Medical Case Manager I
Syracuse, NY jobs
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Northern NJ and NYC area.
Work from home, and on the road.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others.
Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.
Evaluates patient's treatment plan for appropriateness, medical necessity, and cost effectiveness.
Provides assessment, planning, implementation and evaluation of patient's progress.
Attends doctors, other providers, home and in some cases, attorney's visits.
Attends hospital and/or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy. Initial home visit for initial evaluation.
Implements care such as negotiation the delivery of durable medical equipment and nursing services.
This role requires regular travel, dependent on the injured worker's injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
This role may require overnight travel.
KNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment.
Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.
Ability to meet with the patient, their physicians, other healthcare providers, attorneys, and advisors/clients and coworkers.
A cost containment background, such as utilization review or managed care is helpful.
Strong interpersonal, time management and organizational skills.
Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.
Ability to work both independently and within a team environment.
EDUCATION & EXPERIENCE:
Graduate of accredited school of nursing.
Current RN Licensure in state of operation.
Certification as a CCM, CIRS, or other Case Management certifications are preferred.
A valid driver's license, reliable transportation, and ability to travel to assigned locations is required.
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $62,306 - $93,123
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
About CorVel - Medical Case Managers
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Medical Case Manager II
Charlotte, NC jobs
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Raleigh, NC area. Work from home, and on the road. Monday - Friday, regular business hours. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
* Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source
* Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans
* Provides assessment, planning, implementation, and evaluation of patient's progress
* Evaluates patient's treatment plan for appropriateness, medical necessity, and cost effectiveness
* Attends doctors, other providers, home and in some cases, attorney's visits
* Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy
* Conducts home visit for initial evaluation
* Implements care such as negotiating the delivery of durable medical equipment and nursing services
* This role requires regular travel, dependent on the injured worker's injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
* This role may require overnight travel
* Additional duties as required
KNOWLEDGE & SKILLS:
* Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment
* Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers
* A cost containment background, such as utilization review or managed care is helpful
* Strong interpersonal, time management, and organizational skills
* Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets
* Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
* Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred
* Graduate of accredited school of nursing
* Current RN Licensure in state of operation
* Certification as a CCM, CIRS, or other Case Management certifications preferred
* A valid driver's license, reliable transportation, and ability to travel to assigned locations is required
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $65,436 - $98,982
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL - Medical Case Managers:
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Medical Case Manager II
Charlotte, NC jobs
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Charlotte, NC.
Work from home, and on the road. Monday - Friday, regular business hours.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others.
Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.
Evaluates patient's treatment plan for appropriateness, medical necessity, and cost effectiveness.
Provides assessment, planning, implementation and evaluation of patient's progress.
Attends doctors, other providers, home and in some cases, attorney's visits.
Attends hospital and/or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy. Initial home visit for initial evaluation.
Implements care such as negotiation the delivery of durable medical equipment and nursing services.
This role requires regular travel, dependent on the injured worker's injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
This role may require overnight travel.
KNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment.
Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.
Ability to meet with the patient, their physicians, other healthcare providers, attorneys, and advisors/clients and coworkers.
A cost containment background, such as utilization review or managed care is helpful.
Strong interpersonal, time management and organizational skills.
Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.
Ability to work both independently and within a team environment.
EDUCATION & EXPERIENCE:
Graduate of accredited school of nursing.
Current RN Licensure in state of operation.
Certification as a CCM, CIRS, or other Case Management certifications are preferred.
A valid driver's license, reliable transportation, and ability to travel to assigned locations is required.
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $65,436 - $98,982
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
About CorVel - Medical Case Managers
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Hybrid
Structured Settlement Administrator / Case Manager
New York, NY jobs
Your role We are seeking a Structured Settlement Administrator to join our team. This individual will play a key role in managing structured settlement cases from inception to completion, ensuring accuracy, compliance, and efficiency. The ideal candidate will be detail-oriented, highly organized, and capable of managing multiple priorities in a fast-paced environment.
Key Responsibilities
* Process and administer structured settlement cases, ensuring all documentation is accurate and complete.
* Coordinate with insurance companies, attorneys, claimants, and brokers to manage the settlement process.
* Maintain detailed records of settlement transactions and client communications.
* Review and verify court orders, settlement agreements, and funding documents.
* Track case milestones and follow up to ensure timely execution of settlement disbursements.
* Respond to client and partner inquiries with professionalism and attention to detail.
* Ensure compliance with all applicable laws, regulations, and company policies.
* Support internal audits and assist with process improvements to enhance operational efficiency.
Detailed salary information:
* New York: the salary range for this role is $85000 to $120000
The expected salary range(s) for this role as of the date of this posting is/are based on factors including, but not limited to, experience, qualifications, education, location and skill level. This role may also be eligible for discretionary incentive compensation. For benefits information, please visit ubs.com/usbenefits.
Join us
At UBS, we know that it's our people, with their diverse skills, experiences and backgrounds, who drive our ongoing success. We're dedicated to our craft and passionate about putting our people first, with new challenges, a supportive team, opportunities to grow and flexible working options when possible. Our inclusive culture brings out the best in our employees, wherever they are on their career journey. We also recognize that great work is never done alone. That's why collaboration is at the heart of everything we do. Because together, we're more than ourselves.
We're committed to disability inclusion and if you need reasonable accommodation/adjustments throughout our recruitment process, you can always contact us.
Your expertise
* ideally 5+ years of experience in structured settlements case management
* High degree of proficiency in structured settlement quoting software as well as Microsoft Office.
* Strong knowledge of settlement processes, annuities, or claims management.
* Excellent organizational, analytical, and communication skills.
* High level of accuracy and attention to detail.
About us
UBS is the world's largest and the only truly global wealth manager. We operate through four business divisions: Global Wealth Management, Personal & Corporate Banking, Asset Management and the Investment Bank. Our global reach and the breadth of our expertise set us apart from our competitors.
We have a presence in all major financial centers in more than 50 countries.
