Become a part of our caring community and help us put health first Join Humana as a CaseManager and make a real difference within the Inclusa/Humana team, serving members in the Wisconsin Family Care (FC) program. In this dynamic role, you will collaborate closely with dedicated colleagues to deliver exceptional care and empower our members to thrive in their daily lives. As a CaseManager, you will provide comprehensive social service care management to frail elders and adults with intellectual, developmental, or physical disabilities who qualify for Wisconsin's FC program. Bring your compassion and expertise to help members access vital resources, promote independence, and enhance their quality of life within their communities.
Key responsibilities:
Assess members to identify their strengths, interests, and preferences, focusing on health and safety needs to develop a comprehensive Member Care Plan (MCP).
Coordinate services that address members' health and safety needs, ensuring support is provided in the least restrictive environment in accordance with the MCP.
Collaborate continuously with a Field Care Nurse (RN) to review and update care plans and address members' evolving needs.
Conduct face-to-face social assessments with members upon enrollment and at minimum, every six months, typically at the member's residence.
Schedule, conduct, and document quarterly in-person visits and maintain monthly contact with members by phone.
Identify, arrange, and monitor support services for members, including those related to social integration, community resources, employment, housing, and other non-medical needs.
Engage in clear and empathetic communication with members to better understand their needs, support informed decision-making, and ensure cost-effective service delivery.
Prioritize safety by continuously evaluating risk factors and providing education to members to promote overall health and wellness.
Maintain accurate and timely documentation of activities, including case notes, service authorizations, and updates to the Member Care Plan.
Foster direct collaboration with service providers, natural supports, and other community partners to enhance member outcomes.
Travel is necessary to conduct member visits and fulfill role responsibilities.
Use your skills to make an impact
Required Qualifications
Four-year bachelor's degree in human services or related field with one (1) year of experience working with at least one of the Family Care target populations OR a four-year bachelor's degree in any other field with three (3) years' related experience working with at least one of the Family Care target populations.
Demonstrated intermediate computer proficiency, including experience with Microsoft Office applications.
***The Family Care target group population is defined as: frail elders and adults with intellectual, developmental, or physical disabilities***
Preferred Qualifications
CaseManagement experience
Experience with electronic case note documentation and experience with documenting in multiple computer applications/systems
Knowledge of community health and social service agencies and additional community resources
Additional Information
Workstyle: This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
Work Location: Eau Claire and surrounding areas
Travel: up to 40% throughout Eau Claire and surrounding areas. Mileage reimbursement follows our mileage policy.
Typical Workdays/Hours: Monday - Friday, 8:00 am - 4:30 pm CST
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$53,700 - $72,600 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$53.7k-72.6k yearly 5d ago
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Case Manager
Encompass Health Rehabilitation Hospital of Sarasota 4.1
Sarasota, FL jobs
CaseManager Career Opportunity
Recognized for your abilities as a CaseManager Are you ready for a CaseManagement role that brings your career closer to home and heart? Join Encompass Health, where being a CaseManager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes.
A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.
Starting Perks and Benefits
At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:
Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
Generous paid time off that accrues over time.
Opportunities for tuition reimbursement and continuous education.
Company-matching 401(k) and employee stock purchase plans.
Flexible spending and health savings accounts.
A vibrant community of individuals passionate about the work they do!
Become the CaseManager you always wanted to be
Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.
Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans
Participate in planning for and the execution of patient discharge experience.
Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.
Facilitate team conferences weekly and coordinate all treatment plan modifications.
Complete casemanagement addendums and all required documentation.
Maintain knowledge of regulations/standards, company policies/procedures, and department operations.
Review/analyze casemanagement reports, including Key Care Indicators, and plan appropriate actions.
Understand commercial contract levels, exclusions, payor requirements, and recertification needs.
Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs.
Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission.
Perform assessment of goals and complete casemanagement addendum within 48 hours of admission.
Educate patient/family on rehabilitation and CaseManager role; establish communication plan.
Schedule and facilitate family conferences as needed.
Assist patient with timely procuring/planning of resources to avoid discharge delays or issues.
Monitor compliance with regulations for orthotics and prosthetics ordering and payment.
Make appropriate/timely referrals, including documentation to post discharge providers/physicians.
Ensure accuracy of discharge and payor-related information in the patient record.
Participate in utilization review process: data collection, trend review, and resolution actions.
