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Lead Case Manager-Care Management

Trinity Health
Silver Spring, MD
The Weekend Lead Case Manager serves as the senior clinician for case managers in the case management department. With the managers, develops and implements standards which enhance the quality of case management interventions, consistent with the professional model and with the mission and policies of Holy Cross Hospital. Provides process oversight and education toward new staff orientation, staff competency development, and the continuous documentation improvement program (CDIP).

Position: Part-Time Every Other Weekend 8a-4:30p
Minimum Licensure/Certification Required

RN, Licensed by State of Maryland.

Minimum Knowledge, Skills, and Abilities Required:

+ RN with BSN is required

+ At least two years case management experience required, to include Quality Improvement and Clinical Documentation enhancement experience in the acute hospital setting.

+ Previous management/supervisory experience preferred.

+ Knowledge of overall hospital operations, especially in areas of reimbursement and regulatory matters.

+ Highly articulate with strong written and verbal communication skills. Demonstrated ability to act in an assertive, diplomatic and innovative manner.

+ Demonstrated public presentation skills. Demonstrated ability to maintain cooperative relationships with medical staff, nursing and other professional staff.

+ Computer literacy and analytic skills required.

+ Demonstrated ability to work with all age groups of patients.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status.

#WP

Trinity Health's Commitment to Diversity and Inclusion Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
11d ago

Behavioral Health Case Manager Lead

Anthem, Inc.
Remote or Clearwater, FL
SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.

Behavioral Health Case Manager I, Florida residency and FL license is required HOURS: Monday thru Friday, 8:00 am - 5:00 pm, EST. with some fleixibility. This is a Work at Home position.

The Behavioral Health Case Manager (CM ) job progression is primarily member facing and involves complete clinical assessment. Wheres the BH Care Manager (UM) job progression is primarily a provider-facing role although it does involve some member-facing activities such as collecting information and using clinical knowledge and expertise to ensure our members are directed to the appropriate level of care. Responsible for corrdinating operations and workflows related to care management activities that support the Case Management Program. Visits with our members occur most often in the hospital or emergency department or other safe environment, servicing our Medicaid members. Responsible for coordinating operations and workflows related to care management activities that support the Case Management Program.
Primary duties may include but are not limited to:

+ Provides support to member facing BH Case Mgrs and other Care management associates.

+ Provides oversight of program referrals and works with referral sources to ensure accurate and timely case assignment.

+ Coordinates with cross functional teams to ensure team collaboration member touch points and organization vision of integration is achieved.

+ Facilitates weekly clinical rounds and may conduct quality audits.

+ Works with the manager to ensure individual team and overall operational metrics are achieved.

+ Supports various projects and initiatives as assigned.

+ Assists with process improvement activities for regulatory requirements. Acts as departmental liaison to other areas of the business unit.

+ Primary support with training/mentoring new hires.

+ Participates in cross-functional teams projects and initiatives. Serves as a member of the leadership team.

Qualifications

Minimum Qualifications:

+ Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 5 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.

+ Current active unrestricted license such as RN LCSW LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.

+ Managed care experience required.

Prefered Qualifications:

+ Extensive experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders. .

+ Experience in health coaching and motivational interviewing techniques preferred.

The health and safety of our associates, members and communities is a top priority for Anthem. This priority has become increasingly important as we continue to face the challenges of the COVID-19 pandemic. Anthem believes vaccination is the best way to reduce the spread of COVID-19 and protect our members, our communities, our families and ourselves. To minimize the risk of transmission of the COVID-19 virus and maintain a safe and healthy workplace, vaccination is required for this role. (At Anthem, fully vaccinated means it has been at least two weeks since you have received the second dose of a two-dose vaccine such as Moderna or Pfizer, or the single dose of a single dose vaccine, such as Johnson & Johnson ).

If you do not meet the requirements for this position, we encourage you to review other positions that currently allow virtual work. If you have a medical or sincerely held religious reason for not being vaccinated, consistent with applicable law, Anthem will consider requests for reasonable accommodation on this basis. Should you have any questions regarding the requirement after applying, email TalentAcquisition_VaccinationSupport@anthem.com .

