, healthcare, legal, educational, peer-support and all other essential community-based needs for clinic clients. The Case Manager manages referral partnerships by continuous engagement post-referral, ensuring the provision of quality care. The Case Manager assists the clinical team in understanding resources and needs within the clinic community. The Case Manager is estimated to support ~250 patients/year or 70 patients at a time (based on expected utilization levels). One evening until 7pm or 2 evenings until 6pm required. ESSENTIAL DUTIES & RESPONSIBILITIES Provides comprehensive case management to veterans and their families who are seeking mental health services. Interviews veterans and their family members. Provides appropriate referrals and follow-up as necessary. Prepares and maintains confidential case records and documentation in the electronic health record. Consults with service providers and community partners on resource-related issues. Ensures confidentiality and controls access to sensitive information. Collaborates with clinical team to perform risk management and crisis intervention services as necessary. Develops network of trusted contacts within organizations in which to refer and coordinate care. Participates in multidisciplinary team meetings. Establishes and maintains follow-up procedures to ensure veterans and/or their family received the services they were referred to and do not have any follow up needs. Assists veterans and their family members in navigating service providers across multiple systems of care. KNOWLEDGE, SKILLS & ABILITIES Knowledge of and experience working with local social service, public health, and VSO organizations and resources. Must demonstrate leadership capacity and ability to foster team-building and a supportive, flexible environment. Excellent written and oral communication skills. Must be highly organized, detail oriented, and reliable. Ability to communicate clearly and effectively via oral or written means. Ability to present a friendly and positive demeanor to veterans, their families, staff, supportive services personnel, funders, and the general public. Ability to make oral presentations. Demonstrated ability to remain calm in the midst of difficult circumstances and emergencies. Flexible and able to adapt to change. Ability to respond in a professional manner in all situations. Working knowledge of Outlook, Word and Excel; PowerPoint a plus. History of documenting within an electronic health record preferred. Ability to think analytically and evaluate the impact of case management recommendations. Ability to set work priorities and to evaluate and create solutions to work related problems. Strong math skills. Ability to assist veterans in developing a budget. Crisis management skills preferred. Knowledge of case management services and community resources. QUALIFICATIONS Education Level Bachelor's Degree in Social Work, Sociology, Psychology or related field required; Master's Degree preferred. Years of Experience One year or more case management experience. Three years preferred. Two or more years in a customer service focused environment. Experience working with a military or veteran population is preferred. Certification/Licensure N/A PHYSICAL REQUIREMENTS Standing - 10% Sitting - 90% Squatting - Occasional Kneeling - Occasional Bending - Occasional Driving - Occasional Lifting - Occasional DISCLAIMER The duties and responsibilities described in this document are not a comprehensive list and additional tasks may be assigned to the employee from time to time, or the scope of the job may change as necessitated by business demands. Time Type: Full time Pay Range: $24.38--$34.18 Delivering care that changes people's lives starts with our employees. Below are just some of the great benefits Centerstone employees enjoy: Medical, dental, and vision health coverage Flexible Spending and Health Savings Accounts 403b retirement plan with company match Paid time off and ten paid holidays AD&D Insurance, Life Insurance, and Long Term Disability (company paid) Employee Resource Groups Continuing education opportunities Employee Assistance Program Centerstone is an equal opportunity employer. Employment at Centerstone is based solely on a person's merit and qualifications directly related to professional competence. We treat all clients and colleagues with dignity and respect. At Centerstone, we use our values as a guide for what we do. Respect, Expertise, Integrity and Empowerment are at the heart of every interaction at Centerstone, and particularly rooted in our Culture. Our approach to culture is to create an environment that encourages, supports and celebrates the voices and experiences of our employees. We are committed to a culture of empowerment, respect, integrity and expertise that powers our innovation and connects us to each other, our clients and the communities we serve. Centerstone is also committed to a strong culture of quality and safety, celebrating role-models who champion best practices for quality, clinical risk, and patient safety.