Participate in casemanagement on-call schedule as needed.
Qualifications
- License or Certification:
Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
If licensure is required for one's discipline within the state, individual must hold an active license.
Must meet eligibility requirements for CCM or ACM™ certification upon entry into this position OR within two years of entry into the position.
CCM or ACM™ certification required OR must be obtained within two years of being placed in the CaseManager II position.
- Minimum Qualifications:
For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an associate degree.
For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred.
2 years of rehabilitation experience preferred.
We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!
The Encompass Health Way We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing! At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.
$35k-52k yearly est. 4d ago
Social Worker (MSW)
Agape Care Group 3.1
Grove, OK jobs
Join Our Team as a Social Worker Are you passionate about helping patients get the care they deserve? Do you want to make a meaningful impact in others' lives?
We are looking for hospice medical social workers who are committed to creating meaningful experiences for your patients and their families. As a hospice medical social worker, you will be responsible for psychosocial evaluations, and ongoing counse of patients and families during their end-of-life journey. Working in accordance with the plan of care, you will provide emotional support to patients and families when it's needed most.
And just like all of our team members, our hospice medical social workers have access to our supportive leadership team and professional development opportunities with plenty of room for advancement.
We're Offering Even More Great Benefits When You Join Our Team!
Tuition Reimbursement
Immediate Access to Paid Time Off
Employee Referral Program Bonus Eligibility
Matching 401K
Annual Merit Increases
Years of Service Award Bonuses
Pet Insurance
Financial and Legal Assistance Program
Mental Health and Counseling Programs
Dental and Orthodontic Coverage
Vision Insurance
Health Care with Low Premiums
$500 Matching Health Savings Account
Short-term and Long-term Disability
Access to Virtual Health & Wellness
Fertility Assistance Program
Our Company Mission
Our mission is to serve with love, providing comfort and support through compassionate care and meaningful experiences. For our team members, these aren't empty words. In every interaction, no matter how big or small, we're dedicated to providing a superior experience for patients facing life-limiting illnesses and their families.
About Agape Care Group
As a regional leader in hospice and palliative care, Agape Care Group proudly serves patients through its family of care providers - Agape Care South Carolina, Georgia Hospice Care, Hospice of the Carolina Foothills in North Carolina, and ACG Hospice in Alabama, Kansas, Louisiana, Missouri, Oklahoma, and Virginia. The company's employees are committed to serving with love those touched by an advanced illness, providing comfort and support through compassionate care and meaningful experiences. At any location within our company, you'll find a career that means something. You'll not only have the opportunity to use your skills to make a real difference, but you'll also be part of an inclusive, respectful work environment filled with peers who have answered the call to care for others.
Qualifications:
A heart to serve patients and families and a passion for providing the best possible care
Education: MS degree in social work from an accredited school of social work approved by the Council of Social Work Education
Licensure: Current state license as a social worker
Experience: 2+ years of clinical work experience, preferably in healthcare or hospice
Required: Reliable transportation. Ability to sit, stand, bend, move intermittently and lift at least 25lbs and bear the weight of an average adult effectively.
We've worked hard to build a caring culture of integrity, communication, diversity and positive experiences, and we'd love for you to join our team.
*Pay is determined by years of experience and location.
Appcast Apply Goal Priority: Hot
$39k-48k yearly est. Auto-Apply 3d ago
Clinical Supervisor I
Novant Health 4.2
Leland, NC jobs
What We Offer:
Works under the supervision of the Manager of Food Service. Responsible for the supervision and outcome of assigned area. Ensures compliance with state, county, and accrediting body.
What We're Looking For:
Education: 2 Year / Associate Degree, required. Associate Degree in related field and/or commensurate experience.
Experience: Two to three years' experience in food service or general supervision, required.
Licensure/Certification: Serv Safe Certification, preferred.
$70k-90k yearly est. 1d ago
Clinical Supervisor III
Novant Health 4.2
Wilmington, NC jobs
What We Offer:
Work Schedule: FT Monday - Friday, 8 am - 5 pm.
