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Case Manager jobs at CVS Health - 21268 jobs

  • Clinical Case Manager Behavioral Health - Spanish Speaking - Work at Home

    CVS Health 4.6company rating

    Case manager job at CVS Health

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position SummaryUtilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Telephonic clinical case management with Medicare population. Uses Motivational Interviewing and engagement interventions to optimize member participation in case management programs. Completes a Comprehensive Assessment and Plan of care. Will document in clinical systems to support legacy Aetna and Coventry membership. Provides BH consultation and collaboration with Aetna partners. Active participation in clinical treatment rounds. Active participation in team activities focused on program development. Innovative thinking expected. The majority of time is spent at a desk on telephonic member outreaches and computer documentation. Assist members with locating community based behavioral health resources. Required Qualifications3+ years of direct clinical practice experience An active and unrestricted clinical behavioral health license in state of residence is required (ex: LPC, LCSW, LMFT, LPCC, LISW, LSW) Required to use a residential broadband service with internet speeds of at least 25 mbps/3mbps in order to ensure sufficient speed to adequately perform work duties. Some candidates may be eligible for partial reimbursement of the cost of residential broadband service Bilingual Spanish and English Preferred QualificationsCrisis intervention skills preferred Managed care/utilization review experience preferred Case management and discharge planning experience preferred Discharge planning experience Utilization review, prior authorization, concurrent review, appeals experience CCM preferred DSNP experience a plus Knowledge of Substance Abuse DisordersEducationMasters Degree in Social Work or Counseling required Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$54,095. 00 - $116,760. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 01/30/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $54.1k-116.8k yearly 17d ago
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  • Case Manager NEX

    Akron Children's Hospital 4.8company rating

    Akron, OH jobs

    Behavioral Health Unit part time 24 hours/week Days 8a-430p Onsite The Case Manager assumes accountability and responsibility for managing the hospitalization of a caseload of patients from pre-admission through one week post-discharge. Responsibilities: Assumes accountability and responsibility for managing the hospitalization of a caseload of patients from pre-admission through one week post-discharge. Facilitates coordination of care by all members of the health care team to facilitate achievement of appropriate outcomes. Completes educational responsibilities. Performs leadership duties. Performs quality assurance and performance improvement duties. Performs communication and networking duties. Performs systems based practice duties. Demonstrates the knowledge and skills necessary to provide care for the physical, psych/social, educational, and safety needs of the patients served regardless of age. Other duties as required. Other information: Technical Expertise Experience in case management is preferred. Experience working with all levels within an organization is required. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Epic software or similar EMR software is required. Education and Experience Education: Bachelor's degree in Nursing [BSN] is required; Master's degree is preferred. Certification: Registered Nurse licensure is required. Current Health Care Provider BLS training from the American Heart Association is required. CCM or CCCTM Certification is preferred. Years of relevant experience: 3 to 5 years is required. Years of experience supervising: None Part Time FTE: 0.600000 Status: Onsite
    $48k-58k yearly est. 11d ago
  • Social Worker - Weekend Option - Case Management

    L.E. Cox Medical Centers 4.4company rating

    Springfield, MO jobs

    :Provides supportive advocacy to patients and their families as part of an interdisciplinary health care team to overcome barriers to progression-of-care and facilitate a safe and coordinated discharge to the community. Services may include parenting issues, substance abuse, stress management, adjustment to illness, trauma and bereavement, geriatric depression, and other mental health or emotional difficulties that impede the patient's progression of care. Additional Information About the Position for Qualified Candidates $1.00 Certification pay Clinical Ladder Bonus eligible up to $5,000 The training period for this role is Monday-Friday. After the training period, the employee would work weekends. Education: ▪ Required: Bachelor's Degree in Social Work ▪ Preferred: Master's Degree in Social Work Experience: ▪ No Prior Experience Required ▪ Recent work experience in health care preferred Skills: ▪ Good communication skills - Ability to communicate effectively in written format and/or oral presentations ▪ Strong analytical & problem solving skills; semi-independent in decision making ▪ Ability to maintain organization in a changing environment ▪ Exhibit initiative, responsibility & flexibility ▪ Must be able to initiate and understand research related to projects ▪ Learn and appropriately utilize all required computer applications, including but not limited to E-mail, Windows-based or Microsoft programs ▪ Ability to write effective documentation for processes and procedures. ▪ Ability to make routine decisions in accordance with departmental policies and procedures. ▪ Appropriate assessment skills Licensure/Certification/Registration: ▪ License in Social work preferred ▪ Eligible to sit for, and successfully pass the test of certification as a certified Case Manager (CCM) or Accredited Care Manager (ACM) preferred
    $37k-61k yearly est. 24d ago
  • Clinical Supervisor (RN) Medical Surgical Services/Full-time