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For , is ranked as one of the 2020 World's Most Admired Companies among health insurers by Fortune magazine, and a 2020 America's Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS61183
8d ago

Lead Case Manager-Care Management

Trinity Health Corporation
Silver Spring, MD
The Weekend Lead Case Manager serves as the senior clinician for case managers in the case management department. With the managers, develops and implements standards which enhance the quality of case management interventions, consistent with the professional model and with the mission and policies of Holy Cross Hospital. Provides process oversight and education toward new staff orientation, staff competency development, and the continuous documentation improvement program (CDIP).

Position: Part-Time Every Other Weekend 8a-4:30p
Minimum Licensure/Certification Required

RN, Licensed by State of Maryland.

Minimum Knowledge, Skills, and Abilities Required:

* RN with BSN is required
* At least two years case management experience required, to include Quality Improvement and Clinical Documentation enhancement experience in the acute hospital setting.
* Previous management/supervisory experience preferred.
* Knowledge of overall hospital operations, especially in areas of reimbursement and regulatory matters.
* Highly articulate with strong written and verbal communication skills. Demonstrated ability to act in an assertive, diplomatic and innovative manner.
* Demonstrated public presentation skills. Demonstrated ability to maintain cooperative relationships with medical staff, nursing and other professional staff.
* Computer literacy and analytic skills required.
* Demonstrated ability to work with all age groups of patients.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status.

#WP

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
30d ago

CHAM Behavioral Case Manager Lead Analyst - Evernorth

Cigna
Remote
The Custom High Acuity Model (CHAM) champions behavioral and medical integration and collaboration at the highest level to holistically address the needs of customers and their families. CHAM accounts have dedicated medical directors who are readily accessible via multidisciplinary rounds, behavioral rounds and on a 1:1 consultative basis. CHAM Case Managers are specially trained in coaching individuals with mental health, chemical dependency, autism and/or other medical conditions that can interfere with one's optimal behavioral functioning. Motivational interviewing techniques are used to help decrease both internal and external barriers that may otherwise prevent customers from initiating and/or engaging in behavioral treatment. This approach helps customers move toward readiness to change and results in the creation of goals that will improve their health and overall well-being.

This position is a great opportunity for a licensed behavioral health clinician to build relationships with multiple matrix partners and expand their clinical acumen as it relates to comorbid medical conditions.
Responsibilities: Provide customer-facing coaching and case management support via telephonic calls and digital solutions for post discharge, post crisis and when customers are otherwise identified for behavioral support. Educate customer/family members on the myriad of account-specific resources and treatment options that are available as part of their benefits. Seek consultation and collaboration with other team members including medical directors, pharmacists, medical coaches and nurse case managers. Assist in the identification of member health education needs and assess for when medical integration and/or case management services are needed. Assess customers' readiness to change and develop SMART goals that empower customers to improve their overall health and wellbeing. Ensure case management program objectives are met by exploring available health care services that support cost effective, quality care and treatment. Work closely with the behavioral UM teams to align on cases and assist with discharge planning needs. Actively participate in behavioral and multidisciplinary rounds, providing insights to promote whole person health. Offer in the moment coaching with customers and consultation with team members when available as appropriate. Coordinate with customers' other sources of support including outpatient providers (e.g. PCP, therapist, etc.) when clinically indicated. Locate community and educational resources to assist customers and their families based on their unique needs. Prepare for and participate in client visits and audits as needed. Perform other related duties incidental to the work described. Qualifications: Requires a Master's degree in the mental health discipline and independent licensure to practice in the state of employment (LICSW, LPC, LPCC, LMFT, Licensed Psychologist or Psych RN) Three to five years post-license mental health experience preferred but will also consider a new independently licensed therapist Due to multiple open positions on the CHAM team (which covers multiple specialty coaching programs): Experience working with Childhood Mental Disorders including Autism Spectrum Disorder is preferred, and/or Experience working with individuals with Substance Use Disorders is preferred Experience with direct member communication (written and verbal), experience in telephonic counseling/coaching is preferred Proven administrative abilities, with strong computer and software application skills. Excellent interpersonal skills and the ability to work in a collaborative, team environment. Demonstrated ability to set priorities including, but not limited to, time management, organizational skills and accurate case documentation. A high energy level and excellent written and oral communication skills are essential Ability to manage own caseload and coordinate all assigned cases This position is not eligible to be performed in Colorado. About Evernorth Evernorth, Cigna Corporation's health services segment, exists to elevate health for all. We're building on our legacy and redefining health care as we know it. Unbiased in how we think, we create without limitation. We partner without constraints, deliver value differently and act in the interest of humanity. Solving across silos, closing gaps in care, and empowering clients, customers, and people everywhere to move onward and upward. When you work with us, you'll be empowered to solve the problems others don't, won't or can't. Join us. What difference will you make? Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
20d ago