Medical Case Manager II
Raleigh, NC jobs
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Raleigh, NC area. Work from home, and on the road. Monday - Friday, regular business hours. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
* Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source
* Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans
* Provides assessment, planning, implementation, and evaluation of patient's progress
* Evaluates patient's treatment plan for appropriateness, medical necessity, and cost effectiveness
* Attends doctors, other providers, home and in some cases, attorney's visits
* Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy
* Conducts home visit for initial evaluation
* Implements care such as negotiating the delivery of durable medical equipment and nursing services
* This role requires regular travel, dependent on the injured worker's injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
* This role may require overnight travel
* Additional duties as required
KNOWLEDGE & SKILLS:
* Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment
* Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers
* A cost containment background, such as utilization review or managed care is helpful
* Strong interpersonal, time management, and organizational skills
* Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets
* Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
* Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred
* Graduate of accredited school of nursing
* Current RN Licensure in state of operation
* Certification as a CCM, CIRS, or other Case Management certifications preferred
* A valid driver's license, reliable transportation, and ability to travel to assigned locations is required
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $65,436 - $98,982
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL - Medical Case Managers:
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Medical Case Manager II
Raleigh, NC jobs
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Raleigh, NC area.
Work from home, and on the road. Monday - Friday, regular business hours.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source
Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans
Provides assessment, planning, implementation, and evaluation of patient's progress
Evaluates patient's treatment plan for appropriateness, medical necessity, and cost effectiveness
Attends doctors, other providers, home and in some cases, attorney's visits
Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy
Conducts home visit for initial evaluation
Implements care such as negotiating the delivery of durable medical equipment and nursing services
This role requires regular travel, dependent on the injured worker's injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
This role may require overnight travel
Additional duties as required
KNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment
Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers
A cost containment background, such as utilization review or managed care is helpful
Strong interpersonal, time management, and organizational skills
Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets
Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred
Graduate of accredited school of nursing
Current RN Licensure in state of operation
Certification as a CCM, CIRS, or other Case Management certifications preferred
A valid driver's license, reliable transportation, and ability to travel to assigned locations is required
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $65,436 - $98,982
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL - Medical Case Managers:
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Psychiatric Case Manager (NY HELPS) - FT - Day Shift
Buffalo, NY jobs
HOURLY RANGE: $30.68 - $41.57 NY HELPS: This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, which means NO EXAMINATION IS REQUIRED, but all candidates must meet the minimum qualifications of the title for which they apply.
At a future date (within one year of permanent appointment), it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, WITHOUT HAVING TO TAKE A CIVIL SERVICE TEST.
Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State.
While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified.
DISTINGUISHING FEATURES OF THE CLASS: The work involves performing skilled tasks in the care of inpatient or outpatient behavioral health patients at the Erie County Medical Center Corporation (ECMCC). The incumbent participates with other professional and paraprofessional staff as an active member in the overall care and treatment of patients suffering from a variety of psychological and/or chemical dependence problems. The incumbent may be assigned to a given inpatient unit or outpatient clinic to carry out program activities, provide direct therapy services or crisis intervention/counseling as required by program needs. The work is performed under the direct supervision of a licensed Psychologist, or higher-ranking licensed Social Worker for clinical matters. Depending on location of assignment, work may be performed under the general supervision of a professional nursing supervisor for non-clinical matters. Supervision is not a function of this position. Does related work as required.
TYPICAL WORK ACTIVITIES:
Performs behavioral health assessments and develops treatment plans using established methodologies;
Participates as a primary counselor to individuals, in groups and for families;
Participates as a team member in the treatment planning process;
Participates in the intake and screening of new patients;
Collects and maintains appropriate data from various sources such as professional staff and patient's families to establish an overall approach to the solution of the patient's mental and social problems;
Provides a psychosocial history for patients;
Provides counseling services to help patients adjust to their disabilities and social environment;
Provides individual treatment and/or crisis intervention under clinical supervision;
Provides support and guidance to the patient's family in order to accomplish treatment goals;
Observes and records patients' behavioral and psychiatric status, activities, responses to treatment and overall physical, behavioral and mental health condition and reports to the team;
Modifies treatment plans as needed;
Plans with the treatment team and with community agencies in order to relate the patient's treatment and rehabilitation program to the social situation prior to discharge;
Coordinates outpatient services with appropriate community resources;
Coordinates the discharge and planning for patients as assigned;
Participates in the development and implementation of the daily program activities;
Participates in the process of transferring patients to other levels of treatment as appropriate;
Refers clients to other governmental and non-governmental agencies;
Participates as a member of the team to provide quality assurance and peer-review of the treatment delivered;
Assists in the orientation of new staff and in staff development programs and in-service training.
FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS:
Thorough knowledge of the principles, practices and procedures of behavioral health treatment and of the special factors affecting disease and disability; good knowledge of psychiatric concepts and treatment techniques; good knowledge of community resources for individuals with challenging mental health behaviors; working knowledge of interviewing, assessment and counseling techniques for individuals with challenging mental health behaviors; ability to communicate effectively, both orally and in writing; ability to develop effective treatment plans; ability to effectively manage crisis situations; ability to establish and maintain effective working relationships; ability to interpret Federal, State and local laws affecting medical and health programs as they relate to the field of mental health; ability to organize work effectively; ability to work well as a member of a team; ability to prepare reports; initiative; dependability; sound professional judgment; tact; capable of performing the essential functions of the position with or without reasonable accommodation.
MINIMUM QUALIFICATIONS:
Possession of a Master's Degree* in Social Work, Counseling, or a Master's Degree considered substantially equivalent to Social Work or Counseling as determined by the New York State Education Department.
SPECIAL REQUIREMENTS:
* Possession of a license and current registration as a Licensed Master Social Worker (LMSW) as issued by the New York State Education Department at time of appointment and maintenance throughout duration of appointment; or:
* Possession of a Limited Permit to practice as a Licensed Master Social Worker (LMSW) as issued by the New York State Education Department at time of appointment and licensure and registration within one (1) year of appointment and maintenance throughout duration of appointment; or:
* Possession of a license and current registration to practice as a Mental Health Counselor as issued by the New York State Education Department at the time of appointment and maintenance throughout duration of appointment; or:
* Possession of a Limited Permit to practice as a Mental Health Counselor as issued by the New York State Education Department at the time of appointment and licensure and registration with two (2) years of appointment and maintenance throughout duration of appointment.
ADDITIONAL SPECIAL REQUIREMENTS:
* Possession of Basic Life Support (BLS) Certification from an ECMCC approved provider within sixty (60) days of appointment and maintenance throughout duration of appointment.
ADDITIONAL SPECIAL REQUIREMENTS - IF ASSIGNED TO AN INPATIENT CARE SETTING:
* Completion of New York State Office of Mental Health-Bureau of Education and Workforce Development (BEWD) certified safety program within three (3) months of appointment and participation in annual re-training.