    Christus Health 4.6company rating

    White Rock, NM jobs

    Making sure you fit the guidelines as an applicant for this role is essential, please read the below carefully. The Clinical Supervisor, in collaboration with and under the direction of the Nursing Department Director/Manager, is accountable for ongoing shift leadership and operations of a clinical department and for nursing care safety and quality. The Clinical Supervisor uses sound human resource and budget principles to guide the daily provision of nursing services to patients and families. The Clinical Supervisor supports comprehensive patient and family services through effective participation with the interdisciplinary team. The Clinical Supervisor is responsible for supervising nursing department associates and providing patient care when needed. Coaches and guides employees under his/her supervision. Demonstrates Professionalism and Excellence by performing as role model for clinical and service excellence. Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an accredited school of Nursing. BSN preferred. National specialty certification preferred. CERTIFICATION/LICENSES: Current RN license in the State of New Mexico. Current BLS Certification. Current ACLS Certification or obtain within 6 months. Current PALS/NRP if applicable to area. Current TNCC if applicable to area or obtain within 6 months. Current CPI or equivalent must be obtained within six months for Behavioral Health and Emergency Department. BLS, ACLS and PALS must be issued through American Heart Association. SKILLS: Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department. EXPERIENCE: 3 years relevant experience preferred but not required. NATURE OF SUPERVISION: -Responsible to: Nursing Leadership ENVIRONMENT: -Bloodborne pathogen: B Works irregular hours. Multiple simultaneous activities of patient care. Exposure to infectious diseases and x-rays. Exposure to varying unpredictable situations. PHYSICAL REQUIREMENTS: Must be able to handle emergency situations, prolonged, extensive or considerable standing. Has knowledge of and uses good body mechanics. Occasionally positions, pushes and/or transfers patients or equipment. Hearing and visual acuity within normal limits. xevrcyc Manual dexterity and fine motor coordination required.
    $44k-59k yearly est. 2d ago
  • Case Manager RN - Providence Alaska Medical Center

    Providence Health and Services 4.2company rating

    Trapper Creek, AK jobs

    The Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive, patient centric care management services for at risk patients in an acute care environment. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of interventions, regulatory compliance and patient advocacy. The goal of the Inpatient Care Management RN is to ensure the use of appropriate healthcare resources throughout the continuum, so that the care provided is the right care, at the right time, in the right setting. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Alaska Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. We are hiring for Care Manager RN positions at Providence Alaska Medical Center in Anchorage, AK! Currently available positions: • Care Manager RN - Full-Time (1.0 FTE, Day Shift, 40 Hours Per Week) Relocation Assistance available for eligible hires that meet required qualifications and conditions for payment. Apply today! Applicants that meet qualifications will receive an invite with additional screening questions from our HireVue system! Required Qualifications: Associate's Degree in Nursing degree/diploma upon hire Upon hire: Alaska Registered Nurse License 2 years of Acute care experience in a Medical Surgical or Inpatient setting IRR or annual competency testing in Utilization Review Preferred Qualifications: Bachelor's Degree in Nursing or higher within 3 years of hire National Certification in area of specialty 1 year of experience in care management or utilization review in any setting or successful completion of TIPS program or Case Management Orientation Program Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. The Providence family of organizations has a vision of health for a better world. As such, we are called to care wisely for our communities, resources, and earth. Our organizations strive to become carbon negative by 2030. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Requsition ID: 408379 Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Nursing Department: 1017 AK PAMC CASE MGMT Address: AK Anchorage 3200 Providence Dr Work Location: Providence Alaska Medical Ctr-Anchorage Workplace Type: On-site Pay Range: $44.16 - $77.58 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. PandoLogic. Category:Healthcare, Keywords:Medical Case Manager, Location:Trapper Creek, AK-99683
    $44.2-77.6 hourly 2d ago
  • Hospital Case Manager

