case manager i

Morgan & Morgan

<div><div>At Morgan &amp; Morgan, the work we do matters. For millions of Americans, we're their last line of defense against insurance companies, large corporations or defective goods. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the winning fight for consumer rights. Our over 6,000 employees are all united by one mission: For the People.</div>
Summary

We are seeking a Case Manager to join our team. As a Case Manager you must be highly organized and able to work on a varied caseload. The Case Manager will assist the attorney in developing settlements, preparing documents and correspondence as needed. The ideal candidate is customer focused and empathetic.

Responsibilities
<ul>
<li>Daily interaction with existing and potential clients, via telephone and in person</li>
<li>Order medical records from providers and communicate with clients and providers during the course of treatment</li>
<li>Obtain documents necessary to support injury and/or liability positions</li>
<li>Interact with insurance carriers and healthcare providers to secure records and account balances</li>
<li>Work directly with multiple coworkers involved in the management and support of case files</li>
<li>Maintain organized case files</li>
<li>Prepare comprehensive demands and assemble support for submission to carriers under the direct supervision of an attorney</li>
<li>Interact with attorneys and present case synopsis when required</li>
<li>Manage case files from intake to closing under the direction of an attorney</li>
<li>Performs other related duties as assigned to meet the needs of the business</li>
</ul>
Qualifications
<ul>
<li>Bachelor's degree (preferred)</li>
<li>Prior experience as a Personal Injury Case Manager or Prelitigation Paralegal (strongly preferred)</li>
<li>At least 2 years of working in a legal position or insurance adjuster experience (strongly preferred)</li>
<li>Ability to be a team player and follow procedures</li>
<li>Proactive interaction with clients, insurance companies and medical providers</li>
<li>Must possess the ability to multi-task, prioritize, and manage workload with a positive attitude and minimal supervision</li>
<li>Highly organized with the ability to juggle multiple deadlines in a fast-paced environment</li>
<li>Strong writing and communication skills along with attention to detail</li>
<li>Extensive computer and database expertise, Microsoft Word, Excel, Outlook, and type no less than 35 wpm</li>
<li>Remote and/or hybrid not eligible</li>
</ul>
#LI-KL1<div>
Benefits

Morgan &amp; Morgan is a leading personal injury law firm dedicated to protecting the people, not the powerful. This success starts with our staff. For full-time employees, we offer an excellent benefits package including medical and dental insurance, 401(k) plan, paid time off and paid holidays.

Equal Opportunity Statement

Morgan &amp; Morgan provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

E-Verify

This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the I-9 Form.
Privacy Policy

Here is a link to Morgan &amp; Morgan's privacy policy.</div></div>

Case Manager

Morgan & Morgan, P.A.

<div>
 
 
 At Morgan &amp; Morgan, the work we do matters. For millions of Americans, we&rsquo;re their last line of defense against insurance companies, large corporations or defective goods. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the winning fight for consumer rights. Our over 6,000 employees are all united by one mission: For the People.
 
 
 
 
 Summary
 
 
 
 We are seeking a
 
 Case Manager
 
 to join our team. As a Case Manager you must be highly organized and able to work on a varied caseload. The Case Manager will assist the attorney in developing settlements, preparing documents and correspondence as needed. The ideal candidate is customer focused and empathetic.
 
 
 
 Responsibilities
 
 
 <ul>
 <li>
 Daily interaction with existing and potential clients, via telephone and in person.
 </li>
 <li>
 Order medical records from providers and communicate with clients and providers during the course of treatment.
 </li>
 <li>
 Obtain documents necessary to support injury and/or liability positions
 </li>
 <li>
 Interact with insurance carriers and healthcare providers to secure records and account balances
 </li>
 <li>
 Work directly with multiple coworkers involved in the management and support of case files
 </li>
 <li>
 Maintain organized case files.
 </li>
 <li>
 Prepare comprehensive demands and assemble support for submission to carriers under the direct supervision of an attorney
 </li>
 <li>
 Interact with attorneys and present case synopsis when required
 </li>
 <li>
 Manage case files from intake to closing under the direction of an attorney
 </li>
 <li>
 Performs other related duties as assigned to meet the needs of the business
 </li>
 </ul>
 