NOTE*: Your degree must have been awarded by a college or university accredited by a regional, national, or specialized agency recognized as an accrediting agency by the U.S. Department of Education/U.S. Secretary of Education. If your degree was awarded by an educational institution outside the United States and its territories, you must provide independent verification of equivalency. A list of acceptable companies who provide this service can be found on the Internet at ******************************************* You must pay the required evaluation fee.
NOTE 2: Section 424-A of the Social Services Law requires that local social services district to inquire whether the applicant is the subject of an indicated child abuse or maltreatment report on file the State Central Register of Child Abuse and Maltreatment. All potential employees for this position will be requested to sign the necessary clearance form prior to being advised that they will be hired. Refusal to sign will be cause for automatic non-selection.
NOTE 3: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting full-time experience requirements.
NOTE 4: Mental Health Counselor Limited Permit holders are required to have 3,000 hours of supervised experience after completion of master's degree when applying for Mental Health Counselor license. Master Social Worker license applicants have no experience requirement when applying for license, hence the difference in allowance of length of time to achieve full licensure.
Psychiatric Case Manager - FT - Day Shift
Buffalo, NY jobs
HOURLY RANGE: $30.68 - $41.57 DISTINGUISHING FEATURES OF THE CLASS: The work involves performing skilled tasks in the care of inpatient or outpatient behavioral health patients at the Erie County Medical Center Corporation (ECMCC). The incumbent participates with other professional and paraprofessional staff as an active member in the overall care and treatment of patients suffering from a variety of psychological and/or chemical dependence problems. The incumbent may be assigned to a given inpatient unit or outpatient clinic to carry out program activities, provide direct therapy services or crisis intervention/counseling as required by program needs. The work is performed under the direct supervision of a licensed Psychologist, or higher-ranking licensed Social Worker for clinical matters. Depending on location of assignment, work may be performed under the general supervision of a professional nursing supervisor for non-clinical matters. Supervision is not a function of this position. Does related work as required.
TYPICAL WORK ACTIVITIES:
Performs behavioral health assessments and develops treatment plans using established methodologies;
Participates as a primary counselor to individuals, in groups and for families;
Participates as a team member in the treatment planning process;
Participates in the intake and screening of new patients;
Collects and maintains appropriate data from various sources such as professional staff and patient's families to establish an overall approach to the solution of the patient's mental and social problems;
Provides a psychosocial history for patients;
Provides counseling services to help patients adjust to their disabilities and social environment;
Provides individual treatment and/or crisis intervention under clinical supervision;
Provides support and guidance to the patient's family in order to accomplish treatment goals;
Observes and records patients' behavioral and psychiatric status, activities, responses to treatment and overall physical, behavioral and mental health condition and reports to the team;
Modifies treatment plans as needed;
Plans with the treatment team and with community agencies in order to relate the patient's treatment and rehabilitation program to the social situation prior to discharge;
Coordinates outpatient services with appropriate community resources;
Coordinates the discharge and planning for patients as assigned;
Participates in the development and implementation of the daily program activities;
Participates in the process of transferring patients to other levels of treatment as appropriate;
Refers clients to other governmental and non-governmental agencies;
Participates as a member of the team to provide quality assurance and peer-review of the treatment delivered;
Assists in the orientation of new staff and in staff development programs and in-service training.
FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS:
Thorough knowledge of the principles, practices and procedures of behavioral health treatment and of the special factors affecting disease and disability; good knowledge of psychiatric concepts and treatment techniques; good knowledge of community resources for individuals with challenging mental health behaviors; working knowledge of interviewing, assessment and counseling techniques for individuals with challenging mental health behaviors; ability to communicate effectively, both orally and in writing; ability to develop effective treatment plans; ability to effectively manage crisis situations; ability to establish and maintain effective working relationships; ability to interpret Federal, State and local laws affecting medical and health programs as they relate to the field of mental health; ability to organize work effectively; ability to work well as a member of a team; ability to prepare reports; initiative; dependability; sound professional judgment; tact; capable of performing the essential functions of the position with or without reasonable accommodation.
MINIMUM QUALIFICATIONS:
Possession of a Master's Degree* in Social Work, Counseling, or a Master's Degree considered substantially equivalent to Social Work or Counseling as determined by the New York State Education Department.
SPECIAL REQUIREMENTS:
* Possession of a license and current registration as a Licensed Master Social Worker (LMSW) as issued by the New York State Education Department at time of appointment and maintenance throughout duration of appointment; or:
* Possession of a Limited Permit to practice as a Licensed Master Social Worker (LMSW) as issued by the New York State Education Department at time of appointment and licensure and registration within one (1) year of appointment and maintenance throughout duration of appointment; or:
* Possession of a license and current registration to practice as a Mental Health Counselor as issued by the New York State Education Department at the time of appointment and maintenance throughout duration of appointment; or:
* Possession of a Limited Permit to practice as a Mental Health Counselor as issued by the New York State Education Department at the time of appointment and licensure and registration with two (2) years of appointment and maintenance throughout duration of appointment.
ADDITIONAL SPECIAL REQUIREMENTS:
* Possession of Basic Life Support (BLS) Certification from an ECMCC approved provider within sixty (60) days of appointment and maintenance throughout duration of appointment.
ADDITIONAL SPECIAL REQUIREMENTS - IF ASSIGNED TO AN INPATIENT CARE SETTING:
* Completion of New York State Office of Mental Health-Bureau of Education and Workforce Development (BEWD) certified safety program within three (3) months of appointment and participation in annual re-training.
NOTE*: Your degree must have been awarded by a college or university accredited by a regional, national, or specialized agency recognized as an accrediting agency by the U.S. Department of Education/U.S. Secretary of Education. If your degree was awarded by an educational institution outside the United States and its territories, you must provide independent verification of equivalency. A list of acceptable companies who provide this service can be found on the Internet at ******************************************* You must pay the required evaluation fee.
NOTE 2: Section 424-A of the Social Services Law requires that local social services district to inquire whether the applicant is the subject of an indicated child abuse or maltreatment report on file the State Central Register of Child Abuse and Maltreatment. All potential employees for this position will be requested to sign the necessary clearance form prior to being advised that they will be hired. Refusal to sign will be cause for automatic non-selection.
NOTE 3: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting full-time experience requirements.
NOTE 4: Mental Health Counselor Limited Permit holders are required to have 3,000 hours of supervised experience after completion of master's degree when applying for Mental Health Counselor license. Master Social Worker license applicants have no experience requirement when applying for license, hence the difference in allowance of length of time to achieve full licensure.
