case manager specialist

<div>Overview:
<p>
THIS POSITION IS LOCATED IN KENTLAND, INDIANA.</p><p>
Knowledge Services has an opportunity for individuals drawn to the social service industry with the FSSA/Division of Family Resources (DFR) as an Eligibility Specialist. This position is responsible for assisting in the processing of applications from Indiana residents who are requesting public assistance. The DFR is responsible for determining eligibility for individuals applying and/or receiving public assistance. Programs include TANF (cash assistance), SNAP, and Medicaid. The Eligibility Specialist staff are responsible for assisting in the processing of new applications and documents for ongoing public assistance.</p><div><b>
Knowledge Services,</b> established in 1994 and headquartered in Indianapolis IN, is a certified woman-owned (WBE) professional services organization with over 1500 employees located in offices throughout North America. Founded by Julie Bielawski, CEO, Guidesoft, Inc. DBA Knowledge Services is an industry leader in Managed Service Programs (MSP), Employer of Record / Payrolling Services, National Recruitment, and Staffing Services. We provide outstanding services to major organizations in various industries, including; IT, Healthcare, Entertainment, Media, Federal and State Governments, Public Utilities, Telecom, Manufacturing and more.</div><br>
<div></div>
Responsibilities:
<ul><li>Eligibility Specialists gather data for all relevant assistance programs either face-to-face or via phone with clients</li><li>
Verify all information is gathered accurately and meets state policies</li><li>
Obtain release forms and medical records as needed</li><li>
Verify income, assets, and other financial / legal documents</li><li>
Review regulations and program requirements with clients</li><li>
Utilize automated program to determine eligibility of state assistance programs</li><li>
Data entry into state database</li><li>
Respond to all inquiries in a timely manner via phone or email</li></ul>
Qualifications:
<ul><li>Highly organized and analytical team player</li><li>
Previous Case Manager experience is a plus</li><li>
Strong written and verbal skills</li><li>
Solid computer skills, Microsoft Office proficiency</li><li>
Basic math skills</li><li>
Case management skills</li><li>
Independent worker who is a self-starter that is reliable and dependable</li><li>
Strong customer service background with a professional demeanor</li><li>
Prefer a Bachelor or Associate degree in Counseling or Social Services, but High School Diploma or GED required</li><li>
2 years&rsquo; experience in a social service environment, state or local government is desired pertaining to employment / training programs</li><li>
Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply</li></ul><p>
The Eligibility Specialist position is an opportunity where you can make an immediate impact on your community, plus the potential for promotion. You will be provided an extensive training program to give you the skills to be successful in this role. The wage is $16.50/hr. This role offers paid time off, benefits, and a 37.5 hour work week of Monday-Friday 8:00AM-4:30PM.</p><p><br>
</p><p>If you are looking for a position that could be the start of your career, apply now for immediate consideration.</p><p></p><div><b><br>
Physical Requirements:</b></div><ul><li><i>
Job frequently requires sitting, handling objects with hands.</i></li><li><i>
Job occasionally requires standing, walking, reaching, talking, hearing, and lifting up to 25 pounds.</i></li><li><i>
Knowledge Services is committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please contact </i><i>TalentHR@knowledgeservices.com</i><i>.</i></li></ul><div></div><div><i><br>
Knowledge Services is an equal opportunity employer committed to hiring a diverse workforce and sustaining an inclusive culture. Knowledge Services does not discriminate on the basis of disability, veteran status or any other basis protected under federal, state or local laws. People with </i><i>disabilities, veterans, and military families are encouraged to apply.</i></div><div></div><div><b><br>
#INDDFR</b></div></div><div></div>

Eligibility Specialist - Case Manager

St. Vincent's Hospital Westchester

<div><p><b>Case Manager</b></p>
<p>
</p><p>Residential Case Manager &ndash; The Residential Case Manager is responsible for providing a variety of case management and housing-related services to residential clients to facilitate their adjustment to and integration into the residence and into the community. Ensure the timely flow of community outreach and case management activities to meet program goals and objectives. Enter assessment, progress note documentation into program database; conduct all electronic charting activities and reporting in accordance with confidentiality regulations and hospital policies in a timely fashion. The Residential Case Manager also conducts ongoing service need assessments with participants and develops collaborative service plans quarterly addressing identified needs and goals. Maintain regular personal contact with clients; promote trusting relationships to monitor physical and emotional capacity for independent living as well as the need for additional services in the community.</p>
<p>
</p><p>Daytime / Afternoon / Evening</p>
<p>
Full-time</p>
<p>
Salary $31.591 per hour</p>
<p>
Driver's License Required</p>
<p>
BA/BS Degree Required</p>
<p>
Location - 1430 Waters Place, Bronx, NY 10461</p><br>
<br>
Compensation: $31.591 per hour</div>