Senior Case Manager (remote option)

Assistrx
Remote or Orlando, FL
AssistRx has engineered the perfect blend of technology and talent to provide life sciences companies with an efficient solution to improve patient uptake, visibility and outcomes. Our talented team members provide therapy and healthcare system expertise to help patients achieve better results from care. As a growing organization, AssistRx views our people as our strongest asset. Join us as we continue to make a difference....
More About the Role:

+ We are hiring 15 new Case Managers to support a new drug program launch.

+ This role has the opportunity to go remote after 90 days of employment.

+ These positions will cover a range of shifts from 8a-4:30p to 11:30a-8p Monday through Friday.

+ Starting pay: $20.00/hour +

+ PTO: Year 1=12.5 days Year 2=17.5 days .....

+ Type: full time hire/ not a contract

+ Training/Work location: AssistRx at 501 West Church Street, Suite 450, Orlando, FL 32801

This position is responsible for exceeding the client's expectations by assessing perscription reimbursement needs. This is accomplished by process pharmaceutical appeals, problem-solving complex reimbursement issues and educating patient and health care providers.

Duties and Responsibilities

+ Carefully evaluate the purpose of inbound calls, prioritize their handling, and triaging the calls as needed. Maintain information regarding the program initiatives and explain them to our customers when appropriate.

+ Analyze appeals, identify trends, and recommends process improvement opportunities that will result in reduction and a simplified process.

+ Provide exceptional customer service to all customers; resolve any customer requests in a timely and accurate manner; escalates complaints accordingly.

+ Determine patient's eligibility and conducts patient enrollment activities (example patient assistance programs and copay assistance)

+ Accurately enter and maintain data as required in database and monitor outstanding items on each client case file.

+ Extensive knowledge of HIPAA regulations and follows all company policies.

Requirements

+ Associate degree (AA) or equivalent from a two-year college or technical school, or six months to one-year related experience and/or training, or equivalent combination of education and experience.

+ Computer skills: Microsoft Office Suite.

+ 3 to 5 years of benefit investigation involving the analysis and interpretation of insurance coverage preferred.

+ 3 to 5 years of experience interacting with healthcare providers regarding health insurance plan requirements preferred.

+ Pharmacy background/call center/health insurance or MD office experience preferred.

+ Exposure to enrollment, pre-assessment & benefits' processes preferred.

+ 340b claim experience preferred but not required.

Benefits

+ Supportive, progressive, fast-paced environment

+ Competitive pay structure

+ Matching 401(k) with immediate vesting

+ Medical, dental, vision, life, & short-term disability insurance

AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws.

All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position.

AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire
21d ago

Case Manager/Support Group Leader (Adoption Promotion and Support Services)