Psychiatric Case Manager - FT - Evening Shift
Buffalo, NY jobs
HOURLY RANGE: $30.68 - $41.57 DISTINGUISHING FEATURES OF THE CLASS: The work involves performing skilled tasks in the care of inpatient or outpatient behavioral health patients at the Erie County Medical Center Corporation (ECMCC). The incumbent participates with other professional and paraprofessional staff as an active member in the overall care and treatment of patients suffering from a variety of psychological and/or chemical dependence problems. The incumbent may be assigned to a given inpatient unit or outpatient clinic to carry out program activities, provide direct therapy services or crisis intervention/counseling as required by program needs. The work is performed under the direct supervision of a licensed Psychologist, or higher-ranking licensed Social Worker for clinical matters. Depending on location of assignment, work may be performed under the general supervision of a professional nursing supervisor for non-clinical matters. Supervision is not a function of this position. Does related work as required.
TYPICAL WORK ACTIVITIES:
Performs behavioral health assessments and develops treatment plans using established methodologies;
Participates as a primary counselor to individuals, in groups and for families;
Participates as a team member in the treatment planning process;
Participates in the intake and screening of new patients;
Collects and maintains appropriate data from various sources such as professional staff and patient's families to establish an overall approach to the solution of the patient's mental and social problems;
Provides a psychosocial history for patients;
Provides counseling services to help patients adjust to their disabilities and social environment;
Provides individual treatment and/or crisis intervention under clinical supervision;
Provides support and guidance to the patient's family in order to accomplish treatment goals;
Observes and records patients' behavioral and psychiatric status, activities, responses to treatment and overall physical, behavioral and mental health condition and reports to the team;
Modifies treatment plans as needed;
Plans with the treatment team and with community agencies in order to relate the patient's treatment and rehabilitation program to the social situation prior to discharge;
Coordinates outpatient services with appropriate community resources;
Coordinates the discharge and planning for patients as assigned;
Participates in the development and implementation of the daily program activities;
Participates in the process of transferring patients to other levels of treatment as appropriate;
Refers clients to other governmental and non-governmental agencies;
Participates as a member of the team to provide quality assurance and peer-review of the treatment delivered;
Assists in the orientation of new staff and in staff development programs and in-service training.
FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS:
Thorough knowledge of the principles, practices and procedures of behavioral health treatment and of the special factors affecting disease and disability; good knowledge of psychiatric concepts and treatment techniques; good knowledge of community resources for individuals with challenging mental health behaviors; working knowledge of interviewing, assessment and counseling techniques for individuals with challenging mental health behaviors; ability to communicate effectively, both orally and in writing; ability to develop effective treatment plans; ability to effectively manage crisis situations; ability to establish and maintain effective working relationships; ability to interpret Federal, State and local laws affecting medical and health programs as they relate to the field of mental health; ability to organize work effectively; ability to work well as a member of a team; ability to prepare reports; initiative; dependability; sound professional judgment; tact; capable of performing the essential functions of the position with or without reasonable accommodation.
MINIMUM QUALIFICATIONS:
Possession of a Master's Degree* in Social Work, Counseling, or a Master's Degree considered substantially equivalent to Social Work or Counseling as determined by the New York State Education Department.
SPECIAL REQUIREMENTS:
* Possession of a license and current registration as a Licensed Master Social Worker (LMSW) as issued by the New York State Education Department at time of appointment and maintenance throughout duration of appointment; or:
* Possession of a Limited Permit to practice as a Licensed Master Social Worker (LMSW) as issued by the New York State Education Department at time of appointment and licensure and registration within one (1) year of appointment and maintenance throughout duration of appointment; or:
* Possession of a license and current registration to practice as a Mental Health Counselor as issued by the New York State Education Department at the time of appointment and maintenance throughout duration of appointment; or:
* Possession of a Limited Permit to practice as a Mental Health Counselor as issued by the New York State Education Department at the time of appointment and licensure and registration with two (2) years of appointment and maintenance throughout duration of appointment.
ADDITIONAL SPECIAL REQUIREMENTS:
* Possession of Basic Life Support (BLS) Certification from an ECMCC approved provider within sixty (60) days of appointment and maintenance throughout duration of appointment.
ADDITIONAL SPECIAL REQUIREMENTS - IF ASSIGNED TO AN INPATIENT CARE SETTING:
* Completion of New York State Office of Mental Health-Bureau of Education and Workforce Development (BEWD) certified safety program within three (3) months of appointment and participation in annual re-training.
NOTE*: Your degree must have been awarded by a college or university accredited by a regional, national, or specialized agency recognized as an accrediting agency by the U.S. Department of Education/U.S. Secretary of Education. If your degree was awarded by an educational institution outside the United States and its territories, you must provide independent verification of equivalency. A list of acceptable companies who provide this service can be found on the Internet at ******************************************* You must pay the required evaluation fee.
NOTE 2: Section 424-A of the Social Services Law requires that local social services district to inquire whether the applicant is the subject of an indicated child abuse or maltreatment report on file the State Central Register of Child Abuse and Maltreatment. All potential employees for this position will be requested to sign the necessary clearance form prior to being advised that they will be hired. Refusal to sign will be cause for automatic non-selection.
NOTE 3: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting full-time experience requirements.
NOTE 4: Mental Health Counselor Limited Permit holders are required to have 3,000 hours of supervised experience after completion of master's degree when applying for Mental Health Counselor license. Master Social Worker license applicants have no experience requirement when applying for license, hence the difference in allowance of length of time to achieve full licensure.
Ukrainian Relief Case Manager
New York, NY jobs
The Ukrainian Relief Case Manager will be responsible for outreach, intake, assessment and referral services for clients who are in the US due to the war in Ukraine and seeking support and guidance regarding life in the US. Case Manager will provide support as newly arrived/arriving Ukrainians seek assistance in learning what may be available and how to access services (i.e., legal services, school access for their children, English as a Second Language, health care support, etc.) The Case Manager must be highly organized, empathetic, compassionate and eager to help vulnerable and often traumatized families. Case Manager will often be the first point of contact for many Ukrainian clients and establishing trust and assessing needs and available resources will be essential.
Minimum Qualifications:
Responsibilities:
* Provide comprehensive case management, information, and case assistance services, service coordination, referrals, and advocacy related to benefits, entitlements, and housing.
* Develop and consistently update program resources and referral network.
* Provide support and resources for clients; inclusive but not limited to government resources, internal services including emergency cash assistance and community resources.