Department: Primary Care
In partnership with the Clinic Administrator, ensures implementation and success of NHMG goals, organizes and directs the clinical environment, and coordinates teams to assure effective care is given to provide quality patient care in physician practices. Supervises 20 or more FTEs. The Registered Nurse serves as a leader of the healthcare team at Novant Health by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement, delegate and evaluate an individualized plan of care that promotes optimal health or supports a peaceful death and takes ownership in creating an environment that allows team members to be present with patients and families. The Registered Nurse utilizes best scientific evidence and compassion to assist the patient in navigating their health journey. The Registered Nurse accepts responsibility, authority, and accountability for management and provision of care in accordance with the current policies and procedures. The Registered Nurse gives feedback and evaluations to team continuously to monitor appropriate team members for positions and promote employee and customer satisfaction.
Come join a remarkable team where quality care meets quality service, in every dimension, every time.
At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.
What We're Looking For:
Education: High School Diploma or GED, required. 4 Year / Bachelors Degree, preferred.
Experience:
Three years of nursing experience, required.
Two years of supervisory experience, required.
Licensure/Certification: Current RN licensure in appropriate state, required.
Additional Skills Required: Excellent human relation skills, possess effective oral and written communication skills, possess leadership and problem solving skills, operate personal computer. Ability to successfully complete Leader Education and training.
What You'll Do:
It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.
Our team members are part of an environment that fosters team work, team member engagement and community involvement.
The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".
$70k-90k yearly est. 3d ago
RN Case Manager - PRN
Northeastern Nevada Regional Hospital 4.2
Elko, NV jobs
Schedule: PRN 8hr Days 7a-3:30p (8 shifts per quarter)
Your experience matters
Northeastern Nevada Regional Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a CaseManager joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
How you'll contribute
A CaseManager who excels in this role:
Works with patients, family members, area hospital staff, physicians and other community agencies to obtain referrals and provide casemanagement for patients including: screening, pre-admission and admission process and care plan management and coordination.
Assists with the development, assessment, implementation, and monitoring of a comprehensive plan of care for patients meeting our high-risk screening criteria by screening on designated programs, coordinating an interdisciplinary team approach to service, and resource delivery beginning on a admission basis and follows through placement into follow up after care in collaboration with the hospital team.
Consults with nursing staff and multidisciplinary team regularly to evaluate patient's status and appropriateness of medical care, including admission, length of stay, transfer and discharge.
Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to patients.
Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement.
Counsels and interviews patients/family members and conducts an appraisal of social, emotional and economic complications to provide the physician and the health care team with recommendations and information which will assist in development of the plan for the patient's care upon referral.
Provides information to patients/families regarding financial concerns and general information and counsels patients/families surrounding the issues of illness, loss, grief, bereavement, and anger. They also advise, counsel, teach and support patients and/or family members in assuming responsibility/advocacy for personal health care needs, decision making and ongoing planning and service coordination.
Serves as an advocate and liaison between patient/family and physician and monitors patient and family satisfaction. Responds to questions and complaints from patients, family members, and payors regarding care.
Obtains third party payer admission authorization if necessary.
Coordinates follow up care to ensure appropriate services are provided to clients.
Documents and maintains accurate patient records related to patient referrals, admissions, care plan management and discharges.
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position may also offer:
Financial & Career Growth: 401(k) retirement package and company match.
Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
Professional Development: Ongoing learning and career advancement opportunities.
What we're looking for
Current state RN license
One year of acute care experience
CaseManagement, Discharge Planning, Insurance and Utilization Review Experience Preferred
Strong Technical Computer Skills
American Heart Association Certifications: Basic Life Support (BLS) within 90 days of hire.
More about Northeastern Nevada Regional Hospital
Northeastern Nevada Regional Hospital is a 75-bed acute care hospital that offers exceptional care to Elko county and the surrounding areas of northeastern Nevada. We are recognized by the American College of Cardiology as an accredited Chest Pain Center and we believe that health care should be effective, safer, and more available to all people. We are committed to providing our patients with the highest quality, family-friendly care available.
EEOC Statement
Northeastern Nevada Regional Hospital is an Equal Opportunity Employer. Northeastern Nevada Regional Hospital is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
$92k-126k yearly est. 5d ago
Social Worker (BSW or MSW)
Agape Care Group 3.1
Woodward, OK jobs
Join Our Team as a Social Worker (PRN) Are you passionate about helping patients get the care they deserve? Do you want to make a meaningful impact in others' lives?
We are looking for hospice medical social workers who are committed to creating meaningful experiences for your patients and their families. As a hospice medical social worker, you will be responsible for psychosocial evaluations, and ongoing counse of patients and families during their end-of-life journey. Working in accordance with the plan of care, you will provide emotional support to patients and families when it's needed most.
