field case manager

Enlyte

<div>Company Overview:
<div>
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.</div><div></div><div><b><br>
Be part of a team that makes a real difference.</b></div>
Job Description:
<div><b>
This is a full-time, hybrid position. You must be located in the Columbus, IN</b><b> </b><b>area due to regular local travel (60% of the time) for in-person patient appointments.</b></div><div></div><div><b><br>
Case Manager Perks: </b>Mileage Reimbursement</div><div>
 Travel Reimbursement</div><div>
 Professional Time</div><div>
 Bonus Plan</div><div></div><div><b><br>
Perks: </b>Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers&rsquo; compensation case management training.</div><div></div><div><br>
Join our compassionate team and help make a positive difference in an injured person&rsquo;s life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:</div><ul><li>
Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
</li><li>Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.</li><li>
Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.</li><li>
Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.</li><li>
Work with employers and physicians to modify job duties where practical to facilitate early return to work.</li><li>
Evaluate and modify case goals based on injured/disabled person&rsquo;s improvement and treatment effectiveness.</li><li>
Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
</li><li>Complete other duties, such as attend injured worker&rsquo;s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.</li></ul>
Qualifications:
<ul><li><b>Education:</b> Associates Degree or Bachelor&rsquo;s Degree in Nursing or related field.</li><li><b>
Experience:</b> 2+ years clinical practice preferred. Workers&rsquo; compensation-related experience preferred.</li><li><b>
Skills:</b> Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.</li><li><b>
Certifications, Licenses, Registrations:
</b><ul><li>Active Registered Nurse (RN) license required. Must be in good standing.</li><li>
URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC).
</li></ul></li><li><b>Travel: </b>Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.</li><li><b>
Internet:</b> Must have reliable internet.</li><li><b>
Transportation: </b>Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.</li></ul>
Benefits:
<div>
We&rsquo;re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&amp;D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $70,000 - $75,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.</div><div><br>
</div><p><i>The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.</i>
</p><p>#LI-MC1<br>
</p><div></div><div>Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers&rsquo; Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager</div></div>

Medical Field Case Manager

<div>Company Overview:
<div>
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.</div><div></div><div><b><br>
Be part of a team that makes a real difference.</b></div>
Job Description:
<div><b>
This is a full-time, field position, remote when not traveling locally. The candidate must be located in t</b><b>he Charlotte, North Carolina ar</b><b>ea due to regular local travel for in-person patient appointments.</b></div><div></div><div><b><br>
Perks: </b>Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers&rsquo; compensation case management training.</div><div></div><div><br>
Join our compassionate team and help make a positive difference in an injured person&rsquo;s life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:</div><ul><li>
Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
</li><li>Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.</li><li>
Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.</li><li>
Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.</li><li>
Work with employers and physicians to modify job duties where practical to facilitate early return to work.</li><li>
Evaluate and modify case goals based on injured/disabled person&rsquo;s improvement and treatment effectiveness.</li><li>
Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
</li><li>Complete other duties, such as attend injured worker&rsquo;s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.</li></ul>
Qualifications:
<ul><li><b>Education:</b> Associates Degree or Bachelor&rsquo;s Degree in Nursing or related field.</li><li><b>
Experience:</b> 2+ years clinical practice preferred. Workers&rsquo; compensation-related experience preferred.</li><li><b>
Skills:</b> Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.</li><li><b>
Certifications, Licenses, Registrations:
</b><ul><li>Active Registered Nurse (RN) license required. Must be in good standing.</li><li>
URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC).
</li></ul></li><li><b>Travel: </b>Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.</li><li><b>
Internet:</b> Must have reliable internet.</li></ul>
Benefits:
<div>
We&rsquo;re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&amp;D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $71,000 - $75,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.</div><div><br>
</div><p><i>The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
</i></p><p>#LI-VH1
</p><p>#FCM</p><div></div><div><br>
Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers&rsquo; Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager</div></div>

