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Transitional Case Manager
Optum 4.4
Remote employment case manager job
Explore opportunities with VNA of Maryland, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Transitional CaseManager (TCM), you will be facilitating seamless transitions for patients from facility settings to post-acute care. You will verify home health orders, assess care requirements, and ensure continuity of care. Your role includes assessing patients' health literacy, involving patients and families in care planning, and providing education to improve outcomes and promote self-management. You will implement rehospitalization reduction initiatives for patients at risk and communicate with healthcare providers throughout the transition.
You'll enjoy the flexibility to work remotely as you take on some tough challenges.
Primary Responsibilities:
Educate patients on post-discharge follow-up, homebound criteria, and obtaining prescriptions
Assess readmission risk using the LACE tool
Ensure patients and families have agency contact information
Coordinate ancillary services (DME, Infusion) as needed
Assist in preparing for patient care post-discharge
Liaise between the agency and healthcare providers
Communicate patient transfers and coordinate resumption of care
Provide feedback on readmissions and non-admit decisions
Perform other duties as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Current, unrestricted RN, LPN, or SW licensure in state of practice
Current CPR certification
1+ years home health experience or 1+ years of hospital casemanagement experience
Current driver's license, vehicle insurance, access to a dependable vehicle or public transportation
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $48,700 to $87,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
#LHCJobs
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$48.7k-87k yearly Auto-Apply 2d ago
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Case Manager
Us Tech Solutions 4.4
Remote employment case manager job
Duration: 03 Months
Job Overview - CaseManager
We are seeking a self-motivated, detail-oriented, and highly organized CaseManagement Coordinator to support Medicaid Long Term Care/Comprehensive Program members in Miami-Dade County, FL. This role is primarily field-based, requiring approximately 75% travel within the assigned region, with 25% work-from-home responsibilities. The coordinator will assess, plan, implement, and coordinate casemanagement services to support members' medical, social, and wellness needs across home, assisted living, and nursing facility settings.
Key Job Duties
Coordinate casemanagement activities for Medicaid Long Term Care/Comprehensive Program enrollees
Conduct telephonic and face-to-face assessments of members in homes, assisted living facilities, and nursing homes
Perform comprehensive member evaluations using care management tools and data review
Provide coaching, education, and support to empower members to make informed healthcare decisions
Monitor, evaluate, and document care activities in compliance with regulatory and accreditation guidelines and internal policies
Utilize casemanagement and quality management processes consistently and accurately
Experience & Qualifications Required
Bachelor's Degree required, preferably in Social Work or a related field
Casemanagement experience required
Long-term care experience preferred
Bilingual Spanish/English strongly
Schedule
Monday-Friday, 8:00 AM - 5:00 PM (EST)
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************
US Tech Solutions is 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, or status as a protected veteran.
Recruter Details:
Name: Umar Farooq
Email: **********************************
Internal Id #25-55185
$37k-48k yearly est. 1d ago
Case Manager III- Street Medicine
Lifelong Medical Care 4.0
Remote employment case manager job
The CaseManager III (CM III), a key member of the primary care interdisciplinary team, provides services for patients with complex care needs. This position conducts patient outreach, engagement and psychosocial service assessment, assists in developing a patient-centered care plan, is the lead implementer of Enhanced CaseManagement (ECM) and coordinates service referrals and delivery. The casemanager meets clients in home, clinic, or community as appropriate or required by the specific program/site. The CM III provides services to specific populations that have multiple complex health and social services needs and often provides care outside of a traditional health center setting, such as home visits, hospitals, supportive housing sites, encampments and shelters. In addition they provide comprehensive housing navigation support to clients.
This is a grant funded, full time, benefit eligible opportunity, at our Oakland locationS (Medical Respite & Street Medicine)
This position is represented by SEIU-UHW. Salaries and benefits are set by a collective bargaining agreement (CBA), and an employee in this position must remain a member in good standing of SEIU-UHW, as defined in the CBA.
LifeLong Medical Care is a large, multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community. Our patient-centered health home is a dynamic place to work, practice, and grow. We have over 15 primary care health centers and deliver integrated services including psychosocial, referrals, chronic disease management, dental, health education, home visits, and much, much more.
Benefits
Compensation: $29.20 - $33.85/hour. We offer excellent benefits including: medical, dental, vision (including dependent and domestic partner coverage), generous leave benefits including ten paid holidays, Flexible Spending Accounts, 403(b) retirement savings plan.
Responsibilities
Outreach, via telephone and in person at LifeLong, community and residential sites, to patients who meet casemanagement program eligibility criteria or are prioritized by LifeLong for this service
Proactively meet and engage with patients to build effective relationships and assess strengths and needs through use of standard intake, screening tools, and health, and social services records review
Actively involve patients and caregivers, as appropriate, in designing and delivering services, including development of care plans, assuring alignment with patients' values and expressed goals of care
Provide and facilitate referrals for internal and external resources, and collaborate with the patient to complete required applications, forms, or releases of information
Maintain a patient caseload in accordance with LifeLong standards for the specific population served or site requirements
Utilize data registries and reports to managecaseload, meet program requirements, maintain grant deliverables, and promote high quality care
Provide health education and training to patients, including but not limited to, harm reduction and disease risk-mitigation strategies that empower patients to manage their own health and wellness (e.g. overdose prevention, mitigating spread of communicable diseases)
Assist patients with accessing and retaining public benefits and insurance (e.g. MediCal, SSI/SSDI, CalFresh, General Assistance), and affordable/subsidized housing
Respectfully and routinely communicate with patients, their care team members, external partners, and identified social supports
Maintain knowledge of patients' medical/behavioral health treatment plans and facilitate utilization of services by providing resources such as accompaniment, transportation, in-home care, reminder calls etc.
Participate in team meetings to coordinate care, support patient goals, and reducing barriers to accessing services
Provide casemanagement services to patients with multiple complex acute or chronic medical or behavioral health conditions (e.g. HIV/AIDS, Hep C, congestive heart failure, severe diabetes, severe hypertension, psychosis, pregnancy, and homelessness)
Provide general housing casemanagement services that includes document readiness, housing problem solving, and assessments for Coordinated Entry System
Assess patients to identify cognitive and/or behavioral health needs and provide brief interventions and short-term support using standardized tools and effective approaches for patient care
Co-facilitate patient groups
Provide intensive casemanagement to a caseload size in accordance with site or program standards focusing on a subset of the highest acuity patients
Provide specialized housing navigation services to patients who are matched to a housing resource through Coordinated Entry System
Lead crisis intervention response, de-escalation procedures, notification of the local mental health department and/or crisis response team, and follow-up care
Provide and document billable services to eligible populations that result in revenue generation for LifeLong
Advocate on behalf of patients to get their needs met and/or support patients to learn advocacy strategies for themselves.
