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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>

Case Manager

Alexander Shunnarah Trial Attorneys

<div><div><h1 class="jobSectionHeader">Why Work For Us</h1>

Alexander Shunnarah Trial Attorneys is a rapidly growing personal injury law firm based in Alabama with offices across the nation. We handle complex cases and provide each attorney and staff with the support they need enabling us to best serve our clients. Our attorneys and staff pride themselves on their skill set, experience, compassion, and commitment. We are dedicated to giving our clients the utmost attention and care while fighting for them to get what they deserve.

At Alexander Shunnarah Trial Attorneys, we take a real approach. We are innovative, always finding ways to be better, and have a go-getter mentality across the board. Each team member plays a critical role in our mission. We know our people are what makes us great. If you're looking for a career where you can help make a difference in the lives of others alongside a supportive team, we encourage you to apply!
<h1 class="jobSectionHeader">
What We Value</h1>
<ul><li>Client Commitment</li>
<li>Integrity</li>
<li>A Will to Win</li>
<li>Teamwork</li>
<li>Personal Accountability</li>
<li>Passion</li>
</ul></div>
Are you ready to make a significant impact in personal injury cases? We're on the lookout for a dedicated and detail-oriented Case Manager to join our team and support our attorneys through all phases of pre-litigation and some litigation. If you're passionate about client advocacy and thrive in a fast-paced environment, this role is perfect for you! 
 
This is a 100% on site position. We believe this work is done best together!
<h1 class="jobSectionHeader">
What You'll Do:</h1>
<ul><li>Drive Success: Manage personal injury pre-litigation and some litigation cases, providing essential support to attorneys and clients.</li>
<li>Be a Key Player: Work closely with attorneys throughout all phases of pre-litigation, ensuring smooth and efficient case progression.</li>
<li>Engage Directly: Maintain effective communication with clients, providers, and insurance companies, handling inquiries and updates with precision.</li>
<li>Stay Organized: Utilize your organizational skills and proactive approach to manage documents, deadlines, and case details effectively.</li>
</ul><h1 class="jobSectionHeader">What You Need:</h1>
<ul><li>Experience:
<ul><li>Minimum 1 year of Legal Case Manager experience required; 3-5 years preferred</li>
<li>Proven ability in drafting and reviewing legal documents.</li>
<li>Experience in medical records management and understanding personal injury cases (highly preferred).</li>
</ul></li><li>Tech-Savvy: Proficiency in Microsoft Office (2 years required) and familiarity with FileVine or other case management systems (preferred).</li>
<li>Communication Skills: Excellent verbal and written communication skills are essential for this role.</li>
</ul><h1 class="jobSectionHeader">What You Get:</h1>
<ul><li>A Great Role: Full-time position with opportunities to grow and contribute to impactful cases.</li>
<li>Comprehensive Benefits: Dental, vision, and health insurance, plus supplemental insurance and paid time off.</li>
<li>A Supportive Environment: Join a team that values collaboration, innovation, and your professional development.</li>
</ul>
Ready to advance your career and make a real difference? Apply now and become a vital part of our dedicated team!<div>
Alexander Shunnarah Trial Attorneys is committed to a diverse and inclusive workplace. Alexander Shunnarah Trial Attorneys is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. For individuals with disabilities who would like to request an accommodation, please email careers@asilpc.com.</div></div>

Aniz Inc

<div>
 
 Job Title:
 
 SAMHSA Case Manager (APPAL Program)
 
 
 
 Department:
 
 SAMHSA
 
 
 
 Reports To:
 
 Clinical Director
 
 
 
 Position Overview
 
 
 
 The SAMHSA Case Manager (APPAL Program) is responsible for coordinating and monitoring all aspects of client engagement under the APPAL initiative. This role ensures the timely completion of required surveys, maintains accurate program tracking systems, and delivers high-quality case management services.
 
 
 The Case Manager collaborates closely with clinical, data, and compliance teams to meet SAMHSA grant requirements, improve client outcomes, and uphold agency-wide quality standards.
 