    DCI Donor Services 3.6company rating

    Santa Rosa, CA jobs

    DCI Donor Services Sierra Donor Services (SDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at SDS is to save lives through organ and tissue donation, and we want professionals on our team that will embrace this important work!! We want people to join our team in the role of Hospital Case Manager with previous experience with families, counseling, bereavement and/or crisis intervention. This position will be the onsite Hospital Case Manager at Santa Rosa Memorial Hospital to facilitate all aspects of making organ donation happen. SUMMARY FUNCTION: The Hospital Case Manager is responsible for providing support for organ donation activities within the assigned facility/facilities to maximize opportunities for organ donation. Provides consistency and promotes trust in the donation process by ensuring excellent donor evaluation, management, and organ yield. Works with donor hospital personnel, physicians, and Organ Recovery Coordinators (ORC's) or Donation Coordinators (DCs) to obtain organ and tissue authorization. Must utilize consistent communication and empathy for both the donor family and potential transplant recipients. Extensive on-call services and call duties are required. May assist with the bereavement program and provide care to both donor and non-donor families as applicable. COMPANY OVERVIEW AND MISSION Sierra Donor Services is a designated organ procurement organization (OPO) within the state of California - and is a member of the DCI Donor Services family. For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities. DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank. Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobili With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking. MAJOR DUTIES AND RESPONSIBILITIES Provides extensive on call services to obtain authorization for organ and tissue donation. On-call responsibilities may be affected by increased donor activity, staffing shortages, etc. Facilitates the authorization process for potential organ and tissue donor families prior to, during and after death declaration. Evaluates potential donors. Assesses potential donor families, obtains appropriate authorization for donation, conducts Medical/Social History interview, and assists donor families through identification of potential end of life decisions, attending family meetings and providing donation information as needed. Responsible for medical management of donors prior to recovery activities. Directs the placement of anatomical gifts as necessary. Provides transplant surgeons with information necessary to determine appropriate recipients. Coordinates and assists in the surgical recovery of organs and perioperative management of the donor when necessary. Provides support to Hospital Development Coordinator, in the assigned facility, to identify formal and informal leaders, assesses their respective roles, degree of influence and needs. Works collaboratively with these leaders and utilizes their expertise to improve and promote donation. Assists in policy and procedure development. Functions as an expert clinical resource for the hospital regarding organ and tissue donation. Will visually assess donors, interpret charts, document information and communicate findings. Collaborates with hospital and medical staff to provide potential donor families with accurate and timely information regarding the patient's current clinical course. Maintains communication with hospital staff and attending physician regarding the potential donor family's understanding of the prognosis and acts as a family advocate to the health care team as necessary. In the event of neurological deterioration and/or cardiac cessation, provides education to the potential donor family to include signs and symptoms of brain death, the process of diagnosing brain death, or cardiac cessation and withdrawal of support. As appropriate, discusses organ Family Care Coordinator and tissue donation opportunities with the potential donor family with the goal being to obtain authorization for donation. In the event the potential donor stabilizes and is no longer considered a potential organ donor, establishes an appropriate support system in collaboration with the health care staff, brings closure to the relationship with the family and returns if needed or requested. Provides appropriate information for the bereavement program to all potential organ and tissue donor families who wish to participate. As appropriate, provides a follow-up letter to donor families. Facilitates donor family and recipient communication in accordance with company policy and procedure. Performs other duties as assigned. PHYSICAL TRAITS: Walks, stands and sits. Must drive to on call assignments. Communicates verbally and in writing with donor families, hospital personnel and physicians. QUALIFICATIONS: Education Required: RN/PA/Paramedic or related health care degree or licensure or BA/BS preferred and equivalent work experience. OPO experience. Experience: Two to four years' Healthcare experience with families, counseling, bereavement and/or crisis intervention preferred. Acute care social worker experience strongly desired. Licenses/ Certifications: Valid driver license with ability to pass MVR underwriting requirements. Computer Skills: Working knowledge of computers and basic data entry skills required. DCIDS is an EOE/AA employer - M/F/Vet/Disability Compensation details: 85000-100000 Yearly Salary PI82a32f22b30b-37***********5
    $44k-67k yearly est. 3d ago
  • Case Manager - Bilingual

    Cunningham Children's Home 3.8company rating

    Urbana, IL jobs

    The Caminos Program is currently seeking a dedicated Case Manager to join our team. As the primary point of contact and liaison, the Case Manager will support youth, families, identified sponsors, and external agencies. This position offers flexibility, as the Case Manager must be adaptable to the operational needs of the program, with some travel required. The Caminos Program provides a safe and supportive environment for children who have recently migrated to the United States, with a focus on reunification with family, educational opportunities, and assistance with immigration cases. Key Responsibilities: Serve as the main point of contact for youth, families, sponsors, and external agencies. Adjust schedules as needed to meet the operational needs of the program. Ensure compliance with the Office of Refugee Resettlement policies and procedures for the care and supervision of Unaccompanied Children. Address related legal issues and work in alignment with best practices for this population. Qualifications: Bachelors degree in Behavioral Sciences, Human Services, Social Services, or a related field. At least two years of professional experience in a relevant field. Strong oral and written communication skills. Ability to collaborate effectively within a diverse team. Bilingual fluency in English and Spanish (both written and spoken) is required. Must be at least 21 years old, possess a valid Illinois drivers license, and have proof of auto insurance. Ability to maintain client confidentiality at all times. Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Referral program Relocation assistance Vision insurance #CCHJOBS
    $38k-48k yearly est. 2d ago
  • Case Manager

    Altru Rehabilitation Hospital 4.6company rating

    Stephen, MN jobs

    Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing. Starting Perks and Benefits At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to: Affordable medical, dental, and vision plans for both full-time and part-time employees and their families. Generous paid time off that accrues over time. Opportunities for tuition reimbursement and continuous education. Company-matching 401(k) and employee stock purchase plans. Flexible spending and health savings accounts. A vibrant community of individuals passionate about the work they do! Become the Case Manager you always wanted to be Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences. Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans. Participate in planning for and the execution of patient discharge experience. Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations. Facilitate team conferences weekly and coordinate all treatment plan modifications. Complete case management addendums and all required documentation. Maintain knowledge of regulations/standards, company policies/procedures, and department operations. Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. Understand commercial contract levels, exclusions, payor requirements, and recertification needs. Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs. Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission. Perform assessment of goals and complete case management addendum within 48 hours of admission. Educate patient/family on rehabilitation and Case Manager role; establish communication plan. Schedule and facilitate family conferences as needed. Assist patient with timely procuring/planning of resources to avoid discharge delays or issues. Monitor compliance with regulations for orthotics and prosthetics ordering and payment. Make appropriate/timely referrals, including documentation to post discharge providers/physician Ensure accuracy of discharge and payor-related information in the patient record Participate in utilization review process: data collection, trend review, and resolution actions. Participate in case management on-call schedule as needed. Qualifications License or Certifications 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 ACMTM certification upon entry into this position OR within two years of entry into the position. CCM or ACMTM 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. We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!
    $45k-59k yearly est. 2d ago
  • Case Manager