Sprenger Health Care Systems is seeking an experienced sales/marketing professional for our Hospital Liaison position. Sprenger Health Care is a third generation, leading developer, owner and operator of senior living communities and services in Ohio and South Carolina. Through our 12-nursing home, 10 assisted living, and 8 independent living communities encompassing nearly 2,000 beds, we provide exceptional health care services, including; long-term nursing care, assisted and independent living, memory care, hospice, home care, respite care, and short-term post-acute rehabilitation. For more information about Sprenger Health Care, please visit *************************** Qualifications: 5 years experience in Long-term Care Management and Licensed Registered Nurse Essential Job Functions: * Serve as a liaison between hospitals and nursing home facilities by dealing directly with Social Services, Discharge Planners, and Case Managers. * Prompt response to referrals/inquiries and performs diligent follow up. * Must be able to evaluate potential residents needs on an individual basis to determine what level of care is needed. * Verify insurance information on potential residents, and complete any pre-certifications (related to patient care) that potential residents may need upon admission. * Work with Admissions, Social Services and Nursing departments at skilled nursing facilities to ensure smooth transitions for our residents from hospital care to long term care facilities. The position offers a competitive wage based on experience, and many other benefits including: * Health insurance with company paid life insurance * Dental, Vision and Voluntary benefits * 401k with company match * Tuition reimbursement * Opportunity for professional growth and development * Paid time off * Holiday pay Come join a team with many years of employment longevity and a chance to grow your career from within. We can't wait to meet you! #INDOTH

we are seeking a (RN) Registered Nurse who must hold a compact license. , home office with internet connectivity of high speed required Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. * Analyzes clinical service requests from members or providers against evidence based clinical guidelines. * Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. * Requests additional information from members or providers as needed. * Makes appropriate referrals to other clinical programs. * Collaborates with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice. * Ability to prioritize and manage multiple deadlines. * Excellent organizational, problem-solving and critical-thinking skills. * Strong written and verbal communication skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Professional in Healthcare Management (CPHM). * Recent hospital experience in an intensive care unit (ICU) or emergency room. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $61.79 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

**Introduction** Do you have the career opportunities as a Social Worker MSW you want in your current role? We invest in what matters most to nurses like you - at home, at work, and at every stage in your career. We have an exciting opportunity for you to join Memorial Health University Medical Center which is a part of the nation's leading provider of healthcare services, HCA Healthcare. Do you want to work where you have a voice? Case Management is at the forefront of our commitment to the care and improvement of human life. At HCA Healthcare, there are many ways for Social Workers to have a voice through professional practice councils, advisory councils, vital voices surveys, and units of distinction. We learn from our multi-generational patient care family. We partner with our Nurses at Memorial Health University Medical Center! **Job Summary and Qualifications** **The Complex Social Worker (MSW) is responsible for non-clinical, biopsychosocial assessments and interventions for the inpatient floors and the outpatient emergency department. The MSW performs crisis intervention, patient/family interventions, high-risk screening, focused emotional support, and referrals for financial assistance or other identified resource needs. The MSW assists in post-acute care placement on all discharges, primarily with those patients identified with post-discharge behavioral health and patient assistance/resource needs. The MSW is dedicated to patient and family-centered care that values personal self-determination, prioritization, and engages in creative and compassionate problem-solving. The scope of this role includes intensive care units, Trauma, Oncology, NICU, Transplant, and ED. The MSW responds to physician, non-discharge planning social work consults throughout the facility.** **What you will do in this role:** + **You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to proactively identify and address patient needs.** + **You will identify and address barriers to discharge and recovery. These barriers include financial, emotional, psychosocial, medical, and spiritual.** + **You will maintain a thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility.** + **You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs.** + **You will coordinate and facilitate meetings between the care team and patients/families/caregivers. You will assist patients and families in making difficult decisions while honoring their preferences and values.** + **You will intervene with patients/families/caregivers for psychosocial needs, assistance, and support in coping with chronic acute terminal illness. You will engage in consultation, discharge planning, education, counseling, advocacy, and information referrals to meet the emotional, social, and financial aspects of care.** + **You will provide emotional support to patients and family members during complex and/or emotionally charged issues, such as end-of-life, terminal illness notifications, death notification (with physician), and crisis interventions.