 
 
 Key Responsibilities
 
 
 
 
 Client Engagement &amp; Service Delivery
 
 
 
 <ul>
 <li>
 Conduct new intake, follow-up, and exit APPAL surveys for assigned clients
 </li>
 <li>
 Provide high-quality, client-centered support during all follow-up interactions
 </li>
 <li>
 Ensure a minimum of three (3) clinical encounters per client prior to discharge
 </li>
 <li>
 Travel to designated APPAL sites and maintain consistent on-site presence
 
 
 
 </li>
 </ul>
 
 Client Progress Tracking &amp; Productivity Monitoring
 
 
 
 <ul>
 <li>
 Monitor active clients to ensure completion of required services
 </li>
 <li>
 Maintain and update the APPAL master productivity tracker
 </li>
 <li>
 Provide regular updates to the clinical team on client progress and follow-up needs
 </li>
 <li>
 Ensure documentation is accurate, timely, and properly routed through workflow systems
 
 
 
 </li>
 </ul>
 
 Grant Deliverables &amp; Documentation Oversight
 
 
 
 <ul>
 <li>
 Track all required clinical services and documentation per SAMHSA grant guidelines
 </li>
 <li>
 Maintain knowledge of grant benchmarks and ensure compliance
 </li>
 <li>
 Develop and manage tracking systems for grant deliverables
 </li>
 <li>
 Ensure all program data and documentation are complete, accurate, and submitted on time
 
 
 
 </li>
 </ul>
 
 Collaboration with Data &amp; Compliance Teams
 
 
 
 <ul>
 <li>
 Partner with Data Manager to align tracking tools with reporting systems
 </li>
 <li>
 Stay current on SAMHSA reporting requirements and compliance standards
 </li>
 <li>
 Assist in resolving discrepancies between service delivery and reported data
 </li>
 <li>
 Support audits, site visits, and grant reporting processes
 
 
 
 </li>
 </ul>
 
 Quality Assurance &amp; Program Improvement
 
 
 
 <ul>
 <li>
 Participate in clinical and administrative meetings
 </li>
 <li>
 Provide data-informed recommendations to improve program performance
 </li>
 <li>
 Identify workflow or service delivery challenges and escalate to leadership
 </li>
 <li>
 Ensure all clinical encounters are accurately documented in required systems
 
 
 
 </li>
 </ul>
 
 Performance Monitoring &amp; Reporting
 
 
 
 <ul>
 <li>
 Track progress toward quarterly and annual SAMHSA benchmarks
 </li>
 <li>
 Generate monthly and quarterly reports on service completion and outcomes
 </li>
 <li>
 Create summaries and data visuals for leadership review
 
 
 
 </li>
 </ul>
 
 Additional Responsibilities
 
 
 
 <ul>
 <li>
 Maintain strict confidentiality and adhere to HIPAA regulations
 </li>
 <li>
 Participate in ongoing training (trauma-informed care, harm reduction, cultural competency)
 </li>
 <li>
 Provide client advocacy and referrals to supportive services
 </li>
 <li>
 Assist with crisis intervention and safety planning as needed
 </li>
 <li>
 Serve as a liaison between clients, agency leadership, and external partners
 
 
 
 </li>
 </ul>
 
 Required Skills &amp; Competencies
 
 
 
 <ul>
 <li>
 Strong organizational and analytical skills with the ability to manage multiple priorities
 </li>
 <li>
 Proficiency in Microsoft Excel, Google Sheets, and data visualization tools
 </li>
 <li>
 Experience with clinical documentation and productivity tracking
 </li>
 <li>
 Ability to develop and maintain tracking systems for deadlines and compliance
 </li>
 <li>
 Strong reporting skills with the ability to identify trends and improvement areas
 </li>
 <li>
 Excellent communication and collaboration skills across multidisciplinary teams
 
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree in social work, Public Health, Psychology, or related field (master&rsquo;s preferred)
 </li>
 <li>
 Minimum of 2 years of case management or behavioral health experience
 </li>
 <li>
 Experience with SAMHSA or other grant-funded programs preferred
 </li>
 <li>
 Proficiency in Microsoft Office Suite and EMR/case management systems
 </li>
 <li>
 Strong organizational and time-management skills
 </li>
 <li>
 Ability to work independently and collaboratively
 </li>
 <li>
 Excellent written and verbal communication skills
 </li>
 <li>
 Valid driver&rsquo;s license and reliable transportation required
 </li>
 </ul>
</div>