* Advocating and raising community awareness of challenges and needs facing newly arrived/arriving Ukrainian families.
* Assist with program outreach and communication.
* Develop timely responses and interventions for clients', and conduct ongoing evaluations and follow-up.
* Maintain timely and comprehensive records. Maintain accurate data and report statistical reporting on a regular basis and as needed in this evolving Ukrainian relocation situation.
* Attend meetings for the Brooklyn Ukraine Relief Hub, NYC Ukrainian Support Regrant Network and other relevant convenings
Requirements and Qualifications
* Bilingual Russian/English (Ukrainian also a plus)
* Strong written and spoken communication skills in Russian and English
* Excellent interpersonal skills with clients and colleagues
* Excellent and reliable time management skills:
* Ability to organize detailed and confidential files, schedules, and information
* Position will include occasional evening and weekend hours based on programmatic needs.
* Comfortable in a fast-paced, multifaceted environment
* Strong commitment to client empowerment
* Experience with Person-Centered Trauma-Informed Care
* Bachelor + 2 years of experience in related fields such as social work/case management
To apply: email **************************
Easy ApplyESSHI Case Manager
Rochester, NY jobs
Requirements
Minimum 3-5 years of experience managing social service or reentry housing programs.
Familiarity with re-entry populations, and trauma-informed service delivery.
Knowledge of local housing resources, criminal justice systems, and community-based service partners.
Strong ability to build trust and maintain professional boundaries with participants.
Excellent communication, advocacy, and problem-solving skills.
Proficiency in Microsoft Office and comfort with database systems.
Must be customer service oriented and mission-driven.
Must possess a valid driver's license and access to reliable transportation.
Must be able to work occasional evenings/weekends as needed
Preferred:
Bachelor's degree in Social Work, Public Administration, Education, Criminal Justice, or a related field (or equivalent combination of education and experience preferred.
Experience working with Justice Involved or homeless population.
Equal Opportunity Employer:
The Urban League of Rochester is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment regardless of race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, ability, age, or veteran status.
Salary Description $24.18 - $25.82
Case Management Manager RN
Charlotte, NC jobs
The Manager of Case Management is responsible for the total operation of their designated departments and/or offices, which may include the following functions: operations, financial performance (profit and loss), customer service, sales management, and human resources.
This is a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for financial operations, including but not limited to: productivity, profitability, expenses, budgeting, billing, collections and day-to-day operations
Responsible for new business development, including marketing and sales activities
Responsible for quality of service provided
Responsible for human resources matters
May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses
Payment of bills may be delegated to a clerical person, with final approval by manager
May be required to oversee case management clinical activities (dependent on whether or not unit manager is an RN)
May perform case management responsibilities
Additional duties as assigned
KNOWLEDGE & SKILLS:
Clear written and verbal communication skills with the ability to communicate complex ideas across multiple platforms
Ability to remain poised in stressful situations and communicate diplomatically
Ability to skillfully manage multiple, complex projects and competing priorities while working under pressure to meet deadlines and maintaining strong customer service orientation
Ability to work independently, while remaining available to others
Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
Must have technical knowledge of applicable laws, policies, and procedures in defined territory
Strong interpersonal, time management and analytical skills
Great attention to detail and focus on results
EDUCATION & EXPERIENCE:
Graduate of accredited school of nursing with a diploma/Associates degree (Bachelor of Science degree or Bachelor of Science in Nursing preferred)
Current RN licensure in state of operation
3 or more years of recent clinical experience, preferably in rehabilitation
National certification (CRC, CIRS, CCRN, CVE, CCM, etc.), CCM preferred
3+ years of demonstrated experience in management or supervision
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $85,230 - $131,586
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
GFC Manager - Case Generation
Charlotte, NC jobs
Charlotte, North Carolina, United States;Atlanta, Georgia; Phoenix, Arizona; New York, New York; Chicago, Illinois **To proceed with your application, you must be at least 18 years of age.** Acknowledge Refer a friend **To proceed with your application, you must be at least 18 years of age.**
Acknowledge (*****************************************************************************************************
**:**
At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day.
Being a Great Place to Work is core to how we drive Responsible Growth. This includes our commitment to being an inclusive workplace, attracting and developing exceptional talent, supporting our teammates' physical, emotional, and financial wellness, recognizing and rewarding performance, and how we make an impact in the communities we serve.
Bank of America is committed to an in-office culture with specific requirements for office-based attendance and which allows for an appropriate level of flexibility for our teammates and businesses based on role-specific considerations.
At Bank of America, you can build a successful career with opportunities to learn, grow, and make an impact. Join us!
**Job Description:**
This job is responsible for executing substantive money laundering, economic sanctions and fraud compliance and operational risk practices. Key responsibilities include working directly or through compliance officers for the Front Line Units (FLUs) and Control Functions (CFs) to complete compliance, policy, operational/fraud risk management requirements.
**Responsibilities:**
+ Aggregates, analyzes, and synthesizes transactional, account, and behavioral data into consumable intelligence for our global investigators to ensure that regulatory requirements and operational risks are addressed
+ Assesses automated and manual detection controls and evaluates quality
+ Translates data findings into recommendations to strengthen controls
+ Produces written analysis for auditors and other third-party consumption
+ Escalates financial crimes related compliance and operational risks and issues to appropriate governance routines, management/board level committees
+ Leads or supports the building of requirements with IT partners and leads agile delivery programs including managing budgets, timelines, and resources
+ Translates business needs into technology requirements
+ Influences cross functional teams and drives outcomes
**Required Qualifications:**
+ Minimum of 7 years' experience
+ Strong understanding of how financial crime detection models operate-ability to interpret outputs, understand model limitations, and connect model behavior to business risk
+ Strong analytical and communication skills, capable of translating complex data into clear risk insights
+ Strong understanding of risk management principles, control frameworks, and how model governance fits within enterprise risk and compliance structures
+ Able to work independently and collaboratively across business, compliance, and operations teams to assess and mitigate risks
+ Strong interpersonal skills to interface broadly with internal and external constituents
+ Self-starter who enjoys working in a fast-paced environment
**Skills:**
+ Critical Thinking
+ Monitoring, Surveillance, and Testing
+ Regulatory Compliance
+ Risk Management
+ Policies, Procedures, and Guidelines Management
+ Written Communications
+ Reporting
**Shift:**
1st shift (United States of America)
**Hours Per Week:**
40
Bank of America and its affiliates consider for employment and hire qualified candidates without regard to race, religious creed, religion, color, sex, sexual orientation, genetic information, gender, gender identity, gender expression, age, national origin, ancestry, citizenship, protected veteran or disability status or any factor prohibited by law, and as such affirms in policy and practice to support and promote the concept of equal employment opportunity, in accordance with all applicable federal, state, provincial and municipal laws. The company also prohibits discrimination on other bases such as medical condition, marital status or any other factor that is irrelevant to the performance of our teammates.