** **What qualifications you will need:** + **Masters Degree in Social Work is required** + **Licensure as a LMSW or a LCSW is preferred, but not required** + **3-5 years of experience in hospital patient care is strongly preferred** + **3 years of Hospital Social Work experience required** **Benefits** Memorial Health University Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services + Wellbeing support,including free counseling and referral services + Time away from workprograms for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence + Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling + Education supportthrough tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing + Additional benefitsfor fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits (********************************************************************** _Note: Eligibility for benefits may vary by location._ "Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare Memorial Health University Medical Center (**************************** has provided quality healthcare services since 1955, giving patients access to highly-trained physicians and advanced technology. Our600+ bed hospitalis one of the region's leading acute care facilities that serves 35 counties across southeast Georgia and southern South Carolina. Located in Savannah, Georgia, we are a regional referral center for heart care, cancer care, trauma care, children's care, high-risk pregnancies and high-risk newborn care. Our hospital includes the region's only Level I trauma center and children's hospital, as well as the Savannah campus of Mercer University School of Medicine. At Memorial Health, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. If this opportunity is your next step in your career path, we encourage you to apply for our Social Worker MSW opening. We review all applications. Qualified candidates will be contacted by a member of our team. _We are interviewing apply today!_ We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Job Description GENERAL DESCRIPTION The role of the Case Manager is responsible for ensuring a smooth registration process for new patients and efficient appointment scheduling for new and existing patients. The Case Manager will be responsible for coordinating appointments between patients and appropriate healthcare providers in accordance with the Company's policies and procedures, maintain accurate records, and providing exceptional customer service. This is a full time position working 12 hour shifts (7a-7p) on a Track Schedule. 7 days on & 7 days off. AREAS OF RESPONSIBILITY A successful Case Manager will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions. The following is a list of essential functions, which may be subject to change at any time and without notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s). •Appointment Scheduling: Schedule appointments for patients with healthcare providers based on availability, medical urgency, and patient preferences. Ensure all providers (which includes pharmacists, medical social workers, etc.), nurses, etc. Schedules are fully optimized. •Patient Communication: Interact with patients via email, patient portal, telephone, text, in-person, etc. to gather necessary information, schedule and confirm appointments, and provide pre-appointment instructions. Respond to patient inquiries, resolve scheduling conflicts, and assist in rescheduling appointments when necessary. •Records Management: Maintain accurate and up-to-date patient records, including demographic information, contact details, insurance information, appointment history, etc. Ensure confidentiality and adhere to privacy regulations when handling sensitive patient information. •Coordination with Healthcare Providers and Staff: Collaborate closely with care team members and other staff members to ensure optimal scheduling and coordination of patient care. Communicate changes, cancellations, or rescheduling of appointments to relevant parties in a timely manner. Communicate with providers and staff via phone, email, Teams, Athena, or in-person. •Insurance Verification: Verify insurance coverage and eligibility for patients ensuring accurate documentation of insurance information at all times. Collaborate with the billing department to address any insurance-related issues or concerns. •Workflow Optimization: Continuously assess and improve appointment scheduling processes to enhance office efficiency and productivity. Identify areas for improvement and propose solutions to streamline operations. •Customer Service: Provide exceptional customer service to patients, exhibiting a compassionate and empathetic attitude. Address patient concerns, inquiries, and complaints professionally and promptly, striving to meet patient needs and ensure their satisfaction. •Administrative Functions: Perform general administrative tasks and support other staff as needed. Work assigned buckets, ticklers, census lists, and region's scheduling voicemail tasks. Utilize the company's software systems to enhance patient care and staff productivity. •Collaboration and Coordination: Collaborate with internal and external resources to facilitate and ensure seamless operations. •Communicate with patients, families, and caregivers. •Must be available during normal work hours (unless previously approved by direct supervisor). Additional hours may be required to complete normal business functions and/or projects. •Utilize the company's software systems and update information as required. •Participate in coaching calls. •Perform other duties as requested or required, in the sole discretion of the Company. MISSION EXPECTATIONS Take responsibility for own work in completing tasks. Assist others so that the resources, assistance, or