Keep current on community resources and social service supports to effectively serve the target population
Document patient contacts/services in required data systems (EHR, HMIS etc.) according to LifeLong policy
Specific activities may vary depending on the requirements of the program and funder.
Promote diversity, equity, inclusion, and belonging in support of patients and staff
Represent LifeLong positively in the community and advocate on behalf of underserved populations
Qualifications
Commitment to working directly with low-income persons from diverse backgrounds in a culturally responsive manner
Commitment to harm reduction, recovery, housing first, age-friendly and patient centered care
Strong organizational, administrative and problem-solving skills, and ability to be flexible and adaptive to change while maintaining a positive attitude
Excellent interpersonal, verbal, and written skills
Ability to prioritize tasks, work under pressure, and complete assignments in a timely manner
Ability to seek direction/approval on essential matters, yet work independently, using professional judgment and diplomacy
Works well in a team-oriented environment
Conducts oneself in external settings in a way that reflects positively on your employer
Ability to be creative, mature, proactive, and committed to continual learning and improvement in professional settings
Job Requirements
High School diploma or GED
At least three (3) years of progressively responsible work or volunteer experience in a community-based health care or social work setting or at least one (1) year of experience as a CaseManager II or equivalent position or registration or certification as a Certified Alcohol and Drug Counselor by one of the two certifying bodies in California
Proficient skills using Microsoft Office applications like Word, Excel, and Outlook, as well as the ability to work in and/or manage databases
Access to reliable transportation with current license and insurance
Bilingual English/Spanish
Job Preferences
Bachelor's Degree in Social Work, Health or Human Services field
Lived experience of homelessness, incarceration, foster care, mental health services, substance use services or addiction, or as a close family member of someone who has this experience
$29.2-33.9 hourly Auto-Apply 20d ago
Case Manager I
Lancesoft 4.5
Remote employment case manager job
Will these roles be fully remote? Yes, but home visits required (please confirm frequency). Typical Visit range 0-3 per week, but will vary based on member need
Are there any specific locations the candidates should be in? Greater Columbus, OH area
What is the expected schedule (include dates/time) 8/11 -11/7 Mon -Fri -8AM -5PM
What are the day to day job duties? Telephonic and/or visit with members receiving home care services;assessment of needs and authorization of appropriate services, creation /maintenance of member's care plan;monitoring of services
Top Skills Required: assessment, organization, independence, comfort working with individuals with chronic conditions.
Required Education/Certification(s): RN/LSW/LISW - must be licensed in OHIO
Required Years of Experience: Min. Of 1 year casemanagement or managed care;1 year working with persons with chronic conditions and home care supports.
What IT equipment is required (laptop, monitor(s), docking stations, etc.)? Are monitors required or just a laptop? Laptop is required -monitors recommended
Is there potential for this to extend past 3 months? Unknown at this time
Responsible for health care management and coordination of Client Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care.
Coordinates and monitors Client member's progress and services to ensure consistent cost effective care that complies with Client policy and all state and federal regulations and guidelines.
Provides casemanagement services to members with chronic or complex conditions including.
Proactively identifies members that may qualify for potential casemanagement services.
Conducts assessment of member needs by collecting in-depth information from Client information system, the member, member's family/caregiver, hospital staff, physicians and other providers. O Identifies, assesses and manages members per established criteria.
Develops and implements a casemanagement plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs.
Performs ongoing monitoring of the plan of care to evaluate effectiveness.
Documents care plan progress in Client information system. O Evaluates effectiveness of the care plan and modifies as appropriate to reach optimal outcomes.
Measures the effectiveness of interventions to determine casemanagement outcomes.
Promotes integration of services for members including behavioral health and long term care to enhance the continuity of care for Client members.
Conducts face to face or home visits as required.
Maintains department productivity and quality measures.
Manages and completes assigned work plan objectives and projects in a timely manner.
Demonstrates dependability and reliability.
Maintains effective team member relations.
Adheres to all documentation guidelines.
Participates in Interdisciplinary Care Team (ICT) meetings.
Assists orientation and mentoring of new team members as appropriate. •Maintains professional relationships with provider community and internal and external customers.
Conducts self in a professional manner at all times. •Maintains cooperative and effective workplace relationships and adheres to company Code of Conduct. •Participates in appropriate casemanagement conferences to continue to enhance skills/abilities and promote professional growth.
Complies with required workplace safety standards.
Demonstrated ability to communicate, problem solve, and work effectively with people.
Excellent organizational skill with the ability to manage multiple priorities. •Work independently and handle multiple projects simultaneously.
Knowledge of applicable state, and federal regulations. •Knowledge of ICD-9, CPT coding and HCPC. •SSI, Coordination of benefits, and Third Party Liability programs and integration. •Familiarity with NCQA standards, state/federal regulations and measurement techniques. •In depth knowledge of CCA and/or other CaseManagement tools. •Ability to take initiative and see tasks to completion. •Computer skills and experience with Microsoft Office Products
Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
Skilled at establishing and maintaining positive and effective work relationships with coworkers, clients, members, providers and customers.
Required Education:
Bachelor's degree in Nursing or Masters degree in Social Work, or Health Education (a combination of experience and education will be considered in lieu of degree).
Required Experience:
0-2 years of clinical experience with casemanagement experience.
Required Licensure/Certification:
Active, unrestricted State Registered Nursing license or Licensed Clinical Social Worker LCSW or Advanced Practice Social Worker APSW in good standing. A combination of experience and education will be considered in lieu of LCSW or APSW. Must have valid driver's license with good driving record and be able to drive locally.
RN or LSW candidates will need to reside in the Columbus, Ohio area.
Prefer candidates with knowledge of Medicaid Waivers. Home visits are required. Candidate will need a laptop, wifi, cell phone, reliable transportation and a private workspace.
$43k-58k yearly est. 51d ago
SSDI Case Manager
Advocates 4.4
Remote employment case manager job
OverviewAt Advocate, our mission is to empower Americans to obtain the government support they've earned. Advocate aims to reduce long wait times and bureaucratic obstacles of the current government benefits application process by developing a unified intake system for the Social Security Administration, utilizing cutting-edge technologies such as artificial intelligence and machine learning, crossed with the knowledge and experience of our small team of EDPNA's and casemanagers.
We are seeking a highly organized and dedicated CaseManager to join Advocate and oversee the progress of disability cases at the Initial Application (IA) and Reconsideration (Recon) levels. You will manage a large caseload and work directly with claimants, ensuring they receive regular updates and assistance throughout the process. Your role will include analyzing medical records, filing recon appeals, and collaborating with SSA/DDS to resolve case-related issues. If you have strong time-management skills and thrive in a fast-paced, client-focused environment, this position will allow you to make a meaningful impact on the lives of claimants.Job Responsibilities
Conduct Welcome Calls, file appeals, take action on claims needing attention, respond to Claimant calls, SMS, and emails, and other claim management work streams
Offer an empathetic, best-in-class experience for our claimants
Proactively communicate with claimants, ensuring they are informed of the progress of their cases.