Medlogix

<div><p>Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix&reg; technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients&rsquo; needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers&rsquo; compensation insurance carriers; third party administrators (TPAs); and government entities we serve.</p><p></p><p><b><br>
Job Title:</b> Field Case Nurse Manager- RN (Full time or Part time)</p><p><b>
Geographic region:</b> Work from home- Travel to claimant's physician appointments or homes, depending on assignment (Northern New Jersey area)</p><p><b>
Business Hours:</b> Monday to Friday</p><p></p><p><b><br>
OVERVIEW:</b></p><p>
The Field Nurse Case Manager is a work from home position located in the New Jersey area visiting people injured in automobile and on-the-job accidents and coordinating their care with health care providers and insurance carriers. Earn a competitive salary and excellent benefit package, including a specialized incentive plan for full-time staff. The ideal candidate is detail-oriented with Case Management experience (CCM and/or CRRN preferred) and strong interpersonal skills. Candidates should understand the medical management of a workers&rsquo; compensation, automobile and health insurance claims. They should also have knowledge of the hospital setting, including familiarity with hospital administration. Travel is required in surrounding counties and candidates must be licensed drivers.</p><p></p><p><b><br>
KNOWLEDGE:</b></p><div><ul><li>
Medical management related to Worker&rsquo;s Compensation, Auto and Health claims.</li><li>
Hospital setting and administration.</li><li>
Microsoft Office Suite programs.</li><li>
Principles and processes for providing customer and personal services, to include customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.</li><li>
Structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.</li></ul></div><p></p><p><b><br>
SKILLS:</b></p><div><ul><li>
Strong interpersonal skills, communication and presentation skills required.</li><li>
Must be detail oriented.</li><li>
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.</li><li>
Must be able to operate a motor vehicle.</li><li>
Bilingual a plus.</li></ul></div><p></p><p><b><br>
REQUIREMENTS:</b></p><div><ul><li>
Case Management experience a plus.</li><li>
ER/Rehab/Home Health nursing a plus.</li><li>
Nursing &ndash; 2-3 years.</li><li>
Unencumbered NJ driver&rsquo;s license.</li></ul></div><p></p><p><b><br>
REQUIRED EDUCATION:</b></p><div><ul><li>
Graduate of an accredited school of nursing: Associates Degree or BSN preferred.</li></ul></div><p></p><p><b><br>
EEOC STATEMENT:</b></p><p>
Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual.</p></div><div></div>

Field Case Nurse Manager-RN- FT or PT (Remote in NJ)

Catholic Charities Brooklyn and Queens

For over 125 years, Catholic Charities Brooklyn and Queens has been providing quality social services to the neighborhoods of Brooklyn and Queens and currently offers 160-plus programs and services for children, youth, adults, seniors, and those struggling with mental illness.
<br>STATEMENT OF THE JOB
<br>Under the direction of the Program Manager, the CRED Case Manager I renders professional intervention to clients in need of assistance through comprehensive support services (engagements, assessment, intake, application assistance, connection to services and resources to meet their goals, retention and follow-up).
<br><ul>
<li>Provide case management services, assessment and intake of participants to determine eligibility for services, including responding to telephone and walk-in inquires, conduct pre-screenings and provide referrals for those not eligible.</li>
<li>Conduct initial assessment to identify participant’s strength, need and goals in collaboration with the mental health counselor, job developer and outreach/retention specialist.</li>
<li>Develop individualized case plans with participants, outlining goals, objectives and strategies for success.</li>
<li>Provide ongoing support and guidance to participants, addressing barriers and challenges</li>
<li>Facilitate connections to community resources, services, and support networks. Refer participants to relevant resources, services, and opportunities.</li>
<li>Monitor participant progress, adjusting case plans as needed. Conduct field visits to training sites, participants internships and/or employment.</li>
<li>Offer weekly one-on-one coaching and counseling to participants, focusing on goal setting, problem-solving, and decision-making skills in the field and office.</li>
</ul>
<b>QUALIFICATIONS:</b><br>
<ul>
<li>Bachelor’s degree in social work, Human Services, Counseling, or a related field or AA degree in social work, Human Services, Counseling, or a related field with two years’ related field experience in City systems such as justice, public assistance, child welfare, housing or other relevant social service setting providing direct services.</li>
<li>Proven experience in case management, counseling, or a related field, working with the target population or vulnerable populations.</li>
<li>Must be available to work in person 5 days a week.</li>
<li>Ability to work flexible hours, including weekends, evenings according to the needs of program operation.</li>
<li>Able to conduct home/field visits and travel throughout the five boroughs as needed.</li>
<li>Ability to utilize public transportation, climb stairs, walk.</li>
<li>Frequent sitting, standing, & walking.</li>
</ul>
<b>BENEFITS:</b><b>We offer competitive salary and excellent benefits including:</b><br>
<ul>
<li>Generous time off (Vacation/ Personal Days/ Sick Days/ Paid Holidays annually)</li>
<li>Medical,</li>
<li>Dental</li>
<li>Vision</li>
<li>Retirement Savings with Agency Match</li>
<li>Transit</li>
<li>Flexible Spending Account</li>
<li>Life insurance</li>
<li>Public Loan Forgiveness Qualified Employer</li>
<li>Training Series and other additional voluntary benefits.</li>
</ul>
For more information on our organization, please visit our website at:
<br>www.ccbq.org EOE/AA.