support is provided to achieve success in their daily work. •Communicate, endorse, and demonstrate the Company's mission, vision, and values. •Prompt and regular attendance. •Adhere to standards of behavior, dress code including name tag and approved uniform, personnel department, and company policies. •Attend in-services and meetings on a regular basis. •Promote a culture of outstanding customer service at all times. •Must be available during normal work hours (unless previously approved by direct supervisor). Additional hours may be required to complete normal business functions and/or projects. •Must possess the ability to deal tactfully with patients, employees, management, visitors, government agencies, and the general public and maintain an open-door policy for all employees. •Must possess the ability to make independent decisions when circumstances warrant. WORK ENVIRONMENT The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job: •May be exposed to housekeeping cleaning agents and chemicals, humidity, hot equipment, and/or noise. •May be exposed to infections, communicable diseases, odors, bloodborne pathogens, excreta, and hazardous materials. COMPLIANCE WITH POLICIES AND PROCEDURES •Comply with all federal, state, and local laws and regulations. •Knowledge of and compliance with Patient's Bill of Rights. •Must be knowledgeable of Medicare guidelines, applicable laws and regulations, and the Company's policy and procedures. •Adhere to the Company's Code of Conduct / Ethics. •Must exercise a high degree of confidentiality regarding patients, personnel, and the company. •HIPAA compliant. •Promote a culture of compliance. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions. •Must be able to lift, reach, bend, push, pull, use repetitive hand motions, walk, and carry simultaneously. •Must be able to withstand reaching, stooping, bending, kneeling, and crouching; walking and standing for periods of time; lifting up to fifty (50) pounds. •Must be in good general health and demonstrate emotional stability. QUALIFICATIONS High school diploma or equivalent required while an associate's or bachelor's degree in healthcare is preferred. •Previous experience in a medical or healthcare setting, preferably a scheduling or administrative role. •Familiar with medical terminology, procedures, and insurance verification processes. •Strong organizational and time management skills, with the ability to multitask and prioritize responsibilities effectively. •Ability to read and communicate effectively. •Strong written and verbal skills. •Basic computer knowledge. •Ability to manage and demonstrate effective leadership skills. •Should demonstrate good interpersonal and communication skills under all conditions and circumstances. •Ability to foster a cooperative work environment. •Team player with ability to manage multiple responsibilities and demonstrate sound judgment. •Must be able to work flexible hours and travel between offices, facilities, etc. Must be a licensed driver with an automobile

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. * Analyzes clinical service requests from members or providers against evidence based clinical guidelines. * Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. * Requests additional information from members or providers as needed. * Makes appropriate referrals to other clinical programs. * Collaborates with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice. * Ability to prioritize and manage multiple deadlines. * Excellent organizational, problem-solving and critical-thinking skills. * Strong written and verbal communication skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Professional in Healthcare Management (CPHM). * Recent hospital experience in an intensive care unit (ICU) or emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. MULTI STATE / COMPACT LICENSURE Individual state licensures which are not part of the compact states are required for: CA, NV, IL, NY and MI WORK SCHEDULE: Tues - Sat shift will rotate with some holidays. Training will be held Mon - Fri To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $61.79 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job DescriptionJob Summary: Under general supervision this position Performs assessments, treatment planning/monitoring and discharge planning. Provides counseling/therapy to clients requiring complex intervention. Performs, coordinates and monitors the assessment, treatment planning process and follow up for each consumer. Provides social support needed to cope with chronic, acute mental illness and physical and/or developmental disabilities. May supervise or act as team lead. Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Conduct intake, screening, assessment, and referral of clients as appropriate. Provide appropriate & effective clinical assessments by gathering all relevant information to identify problems & determine if consumer meets core-customer eligibility criteria & assign service priority. Develop person-centered plans for service users. Based on the assessment, work with the client to establish an individual treatment plan outlining the goals of treatment. Provide individual, family or group counseling/training in the appropriate setting to facilitate recovery.. Evaluates, facilitates and monitors services and client's progress in relationship to established goals and objectives Maintain strict confidentiality of information at all times according to established departmental policies & procedures. Adjust techniques & interventions as needed to ensure barriers to progress are addressed and movement toward recovery/independence is facilitated. Ensure that all treatment plans are current and services are authorized before being provided. Deliver services that are clinically appropriate to consumer's needs as specified in the treatment plan and