 
 Qualification
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree (preferred)
 </li>
 <li>
 Prior experience as a Personal Injury Case Manager preferred.
 </li>
 <li>
 At least 2 years of working in a legal position or insurance adjuster experience preferred.
 </li>
 <li>
 Ability to be a team player and follow procedures.
 </li>
 <li>
 Proactive interaction with clients, insurance companies and medical providers.
 </li>
 <li>
 Must possess the ability to multi-task, prioritize, and manage workload with a positive attitude and minimal supervision.
 </li>
 <li>
 Highly organized with the ability to juggle multiple deadlines in a fast-paced environment
 </li>
 <li>
 Strong writing and communication skills along with attention to detail
 </li>
 <li>
 Extensive computer and database expertise, Microsoft Word, Excel, Outlook, and type no less than 35 wpm.
 </li>
 </ul>
 
 
 
 This role is on-site, which gives you the chance to be fully immersed in the work and gain direct experience alongside the team.
 
 
 
 
 
 
 
 Benefits
 
 
 
 
 Morgan &amp; Morgan is a leading personal injury law firm dedicated to protecting the people, not the powerful. This success starts with our staff.&nbsp; For full-time employees, we offer an excellent benefits package including medical and dental insurance, 401(k) plan,&nbsp; paid time off and paid holidays.
 
 
 
 
 Equal Opportunity Statement
 
 
 
 
 Morgan &amp; Morgan provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
 
 
 
 
 E-Verify
 
 
 
 
 This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the I-9 Form.&nbsp;&nbsp;&nbsp;
 
 
 
 
 Privacy Policy
 
 
 
 
 Here is a link to Morgan &amp; Morgan's privacy policy.
 
 
</div>

Seeking Claims Adjusters!

<div><div>At Morgan &amp; Morgan, the work we do matters. For millions of Americans, we're their last line of defense against insurance companies, large corporations or defective goods. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the winning fight for consumer rights. Our over 6,000 employees are all united by one mission: For the People.</div>
Summary

We are seeking a Case Manager to join our team. As a Case Manager, you must be highly organized and able to work on a varied caseload. The Case Manager will assist the attorney in developing settlements, preparing documents and correspondence as needed. The ideal candidate is customer focused and empathetic.

Responsibilities
<ul>
<li>Daily interaction with existing and potential clients, via telephone and in person</li>
<li>Order medical records from providers and communicate with clients and providers during the course of treatment</li>
<li>Obtain documents necessary to support injury and/or liability positions</li>
<li>Interact with insurance carriers and healthcare providers to secure records and account balances</li>
<li>Work directly with multiple coworkers involved in the management and support of case files</li>
<li>Maintain organized case files</li>
<li>Prepare comprehensive demands and assemble support for submission to carriers under the direct supervision of an attorney</li>
<li>Interact with attorneys and present case synopsis when required</li>
<li>Manage case files from intake to closing under the direction of an attorney</li>
<li>Performs other related duties as assigned to meet the needs of the business</li>
</ul>
Qualification
<ul>
<li>Bachelor's degree (preferred)</li>
<li>Prior experience as a Personal Injury Case Manager preferred</li>
<li>At least 2 years of working in a legal position or insurance adjuster experience preferred</li>
<li>Ability to be a team player and follow procedures</li>
<li>Proactive interaction with clients, insurance companies and medical providers</li>
<li>Must possess the ability to multi-task, prioritize, and manage workload with a positive attitude and minimal supervision</li>
<li>Highly organized with the ability to juggle multiple deadlines in a fast-paced environment</li>
<li>Strong writing and communication skills along with attention to detail</li>
<li>Extensive computer and database expertise, Microsoft Word, Excel, Outlook, and type no less than 35 wpm</li>
</ul>
This role is on-site, which gives you the chance to be fully immersed in the work and gain direct experience alongside the team. We've found that being in the office helps new team members get up to speed quickly and feel more connected.

#LI-FW1<div>
Benefits

Morgan &amp; Morgan is a leading personal injury law firm dedicated to protecting the people, not the powerful. This success starts with our staff. For full-time employees, we offer an excellent benefits package including medical and dental insurance, 401(k) plan, paid time off and paid holidays.