Collaborate with SSA/DDS to resolve case-related issues and keep the case on track.
Use our technology to support claimants through the application and adjudication process
Help improve our technology and operations, providing feedback to strengthen our ability to help claimants
Proactively identify challenges and offer solutions.
Qualifications
Minimum of one year of SSDI/SSI casemanagement experience is required.
Strong organizational and time-management skills to handle a large caseload.
Thorough knowledge of Social Security's disability process and familiarity with DDS/SSA forms.
Ability to work in a fast-paced environment while maintaining attention to detail and task completion.
Preference for a small start-up environment with high ownership and high responsibility.
Desire to transform the disability application and adjudication process.
Ability to quickly pivot, change process, and adopt new ways of doing things.
Familiarity with Salesforce or a similar CRM
This is a remote position and Advocate is currently a fully remote team. Advocate is an equal opportunity employer and values diversity in the workplace. We are assembling a well-rounded team of people passionate about helping others and building a great company for the long term.
$28k-33k yearly est. Auto-Apply 60d+ ago
Case Manager QIDP - Home Based Support Services (FT)
Association for Individual Development 3.5
Remote employment case manager job
Since 1961, The Association for Individual Development (AID) has served individuals with developmental, intellectual, physical and/or mental health challenges, those who have suffered a trauma, and those at risk. As a non-profit organization, our mission is to empower people with physical, developmental, intellectual, and mental health challenges to enjoy lives of dignity and purpose. We are looking for a CaseManager QIDP - Home Based Services who exemplifies that mission, and who wants to make a difference in the lives of their patients. Are you the right fit?
What will you be doing?
Assists the individual and the Family by providing training to enable self-directed services
Aids with budgeting and recruiting Personal Support Workers
Assist with the implementation of the Person-Centered Service Plan.
What will you bring to the table?
A bachelor's degree in a human services field (required)
Ability to meet qualifications as a QIDP
Ability to attend and pass DHS-mandated QIDP training within six months of hire
One year of experience working in the field of developmental disabilities
What will we bring to the table?
Tuition reimbursement
Health, dental, and vision insurance
Employer-paid life insurance plan
Employer-paid short-term and long-term disability plan
Holiday pay
Paid time off
Retirement plan
Employer-paid critical illness plan
What are the other requirements?
Solicits and updates service agreements with all providers every fiscal year and as needed to reflect changes in rates and type of services
Assists the family as needed with application for Medicaid benefits and providers referrals to other agencies so that the individual can receive services from a broad spectrum of areas
Ensures providers are enrolled as Medicaid waiver providers and have completed necessary forms to be reimbursed
The use of your personal vehicle or agency vehicles to transport clients
If we seem like a good fit, consider joining our growing team of compassionate, hardworking, and caring individuals, and start your path toward a fulfilling career that you can be proud of.
$39k-49k yearly est. Auto-Apply 60d+ ago
Case Manager
Recovery Monitoring Solutions LLC 3.5
Remote employment case manager job
*$500.00 hiring bonus after 90 days employment. Eligible for up to $600.00 bonus every month.
Flexible schedule or work from home available after training period.
The CaseManager, Non-Residential, Community Corrections, is responsible for programmatic goals, ensuring program conditions are met, and assisting in the establishment or reestablishment of community ties as required. Ensures contractual deadlines are met, and the clients' performance is monitored and documented properly. Provides exceptional customer service and complies with company and contractual policies and procedures.
ESSENTIAL FUNCTIONS:
Supervises caseload of clients to ensure program, court and referring agency requirements are met. Provides client with community resource assistance. Conducts client assessments, evaluates programming progress and participates in client progress meetings.
Ensures accountability of clients in the community via phone calls, onsite checks, drug and alcohol screenings, observations, and verification of submitted documentation and requests
Reviews and oversees clients' financial obligations. Collects supervision payments from clients and completes daily deposits.
Reviews and evaluates client behavior. Notifies appropriate agency of infractions or determines if disciplinary measures are needed.
Ensures client physical and electronic file is up-to-date and contains all relevant and pertinent information. Maintains sentencing case plan and tracks the client's progress through treatment and other programs, ensures client's required timelines are met and goals are accomplished as outlined by court or referring agency's requirements.
Maintains and monitors the confidentiality of client records and administrative files.
Complies with the requirements of applicable regulations, laws, rules, procedures, policies, standards and/or contractual requirements.
Works with court and court officials to write and update client reports. Testifies in court when required.
Domestic U.S. travel may be required.
Other duties as assigned
BASIC QUALIFICATIONS:
Bachelor's Degree from accredited college or university required
Proficiency with Microsoft Office (Word, Outlook and Excel) preferred.
Effective verbal and written communication skills required and apply problem solving techniques to complex issues.
Strong organizational and clerical skills required.
Demonstrate ability to complete pre-service and other training programs as required.
Valid driver's license is required.
KNOWLEDGE, SKILLS, ABILITIES
Plan, organize and assign the work of others
Apply policies, procedures, and best practices
Perform computer data entry
Clearly communicate concepts and instructions
Coordinate efforts with other staff and divisions
Create and maintain accurate records and reports
Work within a team structure
Define problems, collect and analyze data, and determine valid solutions
Recognize and meet needs of customer/end user
Maintain focus and perform required duties while interacting with disagreeable customers/end users
Bend, stoop, lift objects up to 10lbs., and maintain mobility necessary to perform minimum functions associated with the position
Benefits Include:
Medical
Dental
Vision
401K
Short Term Disability
Long Term Disability
Basic Life
$43k-63k yearly est. Auto-Apply 60d+ ago
Lead Case Manager - Family Law
Kimbrough Legal, PLLC
Remote employment case manager job
Job Description
Kimbrough Legal, PLLC, is seeking a Family Law Lead CaseManager to join our law firm in Austin, TX. This position entails overseeing all aspects of casemanagement and requires individuals with a meticulous nature and a solid background in drafting legal documents, conducting research, and managingcase files.
The ideal candidate will be adept at ensuring the efficient handling of our legal matters and possess strong communication skills. If you excel in developing processes, taking a proactive approach, and are looking for a new opportunity, we invite you to apply to join our team today!