meet responsibilities to consumer and third party payor by providing only services that meet best practice guidelines. Oversee the discharge planning process. In all activities, coordinate closely with the interdisciplinary team to best help service users, including behavioral health specialists, Staff Psychiatrist, registered nurses, quality assurance specialists, paraprofessionals, Medical Director and the Clinical Director. Records services accurately that relate directly to the treatment outcomes, within approved timeframes. Completes required clinical documentation according to agency standards. Maintain all documentation in accordance with applicable policies, laws and instructions. Ensure that all services provided are within the guidelines and document care in compliance with agency requirements and standards. Ensure that all notes will be in CareLogic and signed no later than 10:00 A.M. the day after the service was provided. Maintain a minimum chart audit score of 93% or better for all consumers on case-load. Ensure all weekly reports have been addressed and cleaned up (if necessary) within 48 hours of receiving reports. Meet the minimum direct time requirements of 1,200 individual billed hours a year. Required Knowledge & Skills: Knowledge of individual and group therapy techniques. Knowledge of agency and federal policies, procedures and guidelines. Knowledge of diagnostic impressions or criteria. Knowledge of client advocacy systems. Knowledge of crisis intervention techniques. Knowledge of various therapeutic models and intervention as directly related to area of assignment. Knowledge of various types of medication and their effects. Knowledge of behavioral standards. Knowledge of DSM-IV criteria and diagnosis. Knowledge of treatment approaches relevant to your specific field. Knowledge of family dynamics. Knowledge of family support groups. Knowledge of confidentiality policies. Knowledge of behavior modification techniques. Knowledge of psychological tests and evaluations. Ability to implement treatment plan or behavioral plan to assist with resolving crisis or delivery services. Ability to establish and prioritize goals and objectives of assigned program. Ability to provide guidance and direction in the development of policies and procedures. Ability to oversee compliance with all applications and regulations of assigned program. Ability to work and communicate effectively with diverse populations. Ability to complete and interpret psychosocial assessments. Ability to develop treatment/care plans and measurable goals. Ability to work with all parties involved to assist with successful treatment planning. Ability to make appropriate referrals. Ability to facilitate family support groups. Ability to identify potential obstacles through interview and written documentation and assist consumers in overcoming obstacles. Ability to convey key concepts of behavior change to staff through effective teaching methods. Ability to identify training needs and ensure necessary job-related instruction is provided. Ability to maintain case files in accordance with policies and procedures. Ability to coordinate services of various inter/intra community resources across disciplines. Ability to identify needs and risks. Competencies: Communication Accountability/Responsibility Cooperation/Teamwork Creative Thinking Customer Service Dependability Flexibility Initiative Analytical Data Gathering Job Knowledge Judgement Professionalism Quality/Quantity of Work Required Education & Experience: Master's degree from an accredited program and Two years of related experience Or Master's degree from an accredited program and pursuing licensure in the area of therapy/counseling. Valid GA driver's license. Supervisory Responsibilities: None Work Environment: This job operates in a variable business settings with trips into the community. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. This role provides basic employment support which requires employee to perform in loud/quiet environments, outdoors/indoors, etc. Some minor travel between Gateway sites and in the community is required. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Employee is frequently required to walk, sit, stand or kneel and occasionally required to climb or balance and stoop. Employee must frequently lift and/or move up to 15 pounds. Must have the ability to sit for long periods of time at a computer. Employee frequently uses fine hand/eye coordination, hearing and visual acuity. Lighting and temperature are adequate, and there are not hazardous or unpleasant condition caused by noise, dust, etc. Employee must be able to travel between Gateway sites. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Gateway CSB promotes a drug/alcohol free work environment through the use of mandatory pre-employment drug testing. Master's degree from an accredited program and two years of related experience or Master's degree from accredited program and pursuing licensure in the area of assignment. Valid GA driver's license.