Equal Opportunity Statement

Morgan &amp; Morgan provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

E-Verify

This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the I-9 Form.
Privacy Policy

Here is a link to Morgan &amp; Morgan's privacy policy.</div></div>

State of New Hampshire

<div>State of New Hampshire Job Posting
Department of Health and Human Services
Division for Children, Youth, &amp; Families
Southern (Nashua) District Office 
CHILD PROTECTIVE SERVICE WORKER I-IV
Assessment &amp; Family Services
Child Protective Service Worker I- $22.50-$30.02
Child Protective Service Worker II $25.40- $34.14
Child Protective Service Worker III $28.74-$38.85
Child Protective Service Worker IV $31.33-$42.60 
 
 
*The certification level identified by the DHHS Human Resource Office is based upon the minimum qualifications. Upon consideration of the applicants relevant work experience, interview, and the Supplemental Job Description, the DCYF hiring manager will determine the level a candidate will be hired at.
*See total compensation information at the bottom of announcement. 
 
 
The State of New Hampshire, Department of Health and Human Services, Division for Children, Youth, and Families has a full-time vacancy for Child Protective Service Worker I-IV.
SUMMARY:
Previewing the RJP is required in order to proceed with the hiring process. Please click on the link to view the realistic job preview. https://www.dhhs.nh.gov/news-events/multimedia#real-job
After viewing, please complete the required Disclosure Statement to submit with your application.
ASSESSMENT DETAILED DESCRIPTION:
Performs entry-level protective services casework in investigating and assessing reports of alleged abuse/neglect of children under RSA 169-C for NH Division for Children, Youth and Families and provide for the safety of children and the welfare of families while promoting the prevention of child abuse and neglect. Upholds the vision and mission of the agency through utilizing the Practice Model theories, beliefs and principles in daily practice.
As the level moves from I to IV, the complexity of the casework becomes more challenging, however the scope remains the same.
FAMILY SERVICES DETAILED DESCRIPTION:
Performs entry level protective services casework to coordinate, manage and administer services for children and families including, maintaining children in the home safely, strengthening families for reunification, providing permanency for children in care and working closely with various community agencies while promoting the prevention of child abuse and neglect. Upholds the vision and mission of the agency through utilizing the Practice Model theories, beliefs and principles in daily practice.
As the level moves from I to IV, the complexity of the casework becomes more challenging, however the scope remains the same.
YOUR EXPERIENCE COUNTS: Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education.
MINIMUM QUALIFICATIONS:
Education/Experience:
CPSW I Equivalent combination of 2.5 years of education and experience after completion of high school. Education and experience must be in social work, professional case management, psychology, social psychology, sociology, human services, criminal justice, behavioral science, cultural anthropology, counseling, pastoral counseling, divinity, education, or a related field.
CPSW II Associate's degree and 2 years of experience OR equivalent combination of 4 years of education and experience after completion of high school. Education and experience must be in social work, professional case management, psychology, social psychology, sociology, human services, criminal justice, behavioral science, cultural anthropology, counseling, pastoral counseling, divinity, education, or a related field.
CPSW III Bachelor's degree and 1.5 years of experience OR equivalent combination of 5.5 years of education and experience after completion of high school. Education and experience must be in social work, professional case management, psychology, social psychology, sociology, human services, criminal justice, behavioral science, cultural anthropology, counseling, pastoral counseling, divinity, education, or related field.
CPSW IV Bachelor's degree and 3 years of experience OR equivalent combination of 7 years of education and experience after completion of high school. Education and experience must be in social work, professional case management, psychology, social psychology, sociology, human services, criminal justice, behavioral science, cultural anthropology, counseling, pastoral counseling, divinity, education, or related field
License/Certification : Valid driver&rsquo;s license or access to transportation
Other Requirements:
Must be available for non-traditional work hours to meet the needs of client families and children in their homes and other public locations.
Trainee Option: Not applicable
PREFERRED QUALIFICATIONS:
Experience in human services or education field working with children and/or families.
AFTER-HIRE REQUIREMENTS: Must successfully complete the CPSW Academy within 12 months of hire
CAREER ADVANCEMENT OPPORTUNITIES:
In-Band Advancement Available: Yes No Criteria:
Broad Group Level Advancement Available: Yes No
Criteria: 21102002BGA01 (CPSW to Level 3)
For promotion from the 21-1020 Social Workers-2 job title to the 21-1020 Social Workers-3 job title, and use of the &ldquo;Child Protective Service Worker II&rdquo; working title, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria:
Must have successfully completed the CPSW Academy
Must receive a satisfactory performance evaluation and be free of discipline, pursuant to Personnel Rule 1003.01, for one (1) year immediately prior to promotion
Must receive a performance-based recommendation from the Supervisor and approval from the CPS Field Administrator
21102003BGA02 (CPSW to Level 4)
For promotion from the 21-1020 Social Workers-3 job title to the 21-1020 Social Workers-4 job title, and use of the &ldquo;Child Protective Service Worker III&rdquo; working title, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria:
Must have successfully completed the CPSW Academy
Must receive a satisfactory performance evaluation and be free of discipline, pursuant to Personnel Rule 1003.01, for one (1) year immediately prior to promotion
Must receive a performance-based recommendation from the Supervisor and approval from the CPS Field Administrator
21102004BGA02 (CPSW to Level 5)
For promotion from the 21-1020 Social Workers-4 job title to the 21-1020 Social Workers-5 job title, and use of the &ldquo;Child Protective Service Worker IV&rdquo; working title, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria:
Must have successfully completed the CPSW Academy and the formal mentoring program
Must receive a satisfactory performance evaluation and be free of discipline, pursuant to Personnel Rule 1003.01, for one (1) year immediately prior to promotion
Must be up to date with all case records
Must receive a performance-based recommendation from the Supervisor and approval from the CPS Field Administrator
DISCLAIMERS:
The supplemental job description lists the essential functions of the position and is not intended to include every job duty and responsibility specific to the position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that job title.
When applicable, the work of an employee in trainee status in this position shall be overseen by a fully qualified individual. An employee in trainee status shall meet the minimum qualifications within the period of time specified on the SJD, not to exceed one year of being hired into this position.
Responsibilities:
ASSESSMENT I-IV DETAILED TASKS (AGENCY/POSITION-SPECIFIC):
I-IV - Establishes and develops relationships with children and their families to assess and secure immediate safety of the child and prevent further abuse/neglect.
I-IV - Conducts basic interviews of the victim and perpetrator in the report within prescribed time frames according to the risk to the child and validity of the report. Evaluates the risk to the child to remain in the home and recommends course of action. Level I, basic interviews with supervisory direction. Level II, may conduct forensic interviews with supervisory direction. Level III, conducts forensic interviews with minimal supervisory direction. Level IV, conducts forensic interviews and demonstrates advanced skills in professional interviewing techniques.
I-IV - Works collaboratively with community agencies including law enforcement, school and medical personnel as it relates to the investigation, provision of services and in accordance with the current AG protocols.
I-IV - Makes reasonable efforts to maintain the child in the family by preparing a safety plan with the family to remedy the abusive/neglectful situation.
I-IV - Arranges for in-home services to families when it is determined the abuse or neglect allegations are founded and the child can remain safely in the home with agreement by the family that they will cooperate with a case plan. Documents evidence to substantiate reports of child abuse and neglect in order to support the court petition.
I-IV - Locates suitable alternative placement to meet specific child/children&rsquo;s needs and in conjunction with policy and practice guidelines and prepares the child and family for the child/children&rsquo;s placement. Facilitates placement and coordinates visitations with the family and transports children and client families to necessary appointments.
I-IV - Develops a case record and completes all required documentation which includes the safety plan, court reports and all necessary Bridges documentation of case related activities. Level I, works under the direction of and review by the supervisor. II, has supervisory oversight, III has minimal review by the supervisor and IV is independent of the supervisor.