And just like all of our team members, our hospice medical social workers have access to our supportive leadership team and professional development opportunities with plenty of room for advancement.
We're Offering Even More Great Benefits When You Join Our Team!
Tuition Reimbursement
Immediate Access to Paid Time Off
Employee Referral Program Bonus Eligibility
Matching 401K
Annual Merit Increases
Years of Service Award Bonuses
Pet Insurance
Financial and Legal Assistance Program
Mental Health and Counseling Programs
Dental and Orthodontic Coverage
Vision Insurance
Health Care with Low Premiums
$500 Matching Health Savings Account
Short-term and Long-term Disability
Access to Virtual Health & Wellness
Fertility Assistance Program
Our Company Mission
Our mission is to serve with love, providing comfort and support through compassionate care and meaningful experiences. For our team members, these aren't empty words. In every interaction, no matter how big or small, we're dedicated to providing a superior experience for patients facing life-limiting illnesses and their families.
About Agape Care Group
As a regional leader in hospice and palliative care, Agape Care Group proudly serves patients through its family of care providers - Agape Care South Carolina, Georgia Hospice Care, Hospice of the Carolina Foothills in North Carolina, and ACG Hospice in Alabama, Kansas, Louisiana, Missouri, Oklahoma, and Virginia. The company's employees are committed to serving with love those touched by an advanced illness, providing comfort and support through compassionate care and meaningful experiences. At any location within our company, you'll find a career that means something. You'll not only have the opportunity to use your skills to make a real difference, but you'll also be part of an inclusive, respectful work environment filled with peers who have answered the call to care for others.
Qualifications:
A heart to serve patients and families and a passion for providing the best possible care
Education: MS degree in social work from an accredited school of social work approved by the Council of Social Work Education
Licensure: Current state license as a social worker
Experience: 2+ years of clinical work experience, preferably in healthcare or hospice
Required: Reliable transportation. Ability to sit, stand, bend, move intermittently and lift at least 25lbs and bear the weight of an average adult effectively.
We've worked hard to build a caring culture of integrity, communication, diversity and positive experiences, and we'd love for you to join our team.
*Pay is determined by years of experience and location.
Appcast Apply Goal Priority: Regular
$39k-48k yearly est. Auto-Apply 3d ago
Case Manager RN
Novant Health 4.2
Charlotte, NC jobs
What We Offer:
Schedule: PRN; weekday hours are primary need, must be able to train during the week for up to 8 weeks
Location: Ballantyne Medical Center - Charlotte, NC; With 36 inpatient beds, Ballantyne Medical Center is our newest facility in the Charlotte area
This role is ideal for an experienced casemanager looking to work in a patient facing but non-bedside role within a high-performing, collaborative team.
A dynamic PRN opportunity at our newest hospital in the region
Work/life balance with PRN flexibility
Inclusive culture grounded in teamwork, trust, and shared purpose
What We're Looking For:
Education: High School Diploma or GED, required. 2 Year / Associate Degree, Required. Associates Degree in Nursing or BSN. 4 Year / Bachelors Degree, Preferred.
Experience: Two or more years healthcare experience, Preferred. 1 Year, Preferred. CaseManagement or related experience.
Licensure/Certification: Current RN licensure in state of employment, Required.
Additional Skills (required): Weekend and holiday coverage, if applicable.
Additional Skills (preferred): Knowledge/Competence of Microsoft office products and keyboarding.
What You'll Do:
Complex discharge planning
Collaborate with physicians and other members of the healthcare team to assess, plan, implement, and evaluate proactive/complex/safe discharge plans
Collaborate with MSW casemanagers for guidance with pscyhosocially complex cases
Facilitate coordination of care
Accept responsibility, authority, and accountability for management of care
Serve as a resource for discharge planning and care coordination for medically complex cases
Maintain current knowledge of available community resources/post acute care options
$69k-85k yearly est. 1d ago
RN Case Manager - Case Management, Per Diem
Tufts Medical Center 4.6
Boston, MA jobs
Tufts Medical Center is recognized by the ANCC Magnet Recognition Program for excellence in nursing. Magnet recognition is the highest and most prestigious credential a health care organization can achieve for nursing excellence and quality patient care. Magnet recognition signals to nurses that the organization is committed to nursing.