SAMHSA Case Manager

Kaiser Permanente

<div><div>Job Summary:</div> 
 
The Complex Case Manager is a Nationally Board Certified Professional. He/she is responsible for performing all activities on members referred to the complex case management program. This includes a comprehensive clinical evaluation, assessment and documented care plan in all domains including social determinants of health, psycho-social, financial, medications, ADL/IADLs and cognitive, coordinating and monitoring all services needed with a focus on providing education and the goal of self-management skills. Additional responsibilities include ensuring continuity of care through interaction and team- work with the Inpatient Case/Care Managers, Transition of Care staff, QRM staff, Population Care staff, Medical Office staff, Social Workers, Vendors and other KPGA staff. Educates Providers, member and caregivers and the promotion of quality care and a high level of member and/or caregiver satisfaction. The Complex Case Manager will ensure work demonstrates adherence to NCQA Standards of Excellence.<div> 
Essential Responsibilities:</div> 
 
<ul><li>Reviews all referrals to the Complex Case Management Programs within designated timeframe per policy and procedure and evaluate for case management based on established guidelines to ensure compliance with NCQA standards. This includes the preliminary evaluation of benefits within KPGA and community resources available.</li><li>
Performs a thorough and objective assessment of the member including physical, psychosocial, environmental, financial, and health status expectation through the use of EMR and hospital records, contact with the member, significant others, caregivers and current medical caregivers (if permitted by the member).</li><li>
Obtains consent from the member/caregiver for participation in Complex Case Management.</li><li>
Develops a comprehensive plan of care based on the assessment and in conjunction with the treating practitioner, identifies specific interventions, objectives, and goals with anticipated targeted dates for member accomplishment and self-management.</li><li>
Communicates the plan of care to the member/caregiver and provides education to the regarding the members condition as necessary.</li><li>
Implements the plan of care and specific interventions that will lead to the accomplishment of goals as defined in the plan of care.</li><li>
Establishes specific dates for follow-up and assesses the members status and progress toward the established goals and adjusts the plan of care as necessary.</li><li>
Performs referrals to other KPGA programs and coordinate referrals to community resources necessary to accomplish the goals and makes recommendations for modifications to the plan of care as necessary.</li><li>
Continuously evaluates and monitors all activities and/or services provided through the case management plan to determine the effectiveness of the plan.</li><li>
Documents all case management interactions and interventions according to guidelines including any pertinent patient information or arrangements in the members medical record.</li><li>
Identifies and Evaluates expected outcomes, utilization of services and associated costs of the plan of care as well as any proposed alternative plan of care and makes the necessary revisions.</li><li>
Coordinates and participates in case conferences on a regular basis with all Providers involved in the care and updates the plan of care as necessary.</li><li>
Continuously coordinates, monitors, tracks and evaluates all care and services rendered to ensure that quality care is being delivered in the most appropriate setting.</li><li>
Assists in the development and implementation of Continuous Quality Improvement (CQI) projects.</li><li>
Works closely with the member and practitioner to ensure that the most appropriate and cost- effective services are always provided to the member while maintaining quality outcomes.</li><li>
Performs hospital discharge follow up on assigned population. Arranges, coordinates, and facilitates appointments for the member as necessary.</li><li>
Maintains effective interaction/communication with members, nursing staff, inpatient care coordinators, the transitional review team, social workers, general reviewers, referral coordinators, and Kaiser Permanente medical offices to facilitate the case management process and to provide continuity of care.</li><li>
Identifies the need for discharge from the Case Management Program based on defined goals and criteria, and discharges the member after notifying the member and practitioner as well as any other resources such as the Social Worker, Transitional Review Team, etc.</li><li>
Performs as an integrated health care team member, providing continual education to HCT staff as to role and responsibilities in care coordination. Remains accessible to the HCT and attends all HCT meetings as appropriate.</li><li>
Collaborates effectively with Providers and other departments within the health plan by acting as a resource to TSPMG Providers, contracted consultants, Health Plan administrators and medical office staff and other departments within the organization.</li><li>
Provides case management updates to Providers and health care teams.</li><li>
Performs home visits as appropriate for members in case management.</li><li>
Knowledgeable and compliant with regional personnel, unit specific and departmental policies and procedures. Assists in the development of department protocols as needed.</li><li>
Participates in annual regional and departmental compliance training.</li><li>
Knowledgeable and compliant with Principles of Responsibility.</li><li>
Consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanentes policies and procedures.</li><li>
Access to protected health information (PHI) will be limited to the minimum necessary required to effectively perform the job.</li><li>
Demonstrates understanding of HIPAA privacy regulations by maintaining confidentiality of Protected Health Information (PHI).</li><li>
Demonstrates doing the right thing and doing things the right way is an underlying premise in all work- related activities and is able to identify location of copy of Principles of Responsibility.</li><li>
Develops and maintains an awareness of how to report compliance issues and concerns. Identifies issues of wrong- doing and promptly investigates and reports to immediate supervisor or Director of Regional Compliance. Serves as a primary contact person between the medical offices and community agencies as it relates to coordinating and facilitating the appropriate level of care and provision of services.</li><li>
Collaborates with the social worker to provide information to members and HCTs regarding community resource referrals.</li><li>
Remains knowledgeable of contract benefits and current, industry utilization trends relevant state and Federal regulations, criteria, documentation requirements (including Medicare and HCFA) and laws that affect managed care and case/utilization management.</li><li>
Investigates, identifies and reports problems and inefficiencies in existing systems, and recommends changes when appropriate to the Team Leader and/or Manager.</li><li>
Under the guidance of the Team Leader and in consultation with other QRM and IQM staff, participates in the coordination, planning, development, implementation, and maintenance of all Complex Case Management Program department policies and procedures.</li><li>
Reviews the statistics of case management interventions with the Supervisor/Team Leader and adjusts based on findings.</li><li>
Performs quality of care and service reviews using identified quality indicators and refers cases identified as risk management, peer review or quality issues to Quality and Risk Management.</li></ul><div> 
Basic Qualifications:</div>
<div>Experience</div> 
 