I-III &ndash; Works under direct and close supervisor and receives regularly scheduled weekly supervision. Level II, May serve as a mentor for newly hired staff or supervise an intern. Level III, May serve as a mentor for newly hired staff or supervise a student intern. May provide supervision to other staff at the request of the supervisor.
IV - Demonstrates independent decision-making ability and in the absence of the supervisor may assume responsibility for administration of daily business operations. Also demonstrates and can articulate leadership skills and ability and is a positive influence to other employees. Receives regularly scheduled supervision at a minimum of every two weeks. Serves as a mentor and may supervise interns. Exercises authority over subordinate staff and provides supervision at the request of the supervisor
I-IV - Completes training requirements according to policy including individual training plan and 30 hours of in-service training annually after completion of Child Protective Service Worker (CPSW) Academy.
I-IV - May provide outside education and information sessions with various agencies in the community in collaboration with the DCYF Speakers Bureau.
FAMILY SERVICES I-IV DETAILED TASKS (AGENCY/POSITION-SPECIFIC):
I-IV - Possesses basic knowledge of the principles of case management in order to manage a caseload, prepares and develops Solution Based case plans in conjunction with the family to ensure that objectives and tasks are being achieved, that court orders are being complied with, when applicable, in accordance with State and Federal Statute. Level II possesses fundamental knowledge. Level III possesses advanced knowledge. Level IV possesses advanced knowledge and manages an increasingly complex caseload.
I-IV - Establishes and develops relationships with children and their families in home; arranges and provides services to prevent further abuse/neglect and to enable the child to remain safely in his/her home and maintains contact according to policy. Levels I&amp;II are under the direction of the supervisor.
I-IV - Establishes and maintains relationships with children in placement and their families and arranges and provides services to enable children to return home, and makes other alternative permanent plans if appropriate under the direction of the supervisor. Maintains contact with these children and families according to policy including transporting children and families as necessary. As the Level increases there is less supervisory oversight.
I-IV - Develops, recommends, implements, monitors, and evaluates family treatment and case plans in collaboration with other community stakeholders. Also responds to crisis situations in regards to a variety of case management situations, under the guidance and direction of the supervisor. Level III, requires maintaining control in intense and controversial situations and able to independently prioritize work demands under minimal direction of the supervisor. Level IV requires that they also independently prioritize work demands.
I-IV - Completes all required documentation, including case plans, court reports and all necessary Bridges documentation of case related activities.
I-IV - Facilitates effective and timely permanency through concurrent planning that supports children, families and caregivers, and assures that connections are maintained and that children do not leave care without a viable permanent connection.
I-IV - Ensures that children and youth in placement obtain the preparation, resources and positive youth development they need to establish connections with caring adults and become healthy, self sufficient and successful adults.
I-III &ndash; Works under direct and close supervisor and receives regularly scheduled weekly supervision. Level II, May serve as a mentor for newly hired staff or supervise an intern. Level III, May serve as a mentor for newly hired staff or supervise a student intern. May provide supervision to other staff at the request of the supervisor.
IV - Demonstrates independent decision-making ability and in the absence of the supervisor. may assume responsibility for administration of daily business operations. Also demonstrates and can articulate leadership skills and ability and is a positive influence to other employees. Receives regularly scheduled supervision at a minimum of every two weeks. May also serve as a mentor or supervise an intern. May provide supervision to other staff at the request of the supervisor.
I-IV - Completes training requirements according to policy including individual training plan and 30 hours of in-service training annually after completion of Child Protective Service Worker (CPSW) Academy.
III-IV - May provide outside education and information sessions with various agencies in the community in collaboration with the DCYF Speakers Bureau.
For further information please contact Stacey Bellemore, Supervisor VI, STACEY.M.BELLEMORE@DHHS.NH.GOV , 603-579-9425. 
 