The nurses at Tufts Medical Center are integral to everything we do. They are often the ones patients interact with first, and sometimes the ones they interact with the most. It's a critically important role, so our nurses are well-supported, well-respected, and very well-appreciated!
There's an intensity and a pace to be embraced. You will have responsibility and accountability the minute you pull on the scrubs. You need to be the kind of person who gives everything you've got. Our patients deserve the best. Our nurses give it to them.
Position/Job Title: RN - CaseManager, Per Diem Day Shift
Job Profile Summary
This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient's plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems.
Job Overview
The professional registered nurse possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. The professional registered nurse serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. The professional registered nurse is responsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence based practice and/or best practices. The professional registered nurse at Tufts Medical Center provides clinical excellence, which fosters and supports an environment central to our patient and family centered model of care.
Minimum Qualifications:
1. Registered Nurse (RN) license or license eligible.
2. Basic Life Support (BLS) certification.
3. Three (3) years of CaseManagement experience.
Preferred Qualifications:
1. Bachelor of Science in Nursing (BSN)
2. Specialty Nursing certifications.
At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.
The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.
Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth-one of the many ways we invest in you so you can thrive both at work and outside of it.
Pay Range:
$41.76 - $68.89
$41.8-68.9 hourly 2d ago
Case Manager RN - NE
Novant Health 4.2
Wilmington, NC jobs
What We Offer:
Novant Health is seeking a RN CaseManager to serve as a leader of the complex discharge planning process. The RN CaseManager will not only collaborate with physicians and other team members but with the MSW for guidance with psychosocially complex cases.Come join a remarkable team where quality care meets quality service, in every dimension, every time. #JoinTeamAubergine #NovantHealth #nursingatnovanthealth. Let Novant Health be the destination for your professional growth.
At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.
What We're Looking For:
Education: Associates degree required. Bachelor's degree preferred. Associates degree in Nursing or BSN, required.
Experience: Two or more years healthcare experience preferred. CaseManagement or related experience, preferred.
Licensure/certification/registration: Current RN licensure in state of employment, required.
Additional skills required: Weekend and holiday coverage.
What You'll Do:
It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.
Our team members are part of an environment that fosters team work, team member engagement and community involvement.
The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".
$69k-86k yearly est. 2d ago
RN Case Manager, Brain Tumor Clinic
Boston Children's Hospital 4.8
Boston, MA jobs
The outpatient RN CaseManager in the Brain Tumor Clinic at Boston Children's functions as the clinical professional who coordinates the transition from hospital to home or facilities, based on patient need. The RN CaseManager performs clinical assessments to determine options for patients based on clinical need as well as insurance options. They will also perform clinical assessments for services including skilled nursing services, home health aides and personal care attendants needed postoperatively. They will collaborate with and are part of the multidisciplinary team, including the Neurosurgical team, who ensure patients have the services necessary for our patients to remain in the communities where they live.
Key Responsibilities:
Assessing, planning, organizing and overseeing daily clinical operations of care coordination and transitions to address the comprehensive and complex health needs of the patient and family.
Possessing knowledge of community health services, payer systems and post-acute care needs for inpatient patients and families.
Collaborative work with inpatient nursing teams and inpatient casemanagers.
Demonstrating the ability to integrate regulatory requirements, length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services.
Actively participating, as required, in hospital, departmental and multidisciplinary programs, committees and special projects.
Working 40 hours per week, Monday through Friday, 8:00pm - 4:30 pm
Minimum Qualifications
Education:
A Bachelor's degree in nursing.
Master's in a related Healthcare field preferred.
Experience:
A minimum of 5 years nursing experience required; pediatrics preferred.
Experience as a nurse CaseManager (Discharge Planning) preferred.
Licensure/ Certifications:
Current Massachusetts license as a Registered Nurse (RN)
A certification as a Certified CaseManager is preferred, if not willingness to obtain within the first two years of employment.
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
$75k-106k yearly est. 2d ago
Case Manager
Encompass Health Rehabilitation Hospital of Nittany Valley 4.1
Pleasant Gap, PA jobs
CaseManager Career Opportunity
Recognized for your abilities as a CaseManager
Are you ready for a CaseManagement role that brings your career closer to home and heart? Join Encompass Health, where being a CaseManager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes.
A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.
Starting Perks and Benefits
At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:
Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
Generous paid time off that accrues over time.