View your **"Know your Rights (************************************************************************************** "** poster.
**View the LA County Fair Chance Ordinance (************************************************************************************************** .**
Bank of America aims to create a workplace free from the dangers and resulting consequences of illegal and illicit drug use and alcohol abuse. Our Drug-Free Workplace and Alcohol Policy ("Policy") establishes requirements to prevent the presence or use of illegal or illicit drugs or unauthorized alcohol on Bank of America premises and to provide a safe work environment.
Bank of America is committed to an in-office culture with specific requirements for office-based attendance and which allows for an appropriate level of flexibility for our teammates and businesses based on role-specific considerations. Should you be offered a role with Bank of America, your hiring manager will provide you with information on the in-office expectations associated with your role. These expectations are subject to change at any time and at the sole discretion of the Company. To the extent you have a disability or sincerely held religious belief for which you believe you need a reasonable accommodation from this requirement, you must seek an accommodation through the Bank's required accommodation request process before your first day of work.
This communication provides information about certain Bank of America benefits. Receipt of this document does not automatically entitle you to benefits offered by Bank of America. Every effort has been made to ensure the accuracy of this communication. However, if there are discrepancies between this communication and the official plan documents, the plan documents will always govern. Bank of America retains the discretion to interpret the terms or language used in any of its communications according to the provisions contained in the plan documents. Bank of America also reserves the right to amend or terminate any benefit plan in its sole discretion at any time for any reason.
GFC Manager - Case Generation
Charlotte, NC jobs
At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day.
Being a Great Place to Work is core to how we drive Responsible Growth. This includes our commitment to being an inclusive workplace, attracting and developing exceptional talent, supporting our teammates' physical, emotional, and financial wellness, recognizing and rewarding performance, and how we make an impact in the communities we serve.
Bank of America is committed to an in-office culture with specific requirements for office-based attendance and which allows for an appropriate level of flexibility for our teammates and businesses based on role-specific considerations.
At Bank of America, you can build a successful career with opportunities to learn, grow, and make an impact. Join us!
Job Description:
This job is responsible for executing substantive money laundering, economic sanctions and fraud compliance and operational risk practices. Key responsibilities include working directly or through compliance officers for the Front Line Units (FLUs) and Control Functions (CFs) to complete compliance, policy, operational/fraud risk management requirements.
Responsibilities:
* Aggregates, analyzes, and synthesizes transactional, account, and behavioral data into consumable intelligence for our global investigators to ensure that regulatory requirements and operational risks are addressed
* Assesses automated and manual detection controls and evaluates quality
* Translates data findings into recommendations to strengthen controls
* Produces written analysis for auditors and other third-party consumption
* Escalates financial crimes related compliance and operational risks and issues to appropriate governance routines, management/board level committees
* Leads or supports the building of requirements with IT partners and leads agile delivery programs including managing budgets, timelines, and resources
* Translates business needs into technology requirements
* Influences cross functional teams and drives outcomes
Required Qualifications:
* Minimum of 7 years' experience
* Strong understanding of how financial crime detection models operate-ability to interpret outputs, understand model limitations, and connect model behavior to business risk
* Strong analytical and communication skills, capable of translating complex data into clear risk insights
* Strong understanding of risk management principles, control frameworks, and how model governance fits within enterprise risk and compliance structures
* Able to work independently and collaboratively across business, compliance, and operations teams to assess and mitigate risks
* Strong interpersonal skills to interface broadly with internal and external constituents
* Self-starter who enjoys working in a fast-paced environment
Skills:
* Critical Thinking
* Monitoring, Surveillance, and Testing
* Regulatory Compliance
* Risk Management
* Policies, Procedures, and Guidelines Management
* Written Communications
* Reporting
Shift:
1st shift (United States of America)
Hours Per Week:
40
GFC Manager - Case Generation
New York, NY jobs
Charlotte, North Carolina, United States;Atlanta, Georgia; Phoenix, Arizona; New York, New York; Chicago, Illinois **To proceed with your application, you must be at least 18 years of age.** Acknowledge Refer a friend **To proceed with your application, you must be at least 18 years of age.**
Acknowledge (*****************************************************************************************************
**:**
At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day.
Being a Great Place to Work is core to how we drive Responsible Growth. This includes our commitment to being an inclusive workplace, attracting and developing exceptional talent, supporting our teammates' physical, emotional, and financial wellness, recognizing and rewarding performance, and how we make an impact in the communities we serve.
Bank of America is committed to an in-office culture with specific requirements for office-based attendance and which allows for an appropriate level of flexibility for our teammates and businesses based on role-specific considerations.
At Bank of America, you can build a successful career with opportunities to learn, grow, and make an impact. Join us!
**Job Description:**
This job is responsible for executing substantive money laundering, economic sanctions and fraud compliance and operational risk practices. Key responsibilities include working directly or through compliance officers for the Front Line Units (FLUs) and Control Functions (CFs) to complete compliance, policy, operational/fraud risk management requirements.
**Responsibilities:**
+ Aggregates, analyzes, and synthesizes transactional, account, and behavioral data into consumable intelligence for our global investigators to ensure that regulatory requirements and operational risks are addressed
+ Assesses automated and manual detection controls and evaluates quality
+ Translates data findings into recommendations to strengthen controls
+ Produces written analysis for auditors and other third-party consumption
+ Escalates financial crimes related compliance and operational risks and issues to appropriate governance routines, management/board level committees
+ Leads or supports the building of requirements with IT partners and leads agile delivery programs including managing budgets, timelines, and resources
+ Translates business needs into technology requirements
+ Influences cross functional teams and drives outcomes
**Required Qualifications:**
+ Minimum of 7 years' experience
+ Strong understanding of how financial crime detection models operate-ability to interpret outputs, understand model limitations, and connect model behavior to business risk
+ Strong analytical and communication skills, capable of translating complex data into clear risk insights
+ Strong understanding of risk management principles, control frameworks, and how model governance fits within enterprise risk and compliance structures
+ Able to work independently and collaboratively across business, compliance, and operations teams to assess and mitigate risks
+ Strong interpersonal skills to interface broadly with internal and external constituents
+ Self-starter who enjoys working in a fast-paced environment
**Skills:**
+ Critical Thinking
+ Monitoring, Surveillance, and Testing
+ Regulatory Compliance
+ Risk Management
+ Policies, Procedures, and Guidelines Management
+ Written Communications
+ Reporting
**Shift:**
1st shift (United States of America)
**Hours Per Week:**
40
Bank of America and its affiliates consider for employment and hire qualified candidates without regard to race, religious creed, religion, color, sex, sexual orientation, genetic information, gender, gender identity, gender expression, age, national origin, ancestry, citizenship, protected veteran or disability status or any factor prohibited by law, and as such affirms in policy and practice to support and promote the concept of equal employment opportunity, in accordance with all applicable federal, state, provincial and municipal laws. The company also prohibits discrimination on other bases such as medical condition, marital status or any other factor that is irrelevant to the performance of our teammates.