    Altru Rehabilitation Hospital 4.6company rating

    Grafton, ND jobs

    Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing. Starting Perks and Benefits At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to: Affordable medical, dental, and vision plans for both full-time and part-time employees and their families. Generous paid time off that accrues over time. Opportunities for tuition reimbursement and continuous education. Company-matching 401(k) and employee stock purchase plans. Flexible spending and health savings accounts. A vibrant community of individuals passionate about the work they do! Become the Case Manager you always wanted to be Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences. Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans. Participate in planning for and the execution of patient discharge experience. Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations. Facilitate team conferences weekly and coordinate all treatment plan modifications. Complete case management addendums and all required documentation. Maintain knowledge of regulations/standards, company policies/procedures, and department operations. Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. Understand commercial contract levels, exclusions, payor requirements, and recertification needs. Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs. Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission. Perform assessment of goals and complete case management addendum within 48 hours of admission. Educate patient/family on rehabilitation and Case Manager role; establish communication plan. Schedule and facilitate family conferences as needed. Assist patient with timely procuring/planning of resources to avoid discharge delays or issues. Monitor compliance with regulations for orthotics and prosthetics ordering and payment. Make appropriate/timely referrals, including documentation to post discharge providers/physician Ensure accuracy of discharge and payor-related information in the patient record Participate in utilization review process: data collection, trend review, and resolution actions. Participate in case management on-call schedule as needed. Qualifications License or Certifications 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 ACMTM certification upon entry into this position OR within two years of entry into the position. CCM or ACMTM 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. We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!
    $45k-59k yearly est. 2d ago
  • Case Manager

    Altru Rehabilitation Hospital 4.6company rating

    Grand Forks, ND jobs

    Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing. Starting Perks and Benefits At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to: Affordable medical, dental, and vision plans for both full-time and part-time employees and their families. Generous paid time off that accrues over time. Opportunities for tuition reimbursement and continuous education. Company-matching 401(k) and employee stock purchase plans. Flexible spending and health savings accounts. A vibrant community of individuals passionate about the work they do! Become the Case Manager you always wanted to be Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences. Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans. Participate in planning for and the execution of patient discharge experience. Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations. Facilitate team conferences weekly and coordinate all treatment plan modifications. Complete case management addendums and all required documentation. Maintain knowledge of regulations/standards, company policies/procedures, and department operations. Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. Understand commercial contract levels, exclusions, payor requirements, and recertification needs. Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs. Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission. Perform assessment of goals and complete case management addendum within 48 hours of admission. Educate patient/family on rehabilitation and Case Manager role; establish communication plan. Schedule and facilitate family conferences as needed. Assist patient with timely procuring/planning of resources to avoid discharge delays or issues. Monitor compliance with regulations for orthotics and prosthetics ordering and payment. Make appropriate/timely referrals, including documentation to post discharge providers/physician Ensure accuracy of discharge and payor-related information in the patient record Participate in utilization review process: data collection, trend review, and resolution actions. Participate in case management on-call schedule as needed. Qualifications License or Certifications 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 ACMTM certification upon entry into this position OR within two years of entry into the position. CCM or ACMTM 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. We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!
    $45k-59k yearly est. 2d ago
  • Case Manager

    Altru Rehabilitation Hospital 4.6company rating

    Gardner, ND jobs

    Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing. Starting Perks and Benefits At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to: Affordable medical, dental, and vision plans for both full-time and part-time employees and their families. Generous paid time off that accrues over time. Opportunities for tuition reimbursement and continuous education. Company-matching 401(k) and employee stock purchase plans. Flexible spending and health savings accounts. A vibrant community of individuals passionate about the work they do! Become the Case Manager you always wanted to be Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences. Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans. Participate in planning for and the execution of patient discharge experience. Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations. Facilitate team conferences weekly and coordinate all treatment plan modifications. Complete case management addendums and all required documentation. Maintain knowledge of regulations/standards, company policies/procedures, and department operations. Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. Understand commercial contract levels, exclusions, payor requirements, and recertification needs. Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs. Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission. Perform assessment of goals and complete case management addendum within 48 hours of admission. Educate patient/family on rehabilitation and Case Manager role; establish communication plan. Schedule and facilitate family conferences as needed. Assist patient with timely procuring/planning of resources to avoid discharge delays or issues. Monitor compliance with regulations for orthotics and prosthetics ordering and payment. Make appropriate/timely referrals, including documentation to post discharge providers/physician Ensure accuracy of discharge and payor-related information in the patient record Participate in utilization review process: data collection, trend review, and resolution actions. Participate in case management on-call schedule as needed. Qualifications License or Certifications 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 ACMTM certification upon entry into this position OR within two years of entry into the position. CCM or ACMTM 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. We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!
    $45k-59k yearly est. 2d ago
  • Case Manager RN - Providence Alaska Medical Center