Opportunities for tuition reimbursement and continuous education.
Company-matching 401(k) and employee stock purchase plans.
Flexible spending and health savings accounts.
A vibrant community of individuals passionate about the work they do!
Become the CaseManager you always wanted to be
Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.
Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans.
Participate in planning for and the execution of patient discharge experience.
Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.
Facilitate team conferences weekly and coordinate all treatment plan modifications.
Complete casemanagement addendums and all required documentation.
Maintain knowledge of regulations/standards, company policies/procedures, and department operations.
Review/analyze casemanagement reports, including Key Care Indicators, and plan appropriate actions.
Understand commercial contract levels, exclusions, payor requirements, and recertification needs.
Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs.
Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission.
Perform assessment of goals and complete casemanagement addendum within 48 hours of admission.
Educate patient/family on rehabilitation and CaseManager role; establish communication plan.
Schedule and facilitate family conferences as needed.
Assist patient with timely procuring/planning of resources to avoid discharge delays or issues.
Monitor compliance with regulations for orthotics and prosthetics ordering and payment.
Make appropriate/timely referrals, including documentation to post discharge providers/physician
Ensure accuracy of discharge and payor-related information in the patient record
Participate in utilization review process: data collection, trend review, and resolution actions.
Participate in casemanagement on-call schedule as needed.
Qualifications
License or Certification:
Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
If licensure is required for one's discipline within the state, individual must hold an active license.
Must meet eligibility requirements for CCM or ACM™ certification upon entry into this position OR within two years of entry into the position.
CCM or ACM™ certification required OR must be obtained within two years of being placed in the CaseManager II position.
Minimum Qualifications:
For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an associate degree.
For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred.
2 years of rehabilitation experience preferred.
We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!
$38k-55k yearly est. 3d ago
Ambulatory Clinic Supervisor I - Waltham Multidisciplinary Services
Boston Children's Hospital 4.8
Waltham, MA jobs
is 100% onsite in Waltham. Ensures quality patient experiences through the effective management and coordination of physical and human resources. Monitors all registration/scheduling/processing activities and patient satisfaction from an operational standpoint. Plans, implements and monitors operational and administrative systems to ensure department meets performance goals and targets. Responsible for the supervision of support staff; scheduling and delegating work, training and development needs, and conducting performance appraisals.
Key Responsibilities:
Supervise administrative staff, including hiring, onboarding, training, performance evaluations, and disciplinary actions as needed.
Lead regular staff meetings and foster a positive team culture.
Ensure accurate and timely completion of patient registration and billing documentation to maximize revenue. Oversee clinical documentation, coding, and charge entry processes to ensure compliance and billing accuracy.
Identify and implement improvements to registration, scheduling, and billing processes to enhance the patient experience. Evaluate space and scheduling needs to optimize room utilization and clinic efficiency.
Train team members on hospital policies, systems, and compliance with third-party regulations (e.g., DPH, Joint Commission, OSHA).
Monitor and address facility issues impacting daily operations; recommend improvements to the Director of Operations.
Oversee daily administrative operations including payroll, reporting, and regulatory compliance.
Support departmental fellowships, residencies, training grants, and other academic programs.
Participate in the budget process by preparing cost projections, monitoring expenses, and resolving variances.
Other duties as assigned.
Minimum Qualifications
Education:
Associate's or equivalent experience required.
Bachelor's degree in business or closely related field preferred.
Experience:
Three years of experience required.
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
$49k-82k yearly est. 5d ago
RN Case Manager
Interim Healthcare 4.7
Marion, OH jobs
Our Registered Nurse CaseManagers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients.
What we offer our Registered Nurse CaseManagers (RNCM):
Competitive pay, benefits, and incentives.
Truly flexible scheduling - a dedication to work/life balance - Full-time/ Part-time / PRN / Weekends
Daily Pay option available
No Overtime Required
1:1 patient care
Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.
As a Registered Nurse CaseManager (RNCM), you will:
Conduct In Person patient interviews and comprehensive physical assessments.
Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers.
Communicate patient conditions and collaborate with appropriate providers to deliver care when patient needs evolve.
Provide education to patients and families on proper home health care procedures. Ie. Wound care, IV administration, medication management.
Work to decrease readmissions by promoting preventative care and ensuring continuity of care.