Working hours:
Monday to Thursday: 8:00 a.m. - 5:00 p.m. in the office
Fridays: Work remotely from home
What Kimbrough Legal Can Offer You:
Dedicated Work-Life Balance
Competitive Base Salary
Bonus Structure to Reward Excellence
Health, Dental, and Vision Insurance
401(k) Retirement Plan with Match
Generous Paid Time Off (PTO) plus 10 Paid Holidays
Support for Professional Growth through Continuing Legal Education Assistance
Positive Work Environment that Values Integrity and Collaboration
Compensation:
$65,000
Responsibilities:
Oversee and ensure adherence to all legal documents and all legal regulations
Aid attorneys in casemanagement, which includes invoicing, monitoring deadlines, and issuing necessary prompts
Provide cost-effective suggestions to attorneys for achieving client objectives
Create legal paperwork for attorney assessment
Manage and organize case files and engagement details according to firm policies, whether in electronic or paper form
Furnish clients and external counsel with case status updates upon request
Work collaboratively with external vendors, staff, and attorneys to manage the firm's caseload efficiently, present case summaries, and meet deadlines
Qualifications:
Minimum of 5 years of experience as a Lead CaseManager or Senior Paralegal in a family law practice
Professional certification or advanced education, specifically in casemanagement
Bachelor's degree from an accredited four-year college or university, majoring in law, business, or a related field
Ability to efficiently handle multiple cases simultaneously
Demonstrated experience in drafting legal documents and conducting thorough legal research
Proficiency in using Microsoft products, plus casemanagement and other legal software
Excellent communication and organization skills
Ability to reliably commute to Austin, TX 78746
About Company
What Makes Kimbrough Legal the Best Place to Work: Kimbrough Legal, PLLC, provides clients in Austin, Houston, San Antonio, and surrounding areas with bold, passionate legal representation for divorce and family law cases. We're good at what we do because we follow one simple principle: the client comes first. It's why we pride ourselves on creating thoughtful client-centered solutions that are both practical and accessible for those we serve.
$65k yearly 14d ago
V108 - Administrative Case Manager
Flywheel Software 4.3
Remote employment case manager job
For ambitious, culturally diverse, curious minds seeking booming careers, Job Duck unlocks and nurtures your potential. We connect you with rewarding, remote job opportunities with US-based employers who recognize and appreciate your skills, allowing you to not just survive but thrive.
As a lifestyle company, we ensure that everybody working here has a fantastic time, which is why we've earned the Great Place to Work Certification every year since 2022!
Job Description:
Join Job Duck as a Administrative CaseManager and become an essential part of a team dedicated to delivering exceptional client experiences. In this role, you'll serve as the first point of contact for clients and insurance adjusters, ensuring every interaction is professional, warm, and supportive. You'll managecase files, assist with intake processes, and keep communication flowing smoothly through email and calendar management. This position is perfect for someone who thrives on organization, enjoys helping others, and takes pride in going above and beyond to make clients feel valued. If you're detail-oriented, consistent, and passionate about customer service, this is your opportunity to make a meaningful impact every day.Monthly Compensation Range: • 1220 - 1320 USD
Responsibilities include, but are not limited to:
• Act as the first point of contact for clients and insurance adjusters
• Answer phone calls and provide exceptional customer service
• Organize and maintain case files accurately
• Assist with intake processes and documentation
• Set up insurance claims promptly and accurately
• Collaborate with team members to ensure smooth operations
• Check in with clients regularly to ensure satisfaction
• Manage email inbox and calendar scheduling
• Support light marketing tasks, including social media posting
Requirements:
At least 1 year experience in a client facing role
Adaptable and willing to assist in various tasks
Familiarity with CRM systems
Excellent communication skills with a clear accent
Comfortable with taking calls
Customer service orientated
Software
CRM: Filevine
VOIP: Ring Central
Microsoft suite
Zoom
Teams
Work Schedule: Monday-Friday
Expected call volumes: 6-15
Location: Remote
Time Zone: Eastern Standard Time [EST]
Work Shift:
8:00 AM - 5:00 PM [EST][EDT] (United States of America)
Languages:
English, Spanish
Ready to dive in? Apply now and make sure to follow all the instructions!
Our application process involves multiple stages, and submitting your application is just the first step. Every candidate must successfully pass each stage to move forward in the process.
Please keep an eye on your email and WhatsApp for the next steps. A recruiter will be assigned to guide you through the application process. Be sure to check your spam folder as well.
$35k-51k yearly est. Auto-Apply 9d ago
Family Care Specialist - Case Manager
Clarvida
Remote employment case manager job
at Clarvida - Oregon
About your Role:
As a Family Care Specialist you will work with a small caseload of families involved with Child Welfare living within Umatilla and Morrow counties. You will provide skill building, parent coaching and connect families to community resources to assist in the remediation of safety threats/concerns. Meeting with ODHS to provide updates and progress reports as well as attending team meetings and training sessions.
Perks of this role:
Competitive pay starting at $19.23/hour
Does the following apply to you?
High School Diploma or General Education Diploma (GED)
2 years of relevant experience (additional education may substitute for years of experience)
Willing and able to work irregular days and/or hours
Valid driver's license, clean driving record and auto insurance
Ability to walk up/down stair across uneven terrain for short/medium distances
Ability to sit/stand for extended periods of time
Reside in the county (one of the counties) being served
Ability to pass fingerprinting and background checks
What we offer:
Full Time Employees:
· Paid vacation days that increase with tenure· Separate sick leave that rolls over each year· Up to 10 Paid holidays*· Medical, Dental, Vision benefit plan options· DailyPay- Access to your daily earnings without waiting for payday*· Training, Development and Continuing Education Credits for licensure requirements
All Employees:
· 401K· Free licensure supervision· Employee Assistance program · Pet Insurance· Perks @Clarvida- national discounts on shopping, travel, Verizon, and entertainment· Mileage reimbursement*· Company cellphone
*benefits may vary based on Position/State/County
Application Deadline: Applications will be reviewed on a rolling basis until the position is filled. If you're #readytowork we are #readytohire! Now hiring!Not the job you're looking for?Clarvida has a variety of positions in various locations; please go to******************************************** To Learn More About Us:Clarvida @ **************************************************
Clarvida is an equal opportunity employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status or any other protected characteristic.
"We encourage job seekers to be vigilant against fraudulent recruitment activities that are on the rise across the healthcare industry. Communication about legitimate Clarvida job opportunities will only come from an authorized Clarvida.com email address, from a [email protected] email, or a personal LinkedIn account that is associated with a Clarvida.com email address."
$19.2 hourly Auto-Apply 60d+ ago
Case Manager
That Jlive
Remote employment case manager job
DEPARTMENT: Vocational Services
SUPERVISOR: Manager, Vocational Services
Gesher Human Services is a bridge to hope and opportunity for people at work, at home, and in the community. Gesher's workforce development, behavioral health, and inclusion programming serves all Metro Detroiters while meeting the needs of the Jewish community.