Job Summary: Under general supervision this position Performs assessments, treatment planning/monitoring and discharge planning. Provides counseling/therapy to clients requiring complex intervention. Performs, coordinates and monitors the assessment, treatment planning process and follow up for each consumer. Provides social support needed to cope with chronic, acute mental illness and physical and/or developmental disabilities. May supervise or act as team lead. Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Conduct intake, screening, assessment, and referral of clients as appropriate. Provide appropriate & effective clinical assessments by gathering all relevant information to identify problems & determine if consumer meets core-customer eligibility criteria & assign service priority. Develop person-centered plans for service users. Based on the assessment, work with the client to establish an individual treatment plan outlining the goals of treatment. Provide individual, family or group counseling/training in the appropriate setting to facilitate recovery.. Evaluates, facilitates and monitors services and client's progress in relationship to established goals and objectives Maintain strict confidentiality of information at all times according to established departmental policies & procedures. Adjust techniques & interventions as needed to ensure barriers to progress are addressed and movement toward recovery/independence is facilitated. Ensure that all treatment plans are current and services are authorized before being provided. Deliver services that are clinically appropriate to consumer's needs as specified in the treatment plan and meet responsibilities to consumer and third party payor by providing only services that meet best practice guidelines. Oversee the discharge planning process. In all activities, coordinate closely with the interdisciplinary team to best help service users, including behavioral health specialists, Staff Psychiatrist, registered nurses, quality assurance specialists, paraprofessionals, Medical Director and the Clinical Director. Records services accurately that relate directly to the treatment outcomes, within approved timeframes. Completes required clinical documentation according to agency standards. Maintain all documentation in accordance with applicable policies, laws and instructions. Ensure that all services provided are within the guidelines and document care in compliance with agency requirements and standards. Ensure that all notes will be in CareLogic and signed no later than 10:00 A.M. the day after the service was provided. Maintain a minimum chart audit score of 93% or better for all consumers on case-load. Ensure all weekly reports have been addressed and cleaned up (if necessary) within 48 hours of receiving reports. Meet the minimum direct time requirements of 1,200 individual billed hours a year. Required Knowledge & Skills: Knowledge of individual and group therapy techniques. Knowledge of agency and federal policies, procedures and guidelines. Knowledge of diagnostic impressions or criteria. Knowledge of client advocacy systems. Knowledge of crisis intervention techniques. Knowledge of various therapeutic models and intervention as directly related to area of assignment. Knowledge of various types of medication and their effects. Knowledge of behavioral standards. Knowledge of DSM-IV criteria and diagnosis. Knowledge of treatment approaches relevant to your specific field. Knowledge of family dynamics. Knowledge of family support groups. Knowledge of confidentiality policies. Knowledge of behavior modification techniques. Knowledge of psychological tests and evaluations. Ability to implement treatment plan or behavioral plan to assist with resolving crisis or delivery services. Ability to establish and prioritize goals and objectives of assigned program. Ability to provide guidance and direction in the development of policies and procedures. Ability to oversee compliance with all applications and regulations of assigned program. Ability to work and communicate effectively with diverse populations. Ability to complete and interpret psychosocial assessments. Ability to develop treatment/care plans and measurable goals. Ability to work with all parties involved to assist with successful treatment planning. Ability to make appropriate referrals. Ability to facilitate family support groups. Ability to identify potential obstacles through interview and written documentation and assist consumers in overcoming obstacles. Ability to convey key concepts of behavior change to staff through effective teaching methods. Ability to identify training needs and ensure necessary job-related instruction is provided. Ability to maintain case files in accordance with policies and procedures. Ability to coordinate services of various inter/intra community resources across disciplines. Ability to identify needs and risks. Competencies: Communication Accountability/Responsibility Cooperation/Teamwork Creative Thinking Customer Service Dependability Flexibility Initiative Analytical Data Gathering Job Knowledge Judgement Professionalism Quality/Quantity of Work Required Education & Experience: Master's degree from an accredited program and Two years of related experience Or Master's degree from an accredited program and pursuing licensure in the area of therapy/counseling. Valid GA driver's license. Supervisory Responsibilities: None Work Environment: This job operates in a variable business settings with trips into the community. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. This role provides basic employment support which requires employee to perform in loud/quiet environments, outdoors/indoors, etc. Some minor travel between Gateway sites and in the community is required. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Employee is frequently required to walk, sit, stand or kneel and occasionally required to climb or balance and stoop. Employee must frequently lift and/or move up to 15 pounds. Must have the ability to sit for long periods of time at a computer. Employee frequently uses fine hand/eye coordination, hearing and visual acuity. Lighting and temperature are adequate, and there are not hazardous or unpleasant condition caused by noise, dust, etc. Employee must be able to travel between Gateway sites. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Gateway CSB promotes a drug/alcohol free work environment through the use of mandatory pre-employment drug testing. Master's degree from an accredited program and two years of related experience or Master's degree from accredited program and pursuing licensure in the area of assignment. Valid GA driver's license.