Children's Bureau
Remote or Los Angeles, CA
Case Management/ Support Group Leader Be the reason a child thrives www.all4kids.org We're looking forward to you joining Children's Bureau because we see the value in everyone. If you love making a positive impact in people's lives, then Children's Bureau is the right family for you! Diversity is a core value at Children's Bureau. We are passionate about building and sustaining an inclusive and equitable working and learning environment for all staff, and people leaders. We believe every member on our team enriches our diversity by exposing us to a broad range of ways to understand and engage with the world, identify challenges, and to discover, design and deliver solutions. Our community commitment: * Our mission is protecting vulnerable children through prevention, treatment, and advocacy * Our vision is seeing children thrive in strong families and communities Your wellness matters: To stay healthy, we have wellness programs designed to prioritize employee health and overall wellness, as well as drive engagement, compassion, and connectedness throughout the agency. We are a trauma informed organization that is leading the charge in creating trauma informed resilience-oriented communities * Robust total rewards package that includes medical, vision, dental, 401(k), life insurance and Flexible Spending Account * 12 paid holidays per year and generous paid time off policy that allows for work life balance * *This role is eligible for Public Service Loan Forgiveness (PSLF) * To prevent the spread of Covid-19 we are working 100% remote based on client's needs. * Our staff is up to 93% fully vaccinated so these roles require to be fully vaccinated Commitment to your professional development: * We are proud to announce that Children's Bureau is an award winner for 2021 in the Association for Talent Development's (ATD) BEST Award for our internal learning platform, Children's Bureau University. The agency is among 71 organizations from around the globe and the single non-profit organization to receive the award this year Learn more about your job: PREFERRED QUALIFICATIONS * Experience developing and/or facilitating youth and/or adult support and education groups The Case Manager (CM) is responsible for case management services including assessing client's/family's needs, developing, in conjunction with the clients, an Individualized Service Plan (ISP), implementing the ISP, completing quarterly reports on the progress of the clients, providing direct services to family members in strengthening protective factors and addressing the Seven Core Issues in Adoption and co-facilitating support groups for youth and/or families. The majority of work is completed in the field and during times convenient for the clients. The program goal and outcome is that children referred to CB will have permanency and stability in their living situations through adoption when adoption is in the best interest of the child. VI. DUTIES AND RESPONSIBILITIES: * Upon receipt of CB's referral from L.A. County Department of Children and Family Services (DCFS) APSS Program, complete contacts, scheduling, meeting with families, development and implementation of ISP, quarterly reports and other documentation, and provide linkage referrals as required by the APSS contract * Teach and strengthen parenting strategies that meet the needs of adopted children through facilitating the development and strengthening of parental protective factors, addressing the seven core issues of adoption, and talking about adoption at different developmental stages * Advocate for services in the school and community, including special education and mental health * Develop and co-facilitate groups for youth/adults * Explain permanency options to youth/adults * Identify and explore hesitancies to commit to permanent plan and help mitigate barriers to permanency * Coordinate services with treatment team, which may include referred family members, DCFS, mental health therapists, mentor staff, and other community service providers * Attend client meetings as needed, i.e., IEP and TDM * Complete initial and ongoing training hours as required by the APSS contract, which includes participating in trainings outside of Children's Bureau and independent study * Promote Program and Agency in the community including at events, DCFS, and private agencies VII. GENERAL: *
Maintains confidentiality in matters of agency operations, personnel, and clients * Maintains positive communications with all agency staff, clients and visitors * Exercises good judgment in performance of duties and responsibilities * Supports existing agency policies, principles and mission * Other related duties as assigned. What you will need to bring: * .Bachelor's Degree in social work, psychology, marriage and family counseling or closely related field with 2 years of experience in counseling and adoption * Belief all children are "adoptable" and deserve permanency * Work a minimum of 2 days a week until 8 pm and 1 Saturday a month to meet with clients and perform other job related duties * Ability to write clear, concise, efficient reports and meet deadlines for submission * Must have reliable transportation, valid driver license, current vehicle registration and automobile insurance * Provide a cell phone for work purposes (reimbursement based on agency's scale provided) * Proficient in MS Office programs, especially Word and Outlook (email) and comfortable with technology Qualifications
60d+ ago

BH Case Manager I

Anthem, Inc.
Ashburn, VA
SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.

The BH Case Manager I is responsible for collaborating with community agencies and performing case management telephonically within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. This position is eligible for a $3,000 sign-on bonus!

Schedule: Monday - Friday, 8:30a - 5:30p, no weekends and on-call on holidays, 50% remote and 50% field work
Primary duties may include but are not limited to:

+ Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.

+ Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment.

+ Monitors and evaluates effectiveness of care plan and modifies plan as needed.

+ Supports member access to appropriate quality and cost effective care.

+ Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.

Qualifications

+ Requires MS or MA in social work, counseling, or a related behavioral health field or a degree in nursing; 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.