GENERAL
The CaseManager plays a key role in assisting individuals with disabilities in developing, implementing and maintaining a vocational and/or non-vocational plan. The CaseManager helps individuals identify their interests, skills and goals needed to reach their goals. The CaseManagers also assist the Job Coach Supervisor in training Job Coaches in developing training strategies to assist participants in reaching their goals.
QUALIFICATIONS
Education:
Bachelor's degree in psychology, social work, special education or related field required.
Other:
Two years related work experience serving individuals with disabilities required. American Sign Language skills is a plus. Interpersonal skills sufficient to communicate with participants, public and staff. Composition skills sufficient to prepare required reports both in writing and on a computer. Driving record must meet safe driving standards as established by Agency insurance carrier. Reliable automobile and valid Michigan driver's license, proof of registration and insurance are required.
DUTIES AND RESPONSIBILITIES
In conjunction with the participants and staff, develop and implement specific programs to assist participants with learning and maintaining skills that maximize and promote a healthy, active and socially integrated lifestyle.
Using a person-centered approach, provide case coordination, follow-along supports, linkages and advocacy services to participants
Manage day-to-day operations of assigned employment, volunteer/and or recreations locations, including developing, implementing, and maintaining quality procedures so that service and safety requirements are met
Develop, monitor, and periodically review support plans for designated participants.
Secure and maintain required authorizations for service.
Prepare and submit necessary documentation in computerized databases for funding source in a timely manner.
Generate reports and other documents to ensure that the case record is in accordance with all applicable regulations for governing accreditation and funding bodies.
Carry cell phone and be available to provide coverage to ensure proper staffing at sites, as well as to provide direction to staff.
Establish and maintain positive and outcome-oriented relationships with participants and their involved others, community partners, other team members, and funding sources.
Transport participants using own vehicle or agency van, as needed.
Perform job-coaching, and/or Lead Job Coach job duties, as needed.
Serve on Agency committee(s) as appointed.
WORKING CONDITIONS
Environmental conditions:
Moderate noise (i.e., business office with computers, phone, and printers, light traffic).
Ability to work both inside or outside of buildings; in a confined area or settings where there may be exposure to heat, cold, humidity; dust and cleaning solutions.
Ability to sit at a computer terminal for an extended period.
Physical requirements:
While performing the duties of this job, the employee is regularly required to, stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone keyboard, reach, stoop, kneel to install computer equipment.
Specific vision abilities required by this job include close vision requirements due to computer work.
Light to moderate lifting in required.
Other:
Ability to work flexible hours in the community and facility settings as well as travel to local sites in less than a day's notice.
Accommodation(s):
As appropriate and fiscally reasonable.
EXEMPT
This position is exempt from the overtime pay provisions of the Federal Fair Labor Standards Act.
The above is for general informational purposes only and is not intended to be all inclusive or limiting as to specific duties. The Agency reserves the right to modify, interpret, or apply this in any way the Agency desires and in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying the position. The described job requirements are subject to change to reasonably accommodate qualified individuals with a disability.
This job description is not an employment contract, implied or otherwise and any employment relationship remains “at-will.”
Gesher is proud to be an equal employment opportunity and affirmative action employer. We celebrate diversity and do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran or disability status, or any other applicable characteristics protected by law.
$36k-56k yearly est. Auto-Apply 7d ago
Case Manager
Franklin County, Oh 3.9
Employment case manager job in Columbus, OH
Concord Counseling Services is seeking; awesome people who love helping others, become their best selves! CaseManagers provide services to individuals with severe mental illnesses, all while getting to know your community, being a key player in the lives of others, being a part of a team that takes care of each other, helping individuals with mental health issues increase their independence, and collaborating with providers. We are seeking people with 1 - 3 years of experience, who are ready to serve with their heart!
This is a full-time position and job requirements include, but are not limited to:
* Assisting clients to achieve an increased level of independence within the community
* Resource management, symptom monitoring, advocacy with medical providers, and a wide range of supportive activities
* Planning and monitoring client outcome goals
* Minimum Associates Degree in Social Work or a related field required
* Must have a valid driver's license, a reliable vehicle, maintain a good driving record and can provide safe transportation
* Concord offers an excellent work environment, flexible work schedules and comparable pay based on experience and licensure
Benefit Highlights:
* Increased Pay Ranges
* Supportive/Flexible work environment with high employee satisfaction rates
* Generous Paid Time off & Holidays
* Medical, Dental and Vision, Group Life, FSA, HSA, and 401K plan
* Student Loan Repayment Program
* Free supervision toward independent license
* Free CEU's
Concord is an Equal Opportunity Employer. Our core values are inclusion, teamwork, commitment and integrity. Concord welcomes all to apply!
$31k-38k yearly est. 20d ago
Case Manager
Recoveryms
Remote employment case manager job
*$500.00 hiring bonus after 90 days employment. Eligible for up to $600.00 bonus every month.
Flexible schedule or work from home available after training period.
The CaseManager, Non-Residential, Community Corrections, is responsible for programmatic goals, ensuring program conditions are met, and assisting in the establishment or reestablishment of community ties as required. Ensures contractual deadlines are met, and the clients' performance is monitored and documented properly. Provides exceptional customer service and complies with company and contractual policies and procedures.
ESSENTIAL FUNCTIONS:
Supervises caseload of clients to ensure program, court and referring agency requirements are met. Provides client with community resource assistance. Conducts client assessments, evaluates programming progress and participates in client progress meetings.
Ensures accountability of clients in the community via phone calls, onsite checks, drug and alcohol screenings, observations, and verification of submitted documentation and requests
Reviews and oversees clients' financial obligations. Collects supervision payments from clients and completes daily deposits.
Reviews and evaluates client behavior. Notifies appropriate agency of infractions or determines if disciplinary measures are needed.
Ensures client physical and electronic file is up-to-date and contains all relevant and pertinent information. Maintains sentencing case plan and tracks the client's progress through treatment and other programs, ensures client's required timelines are met and goals are accomplished as outlined by court or referring agency's requirements.
Maintains and monitors the confidentiality of client records and administrative files.
Complies with the requirements of applicable regulations, laws, rules, procedures, policies, standards and/or contractual requirements.
Works with court and court officials to write and update client reports. Testifies in court when required.
Domestic U.S. travel may be required.
Other duties as assigned
BASIC QUALIFICATIONS:
Bachelor's Degree from accredited college or university required
Proficiency with Microsoft Office (Word, Outlook and Excel) preferred.
Effective verbal and written communication skills required and apply problem solving techniques to complex issues.
Strong organizational and clerical skills required.
Demonstrate ability to complete pre-service and other training programs as required.
Valid driver's license is required.