    Providence Health and Services 4.2company rating

    Big Lake, AK jobs

    The Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive, patient centric care management services for at risk patients in an acute care environment. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of interventions, regulatory compliance and patient advocacy. The goal of the Inpatient Care Management RN is to ensure the use of appropriate healthcare resources throughout the continuum, so that the care provided is the right care, at the right time, in the right setting. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Alaska Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. We are hiring for Care Manager RN positions at Providence Alaska Medical Center in Anchorage, AK! Currently available positions: • Care Manager RN - Full-Time (1.0 FTE, Day Shift, 40 Hours Per Week) Relocation Assistance available for eligible hires that meet required qualifications and conditions for payment. Apply today! Applicants that meet qualifications will receive an invite with additional screening questions from our HireVue system! Required Qualifications: Associate's Degree in Nursing degree/diploma upon hire Upon hire: Alaska Registered Nurse License 2 years of Acute care experience in a Medical Surgical or Inpatient setting IRR or annual competency testing in Utilization Review Preferred Qualifications: Bachelor's Degree in Nursing or higher within 3 years of hire National Certification in area of specialty 1 year of experience in care management or utilization review in any setting or successful completion of TIPS program or Case Management Orientation Program Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. The Providence family of organizations has a vision of health for a better world. As such, we are called to care wisely for our communities, resources, and earth. Our organizations strive to become carbon negative by 2030. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Requsition ID: Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Nursing Department: 1017 AK PAMC CASE MGMT Address: AK Anchorage 3200 Providence Dr Work Location: Providence Alaska Medical Ctr-Anchorage Workplace Type: On-site Pay Range: $44.16 - $77.58 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. PandoLogic. Category:Healthcare, Keywords:Medical Case Manager, Location:Big Lake, AK-99652
    $44.2-77.6 hourly 2d ago
  • Case Manager

    Altru Rehabilitation Hospital 4.6company rating

    Crookston, MN jobs

    Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing. Starting Perks and Benefits At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to: Affordable medical, dental, and vision plans for both full-time and part-time employees and their families. Generous paid time off that accrues over time. Opportunities for tuition reimbursement and continuous education. Company-matching 401(k) and employee stock purchase plans. Flexible spending and health savings accounts. A vibrant community of individuals passionate about the work they do! Become the Case Manager you always wanted to be Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences. Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans. Participate in planning for and the execution of patient discharge experience. Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations. Facilitate team conferences weekly and coordinate all treatment plan modifications. Complete case management addendums and all required documentation. Maintain knowledge of regulations/standards, company policies/procedures, and department operations. Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. Understand commercial contract levels, exclusions, payor requirements, and recertification needs. Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs. Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission. Perform assessment of goals and complete case management addendum within 48 hours of admission. Educate patient/family on rehabilitation and Case Manager role; establish communication plan. Schedule and facilitate family conferences as needed. Assist patient with timely procuring/planning of resources to avoid discharge delays or issues. Monitor compliance with regulations for orthotics and prosthetics ordering and payment. Make appropriate/timely referrals, including documentation to post discharge providers/physician Ensure accuracy of discharge and payor-related information in the patient record Participate in utilization review process: data collection, trend review, and resolution actions. Participate in case management on-call schedule as needed. Qualifications License or Certifications 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 ACMTM certification upon entry into this position OR within two years of entry into the position. CCM or ACMTM 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. We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!
    $45k-59k yearly est. 2d ago
  • Home Health Registered Nurse Case Manager