Job Description GENERAL DESCRIPTION The role of the Case Manager is responsible for ensuring a smooth registration process for new patients and efficient appointment scheduling for new and existing patients. The Case Manager will be responsible for coordinating appointments between patients and appropriate healthcare providers in accordance with the Company's policies and procedures, maintain accurate records, and providing exceptional customer service. This is a full time position working 12 hour shifts (7a-7p) on a Track Schedule. 7 days on & 7 days off. AREAS OF RESPONSIBILITY A successful Case Manager will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions. The following is a list of essential functions, which may be subject to change at any time and without notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s). •Appointment Scheduling: Schedule appointments for patients with healthcare providers based on availability, medical urgency, and patient preferences. Ensure all providers (which includes pharmacists, medical social workers, etc.), nurses, etc. Schedules are fully optimized. •Patient Communication: Interact with patients via email, patient portal, telephone, text, in-person, etc. to gather necessary information, schedule and confirm appointments, and provide pre-appointment instructions. Respond to patient inquiries, resolve scheduling conflicts, and assist in rescheduling appointments when necessary. •Records Management: Maintain accurate and up-to-date patient records, including demographic information, contact details, insurance information, appointment history, etc. Ensure confidentiality and adhere to privacy regulations when handling sensitive patient information. •Coordination with Healthcare Providers and Staff: Collaborate closely with care team members and other staff members to ensure optimal scheduling and coordination of patient care. Communicate changes, cancellations, or rescheduling of appointments to relevant parties in a timely manner. Communicate with providers and staff via phone, email, Teams, Athena, or in-person. •Insurance Verification: Verify insurance coverage and eligibility for patients ensuring accurate documentation of insurance information at all times. Collaborate with the billing department to address any insurance-related issues or concerns. •Workflow Optimization: Continuously assess and improve appointment scheduling processes to enhance office efficiency and productivity. Identify areas for improvement and propose solutions to streamline operations. •Customer Service: Provide exceptional customer service to patients, exhibiting a compassionate and empathetic attitude. Address patient concerns, inquiries, and complaints professionally and promptly, striving to meet patient needs and ensure their satisfaction. •Administrative Functions: Perform general administrative tasks and support other staff as needed. Work assigned buckets, ticklers, census lists, and region's scheduling voicemail tasks. Utilize the company's software systems to enhance patient care and staff productivity. •Collaboration and Coordination: Collaborate with internal and external resources to facilitate and ensure seamless operations. •Communicate with patients, families, and caregivers. •Must be available during normal work hours (unless previously approved by direct supervisor). Additional hours may be required to complete normal business functions and/or projects. •Utilize the company's software systems and update information as required. •Participate in coaching calls. •Perform other duties as requested or required, in the sole discretion of the Company. MISSION EXPECTATIONS Take responsibility for own work in completing tasks. Assist others so that the resources, assistance, or support is provided to achieve success in their daily work. •Communicate, endorse, and demonstrate the Company's mission, vision, and values. •Prompt and regular attendance. •Adhere to standards of behavior, dress code including name tag and approved uniform, personnel department, and company policies. •Attend in-services and meetings on a regular basis. •Promote a culture of outstanding customer service at all times. •Must be available during normal work hours (unless previously approved by direct supervisor). Additional hours may be required to complete normal business functions and/or projects. •Must possess the ability to deal tactfully with patients, employees, management, visitors, government agencies, and the general public and maintain an open-door policy for all employees. •Must possess the ability to make independent decisions when circumstances warrant. WORK ENVIRONMENT The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job: •May be exposed to housekeeping cleaning agents and chemicals, humidity, hot equipment, and/or noise. •May be exposed to infections, communicable diseases, odors, bloodborne pathogens, excreta, and hazardous materials. COMPLIANCE WITH POLICIES AND PROCEDURES •Comply with all federal, state, and local laws and regulations. •Knowledge of and compliance with Patient's Bill of Rights. •Must be knowledgeable of Medicare guidelines, applicable laws and regulations, and the Company's policy and procedures. •Adhere to the Company's Code of Conduct / Ethics. •Must exercise a high degree of confidentiality regarding patients, personnel, and the company. •HIPAA compliant. •Promote a culture of compliance. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions. •Must be able to lift, reach, bend, push, pull, use repetitive hand motions, walk, and carry simultaneously. •Must be able to withstand reaching, stooping, bending, kneeling, and crouching; walking and standing for periods of time; lifting up to fifty (50) pounds. •Must be in good general health and demonstrate emotional stability. QUALIFICATIONS High school diploma or equivalent required while an associate's or bachelor's degree in healthcare is preferred. •Previous experience in a medical or healthcare setting, preferably a scheduling or administrative role. •Familiar with medical terminology, procedures, and insurance verification processes. •Strong organizational and time management skills, with the ability to multitask and prioritize responsibilities effectively. •Ability to read and communicate effectively. •Strong written and verbal skills. •Basic computer knowledge. •Ability to manage and demonstrate effective leadership skills. •Should demonstrate good interpersonal and communication skills under all conditions and circumstances. •Ability to foster a cooperative work environment. •Team player with ability to manage multiple responsibilities and demonstrate sound judgment. •Must be able to work flexible hours and travel between offices, facilities, etc. Must be a licensed driver with an automobile