Case Manager I - Full-Time; 2309-204-N

<div>Company Overview:
<div>
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.</div><div></div><div><b><br>
Be part of a team that makes a real difference.</b></div>
Job Description:
<div><b>
This is a full-time, flexible work from home position a</b><b>nd can be located anywhere in the U.S.</b></div><div></div><div><b><br>
 </b><b>California RN License Required</b></div><div>
Preference for Pacific, Mountain, or Central time zone</div><div></div><div><b><br>
Perks: </b>Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers&rsquo; compensation case management training.</div><div></div><div><br>
Join our compassionate team and help make a positive difference in an injured person&rsquo;s life. As a Telephonic Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:</div><ul><li>
Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
</li><li>Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.</li><li>
Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.</li><li>
Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.</li><li>
Work with employers and physicians to modify job duties where practical to facilitate early return to work.</li><li>
Evaluate and modify case goals based on injured/disabled person&rsquo;s improvement and treatment effectiveness.</li><li>
Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
</li><li>Complete other duties, such as prepare status updates for submittal to customers, assist in training/orientation of new staff as requested, and other duties as assigned.</li></ul>
Qualifications:
<ul><li><b>Education:</b> Associates Degree or Bachelor&rsquo;s Degree in Nursing or related field.</li><li><b>
Experience:</b> 2+ years clinical practice preferred. Workers&rsquo; compensation-related experience preferred.</li><li><b>
Skills:</b> Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.</li><li><b>
Certifications, Licenses, Registrations:
</b><ul><li>Active Registered Nurse (RN) license required. Must be in good standing.</li><li>
URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC) preferred but not required.</li></ul></li><li><b>
Internet:</b> Must have reliable internet.
</li></ul>Benefits:
<div>
We&rsquo;re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&amp;D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $54,600 - $86,000 annually, and will be based on a number of additional factors including skills, experience, and education.</div><div><br>
</div><p><i>The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.</i></p><p><br>
</p><p><i>LI-MP1</i></p><p><i>
LI-Remote</i></p><div></div><div><br>
Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers&rsquo; Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager</div></div>