KNOWLEDGE, SKILLS, ABILITIES
Plan, organize and assign the work of others
Apply policies, procedures, and best practices
Perform computer data entry
Clearly communicate concepts and instructions
Coordinate efforts with other staff and divisions
Create and maintain accurate records and reports
Work within a team structure
Define problems, collect and analyze data, and determine valid solutions
Recognize and meet needs of customer/end user
Maintain focus and perform required duties while interacting with disagreeable customers/end users
Bend, stoop, lift objects up to 10lbs., and maintain mobility necessary to perform minimum functions associated with the position
Benefits Include:
Medical
Dental
Vision
401K
Short Term Disability
Long Term Disability
Basic Life
$31k-47k yearly est. Auto-Apply 60d+ ago
Regulatory Case Manager (Utility)
American Electric Power 4.4
Employment case manager job in Columbus, OH
**Job Posting End Date** 01-05-2026 Please note the job posting will close on the day before the posting end date. * hiring two positions The Regulatory Project Manager plays a central role in managing state-regulated utility filings with public utility commissions. Working in a collaborative team environment, this position leads the coordination of filing strategies that support cost recovery and earnings realization for AEP's operating companies.
This role is highly project-driven, functioning much like a project manager for regulatory filings. It requires strong organizational and time management skills to guide cross-functional teams through complex regulatory processes. Key responsibilities include managing filing schedules, coordinating witness testimony, overseeing discovery responses, and ensuring compliance with state filing requirements. The CaseManager serves as a hub of activity, keeping teams aligned, timelines on track, and deliverables moving forward under tight deadlines.
Success in this role depends on clear communication, attention to detail, and the ability to manage multiple priorities across diverse stakeholders. Experience in project management, especially in fast-paced or regulated environments, is a strong asset.
Regulatory Services is a high-visibility area of the business, offering exposure to strategic initiatives and opportunities for professional growth. As a CaseManager, you'll help shape filings that reflect AEP's Core Principle of Regulatory Integrity - supporting balanced regulatory outcomes and reinforcing our position as a trusted industry leader.
**Job Description**
**What You'll Do:**
Lead and project-manage cross-functional teams to deliver major regulatory filings with state commissions, supporting AEP's strategic goals and investments.
+ Align filing proposals with operating company and corporate strategies.
+ Coordinate diverse teams to meet deadlines, often while managing multiple filings at once.
+ Build and leverage internal networks to gather insights and shape regulatory strategies.
+ Act as a key liaison between operating company leadership and AEP Service Corp.
+ Mentor and support junior CaseManagement staff on projects and development opportunities.
Oversee the end-to-end case filing process to ensure accuracy, completeness, and timely execution.
+ Coordinate the review of direct and rebuttal testimony across multiple witnesses.
+ Ensure filing schedules meet all state regulatory requirements.
+ Facilitate the discovery process among witnesses, support staff, and legal counsel.
+ Lead team meetings and calls to drive progress and accountability.
Develop and recommend regulatory strategies to navigate challenges and strengthen case outcomes.
+ Evaluate alternative cost recovery approaches.
+ Shape testimony strategies in response to intervenor positions.
+ Monitor and incorporate state commission decisions, policies, and peer utility filings.
Stay informed on industry trends, regulatory policies, and legislative developments that impact AEP's operations.
+ **Knowledge of electric distribution, transmission and generation preferred.**
+ Maintain working knowledge of Standard Filing Requirements and state administrative codes.
+ Track relevant legislation and regulatory changes across jurisdictions.
**What We're Looking For:**
**Note:** _This position is posted in a range. The final grade and compensation offered will be based on the successful candidate's education, experience, and relevant skills._
Regulatory CaseManager (Salary Level 9):
**Education:**
+ Bachelor' degree from an accredited college or university in Accounting, Business, Economics, Engineering or Finance.
**Work Experience:**
+ Minimum of 6 years of experience with emphasis on one or more of the following - utility accounting and applications, rates, tariff development and application, commercial operations, management, and/or other pertinent experience.
+ Electric utility experience is preferred.
Regulatory CaseManager (Salary Level 10):
**Education:**
+ Bachelor' degree from an accredited college or university in Accounting, Business, Economics, Engineering or Finance.
**Work Experience:**
+ Minimum of 8 years of experience with emphasis on one or more of the following - utility accounting and applications, rates, tariff development and application, commercial operations, management, and/or other pertinent experience.
+ Previous leadership experience is preferred.
+ Electric utility experience is preferred.
**Other Must Haves:**
Core Skills & Competencies
+ Strong project management skills, including planning, coordination, and execution of complex, deadline-driven workstreams.
+ Excellent communication and collaboration skills across diverse teams and leadership levels.
+ High attention to detail and ability to manage multiple priorities effectively.
+ Proficiency in Microsoft Excel and other spreadsheet tools for data analysis and tracking.
+ Familiarity with regulatory processes and terminology in utility or other regulated industries.
+ Ability to adapt quickly, solve problems, and drive results in a fast-paced environment.
Regulatory & Industry Knowledge
+ Working knowledge of utility regulatory processes, including commission procedures, discovery, and testimony development.
+ Ability to read and interpret state legislative and administrative code as it applies to filing requirements.
+ Understanding of cost recovery and ratemaking principles.
+ Awareness of industry trends, peer utility filings, and evolving regulatory policies.
Collaboration & Leadership
+ Comfortable working across departments and with varying levels of leadership, including legal, finance, operations, and executive teams.
+ Experience mentoring or supporting junior staff in a collaborative, team-oriented environment.
+ Ability to build and maintain strong working relationships across a large organization.
Preferred (but not required)
+ Project Management certification (e.g., PMP, CAPM) or formal training.
+ Experience working in a regulated industry such as utilities, energy, telecommunications, or healthcare
Additional Requirements
+ May be required to work "on-call" during weekends, holidays, or scheduled time off to meet regulatory deadlines or commission-imposed filing dates.
+ Occasional travel required for hearings, stakeholder meetings, witness support, training, and other regulatory-related events.
**Where You'll Work:**
+ On-Site in the AEP Headquarters in Columbus, OH or Tulsa General Office in Tulsa, OK
**What You'll Get:**
+ Base salary
+ Annual bonus
+ Comprehensive benefits package that aims to support and enhance the overall well-being of our employees.
Where Putting the Customer First Powers Everything We Do!
At AEP, we're more than just an energy company - we're a team of dedicated professionals committed to delivering safe, reliable, and innovative energy solutions. Guided by our mission to put the customer first, we strive to exceed expectations by listening, responding, and continuously improving the way we serve our communities. If you're passionate about making a meaningful impact and being part of a forward-thinking organization, this is the company for you!
\#LI-ONSITE
\#AEPCareers
\#AEPPSO
\#INDAEP
**Compensation Data**
**Compensation Grade:**
SP20-009
**Compensation Range:**
$112,869.00 - $172,331.00
The Physical Demand Level for this job is: S - Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently. (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.