Case Manager

TEEMA

<div><ul><li><p><b>13 week contract</b></p></li><li><p><b>
REQUIRED: 5+ years case management experience with 2+ years recent acute inpatient case management experience</b></p></li><li><p><b>
BSN or MSW, Current MI RN licensure or LMSW, Discharge planning experience.</b></p></li><li><p><b>
There will be limited training on site - candidates will need to be able to adapt quickly.</b></p></li><li><p><b>
Manager will be reaching out to candidates directly for interview</b></p></li><li><p><b>
 MANAGER IS VERY STRICT ON THE RECENT INPATIENT CASE MANAGEMENT EXPERIENCE - TELEPHONIC, UTILIZATION REVIEW, PSYCHOLOGICAL EXPERIENCE DOES NOT APPLY TO THIS REQUIREMENT.</b></p></li></ul><br>
<p></p>
#Workwolf</div>

Morgan & Morgan

<div><div><p>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.</p></div><p><b>
Summary</b></p>
<p>
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.</p>
<p><b>
Responsibilities</b></p>
<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>
<p><b>Qualification</b></p>
<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>
<p><i>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.</i></p>
<p>
#LI-FW1</p><div><p><b>
Benefits</b></p>
<p>
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.</p>
<p><b>
Equal Opportunity Statement</b></p>
<p>
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.</p>
<p><b>
E-Verify</b></p>
<p>
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.
</p><p><b>Privacy Policy</b></p>
<p>
Here is a link to Morgan &amp; Morgan's privacy policy.</p></div></div>

CVS Health

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><p><b>
Job Purpose and Summary</b></p><p>
As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, particularly those with social determinants of health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other interdisciplinary care team participants to support the member in maintaining optimal health. This is achieved by evaluating the members&rsquo; needs through the completion of the annual Health Risk Assessment Survey, addressing SDoH needs, and closing gaps in preventative and health maintenance care.</p><p></p><p><b>
Key Responsibilities</b></p><ul><li><p><b>
Telephonic Engagement:</b> Dedicate 50-75% of the day to engaging with members and coordinating their care.</p></li><li><p><b>
Member Outreach:</b> Utilize all available resources to connect with and engage &ldquo;hard-to-reach&rdquo; members.</p></li><li><p><b>
Care Planning:</b> Partner with members to develop individualized care plans that encompass goals and interventions to meet their identified needs.</p></li><li><p><b>
Documentation:</b> Maintain meticulous documentation of care management activities in the member&rsquo;s electronic health record.</p></li><li><p><b>
Collaboration:</b> Work with the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member&rsquo;s stable health condition.</p></li><li><p><b>
Resource Connection:</b> Identify and connect members with health plan benefits and community resources.</p></li><li><p><b>
Regulatory Compliance:</b> Meet regulatory requirements within specified timelines.</p></li><li><p><b>
Consults </b>with the Care Manager RN within the Care Team for clinical knowledge, medication regimes, and supportive clinical decision making</p></li><li><p><b>
Collaborates and leverages </b>the Care Manager RN clinical expertise to ensure members&rsquo; needs are adequately addressed.</p></li><li><p><b>
Additional Responsibilities:</b> Support team objectives, enhance operational efficiency, and ensure delivery of high-quality care to members. This may include participating in special projects, contributing to process improvement initiatives, or assisting with mentoring new team members.</p></li></ul><p></p><p><b>
Essential Competencies and Functions</b></p><ul><li><p><b>
Performance Metrics:</b> Ability to meet performance and productivity metrics, including call volume, successful member engagement, and state/federal regulatory requirements.</p></li><li><p><b>
Professional Conduct:</b> Conduct oneself with integrity, professionalism, and self-direction.</p></li><li><p><b>
Care Management Knowledge:</b> Experience or willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care.</p></li><li><p><b>
Community Resources:</b> Familiarity with community resources and services.</p></li><li><p><b>
Healthcare Technology:</b> Ability to navigate and utilize various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records.</p></li><li><p><b>
Collaboration:</b> Maintain strong collaborative and professional relationships with members and colleagues.</p></li><li><p><b>
Communication Skills:</b> Communicate effectively, both verbally and in writing.</p></li><li><p><b>
Customer Service:</b> Excellent customer service and engagement skills.</p></li></ul><p></p><p><b><br>
Required Qualifications</b></p><ul><li><p>
2+ years of experience in a health-related field</p></li><li><p>
2+ years of customer service experience</p></li><li><p>
Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and ability to effectively utilize these tools within the Case Management Specialist (CMS) role</p></li><li><p>
Access to a private, dedicated space to conduct work effectively to meet the requirements of the position</p></li></ul><p></p><p><b>
Preferred Qualifications</b></p><ul><li><p>
Experience providing care management for Medicare and/or Medicaid members</p></li><li><p>
Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health</p></li><li><p>
Experience conducting health-related assessments and facilitating the care planning processes</p></li><li><p>
Bilingual skills, especially English-Spanish</p></li></ul><p></p><p><b>
Education</b></p><ul><li><p>
Associate&rsquo;s Degree AND relevant experience in a health care-related field OR Practical Nurse Degree/Certificate with active licensure that meets state requirements (REQUIRED)</p></li><li><p>
Bachelor&rsquo;s Degree in health care or a related field (PREFERRED)</p></li></ul><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$21.10 - $40.90<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.</p><br>
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.<p><br>
Additional details about available benefits are provided during the application process and on Benefits Moments.</p><br>
We anticipate the application window for this opening will close on: 06/25/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Case Management Specialist