View your **"Know your Rights (************************************************************************************** "** poster.
**View the LA County Fair Chance Ordinance (************************************************************************************************** .**
Bank of America aims to create a workplace free from the dangers and resulting consequences of illegal and illicit drug use and alcohol abuse. Our Drug-Free Workplace and Alcohol Policy ("Policy") establishes requirements to prevent the presence or use of illegal or illicit drugs or unauthorized alcohol on Bank of America premises and to provide a safe work environment.
Bank of America is committed to an in-office culture with specific requirements for office-based attendance and which allows for an appropriate level of flexibility for our teammates and businesses based on role-specific considerations. Should you be offered a role with Bank of America, your hiring manager will provide you with information on the in-office expectations associated with your role. These expectations are subject to change at any time and at the sole discretion of the Company. To the extent you have a disability or sincerely held religious belief for which you believe you need a reasonable accommodation from this requirement, you must seek an accommodation through the Bank's required accommodation request process before your first day of work.
This communication provides information about certain Bank of America benefits. Receipt of this document does not automatically entitle you to benefits offered by Bank of America. Every effort has been made to ensure the accuracy of this communication. However, if there are discrepancies between this communication and the official plan documents, the plan documents will always govern. Bank of America retains the discretion to interpret the terms or language used in any of its communications according to the provisions contained in the plan documents. Bank of America also reserves the right to amend or terminate any benefit plan in its sole discretion at any time for any reason.
GFC Manager - Case Generation
New York, NY jobs
At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day.
Being a Great Place to Work is core to how we drive Responsible Growth. This includes our commitment to being an inclusive workplace, attracting and developing exceptional talent, supporting our teammates' physical, emotional, and financial wellness, recognizing and rewarding performance, and how we make an impact in the communities we serve.
Bank of America is committed to an in-office culture with specific requirements for office-based attendance and which allows for an appropriate level of flexibility for our teammates and businesses based on role-specific considerations.
At Bank of America, you can build a successful career with opportunities to learn, grow, and make an impact. Join us!
Job Description:
This job is responsible for executing substantive money laundering, economic sanctions and fraud compliance and operational risk practices. Key responsibilities include working directly or through compliance officers for the Front Line Units (FLUs) and Control Functions (CFs) to complete compliance, policy, operational/fraud risk management requirements.
Responsibilities:
* Aggregates, analyzes, and synthesizes transactional, account, and behavioral data into consumable intelligence for our global investigators to ensure that regulatory requirements and operational risks are addressed
* Assesses automated and manual detection controls and evaluates quality
* Translates data findings into recommendations to strengthen controls
* Produces written analysis for auditors and other third-party consumption
* Escalates financial crimes related compliance and operational risks and issues to appropriate governance routines, management/board level committees
* Leads or supports the building of requirements with IT partners and leads agile delivery programs including managing budgets, timelines, and resources
* Translates business needs into technology requirements
* Influences cross functional teams and drives outcomes
Required Qualifications:
* Minimum of 7 years' experience
* Strong understanding of how financial crime detection models operate-ability to interpret outputs, understand model limitations, and connect model behavior to business risk
* Strong analytical and communication skills, capable of translating complex data into clear risk insights
* Strong understanding of risk management principles, control frameworks, and how model governance fits within enterprise risk and compliance structures
* Able to work independently and collaboratively across business, compliance, and operations teams to assess and mitigate risks
* Strong interpersonal skills to interface broadly with internal and external constituents
* Self-starter who enjoys working in a fast-paced environment
Skills:
* Critical Thinking
* Monitoring, Surveillance, and Testing
* Regulatory Compliance
* Risk Management
* Policies, Procedures, and Guidelines Management
* Written Communications
* Reporting
Shift:
1st shift (United States of America)
Hours Per Week:
40
Utilization Review Nurse - PT - Varied Shift
Buffalo, NY jobs
HOURLY RANGE: $40.72 - $54.99 Area of coverage- BEHAVIOR HEALTH DISTINGUISHING FEATURES OF THE CLASS: The work involves performing professional and non- professional nursing duties in connection with the Utilization Review Process at the Erie County Medical Center Corporation. The incumbent assesses, monitors and facilitates healthcare services and needs throughout the patient experience to optimize outcomes. The work is performed under the general direction of the Utilization Management Coordinator or higher level Utilization Review Manager. Supervision is not a function of this position. Does related work as required.
TYPICAL WORK ACTIVITIES:
Facilitates a process of assessment, planning and advocacy for options and services to meet an individual's health needs through communication and available resources to promote quality cost effective care;
Validates appropriate level of care (severity of illness), efficient and effective care delivery (intensity of services) and safe discharge to the next appropriate level of care;
Conducts admission and concurrent review using current evidence-based clinical decision support criteria;
Completes full assessment of plan of care to determine if criteria are met to ensure third party reimbursement;
Enters data into utilization data base;
Conducts clinical chart reviews; gathers clinical information to assess and expedite care needs;
Discusses cases with treating physician(s) and other healthcare professional to better understand plans-of-care;
Identifies and evaluates delays in care;
Initiates a discharge planning and readmission prevention plan when applicable;
Approves bed days for inpatient cases when applicable;
Arranges for alternative care services such as acute long-term care, acute rehabilitation or skilled nursing to move patients through the care continuum;
Completes all requirements relative to new Alternant Level of Care orders, admissions and denials;
Completes Patient Review Instrument (PRI) prior to admission as needed;
Maintains appropriate documentation;
Consults with the Medical Director and treating physician(s) as needed to troubleshoot difficult or complex cases;
Contacts third party payers with initial and concurrent reviews to obtain authorization for hospital stay;
Participates in staff meetings.
FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITITES AND PERSONAL CHARACTERISTICS: Thorough knowledge of utilization review concepts, resource management and reimbursement methodologies; thorough knowledge of Federal and State regulations as they relate to hospital utilization review; good knowledge of medical terminology related to patient charts; good knowledge of Patient Review Instrument (PRI); good knowledge of clinical decision support criteria; good knowledge of billing procedures and hospital insurance procedures; ability to identify and resolve utilization issues; ability to prepare reports and statistics of hospital utilization; ability to establish and maintain effective working relationships; ability to communicate effectively both orally and in writing; sound professional judgment; initiative; proficient in the use of Microsoft applications;; physically capable of performing the essential functions of the position with or without reasonable accommodation.
MINIMUM QUALIFICATIONS:
* Graduation from a regionally accredited or New York State registered college or university with a Bachelor's Degree in Nursing, Health Administration, Human Service or a closely related field and two (2) years of behavioral health and/or medical/surgical registered nursing experience; or:
* Graduation from a regionally accredited or New York State registered college or university with an Associate's Degree in Nursing, Health Administration, Human Services or a closely related field and four (4) years of behavioral health or medical/surgical registered nursing experience.
* An equivalent combination of training and experience as set by the limits of (A) and (B).
Continued.....
UTILIZATION REVIEW NURSE (continued....)
Page 2
SPECIAL REQUIREMENTS:
Possession of a license and current registration to practice as a Registered Professional Nurse in the State of New York at time of appointment; and:
Possession of a Certification as a Patient Review Instrument (PRI) Assessor as issued by the New York State Department of Health at the time of permanent appointment.
Utilization Review Nurse
Parsippany-Troy Hills, NJ jobs
About us:
Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.
Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!
Benefits:
We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer!
Competitive compensation
Healthcare benefits package that begins on first day of employment
401K retirement plan with company match
Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
Up to 6 weeks of parental and bonding leave
Hybrid work schedule (3 days in the office, 2 days from home)
Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
Tuition reimbursement after 6 months of employment
Numerous opportunities for continued training and career advancement
And much more!
Responsibilities
The Utilization Review Nurse's duties will include, but are not limited to:
Support internal claims adjusting staff in the review of workers' compensation claims
Review records and requests for UR, which may arrive via mail, e-mail, fax, or phone
Meet required decision-making timeframes
Clearly document all communication and decision-making within our insurance software system
Establish collaborative relationships and work as an intermediary between clients, patients, employers, providers, and attorneys
Utilize good clinical judgment, careful listening, and critical thinking and assessment skills
Track ongoing status of all UR activity so that appropriate turn-around times are met
Maintain organized files containing clinical documentation of interactions with all parties of every claim
Send appropriate letters on each completed UR
Salary Range
$65,000.00 - $100,000.00 USD
The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required. The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training.
Qualifications
Active Licensed Practical Nurse and/or Registered Nurse License
1+ years of utilization review experience at a managed care plan or provider organization
2 + years' clinical experience preferably in case management, rehabilitation, orthopedics, or utilization review
Excellent oral and written communication skills, including outstanding phone presence
Strong interpersonal and conflict resolution skills
Experience in a fast-paced, multi-faceted environment
The ability to set priorities and work both autonomously and as a team member
Well-developed time-management and organization skills
Excellent analytical skills
Working knowledge of: Microsoft Word, Excel, and Outlook
Auto-ApplyChild and Adolescent Services Brier Creek - Psychiatric NP (PHMNP)/PA
Raleigh, NC jobs
Avance Psychiatry, a part of Avance Centers of Excellence, located in Raleigh, is dedicated to cutting-edge, research-based treatments for psychiatric conditions in adults, adolescents, and children. Inherent to Avance Psychiatry mission is making providers feel valued and supported with quality work/life balance and respectful supervision.
Avance Psychiatry stands out in psychiatric community for its focus on the integrated approach for psychiatric disorders that includes collaboration with behavioral therapists and primary care. It is led by a team of experienced and respected psychiatrists with expertise in clinical care, research and education in General Psychiatry, Addictions, Medical Pain, Treatment Resistant Disorders, and Child and Adolescent Psychiatry. We believe in rational, patient centered management with pharmacology, behavioral therapy, and family involvement Specialized treatments, such as ketamine infusions, buprenorphine, Spravato are utilized as appropriate. Ongoing research at the clinic affords us the opportunity to stay on the leading edge of psychiatric care.
More information is available at *********************************
Description:
Outpatient Monday to Friday 40 hrs per week (8am-5pm) position with no on call or weekend hours
Supported by Medical Assistants and Patient Coordinators
Includes patients with psychiatric conditions, commercially insured
Work in integrated system with practitioners in primary care, neurology, addiction, MAT, interventional psychiatry, child psychiatry and over 60 behavioral therapists
Patient load includes 50% telehealth and 50% on site visits
Qualifications
Experience, Education and Licensure:
Master of Science in Nursing or equivalent PA program degree
Must have PMHNP Certification
Current valid state medical license
2 years of experience in pain management and/or psychiatry
DEA License
Basic Life Support (BLS)
Avance Care provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to religion, race, creed, color, sex, sexual orientation, gender identification, alienage or citizenship status, national origin, age, marital status, pregnancy, disability, veteran or military status, predisposing genetic characteristics or any other characteristic protected by applicable federal, state or local law.
#LI-DNI
Auto-ApplyDay Camp Nurse
Bridgewater, NJ jobs
Camp Dates: June 24-August 16, 2024 (closed July 4) Camp Hours: 8:30am-4:30pm Responsibilities of Camp Nurse: * Assessing and treating campers and staff throughout the camp day * Administering medication and treatment as needed * Logging all treatments and relaying critical information to guardians/camp leadership
* Keeping Camp Director apprise of all important incidents, notable trends, etc.
* Maintaining confidentiality of all campers and related information
* Managing nurse's office and all medical supplies
* Reviewing all camper and staff records prior to the start of camp
* Create safe, loving, inclusive camp environment
* Positively collaborate and work alongside other camp staff and senior staff team
Note: This job description is not intended to be all-inclusive. Employee may perform other related duties.
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Minimum Qualifications:
Qualifications of Camp Nurse:
* Nursing License
* Prior experience working in school or camp setting preferred
* Professional and team player