    Well Care Home Health of The Triad 4.4company rating

    Winston-Salem, NC jobs

    The home health registered nurse uses the nursing process (assesses, plans, implements, evaluates) to provide patient care in the home setting. Provides individualized patient care for patients in all developmental stages throughout the life span including: Adult - 18-72 years, Geriatric - 72 + years, according to established policies, procedures, guidelines and nursing standards of care. This position is responsible for the care and case management of patients in all stages of life in their homes based on the nurse's experience and competency evaluation. *PRIMARY JOB DUTIES* 1. Assesses, interprets, plans, implements and evaluates patients according to the patient's age and diagnosis. 2. Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team. 3. Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines. 4. Contributes to program effectiveness. 5. Organizes and performs work effectively and efficiently. 6. Maintains and adjusts schedule to enhance agency performance. 7. Demonstrates a daily commitment to the values of the agency. 8. Demonstrates positive interpersonal relations in dealing with all members of the agency. 9. Maintains and promotes customer satisfaction. 10. Effectively demonstrates the mission, vision, and values of the Agency on a daily basis. *JOB SPECIFICATIONS* 1. Education: Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program. 2. Licensure / Certifications: Current license to practice professional nursing in the State in which providing care (NC/SC). CPR certification required. 3. Experience: One year RN experience and a total of 2 or more years clinical experience is required. Supplemental experience may include experience as LPN, CNA, military medic, EMT or related experience. Home health experience preferred. Less than 1 year RN experience requires 1 year of clinical experience as LPN (Internal use only). Therapy Assistants (PTA, OTA) with 1 year of Home Health experience and at least 6 months RN experience (internal use only). 4. Essential Technical / Motor Skills: Hand/eye coordination in order to give injections, use computer, etc. Must be able to communicate and be literate in the English language. Able to manipulate patient care equipment, to properly transfer and guard patients. 5. Interpersonal Skills: Ability to develop positive interaction with patients, patients' families, physicians and staff in order to effectively care for the patients. 6. Essential Physical Requirements: Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care. Requires frequent pushing, moving, lifting of patients. Positioning of patients, giving patients baths and ambulating patients expending much physical effort. Occasionally requires reaching overhead, stair climbing and fine motor manipulation. 7. Essential Mental Abilities: Must be able to assess a patient's condition, formulate a plan of care, select appropriate interventions, evaluate patient's response to care/treatment, and to explain/teach patients about their condition/recovery. Requires higher level of mental faculties accompanied by short-and long-term memory. Able to prioritize duties, learn new skills and techniques in patient care. Able to learn and use supportive services. 8. Essential Sensory Requirements: Ability to visually assess patients and to utilize sight to implement and evaluate plan of care (changing dressings, starting IVs, regulating IV's, maintain equipment as to readouts, etc.). Utilize hearing to auscultate lung sounds, bowel sounds, hear alarms, and effectively communicate with patients, families, physician, and staff. 9. Exposure to Hazards: Noise, exposure to blood borne pathogens and body fluids, infectious diseases, and needle puncture wounds. May be exposed to dangerous animals and traffic hazards while home visiting. May encounter patients and other situations which present a potential threat to personal safety. May encounter temperature changes and weather extremes. 10. Hours of Work: Variable Monday - Friday, weekends and holidays as needed. Flexible schedule to accommodate staffing needs. 11. Population Served: Adolescents, adults, geriatrics, and pediatrics. 12. Must have a valid North Carolina driver's license and an operational vehicle.
    $50k-65k yearly est. 11h ago
  • Clinical Supervisor (RN) Medical Surgical Services/Full-time

    Christus Health 4.6company rating

    Whitewater, KS jobs

    The Clinical Supervisor, in collaboration with and under the direction of the Nursing Department Director/Manager, is accountable for ongoing shift leadership and operations of a clinical department and for nursing care safety and quality. The Clinical Supervisor uses sound human resource and budget principles to guide the daily provision of nursing services to patients and families. The Clinical Supervisor supports comprehensive patient and family services through effective participation with the interdisciplinary team. The Clinical Supervisor is responsible for supervising nursing department associates and providing patient care when needed. Coaches and guides employees under his/her supervision. Demonstrates Professionalism and Excellence by performing as role model for clinical and service excellence. Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an accredited school of Nursing. BSN preferred. National specialty certification preferred. CERTIFICATION/LICENSES: Current RN license in the State of New Mexico. Current BLS Certification. Current ACLS Certification or obtain within 6 months. Current PALS/NRP if applicable to area. Current TNCC if applicable to area or obtain within 6 months. Current CPI or equivalent must be obtained within six months for Behavioral Health and Emergency Department. BLS, ACLS and PALS must be issued through American Heart Association. SKILLS: Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department. EXPERIENCE: 3 years relevant experience preferred but not required. NATURE OF SUPERVISION: -Responsible to: Nursing Leadership ENVIRONMENT: -Bloodborne pathogen: B Works irregular hours. Multiple simultaneous activities of patient care. Exposure to infectious diseases and x-rays. Exposure to varying unpredictable situations. PHYSICAL REQUIREMENTS: Must be able to handle emergency situations, prolonged, extensive or considerable standing. Has knowledge of and uses good body mechanics. Occasionally positions, pushes and/or transfers patients or equipment. Hearing and visual acuity within normal limits. Manual dexterity and fine motor coordination required.
    $42k-55k yearly est. 2d ago
  • Hospice RN Case Manager

    Trinity Health at Home 4.0company rating

    Hartford, CT jobs

    *Employment Type:* Full time *Shift:* *Description:* ****$10,000 sign on bonus with benefits DAY 1! **** *Coverage Region*: Waterbury *Schedule:* Monday - Friday, 8am - 5pm with up to one weekend a month and two rotating holidays a year. Our hospice RNs use cutting edge technology and clinical knowledge to provide exceptional, compassionate care to patients with life-limiting or terminal illnesses in their homes. Hospice nurses are responsible for patient assessment, symptom control and overall supervision of patient care and outcomes. *Minimum qualifications* * Graduate of an approved nursing education program * Licensure as a Registered Nurse in the State of Connecticut * One (1) year experience as a professional acute care nurse * Hospice home care experience preferred but not required * Must have current Driver's license and use of personal vehicle for each shift. *Other benefits* * Medical, dental and vision insurance - Day 1 * Short and long-term disability * 403b with matching contribution * Generous paid time off PLUS 7 paid holidays * Mileage reimbursement * Comprehensive orientation * Tuition reimbursement Ministry/Facility Information: Trinity Health Of New England At Home provides compassionate, exceptional care where people are most comfortable: at home. We are the area's most comprehensive home care provider with trusted quality of care. With new strategy, vision and technology, we are growing and shaping the future of healthcare! Apply now! *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
    $68k-94k yearly est. 1d ago
  • Social Worker