*TOTAL COMPENSATION INFORMATION
The State of NH total compensation package features an outstanding set of employee benefits, including:
HMO or POS Medical and Prescription Drug Benefits:
The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated.
See this link for details on State-paid health benefits:
https://www.das.nh.gov/hr/benefits.aspx
Value of State's share of Employee's Retirement: 12.87% of pay
Other Benefits:
<ul><li>Dental Plan at minimal cost for employees and their families ($500-$1800 value)
</li></ul><ul><li>Flexible Spending healthcare and childcare reimbursement accounts
</li></ul><ul><li>State defined benefit retirement plan and Deferred Compensation 457(b) plan
</li></ul><ul><li>Work/life balance flexible schedules, paid holidays and generous leave plan
</li></ul><ul><li>$50,000 state-paid life insurance plus additional low-cost group life insurance
</li></ul><ul><li>Incentive-based Wellness Program (ability to earn up to $500)
</li></ul>Total Compensation Statement Worksheet:
https://www.das.nh.gov/jobsearch/compensation-calculator.aspx
Want the specifics? Explore the Benefits of State Employment on our website:
https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf
https://www.das.nh.gov/hr/index.aspx
EOE
TDD Access: Relay NH 1-800-735-2964</div>

CHILD PROTECTIVE SERVICE WORKER I-IV

TEEMA Group

<div>Position Summary
The Clinical Coordinator / RN Care Manager performs the initial comprehensive assessment on admission in accordance with the Care Management Department policy, screening all patients by utilizing established tools for high-risk indicators to ensure high-risk patient populations receive the appropriate supportive services for discharge to prevent readmission and assess all populations for potential discharge planning needs. Provides ongoing reassessment of needs throughout the hospital course. Performs UR activity per department policy.
 Essential Functions and Responsibilities<ul><li>
Understands and adheres to the WPH Performance Standards, Policies, and Behaviors.</li><li>
Completes a comprehensive initial assessment.</li><li>
Performs all activities for multidisciplinary care coordination at the intra-hospital level of care and inter-hospital level of care.</li><li>
Performs all transitional planning activities including, but not limited to:<ul><li>
Patient/caregiver education</li><li>
Arrangement of all aftercare</li><li>
Commercial payer involvement</li><li>
High utilizer patient root cause</li></ul></li><li>
Communicates and collaborates all relevant patient information to appropriate health team members.</li><li>
Ensures department goals of LOS reduction, readmission prevention, denial reduction, and satisfaction improvement are realized.</li><li>
Documents per department requirements.</li><li>
Participates in Performance Improvement activities as needed.</li><li>
Performs all UR activities per department policy:<ul><li>
Commercial payer reviews</li><li>
Disposition determination</li><li>
Retro/self-audit</li><li>
MC variance</li><li>
Admission clinical review</li></ul></li><li>
The RN Care Manager collaborates with all health care professionals to evaluate the needs and the safe discharge of all geriatric patients including, but not limited to, inpatients, emergency department, and surgical outpatients.</li><li>
Performs all other related duties as assigned.</li></ul>
 Education &amp; Experience Requirements<ul><li>
BSN required</li><li>
Licensure: Registered Nurse (RN) NYS license required.</li><li>
Certifications:<ul><li>
PRI Certification (must be obtained within 3 months of initial employment).</li><li>
Screen certification (strongly preferred).</li><li>
Care Management certification (e.g., CMC, CCM, etc.) preferred.</li></ul></li><li>
Clinical Experience: 3 years clinical ED, critical care, or med/surg experience preferred.</li><li>
Case Management: Previous case management experience preferred.</li><li>
Technical Knowledge: * Knowledge of healthcare financial, regulatory, and payer issues preferred.<ul><li>
Knowledge of state, local, and federal programs strongly preferred.</li><li>
Experience in use of Milliman/InterQual criteria.</li></ul></li><li>
General Skills: Essential computer skills.</li></ul>
 If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951.
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!
#Workwolf</div>

RN Clinical Coordinator

<div>Clinical Coordinator, Nursing 
Position Summary
The Clinical Coordinator / RN Care Manager performs the initial comprehensive assessment on admission in accordance with the Care Management Department policy, screening all patients by utilizing established tools for high-risk indicators to ensure high-risk patient populations receive the appropriate supportive services for discharge to prevent readmission and assess all populations for potential discharge planning needs. Provides ongoing reassessment of needs throughout the hospital course. Performs UR activity per department policy. 
Essential Functions and Responsibilities<ul><li>
Understands and adheres to the WPH Performance Standards, Policies, and Behaviors.</li><li>
Completes a comprehensive initial assessment.</li><li>
Performs all activities for multidisciplinary care coordination at the intra-hospital level of care and inter-hospital level of care.</li><li>
Performs all transitional planning activities including, but not limited to:<ul><li>
Patient/caregiver education</li><li>
Arrangement of all aftercare</li><li>
Commercial payer involvement</li><li>
High utilizer patient root cause</li></ul></li><li>
Communicates and collaborates all relevant patient information to appropriate health team members.</li><li>
Ensures department goals of LOS reduction, readmission prevention, denial reduction, and satisfaction improvement are realized.</li><li>
Documents per department requirements.</li><li>
Participates in Performance Improvement activities as needed.</li><li>
Performs all UR activities per department policy:<ul><li>
Commercial payer reviews</li><li>
Disposition determination</li><li>
Retro/self-audit</li><li>
MC variance</li><li>
Admission clinical review</li></ul></li><li>
The RN Care Manager collaborates with all health care professionals to evaluate the needs and the safe discharge of all geriatric patients including, but not limited to, inpatients, emergency department, and surgical outpatients.</li><li>
Performs all other related duties as assigned.</li></ul> 
Education &amp; Experience Requirements<ul><li>
BSN required</li><li>
Licensure: Registered Nurse (RN) NYS license required.</li><li>
Certifications:<ul><li>
PRI Certification (must be obtained within 3 months of initial employment).</li><li>
Screen certification (strongly preferred).</li><li>
Care Management certification (e.g., CMC, CCM, etc.) preferred.</li></ul></li><li>
Clinical Experience: 3 years clinical ED, critical care, or med/surg experience preferred.</li><li>
Case Management: Previous case management experience preferred.</li><li>
Technical Knowledge: * Knowledge of healthcare financial, regulatory, and payer issues preferred.<ul><li>
Knowledge of state, local, and federal programs strongly preferred.</li><li>
Experience in use of Milliman/InterQual criteria.</li></ul></li><li>
General Skills: Essential computer skills.</li></ul>
 If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951.
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!
#Workwolf</div>