+ Current active unrestricted license such as RN, LCSW, or LPC (as applicable by state law and scope of practice) or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of Virginia required.

+ Experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred.

The health and safety of our associates, members and communities is a top priority for Anthem. This priority has become increasingly important as we continue to face the challenges of the COVID-19 pandemic. Anthem believes vaccination is the best way to reduce the spread of COVID-19 and protect our members, our communities, our families and ourselves. To minimize the risk of transmission of the COVID-19 virus and maintain a safe and healthy workplace, vaccination is required for this role. (At Anthem, fully vaccinated means it has been at least two weeks since you have received the second dose of a two-dose vaccine such as Moderna or Pfizer, or the single dose of a single dose vaccine, such as Johnson & Johnson ).

If you do not meet the requirements for this position, we encourage you to review other positions that currently allow virtual work. If you have a medical or sincerely held religious reason for not being vaccinated, consistent with applicable law, Anthem will consider requests for reasonable accommodation on this basis. Should you have any questions regarding the requirement after applying, email TalentAquisition_VaccinationSupport@anthem.com .

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For , is ranked as one of the 2020 World's Most Admired Companies among health insurers by Fortune magazine, and a 2020 America's Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS57263-Ashburn-Ashburn
60d+ ago

Behavioral Coaching & Support Case Manager - Parents & Family and Intensive Behavioral Case Management Programs - Evernorth

Cigna
Remote
The coaching & support case management programs help individuals make the behavioral changes and first steps necessary to initiate and engage in behavioral treatment. Our case managers are specially trained in coaching individuals with mental health and chemical dependency disorders. They have the entire suite of Cigna services available allowing them to identify and service each individual's needs.

The case manager offers Coaching & Support Care Management services that utilize a motivational interviewing approach focusing on decreasing both internal and external barriers that may be preventing the individual from initiating and/or engaging in behavioral treatment. This approach helps the individual move toward readiness to change and results in the creation of goals that will improve their health and well-being.

This position is a great opportunity for licensed behavioral health clinicians to use their industry experience in a managed care setting focused on clinical excellence for participant members. The role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time.
Day Shift or Evening Shift options Major Duties Evaluates appropriate health care services and treatment plans in conjunction with outpatient providers. Ensures that care management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained. Performs care management for specialty programs in a telephonic customer- facing environment which involves utilizing a coaching approach that provides support and resources to the customers. Assistance in the identification of member health education needs Develop SMART goals with our customers to empower them to lead and maintain a healthy lifestyle Assesses readiness to change and implements actions to assist members in moving through stages of change to reach their goals Perform research for community and educational resources to assist customers in their journey Consult with and assist team members in cases where a member's behavioral health or emotional issues are impacting their ability to set and/or achieve goals Educate and refer members on available health resources and CIGNA Medical Management as appropriate to approach customer holistically Collaboration with other team members such as medical directors, pharmacist, nurse clinicians, etc. Provides suggestions for improvements and enhancements to outpatient coaching programs based on data/experience Able to manage multiple health records and systems to accurately document customer interactions and progress Must be able to comply with HIPAA standards and regulations in telephonic conversation and in documenting medical records. Flexibility to assist other teams and partners as needed. Perform other related duties incidental to the work described herein. Qualifications Requires Master's degree mental health discipline and independent licensure to practice in the state of employment (LICSW, LMFT, LPC, LPCC, Licensed Psychologist or Psych RN) Three to five years post-license mental health experience preferred but will also consider a new independently licensed therapist Experience with direct member communication (written and verbal), experience in telephonic counseling/coaching preferred Working knowledge of motivational strategies, materials development, training and consultation preferred. Proven administrative abilities, with strong computer and software application skills.
Excellent interpersonal skills and the ability to work in a team environment Demonstrated ability to set priorities including, but not limited to time management and organizational skills A high energy level and excellent written and oral communication skills are essential. Passion for health improvement of members Strong research and analytical skills Ability to manage own caseload and coordinate all assigned cases This position is not eligible to be performed in Colorado. About Evernorth Evernorth, Cigna Corporation's health services segment, exists to elevate health for all. We're building on our legacy and redefining health care as we know it. Unbiased in how we think, we create without limitation. We partner without constraints, deliver value differently and act in the interest of humanity. Solving across silos, closing gaps in care, and empowering clients, customers, and people everywhere to move onward and upward. When you work with us, you'll be empowered to solve the problems others don't, won't or can't. Join us. What difference will you make? Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
20d ago