<ul><li>Minimum five (5) years of RN Clinical Nursing, social work, case management or utilization management (UM).</li><li>
Equivalent combination of case management/social work/UM training or RN experience may be considered.</li></ul><div>
Education</div> 
 
<ul><li>High School Diploma or General Education Development (GED) required.</li></ul><div>
License, Certification, Registration</div>
<ul><li>Licensed Master Social Worker (Georgia) OR Licensed Clinical Social Worker (Georgia) OR Registered Professional Nurse License (Georgia) required at hire
</li></ul><ul><li>Case Manager Certificate within 12 months of hire from Commission for Case Managers Certification 
</li></ul><div>
Additional Requirements:</div> 
<ul><li>
Complex Case Management experience and/or certification.
</li><li>Excellent/highly skilled in the management of chronic conditions such as diabetes, cardiovascular conditions, behavioral-health, and chronic obstructive lung disease management COPD.</li><li>
Ability to work collaboratively with multiple healthcare professionals.</li><li>
Experience with managed health care delivery, benefits knowledge including Medicare and Medicaid.</li><li>
Functional knowledge of computers.</li><li>
Knowledge of ICD9/ ICD10 and/or CPT4 coding beneficial.</li><li>
Working knowledge of all relevant federal, state, local and regulatory requirements including Medicare/HCFA.</li></ul><div>
Preferred Qualifications:</div> 
 
<ul><li>Bachelors Degree in Nursing strongly preferred or four (4) years of experience in related field.</li></ul> 
PrimaryLocation : Georgia,Atlanta,Regional Office - 9 Piedmont 
HoursPerWeek : 40 
Shift : Day 
Workdays : Mon, Tue, Wed, Thu, Fri 
WorkingHoursStart : 08:30 AM 
WorkingHoursEnd : 05:00 PM 
Job Schedule : Full-time 
Job Type : Standard 
Employee Status : Regular 
Employee Group/Union Affiliation : GUP|UFCW|Local 1996 
Job Level : Individual Contributor 
Job Category : QA, UR &amp; Case Management 
Department : Regional Office - 9 Piedmont - Rgnl Mg Admn-Ccs Case Coord - 2808 
Travel : No 
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.</div>