    Element Care 4.5company rating

    Lynn, MA jobs

    Great Life work Balance position with excellent benefits! The Element Care Social Worker participates in the planning, implementation and evaluation of care plans that meet the objectives, standards and policies of the PACE model of care. The social worker demonstrates proficiency in providing traditional social work services in a professional and respectful manner with the goal of helping older adults live safely and comfortably in their homes and communities for as long as they can. This position is full time M-F 8am to 4pm. Mandarin speaking required. We offer student loan repayments! RESPONSIBILTIES: * Participates on the IDT's initial assessments, care planning and on-going re-assessments of participant care. * Attends IDT meetings; actively participates in team meetings by sharing pertinent information, providing follow up to assigned tasks and helps to develop participant's plan of care. * Completes all assigned assessments - (initial, semi-annual, annual, service request and/or significant event). * Assesses the psychosocial needs of the participant and provides supportive counseling, working collaboratively with behavioral health providers. * Facilitates hospital, rehabilitation and nursing home (NH) admissions and discharges as determined by the Interdisciplinary Team. Ensures that PASRR documentation is completed for NH admission. * Assists in the conversion process of the participant from community to long-term care. Works collaboratively with Medicaid Specialist, skilled nursing facility, and participant's caregiver to complete conversion. * Arranges and facilitates family meetings, as needed. * Refers participants and families to appropriate community services and acts as liaison and/or advocate with community organizations for participants. * Maintains professional, accurate and timely social service documentation in the participants' medical records. * Conducts participant council meetings as assigned. * Works collaboratively with Director of Social Work and Behavioral Health provider to ensure guardianship is up to date. Educates participant regarding health care proxy (HCP). Assists participant in completion of HCP form. * Works collaboratively with fiscal department to maintain participant insurance benefits and completes required documentation of fiscal information in the medical record. * Reviews plan of care with participants, guardian, and/or activated health care proxy as assigned. * Complete authorizations for home care and other approved services timely and accurately. * Completes home and/or skilled nursing facility visits to assess participant as indicated. * Works collaboratively with Palliative care team; Assists with end of life planning as indicated. * Provides timely communication to appropriate staff regarding the following: (disenrollment, conversion to long term care, transfer of sites, participant and/or caregiver demographic changes). * Reports allegations of abuse to appropriate state agency; provides support and resources to participant as he/she will accept; completes required documentation. * Ability to pass a fit test. Position requires mask where seal is critical. Incumbent is required to not have facial hair that interferes with a tight seal of the respirator. * Performs other duties as required. * Frequent local travel. Qualifications: * Current Social Work licensure in the Commonwealth of Massachusetts at the Masters level (L.I.C.S.W. or L.C.S.W.) required * Minimum of 1 experience in Social Work providing traditional Clinical or Case Management services with a geriatric population * Current C. P. R. Certification or ability to become certified * Treat all participants in a welcoming and professional manner. * Strong verbal, written and listening skills with ability to multi-task in a fast pace environment * Vietnamese and/or Khmer speaking but all MSW eligible candidates to apply. * Covid vaccinated preferred. Benefits: * Health insurance * Dental insurance * Vision insurance * Paid time off * Retirement plan * Supplemental benefits EEO Statement Element Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability. Element Care is committed to valuing diversity and contributing to an inclusive working environment. To learn more about Element Care, please click this link: Element Care 30th Anniversary Video Compensation details: 69000-97000 Yearly Salary PI95ac455b393b-29***********5
    $53k-71k yearly est. 2d ago
  • CLINICAL SUPERVISOR, Post-Partum Full-Time

    Sierra Medical Center 3.9company rating

    Reno, NV jobs

    Responsibilities Sierra Medical Center is part of Northern Nevada Health System, a regional multi-facility system that has excelled at offering quality care to residents of the greater Truckee Meadows. Sierra Medical Center is a 170-bed acute care hospital offering services including 24/7 ER care, cardiology, oncology, labor and delivery, level II NICU, surgical and orthopedic services, and much more. Learn more at What we at Sierra Medical Center value: • Compassion: We treat everyone with kindness and warmth because we genuinely care about every patient, employee and physician like they are family. • Empathy: We put ourselves in our patient's shoes and deliver clinical care with a personalized touch. • Teamwork: We foster a caring and friendly work environment to bring the best possible outcomes in our patient's lives. • Quality: We strive to provide excellence in clinical care. • Ethics: We conduct our business with the highest ethical and moral standards. • Respect: We promise to honor the dignity, individuality and rights of everyone. • Service Excellence: We provide personalized and professional service that exceeds the expectations of those we serve. • Innovation: We continually invest in technology and process improvements to develop new and better ways of delivering clinical care Learn more at Job summary: This position performs a dual function, clinical and managerial. Provides direct and indirect patient care in the clinical setting, performs disciplinary actions, participates in hiring and termination of staff. Communicates with physicians/Nurse Manager/co-workers, as appropriate about changes in patient's clinical condition including results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Job Duties/Responsibilities: Demonstrates supportive behaviors necessary for performing bedside report using IMAP & SBAR (both accomplished in partnership with patient inside room) Competent in the care of patients within the specialty area. Provides direct and indirect patient care as necessary, assessing current patient care situations, priorities and needs. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes:geriatric and the general patient population. Benefits for full and part time employees: Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Tuition Reimbursement/Repayment Program Career development opportunities within UHS and its 300+ Subsidiaries! More information is available on our Benefits Guest Website: If you would like to learn more about the position before applying, please contact Michelle Lopez-Reyes, About Universal Health Services: One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Qualifications Current state Registered Nurse Licensure, within state of practice. Current BLS, STABLE, NRP, and PALS certification. Fetal Monitoring within 6 months of hire Previous OB department charge nurse experience required. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters
    $57k-85k yearly est. 2d ago
  • Social Worker | Hillsboro - Full Time