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It is hereby reaffirmed that it is the policy of American Electric Power (AEP) to provide Equal Employment Opportunity in all respects of the employer-employee relationship including recruiting, hiring, upgrading and promotion, conditions and privileges of employment, company sponsored training programs, educational assistance, social and recreational programs, compensation, benefits, transfers, discipline, layoffs and termination of employment to all employees and applicants without discrimination because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, veteran or military status, disability, genetic information, or any other basis prohibited by applicable law. When required by law, we might record certain information or applicants for employment may be invited to voluntarily disclose protected characteristics.
$35k-43k yearly est. 55d ago
CDCA Case Manager
Newvista Behavioral Health 4.3
Employment case manager job in Columbus, OH
Job Address:
920 Thurber Dr W Columbus, OH 43215
CDCA CaseManager
Shift: Monday - Friday
Hours: 9:00am - 5:00pm
Perks at Work:
Healthcare:
Medical Packages with Rx - 3 Choices
Flexible Spending Accounts (FSA)
Dependent Day Care Spending Accounts
Health Spending Accounts (HSA) with a company match
Dental Care Program - 2 choices
Vision Plan
Life Insurance Options
Accidental Insurances
Paid Time Off + Paid Holidays
Employee Assistance Programs
401k with a Company Match
Paid Mileage
Monthly cell phone allowance
Education + Leadership Development
Up to $15,000 in Tuition Reimbursements
Student Loan Forgiveness Programs
HRSA / STAR PROGRAM
The Role Itself
Conducts bio-psychosocial assessments under supervision.
Provides group counseling and teaches coping mechanisms.
Identifies issues, creates goals, and develops treatment plans.
Leads group/individual sessions as necessary and attends treatment teams when required.
Prepares written reports and case summaries in accordance with program standards and professional ethics.
Ensures timely documentation meeting facility and regulatory standards.
Facilitates safe discharge plans, coordinates care with referral sources and community partners.
Possesses organizational skills, attention to detail, and maintains confidentiality.
Performs additional duties as necessary to accomplish objectives.
Assists with tele-health visits
Complete all documentation in EMR in a timely manner
Complete and submit daily reports
Education and other requirements:
High School Diploma, CDCA certification, and 40 hours of education in chemical dependency counseling/clinical methods required.
Must be 21yrs or older.
Must have a valid drivers license
Ohio Medicaid billing Number
NPI Number
License:
CDCA Certification.
Who we are
Stepping Stone was designed to help clients inside of skilled nursing facilities with medical comorbidities due to their substance use. We take a unique approach to client care and work along side the facility staff to ensure clients get the best possible outcomes.
The mission is to inspire hope and deliver holistic care to those in need of behavioral health and Substance Use Disorder services in a safe and healing environment - one that is conducive to providing the life skills needed to regain stability and independence. With a blend of group therapy, clinical treatment and unique surroundings, we provide a environment that promotes rehabilitative and emotional health, and are devoted to promoting greater peace of mind on the journey of hope and healing.
$30k-43k yearly est. Auto-Apply 60d+ ago
Case Manager Vocational Trainer QMHS ACT Team
North Community Counseling Centers 4.0
Employment case manager job in Columbus, OH
Come work for one of Columbus CEO Top Work Places in Central Ohio, nominated 4 years! We are looking to grow our Finance Department and would like the opportunity to see if you are a great fit for our organization! Are you looking for a fulfilling job opportunity to help serve people and the community? Come join a growing team that has a strong dedication to moving Mental Health in a positive direction. North Community Counseling is looking for someone with a lot of energy, that is self-driven, outgoing and positive to work with the agency.
NCCC takes pride in hiring individuals to provide our clients a safe and open environment for treatment. NCCC strives to cultivate a culture of inclusiveness that honors the experiences and lives of the people we serve. We have a design for people to feel comfortable, valued, welcomed and empowered. If you are someone able to bring this same concept to our team and work for the better of all people, we look forward to hearing from you.NCCC takes pride in hiring individuals to provide our clients a safe and open environment for treatment. NCCC strives to cultivate a culture of inclusiveness that honors the experiences and lives of the people we serve. We have a design for people to feel comfortable, valued, welcomed and empowered. If you are someone able to bring this same concept to our team and work for the better of all people, we look forward to hearing from you.
Are you looking for a job that helps the community in ways you could not imagine. NCCC is looking for someone who has a lot of drive and motivation to go out into the community to help those in need of stability and growth. NCCC is looking for a CaseManager with some vocational training or willing to be trained in this field. You have to be willing to work with clients and help prepare them for a job! What better way to help those in the community in so many different ways.
The purpose of ACT team services is to provide the necessary services and supports which maximize recovery, and promote success in employment, housing, and the community for people with severe mental illness (and co-occurring substance use) who are most at-risk of homelessness, psychiatric crisis and hospitalization, and involvement in the criminal justice system. 80% of ACT team services happen in the community.
North Community Counseling Centers (NCCC) is seeking ACT CaseManagers to provide services in the Franklin County area. ACT CaseManagers provide a variety of services including advocacy, linkage to resources, job readiness and working collaboratively with an interdisciplinary team to provide comprehensive care.
NCCC offers competitive salaries, medical, dental and vision benefits to qualified employees and opportunities for growth and advancement.
Responsibilities:
Client advocacy
Linkage to resources
Communicate client updates to all relevant parties
Facilitate referrals to other healthcare professionals and programs
Maintain accurate client documentation
Job training
Agency Benefits:
Competitive Salary
Generous Paid Time off & Holidays
Medical, Dental and Vision Insurance Coverage
Possible Monthly Bonus
Career Growth
Mileage Reimbursement
$35k-39k yearly est. 60d+ ago
Women's Healthcare Case Manager (Remote)
Bluecross Blueshield of Tennessee 4.7
Remote employment case manager job
BlueCross BlueShield of Tennessee seeks an experienced RN to provide compassionate, member-centered care for women navigating women's health conditions; from pregnancy to perimenopausal related.
This role involves telephonic and digital outreach, education, and care coordination with providers to ensure timely, personalized support.
In this role, you will:
Assess member needs and create individualized care plans.
Educate and support members through some of life's most complex transitions.
Coordinate care with OB/GYNs, PCPs, and behavioral health specialists
Monitor progress, adjust plans, and advocate for access and adherence
You will be an ideal candidate for this role, if, in addition to the required qualifications, you:
Are passionate about women's health, skilled at building trust, and motivated to empower members through complex health transitions.
Have 3+ years of experience in women's healthcare (maternity, GYN, women's health)
Are tech-savvy, adaptable, and comfortable in a remote setting
Have excellent communication, empathy, and problem-solving skills
Appreciate continuous program improvement
Job Responsibilities
Supporting utilization management functions for more complex and non-routine cases as needed.
Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs.
Overseeing highly complex cases identified through various mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefits
Performing the essential activities of casemanagement: assessment: planning, implementation, coordinating, monitoring, outcomes and evaluation.
Digital positions must have the ability to effectively communicate via digital channels and offer technical support.
Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions.
Various immunizations and/or associated medical tests may be required for this position.
This job requires digital literacy assessment.
Job Qualifications
License
Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.
Experience
3 years - Clinical experience required
5 years - Experience in the health care industry
For Select Community & Katie Beckett: 2 years experience in IDD for Select Community is required
Skills\Certifications
Currently has a Certified CaseManager (CCM) credential or must obtain certification within 2 years of hire.
For Select Community & Katie Beckett: In addition to CCM, Certification in Developmental Disabilities Nursing (CDDN) is required at hire, or must be attained within 3 years.
Excellent oral and written communication skills
PC Skills required (Basic Microsoft Office and E-Mail)
Grade 10
BBEX
Incentive Plan AEP
Number of Openings Available
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
$47k-56k yearly est. Auto-Apply 7d ago
Case Manager
Lone Star Circle of Care 4.3
Remote employment case manager job
We are seeking a CaseManager who is passionate about making a difference in our community. At Lone Star Circle of Care (LSCC) we strive for exceptional, equitable patient care that leads to healthier communities. Our CaseManager serves as liaison and coordinates care for patients with biopsychosocial needs in the context of medical, emotional and/or behavioral problems. Assess for such needs at the individual level, as well as facilitating and tracking successful referral to resources. Participates in population-based Care Management supporting the integration of primary and mental health care to treat the whole patient. This position requires travel to various LSCC facilities as needed.
If you have the ambition and desire to work in a friendly and fun environment, LSCC is the place for you!
A Day in the Life of a CaseManager may look like this:
Assist clients and/or families in identifying and accessing community resources to alleviate social, environmental, and/or economic problems impacting health care needs.
Deliver casemanagement, care coordination, and crisis intervention services to individuals and families, within the scope of practice.
Manage and track all aspects of the patient referral process, ensuring compliance with organizational policies and timelines.
Educate families on the implications of their medical condition and its impact on lifestyle.
Serve as a liaison and/or coordinates care between the client's providers, other treatment providers, community groups, and social service agencies.
Maintain accurate and up-to-date referral information, and initiate referrals as appropriate.
Refer clients and/or their families to community resources (programs, agencies, other providers, etc.) to assist in alleviating social, environmental, and economic problems affecting health care needs.
Update and maintain resources and contact points for providers as needed.
Adhere to patient care standards in alignment with LSCC health education and information guidelines.
Demonstrate a thorough understanding of national patient safety initiatives by consistently following all LSCC safety protocols and procedures.
Participate in data collection, focus groups, TJC, PCMH, and other quality improvement initiatives.
Maintain accountability for ongoing professional development and for sharing knowledge with others.
Responsible for knowledge of and compliance with all LSCC policies and procedures.
We ask our CaseManager to possess a minimum of:
Bachelor's degree in Social Work from an accredited college or university OR
Minimum two (2) years of experience as a casemanager with a CCM (Certification in CaseManagement) in a community-based and/or medical setting with an understanding of behavioral health prevention science.
Basic Life Support (BLS) certification from the American Heart Association or American Red Cross
The following experience/skills are preferred:
Master's degree in Social Work
Experience in substance abuse screening, use, and/or treatment
Experience with screening, brief intervention, and referral to treatment (SBIRT)
Experience with motivational interviewing (MI) and smoking cessation services
Experience working in behavioral health and/or human services
Proficiency with Electronic Medical Record (EMR) system, as well as computer and web-based interfaces
Bilingual English/Spanish language skills
Key Success Factors
Some key factors that will make an individual successful in this role:
The ability to problem solve
Organizational skills
Attention to detail
Team player personality
Time management
Benefits
LSCC offers a competitive benefits package, including:
Competitive salary;
Medical, Dental, and Vision insurance;
LSCC paid Life insurance;
LSCC paid Short-Term and Long-Term Disability insurance;
Paid Time Off; and
403b Employee Retirement Plan
$40k-50k yearly est. Auto-Apply 41d ago
Case Manager
New Horizons Mental Health Services 3.8
Employment case manager job in Lancaster, OH
Requirements
QUALIFICATIONS:
Ohio driver's license, proof of automobile liability insurance (minimum $100,000), Bachelor's degree preferred. Preference given to holders of Ohio Counselors and Social/Work Board licensure. Experience in working with adults with SMD, exhibits respect, compassion, warmth, caring and friendliness, non-judgmental of varying cultural beliefs, ability to assess, teach and model skill development techniques in home maintenance, interpersonal-social and pre-vocational interests, ability to set limits, confront behaviors and redirect.
Salary Description Starting at $16.50
$27k-36k yearly est. 8d ago
Employment Service Specialist
Ashlin Management Group, Inc.
Remote employment case manager job
EDUCATION and/or EXPERIENCE: A minimum of a Bachelor's Degree from an accredited U.S. college or University; a minimum of five years of experience in adult learning, workforce development, career training or other employment related field; prior experience working with populations similar to the District's TANF customers; proficient at facilitation and coaching; must be an effective communicator; computer literate; ability to create stimulating learning environments and keeping customers engaged; mastery of all the key activates that customers must complete to successfully gain and retain employment. Experience facilitating small and large groups, training and presenting. Knowledge of diverse audiences. Ability to provide personalized assistance to customers.
Proficient in the use of Microsoft Office. Excellent organizational and communication skills. Ability to work in a deadline oriented work environment.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
1. Assist Customers with resume development.
2. Build motivation and self confidence.
3. Evaluate customer's skill levels to job match and counsels customers accordingly.
4. Help ensure customers have attended interview workshops.
5. Assist in conducting mock interviews.
6. Coach customers individually in preparation for employment interviews.
7. Develop job opportunities.
8. Partner with staffing agencies to create employment opportunities for customers.
9. Market program to community employers.
10. Assist in development of Individualized Career Plan.
11. Interpret CASAS ESC appraisal scores, review results with the customers and their assigned CaseManager, and make referral recommendations to Education Slot Providers.
12. Assist staff in workshop activities, recruitment job fairs, retention and other employment activities in and outside of the Resource Center.
13. Follow up with customers to make certain job placement has been effective and successful.
14. Explore barriers to employment retention, counsels customers accordingly and engages them immediately in alternative job placements.
15. Perform other duties as may be assigned by management.
PERCENTAGE OF TIME DEDICATED TO PROJECT
100 Percent
SUPERVISORY RESPONSIBILITIES: None
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skills and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
In addition to the essential function listed above, the employee shall get along with others, function as a team player, accept constructive criticism from supervision and follow the work rules.