Complex Case Manager

Elevance Health

<div>Nurse Case Manager I
Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.
Hours: Monday&ndash;Friday, 9:00 AM&ndash;5:30 PM with two evening shifts each week from 11:30 AM&ndash;8:00 PM (in your time zone).<ul><li>This position will service members in different states; therefore, Multi-State Licensure will be required.</li></ul>
The Nurse Case Manager is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
How you will make an Impact:
<ul><li>Ensures member access to services appropriate to their health needs.</li><li>
Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.</li><li>
Implement care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.</li><li>
Coordinates internal and external resources to meet identified needs.</li><li>
Monitors and evaluates effectiveness of the care management plan and modifies as necessary.</li><li>
Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.</li><li>
Negotiate rates of reimbursement, as applicable.</li><li>
Assists in problem solving with providers, claims or service issues.</li></ul>
Minimum Requirements:
<ul><li>Requires BA/BS in a health-related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.</li><li>
Current, unrestricted RN license in applicable state(s) required.</li><li>
Multi-state licensure is required if this individual is providing services in multiple states.</li></ul>
Preferred Experience, Skills, and Capabilities:
<ul><li>Experience with the Microsoft Office suite and/or the ability to learn new computer programs/systems/software quickly, preferred.</li><li>
Ability to talk and type at the same time, preferred.</li><li>
Background in an acute care setting (e.g., hospital/ED/ICU/med-surg), preferred.</li><li>
Telephonic and/or virtual nursing experience, preferred.</li><li>
Managed Care experience, preferred.</li><li>
Certification as a Case Manager, preferred.</li></ul> 

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities &ndash; and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.</div>

Nurse 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>
We are seeking a qualified Case Manager in Training. In this role, you will be responsible for managing the law firm's day-to-day operations, including carrying out administrative services and supporting the legal team. This position's ideal candidate has a strong work ethic, exceptional problem-solving skills, and comfortable working in a fast-paced dynamic workplace.

Compensation for this role is $20 an hour.

Responsibilities
<ul>
<li>Assist case managers and attorneys with organizing, filing, and maintaining of client files up to 100+ cases</li>
<li>Collect check request for medical records, accident reports, driving records and vehicle ownership as requested and submit for processing</li>
<li>Copy documents and demand packages as requested</li>
<li>Complete certified mail cards and mail documents and cost checks as requested</li>
<li>Perform general office duties such as typing, operating office machines, and sorting mail</li>
<li>Create new and existing client folders</li>
<li>Prepare and send turndowns and no representation letters, contracts, and multi-party combo letters</li>
<li>Send out demand letters</li>
<li>Performs other related duties as assigned to meet the needs of the business</li>
</ul>
Requirements
<ul>
<li>Associate degree, certificate, or equivalent work experience (preferred)</li>
<li>Bilingual English and Spanish (preferred)</li>
<li>1 year of experience in the legal field a plus!</li>
<li>Knowledge of administrative and clerical procedures and systems such as word processing, managing of files and records, and other office procedures</li>
<li>Must possess the ability to multi-task, prioritize, handle a fast-paced environment, and manage workload with a positive attitude and minimal supervision</li>
<li>Great written and communication skills</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.