    Sanford Health 4.2company rating

    Hillsboro, ND jobs

    Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Hillsboro Med Ctr Location: Hillsboro, ND Address: 12 3rd St SE, Hillsboro, ND 58045, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $24.00 - $36.00 Department Details Fast paced environment. Work closely with nursing team. Day hours, no holidays or weekends! Job Summary Provides supportive services/counseling on healthcare and home care programs and services. Serves as a member of the interdisciplinary team in providing assistance with social, emotional and economical concerns of patients/clients/residents and families/caregivers, thus enabling them to achieve or maintain an optimal level of functioning by coordinating and planning programs. Provides crisis intervention and assists families in understanding the implications and complexities of medical situations. Coordinates healthcare programs among patients/clients/residents, families/caregivers and psychosocial and healthcare teams/communities. Demonstrates knowledge of human behavior and developmental stages. Responds to suspected abuse, neglect or violence in accordance with the National Association of Social Work Code of Ethics policies and procedures alongside the appropriate state laws. Develops appropriate plan of care for patients/clients/residents and families/caregivers by obtaining resources from the social, health and human services agencies. Provides referrals, current information and/or education regarding programs and services available. Demonstrates commitment to the organization by utilizing time effectively, participating in special projects/assignments and exhibiting flexibility when necessary. Demonstrates professionalism by participating in care conferences and transitional rounding, serving as an advocate. Demonstrates efficacy in critical thinking, problem solving and decision-making. Possesses written and verbal communication skills while establishing a rapport with patients/clients/residents, families/caregivers and communities and healthcare teams/communities. Displays independent judgement. Actively participates with the healthcare teams. Depending on department may be providing social services for donors and transplant recipients. Qualifications Bachelor's degree in Social Work from an accredited curriculum required. Healthcare and/or mental health hospital experience preferred. Depending on location, Basic Life Support (BLS) certification required within six weeks of employment. Depending on position, may be required to possess multi-state licensure privilege. Must possess a license in good standing in state(s) of practice: In North Dakota: Licensed Baccalaureate Social Worker (LBSW) Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0238975 Job Function: Care Coordination Featured: No
    $24-36 hourly 2d ago
  • Clinical Case Manager Behavioral Health (Remote-Illinois)

    CVS Health 4.6company rating

    Case manager job at CVS Health

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Program Overview:Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Family Summary/MissionFacilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements, and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. Position SummaryOur Case Managers use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes. Key ResponsibilitiesActs as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician's office to provide ongoing case management services. Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Communicates with member/client and other stakeholders as appropriate (e. g. , medical providers, attorneys, employers and insurance carriers) telephonically or in person. Prepares all required documentation of case work activities as appropriate. Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes. May make outreach to treating physician or specialists concerning course of care and treatment as appropriate. Provides educational and prevention information for best medical outcomes. Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources. Conducts an evaluation of members/clients' needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. Facilitates appropriate condition management, optimize overall wellness and medical outcomes, appropriate and timely return to baseline, and optimal function or return to work. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a member's/client's overall wellness through integration. Monitors member/client progress toward desired outcomes through assessment and evaluation. Work Environment & TravelAbility to work independently from home office using virtual collaboration tools and electronic systems. Ability to travel within a designated geographic area in Illinois to conduct in-person case management activities at members' residences. Required QualificationsLicensure/Education (must meet one of the following):Active Licensed Clinical Social Worker (LCSW) in the state of Illinois with a Master's degree in social work, ORActive Licensed Clinical Professional Counselor (LCPC) in the state of Illinois with a Master's degree in counseling or related field. Work Experience:Minimum of 3-5 years of clinical experience, preferably in behavioral health. Minimum of 2-3 years of experience in case management, discharge planning, and/or home health care coordination. Preferred QualificationsStrong analytical and problem-solving skills. Effective written and verbal communication skills. Strong organizational and interpersonal skills. Ability to work independently while collaborating effectively with interdisciplinary teams. Proficiency with standard corporate software applications (Microsoft Word, Excel, Outlook, PowerPoint) and ability to quickly learn proprietary applications. High level of computer efficiency, including navigating multiple systems, multitasking across platforms, and accurate keyboarding. EducationMaster's degree Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$66,575. 00 - $142,576. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 01/31/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $43k-59k yearly est. 50d ago

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