To qualify as a Registered Nurse CaseManager (RNCM) with us, you will need:
Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position
Current CPR/AED/BLS/First Aid certification
Reliable transportation to/from care sites and/or work locations.
One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous casemanagement/utilization review experience preferred.
OASIS experience preferred.
Practical trach and/or ventilator experience preferred, not required.
At Interim HealthCare, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
#Columbus1
$55k-69k yearly est. 1d ago
RN Case Manager
Interim Healthcare 4.7
Zanesville, OH jobs
Our Registered Nurse CaseManagers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients. What we offer our Registered Nurse CaseManagers (RNCM):
Competitive pay, benefits, and incentives.
Truly flexible scheduling - a dedication to work/life balance - Full-time/ Part-time / PRN / Weekends
Daily Pay option available
No Overtime Required
1:1 patient care
Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.
As a Registered Nurse CaseManager (RNCM), you will:
Conduct In Person patient interviews and comprehensive physical assessments.
Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers.
Communicate patient conditions and collaborate with appropriate providers to deliver care when patient needs evolve.
Provide education to patients and families on proper home health care procedures. Ie. Wound care, IV administration, medication management.
Work to decrease readmissions by promoting preventative care and ensuring continuity of care.
To qualify as a Registered Nurse CaseManager (RNCM) with us, you will need:
Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position
Current CPR/AED/BLS/First Aid certification
Reliable transportation to/from care sites and/or work locations.
One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous casemanagement/utilization review experience preferred.
OASIS experience preferred.
Practical trach and/or ventilator experience preferred, not required.
At Interim HealthCare, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
#Cambridge1
$55k-69k yearly est. 1d ago
Licensed Social Worker
Touchstone Communities 4.1
Del Rio, TX jobs
Licensed Social Worker - Make a Meaningful Impact Every Day!
Are you a compassionate and dedicated Social Worker looking to make a real difference in the lives of residents and their families? At Del Rio Nursing & Rehabilitation, we believe that social work is more than a profession-it's a calling. We are seeking a Licensed Social Worker to serve as our Social Services Director, helping to ensure our residents receive the emotional, social, and psychological support they need to thrive.
Your Role & Impact:
Advocate for residents, ensuring their mental, emotional, and social well-being.
Provide guidance and support to families, helping them navigate care decisions with confidence.
Ensure compliance with state and federal regulations, upholding the highest standards of care.
Collaborate with an interdisciplinary team to create care plans that honor each resident's unique needs.
Foster a warm and inclusive community where every resident feels heard and valued.
What You Bring:
✔ Degree in Social Services and a current Texas Social Worker license.
✔ A passion for person-centered care and advocacy.
✔ Strong communication and problem-solving skills.
✔ The ability to work effectively with residents, families, and team members.
What's in It for YOU?
A workplace where your voice matters-your impact is valued.
Competitive pay + paycheck advances for financial flexibility.
Tuition reimbursement-grow your career while you work.
401(k) matching-plan for your future with confidence.
Paid Time Off (PTO)-start accruing from day one!
Bonus opportunities-because we recognize and reward your contributions.
touchstone Emergency Assistance Foundation Grants-support when you need it most.
Make Lives Better - Be Part of Something Meaningful!
We believe in bringing a Best-in-Class Healthcare Experience to our residents. If you're looking for a fulfilling career where you can truly make a difference, we invite you to apply today and become a vital part of Team Touchstone!
$28k-53k yearly est. 1d ago
Licensed Social Worker
Touchstone Communities 4.1
McAllen, TX jobs
Licensed Social Worker - Make a Meaningful Impact Every Day!
Are you a compassionate and dedicated Social Worker looking to make a real difference in the lives of residents and their families? At Alfredo Gonzalez Texas State Veterans Home, we believe that social work is more than a profession-it's a calling. We are seeking a Licensed Social Worker to serve as our Social Services Director, helping to ensure our residents receive the emotional, social, and psychological support they need to thrive.
Your Role & Impact:
Advocate for residents, ensuring their mental, emotional, and social well-being.
Provide guidance and support to families, helping them navigate care decisions with confidence.
Ensure compliance with state and federal regulations, upholding the highest standards of care.
Collaborate with an interdisciplinary team to create care plans that honor each resident's unique needs.
Foster a warm and inclusive community where every resident feels heard and valued.
What You Bring:
✔ Degree in Social Services and a current Texas Social Worker license.