Case Manager

Catholic Charities USA
Arlington, VA

Migration and Refugee Services

Preferred Communities Case Manager

Non-exempt position

The Case Manager will provide case management services as outlined in the Preferred Communities Grant and in compliance with policies and procedures of Catholic Charities Migration & Refugee Services.

The program provides intensive case management to most vulnerable refugees who have been in the United States for less than 5 years. This will include services for health, housing, education, general acculturation, and youth development. The Case Manager will support the Program Manager to provide these social services to vulnerable refugee populations.

Primary Responsibilities:

  • Ensure all core services mandated through the PC grant are provided within allocated timeframes
  • Complete intake and assessment with clients deemed to be the most vulnerable and require intensive case management services
  • Work with clients to create, develop a service plan and track goals over the course of the program
  • Assist clients in achieving goals through Acculturation training, transportation orientation, connecting to services and working toward self-sufficiency.
  • Provide intensive case management to assist clients with housing, education, health support and government benefits as needed
  • Host and attend community integration events
  • Engage with community partners to learn about resources and advocate for service provisions for PC clients
  • Conduct client home visits to assess their living situation and status.
  • Maintain well-organized case notes and client file.

Documentation and Reporting
  • Reports to the CCDA MRS Arlington Site Supervisor for supervision and submission of statistics and required
  • Ensure client's case notes and case files are updated, accurate and complete
  • Prepares case closure reports in MRIS for submission in timely
  • Provides periodic activities case status reports.
  • Ensures accurate and up to date Refugee Solution and MRIS reporting

Knowledge, Skills, and Abilities

  • Bachelor of Social Work, Public Health, or Health Sciences from an accredited institution.
  • Minimum 3 years refugee resettlement/case management experience required.
  • Able to communicate effectively in writing and verbally both internally, and to clients and external agencies.
  • Bilingual in at least one additional language, strongly preferred
  • Able to represent Catholic Charities and MRS at conferences, trainings, and meetings in the community.
  • Must be proactive and create a cooperative and positive relationship with clients.
  • Must be able to assist clients to solve difficult problems under pressure.
  • Must be able to consistently work towards self-sufficiency with all clients and reflect the mission and the goals of the agency with minimal day-to-day supervision.
  • Able to work independently and may also seek guidance from the Site Supervisor, as needed.
  • Attend regular supervision meetings, case consultations, and assist with the development of crisis mitigation strategies.
  • Be prepared to assist with annual projections and reports by providing timely and accurate data.
  • Able to keep informed of the social services policies and practices in all counties and localities where clients are resettling.
  • Flexible to work irregular hours.
  • Proficient in Microsoft Word and Office products.
  • Must possess a valid driver's license, have a good driving record, and have at least two years of driving experience. Willing to drive clients.
New
4d ago

Clinical Case Manager - Utilization Review

HCA, Hospital Corporation of America
Dulles Town Center, VA
Located outside of Washington, DC in the historic Loudoun County, StoneSprings Hospital Center, a 124- bed acute care facility, lies in an area full of attractions including historic parks, horseback riding, dining, shopping, and more! StoneSprings Hospital Center is a Hospital Corporation of America (HCA) facility, which is one of the largest healthcare systems throughout the U.S where healthcare opportunities are almost unlimited!

StoneSprings Hospital Center has earned The Joint Commission's Gold Seal of Approval and holds accreditation from the Joint Commission. Most importantly, we are dedicated to enhancing the health and quality of life in our community by putting patients first.

We are launching our psychiatric services this October and seeking a Clinical Case Managerwho share our passion for mental health! Our new behavioral health unit will be an opportunity for you to be a part of a new and growing project, where you will have a voice and opportunity to make impacts on day to day patient experiences. The 17 bed unit will open, October 2021.