Clinical Coordinator, Nursing

Rush University Medical Center

<div>Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Pediatrics-Res Adm
Work Type: Full Time (Total FTE between 0.9 and 1.0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $23.12 - $32.66 per hour
 
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush&rsquo;s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
 
Job Summary:
 
The Clinical Research Coordinator I (CRC I) supports the conduct of clinical research studies across a range of disciplines. Receives direction from principal investigator, supervisor, or other staff involved in research protocol(s). Responsibilities include participant recruitment and interaction, study data collection and entry, maintenance of study and regulatory documentation, sponsor communication, and adherence to study protocols and policies. The CRC I executes defined study tasks with guidance, ensuring operational compliance, accurate data entry, and participant safety. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
<div>Other information:
 
Required Job Qualifications:
 
Education:
 
<ul><li>Bachelor&rsquo;s degree
</li></ul>Experience:
 
<ul><li>0-2 years of experience in a research study or other relevant experience
</li></ul>OR
 
Experience (in lieu of a degree)
 
<ul><li>Two (2) years&rsquo; total experience, where 1 year is supporting or coordinating research studies 
</li></ul> 
 
Knowledge, Skills, &amp; Abilities:
 
<ul><li>Time Management &ndash; Ability to meet deadlines and manage assigned study tasks.
</li><li>Problem-Solving &ndash; Ability to troubleshoot routine field issues and use discretion to escalate appropriately when unplanned events arise.
</li><li>Attention to Detail &ndash; Strong attention to accuracy in data collection and documentation.
</li><li>Participant Relations &ndash; Ability to build rapport, navigate sensitive topics, and maintain participant confidentiality.
</li><li>Communication Skills &ndash; Effective verbal and written communication skills with participants and internal study teams.
</li><li>Team Collaboration &ndash; Ability to collaborate within multi-disciplinary team settings and follow established workflows.
</li><li>Flexibility &ndash; Availability to work evenings, overnight shifts, or weekends if required by study protocols.
</li><li>Travel Readiness &ndash; Availability for local travel as necessary.
</li><li>Other duties as assigned.
</li></ul> 
Preferred Job Qualifications:
 
Experience:
 
<ul><li>Two (2) or more years prior experience in clinical research or related field
</li></ul> 
Physical Demands:
 
 
Competencies:
 
 
Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. 
 
 
</div>Responsibilities:
 
Job Responsibilities:
 
1. Recruits, consents, screens, schedules, tracks and provides study updates to study participants throughout the conduct of the study.
 
2. Collects and enters data into study case report forms and/or electronic data capture system and responds to queries in a timely manner.
 
3. Assists in preparing simple data summaries, reports, or charts to support study documentation and reporting requirements.
 
4. Maintains accurate and complete procedural documentation including study participant and site level documentation in compliance with institutional, local, state and federal guidelines and regulations related to clinical research.
 
5. Verifies data against 100% of source documentation for accuracy before entry into case report forms and electronic data capture systems to ensure timeliness and audit readiness.
 
6. May collect, process and ship potentially biohazardous specimens.
 
7. Administers structured tests and questionnaires according to research study protocols. May utilize study-related technology and equipment as part of assessment procedures.
 
8. Provide ongoing study status updates and responds to questions from PI, Administrator, department stakeholders, Sponsor and Compliance throughout the conduct of the study.
 
9. Maintains study flow by communicating promptly with study participants and coordinating with study team members as directed.
 
10. Participate in auditing and monitoring visits. Gather and communicate unanticipated problems (protocol deviations, adverse events, and serious adverse events).
 
11. Work with PI(s), sponsor, compliance, clinical staff and/or manager to identify and improve routine processes as it relates to the conduct of the research study.
 
12. Other duties as assigned. 
 
 
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.</div>

Clinical Research Coordinator I - Pediatrics Specialist - Full-time

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Clinical Research Coordinator I - Pediatrics Specialist - Full-time