✔ A passion for person-centered care and advocacy.
✔ Strong communication and problem-solving skills.
✔ The ability to work effectively with residents, families, and team members.
What's in It for YOU?
A workplace where your voice matters-your impact is valued.
Competitive pay + paycheck advances for financial flexibility.
Tuition reimbursement-grow your career while you work.
401(k) matching-plan for your future with confidence.
Paid Time Off (PTO)-start accruing from day one!
Bonus opportunities-because we recognize and reward your contributions.
touchstone Emergency Assistance Foundation Grants-support when you need it most.
Make Lives Better - Be Part of Something Meaningful!
We believe in bringing a Best-in-Class Healthcare Experience to our residents. If you're looking for a fulfilling career where you can truly make a difference, we invite you to apply today and become a vital part of Team Touchstone!
$27k-52k yearly est. 5d ago
RN Case Manager
Interim Healthcare 4.7
Greenwood, IN jobs
Our Registered Nurse CaseManagers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients.
What we offer our Registered Nurse CaseManagers (RNCM):
*Competitive pay, benefits, and incentives.
*Truly flexible scheduling - a dedication to work/life balance
*Daily Pay option available
*No Overtime Required
*1:1 patient care
Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.
As a Registered Nurse CaseManager (RNCM), you will:
*Conduct In Person patient interviews and comprehensive physical assessments.
*Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers.
*Communicate patient conditions and collaborate with appropriate providers to deliver care when patient needs evolve.
*Provide education to patients and families on proper home health care procedures. Ie. Wound care, IV administration, medication management.
*Work to decrease readmissions by promoting preventative care and ensuring continuity of care.
To qualify as a Registered Nurse CaseManager (RNCM) with us, you will need:
*Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position
*Current CPR/AED/BLS/First Aid certification
*Reliable transportation to/from care sites and/or work locations.
*One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous casemanagement/utilization review experience preferred.
*OASIS experience preferred.
Practical trach and/or ventilator experience preferred, not required.
At Interim HealthCare, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
#Indianapolis1
$51k-63k yearly est. 1d ago
RN Case Manager
Interim Healthcare 4.7
Bloomington, IN jobs
Our Registered Nurse CaseManagers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients.
What we offer our Registered Nurse CaseManagers (RNCM):
*Competitive pay, benefits, and incentives.
*Truly flexible scheduling - a dedication to work/life balance - Full-time/ Part-time / PRN / Weekends
*Daily Pay option available
*No Overtime Required
*1:1 patient care
Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.
As a Registered Nurse CaseManager (RNCM), you will:
*Conduct In Person patient interviews and comprehensive physical assessments.
*Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers.
*Communicate patient conditions and collaborate with appropriate providers to deliver care when patient needs evolve.
*Provide education to patients and families on proper home health care procedures. Wound care, IV administration, medication management.
*Work to decrease readmissions by promoting preventative care and ensuring continuity of care.
To qualify as a Registered Nurse CaseManager (RNCM) with us, you will need:
*Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position
*Current CPR/AED/BLS/First Aid certification
*Reliable transportation to/from care sites and/or work locations.
*One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous casemanagement/utilization review experience preferred.
*OASIS experience preferred.
*Practical trach and/or ventilator experience preferred, not required.
At Interim HealthCare, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
#SEIndiana1
$51k-62k yearly est. 1d ago
RN Case Manager
Interim Healthcare 4.7
North Huntingdon, PA jobs
Our Registered Nurse CaseManagers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients.
What we offer our Registered Nurse CaseManagers (RNCM):
Competitive pay, benefits, and incentives.
Truly flexible scheduling - a dedication to work/life balance - Full-time/ Part-time / PRN / Weekends
Daily Pay option available
1:1 patient care
Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.
As a Registered Nurse CaseManager (RNCM), you will:
Conduct In Person patient interviews and comprehensive physical assessments.
Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers.
Communicate patient conditions and collaborate with appropriate providers to deliver care when patient needs evolve.
Provide education to patients and families on proper home health care procedures. Ie. Wound care, IV administration, medication management.
Work to decrease readmissions by promoting preventative care and ensuring continuity of care.
To qualify as a Registered Nurse CaseManager (RNCM) with us, you will need:
Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position
Current CPR/AED/BLS/First Aid certification
Reliable transportation to/from care sites and/or work locations.
At Interim HealthCare, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
#PITT1