We believe in our team and your ability to do excellent work with us. We offer you an extensive total compensation and benefits package. In addition to job security and the reputability that comes with HCA, your benefits will include a competitive salary, 401k with 3-9% matching, paid time off, *extended FMLA*, four medical plan options, dental, flex spending, life, disability, employee discount programs, employee stock purchase program, *tuition reimbursement and student loan repayment, and more.*

/We are an equal opportunity employer and we value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status/

*Part-time *
*One Year paid employment or a field placement in a health care setting.

*Bachelor Degree in Social Work or Human Service field - OR - Employees hired prior to June 1, 2010 - minimum 10 years Case Management experience in lieu of educational degree.

*RN with valid Virginia license. Master of Social Work Degree from an accredited school of Social Work.

**Job:** **Case Management*

**Title:** *Clinical Case Manager - Utilization Review*

**Location:** *Virginia-Dulles-Stone Springs Hospital Center*

**Requisition ID:** *26630-22138*
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Average Salary For an Intensive Case Manager

Based on recent jobs postings on Zippia, the average salary in the U.S. for an Intensive Case Manager is $37,024 per year or $18 per hour. The highest paying Intensive Case Manager jobs have a salary over $45,000 per year while the lowest paying Intensive Case Manager jobs pay $29,000 per year

Average Intensive Case Manager Salary
$37,000 yearly
$18 hourly
Updated October 23, 2021
29000
10 %
37000
Median
45000
90 %

Highest Paying Cities For Intensive Case Manager

0 selections
CityascdescAvg. salaryascdescHourly rateascdesc
Oakland, CA
$50,935
$24.49
New York, NY
$48,085
$23.12
Saugus, MA
$37,584
$18.07
Lakewood, CO
$35,402
$17.02
Salt Lake City, UT
$30,355
$14.59

5 Common Career Paths For an Intensive Case Manager

Program Manager

A program manager is responsible for monitoring the project's progress, improving and developing new strategies, and coordinate various projects across the organization to ensure the success of the business objective. Program managers also manage the program's expenses, ensuring that the projects adhere to the budget goals without compromising the quality and accuracy of the result. A program manager should regularly connect with the different teams of every project under the program to keep track of the processes and procedures for the timely delivery of the product.

Program Director

Program directors are employees who oversee all aspects of a specific program in the company. They usually work in nonprofit organizations or are assigned to a department doing corporate social responsibility activities. Program directors ensure that the program is in line with the company's goals. They also ensure that the resources assigned to the program are properly managed and that all finances are accounted for. They create strategies to ensure the success of the program and communicate these to everyone involved. They lead the implementation and evaluation of the program.

Program Supervisor

A program supervisor is a professional who coordinates and monitors the scheduling and technical performance of company programs. Program supervisors aid in negotiating contracts and are responsible for any contractual changes. They recommend changes to the plans to improve process efficiency and develop solutions to any program problems. Program supervisors work under a manager's supervision and the role requires a bachelor's degree with relevant job experience. They are also independent at the same time and can collaborate with other staff members.

Clinical Supervisor

A clinical supervisor is responsible for managing a healthcare facility's daily operations, including the medical procedures and treatments of the medical professionals and practitioners. Clinical supervisors work with other healthcare professionals to optimize treatments, assess patients' health conditions, and administer medications. They also enforce strict sanitary and hygienic procedures for strict compliance of the staff. A clinical supervisor must have excellent knowledge of the medical industry to discuss recommendations and evaluate work procedures to provide the patients' highest quality services.

Supervisor

Supervisors are responsible for overseeing the daily functions of employees in a specific team, department, or even a work shift. They create work schedules, organize work processes and workflows, train new hires, provide necessary reports related to the team function and the employees, monitor and evaluate employee performance, and ensure that goals of the specific team or department are met. When needed, supervisors also provide guidance to employees in terms of their career or even personal challenges. They also help in fostering harmonious work relationships by resolving interpersonal conflicts at work. To be successful in their role, they must have leadership skills, time management skills, decision-making capabilities, analytical skills, and problem-solving skills.

Illustrated Career Paths For an Intensive Case Manager