#LI-MP1<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 in Training

<div><div>Job Summary:</div> 
 
Responsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan to include recommending alternative levels and sites of care when appropriate. The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, social workers, members and providers, quality improvement reviews, and education of the member/family, provider and hospital staff. Achieves desired utilization and quality outcomes and promotes high customer satisfaction to the population served.<div> 
Essential Responsibilities:</div> 
 
<ul><li>Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use. Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently. Communicates via huddles with hospitalist partner multiple times throughout the day.</li><li>
Reviews all new inpatient admissions within 24 hours and begins the discharge planning process immediately. Assesses high risk patients in need of post-hospital care planning. Develops and coordinates the implementation of a discharge plan to meet each patients identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies to enhance the effect of a seamless transition from one level of care to another across the continuum. Ensures that the appropriate level of care is being delivered in the most appropriate setting. Recommends alternative levels of care and ensures compliance with federal, state and local requirements.</li><li>
Performs psychosocial assessments on all patients that meet the high risk indicators for discharge planning. Comprehensively assesses patients goals as well as their biophysical, psychosocial, environmental, economic/financial, and discharge planning needs. Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness. Refers patients to the ambulatory case managers, care managers and/or social workers as appropriate. Documents all admissions and discharges in the patients Kaiser Permanente electronic medical record. Makes post discharge follow-up calls to all patients who are not referred to an ambulatory case/care management program.</li><li>
Attends scheduled rounds 2 times/week with the Physician Director of Resource Stewardship to discuss clinical course and discharge planning for assigned patients identifying any real or potential delays in care or quality of care issues.</li><li>
Acts as a liaison between inpatient facility and referral facilities/agencies and provides case management to patients referred, serving as an advocate for patients and families. Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation. Builds highly effective working relationships with physicians, SNF staff, vendors, and other departments within the health plan.</li></ul><div> 
Basic Qualifications:</div>
<div>Experience</div> 
 
<ul><li>Minimum two (2) years of RN experience in patient care delivery or completion of Masters degree in Case Management Program in lieu of minimum years of experience.</li></ul><div>
Education</div> 
 
<ul><li>Associates Degree Nursing.</li></ul><div>
License, Certification, Registration</div>
<ul><li>Registered Professional Nurse License (Georgia) 
</li></ul><div>
Additional Requirements:</div> 
<ul><li>
Demonstrated advanced communication and interpersonal skills with all levels of internal &amp; external customers, including but not limited to medical staff, patients and families, clinical personnel, support and technical staff, outside agencies, and members of the community.</li><li>
Ability to collaborate effectively with multidisciplinary healthcare team.</li><li>
Excellent time management skills with the ability to work successfully in a fast-paced environment. Must be self-directed, and have the ability to tolerate frequent interruptions and a demanding work load.
</li><li>Functional knowledge of computers.</li><li>
Experience with managed health care delivery including Medicare.</li><li>
Experience in a payer environment highly desirable.</li><li>
Knowledge of funding, resources, services, clinical standards, and outcomes is preferred.</li><li>
Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA &amp; all other applicable federal/state/local laws &amp; regulations.
</li><li>Demonstrated strong communication and customer service skills, problem-solving, critical thinking, &amp; clinical judgment abilities.</li><li>
Fundamental word processing &amp; computer navigation skills &amp; the ability to interpret &amp; use analytic data in day to day operations.</li><li>
Knowledge of healthcare benefits associated with various business lines.</li></ul><div>
Preferred Qualifications:</div> 
 
<ul><li>Minimum five (5) years of clinical nursing experience in a hospital setting.</li><li>
Minimum five (5) years of professional practice experience in an acute care setting.</li><li>
Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred.</li><li>
Bachelors Degree in Nursing, Health Care or Masters degree in Case Management.</li><li>
Complex Case Management Certification preferred.</li></ul> 
PrimaryLocation : Georgia,Atlanta,Emory Saint Joseph's Hospital 
HoursPerWeek : 40 
Shift : Day 
Workdays : Sun, Mon, Tue, Wed, Thu, Fri, Sat 
WorkingHoursStart : 08:30 AM 
WorkingHoursEnd : 05:00 PM 
Job Schedule : Full-time 
Job Type : Standard 
Employee Status : Regular 
Employee Group/Union Affiliation : NUE-GA-01|NUE|Non Union Employee 
Job Level : Individual Contributor 
Job Category : Nursing Licensed &amp; Nurse Practitioners 
Department : Emory Saint Josephs - Medical Office Administration - 2808 
Travel : No 
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.</div>

Inpatient Case Manager, Emory Saint Joseph, Full Time

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Inpatient Case Manager, Emory Saint Joseph, Full Time