<div><div><p>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.</p></div><p><b>
Summary</b></p>
<p>
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.</p>
<p><b>
Responsibilities</b></p>
<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>
<p><b>Qualifications</b></p>
<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><b>Remote and/or hybrid not eligible</b></li>
</ul>
<p>#LI-KL1</p><div><p><b>
Benefits</b></p>
<p>
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.</p>
<p><b>
Equal Opportunity Statement</b></p>
<p>
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.</p>
<p><b>
E-Verify</b></p>
<p>
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.
</p><p><b>Privacy Policy</b></p>
<p>
Here is a link to Morgan &amp; Morgan's privacy policy.</p></div></div>

Yale New Haven Health

<div>Overview:
<div>
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.<br>
<br>
The Case Manager is responsible and accountable for ensuring high-value patient care that is coordinated, efficient, and aligned with institutional clinical and financial objectives. In collaboration with the healthcare team, the Case Manager utilizes evidence-based practice to ensure that specific patient outcomes are reliably achieved and that resources are appropriately used within designated fiscal time frames. With our members of the health care team, the Case Manager participates in the ongoing evaluation of practice patterns and supports efforts to improve patient care and enhance the efficiency of operations. The Case Manager interacts with others in the identification of trends and barriers to all aspects of care. Through this interaction, the Case Manager identifies and works toward a resolution as a part of the multidisciplinary team.<br>
<br>
EEO/AA/Disability/Veteran</div>
Responsibilities:
<ul><li><div>1. As part of the interdisciplinary health care team, coordinates and ensures the implementation of the plan of care, utilizing the principles of case management.</div></li><li><ul><li><div>
1.1 Establishes a system for coordinating the care of a patient throughout the continuum of care, linking the inpatient care with outpatient care, services, and case management.</div></li></ul></li><li><div>
2. Optimizes the efficiency of hospital systems which impact quality and/or length of stay</div></li><li><ul><li><div>
2.1 Identifies and monitors compliance with documenting variances from established parameters in the clinical pathway or treatment plan.</div></li></ul></li><li><div>
3. Utilizes information obtained from various resources available to:</div></li><li><ul><li><div>
3.1 Ensure that each patient meets the clinical needs for admission, treatment, and discharge and initiates appropriate follow through with the health care team.</div></li></ul></li><li><div>
4. Assist clinicians in documenting the appropriateness of admissions and continued stays</div></li><li><ul><li><div>
4.1 Responsible for Medicare notices of non-coverage and help provide appropriate documentation to appeal inappropriate denials.</div></li></ul></li><li><div>
5. Ensures that an appropriate discharge plan is developed and implemented with the health care teams members to include:</div></li><li><ul><li><div>
5.1 Identifying service, treatment, and funding options;</div></li></ul></li><li><div>
6. Ensures that the discharge plan provides a continuum of care with the appropriate outpatient physician and needed services.</div></li><li><div>
7. Ensure that the appropriate outside agencies are contacted and necessary referrals are initiated and followed through.</div></li><li><ul><li><div>
7.1 Links patient and family with the appropriate institutional or community resources, advocating on their behalf for scarce resources, and developing new resources where gaps exist in the service continuum.</div></li></ul></li><li><div>
8. Works collaboratively with PSM and unit leadership team to actively involve clinical nurses in the assessment and planning for patient's discharge to facility.</div></li><li><div>
9. Along with other members of the health care team, acts as a patient advocate.</div></li><li><ul><li><div>
9.1 Exhibits awareness of ethical/legal issues concerning patient care and strives to manage situations to reduce risk.</div></li></ul></li></ul>
Qualifications:
<div>
EDUCATION</div><div></div><div><br>
Minimum of a Baccalaureate degree in clinically related field. R.N. required</div><div></div><div><br>
EXPERIENCE</div><div></div><div><br>
Minimum of three (3) years of relevant clinical experience</div><div></div><div><br>
LICENSURE</div><div></div><div><br>
Active RN Licensure in Connecticut</div><div></div><div><br>
SPECIAL SKILLS</div><div></div><div><br>
Recent appropriate nursing experience, theoretical knowledge of the nursing process, case management and continuity of care. Advanced communication and interpersonal skills with all levels of internal and external customers. Ability to obtain and interpret information appropriate to patient needs and age. Advanced assessment and teaching skills. Leadership skills in planning and managing patient care as acquired through greater than 3 years of clinical nursing experience in an acute care hospital. Utilization management and case management experience preferred. Knowledge of computer software and hardware applications and a basic knowledge of statistics.</div><div></div><div><br>
PHYSICAL DEMAND</div><div></div><div><br>
50% sedentary; sitting, standing, walking from unit to unit, carrying records, speaking before groups. Must be able to speak and hear in a manner understood by most people. Must be able to communicate effectively by telephone.</div></div><div></div>

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5878 case manager specialist jobs Near Me

Eligibility Specialist - Case Manager

Case Manager

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