Telephonic Case Manager

Child & Family

<div><b>What You&rsquo;ll Be Doing</b><br>
You will work collaboratively with the Executive Office of Health and Human Services (EOHHS), Department of Human Services (DHS), and/or The Department of Behavioral Health, Developmental Disabilities &amp; Hospitals (BHDDH) to provide case management services to participants who are part of the Conflict Free Case Management Model. The Case Manager provides in-home visits, monthly outreach, person-centered plan development, oversite, referrals, and monitoring. The case manager assists with care coordination to ensure participant&rsquo;s needs and wants are addressed using a person&ndash;centered approach and under the guidelines of Medicaid Long Term Supports and Services. The case manager may assist with applications and referrals to community and state funded resources. The Case Manager is responsible for supporting the participant with monthly contacts, yearly assessments, updated person-centered plans, and addressing eligibility or provider concerns.<br>
<br>
<i>Hybrid Role, 20% Remote Work.</i><br>
<br>
<b>Your Main Priorities</b><br>
While additional responsibilities are likely to arise on the job, you will primarily:<br>
<ul><li>Manage cases assigned by program leadership or designee, and complete compressive documentation.</li><li>Conduct monthly participant outreach, which may include home visits.</li><li>Create Person-Centered Plan and support chosen by the participant to address individual needs.</li><li>Address any concerns from participants in a timely manner.</li><li>Provide person-centered, quality case management services.</li><li>Conduct in-home re-assessment to determine participant&rsquo;s care needs and wants.</li><li>Follow-up with participant after the initial plan is implemented to reassess needs.</li><li>Collaborate with family/caregivers, service providers, and local authorities as necessary.</li><li>Complete all paperwork promptly and maintain accurate participant records.</li><li>Advocate for services to meet participants&rsquo; identified needs and wants.</li></ul><br>
<b>
Who You Are</b><br>
Requirements, Skills &amp; Abilities:<br>
<ul><li>High school diploma or equivalent with a minimum of 2 years&rsquo; employment experience in a related field required; associate&rsquo;s degree preferred.</li><li>Minimum 1 year experience in case management role or similar required; experience working with the elderly population and/or adults with disabilities preferred.</li><li>Must be able to navigate an electronic medical records system.</li><li>Strong organizational, critical thinking and time-management skills.</li><li>Basic computer skills required; knowledge of Microsoft Office 365.</li><li>Ability to communicate and effectively interact with a diverse population.</li><li>Bilingual in Spanish a plus.</li><li>Collaboration and teamwork.</li><li>Statewide travel is required.</li><li>Must have valid driver's license, auto insurance and car registration.</li><li>Must authorize Child &amp; Family to complete a motor vehicle records check.</li><li>The ideal candidate will be required to meet all background checks and medical clearances required for the position.</li></ul><br>
<b>
Physical Requirements</b><br>
Direct Service Staff:<br>
This position requires time sitting, standing, walking, driving, carrying and lifting up to 25lbs. This role also requires operating desktop, laptop and/or cell phone, and communicating with colleagues.<br>
<br>
<i>Equal Employment Opportunity</i><br>
<i>Child &amp; Family will not discriminate against any individual on the basis of age, gender, sexual orientation, color, race, creed, national origin, ancestry, religious persuasion, marital status, political belief, pregnancy, military status, veteran status, physical or mental disability that does not prohibit performance of essential job functions with or without reasonable accommodations, genetic predisposition or genetic carrier status, or any other protected category under local, state, or federal law, nor will anyone receive special treatment for those reasons, except for reasonable accommodation as required by law. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.</i><br>
<br>
<i>Culturally and Linguistically Appropriate Services</i><br>
<i>In order to provide equitable service delivery and go above and beyond equal opportunity requirements, our organization is committed to ensuring that all staff are able to perform the following cultural competencies:</i><br>
<ul><li><i>Demonstrate the ability to communicate and effectively interact with people across cultures, ranges of ability, genders, ethnicities, and races.</i></li><li><i>Demonstrate knowledge of the history of discrimination in America, particularly as it relates to race and racism, and how this history has led to disparities experienced by marginalized communities such as BIPOC, people with disabilities, LGBTQ+ communities, and others.</i></li><li><i>Demonstrate the ability to successfully deliver culturally responsive services.</i></li></ul><br>
<i>
Affirmative Action</i><br>
<i>Child &amp; Family strives to achieve a workforce that includes representation of qualified affirmative action group members in proportion to the qualified and available target group workforce in the community that we serve.</i><p>
</p><p>3KcAPU8Uf6</p></div>

Case Manager CFCM

WellSpan Health

<div><p><b><i>Full time</i></b></p>
<p><b><i>
Monday-Friday 0800-1630</i></b></p>
<p><b><i>
No Holidays and Occasional weekend</i></b></p>
<p><b>
General Summary</b></p>
<p>
Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to facilitate a patient's progression of care and the provision of appropriate, cost effective and quality health care. Works in a team model with social work in assigned patient care areas to address patient discharge needs. Provides leadership in the integration of utilization and case management principles.</p><p><b>
Duties and Responsibilities</b><br>
<br>
<b>Essential Functions:</b></p>
<ul>
<li>Reviews assigned patients for medical necessity, utilization management, and appropriateness of setting for continued hospitalization.</li>
<li>Initiates problem-solving techniques to prevent over and/or under utilization.</li>
<li>Facilitates and coordinates the progression of patient care to optimize throughput and the utilization of resources to support continuous quality and cost of care efforts.</li>
<li>Liaisons between utilization management team, third party payers, and the treatment team regarding the identified treatment plan in accordance with contractual guidelines and System policy.</li>
<li>Assists the patient care team with the identification and coordination of alternative treatment settings to provide appropriate care, maintain quality of care, and reduce cost.</li>
<li>Identifies conditions which require case management across the care continuum. Collaborates with members of the patient care team to identify interdisciplinary needs</li>
<li>Collaborates with care management across the system to effectively transition patient care and support value-based care initiatives.</li>
<li>Completes case management patient assessment, identifies needs, develops a discharge plan, and coordinates discharge needs (DME, Home Health, IV antibiotics, etc.) in collaboration with patients, families, and care team.</li>
<li>Assists with the collection and analysis of utilization patterns, length of stay, readmissions, avoidable days, and denied cases.</li>
<li>Brings known or suspected problems of under-, over-, or inappropriate utilization of resources to the attention of the appropriate manager(s).</li>
</ul>
<p><b>Common Expectations:</b></p>
<ul>
<li>Demonstrates a commitment to patient, visitor, and staff by complying with all applicable safety regulations, learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and &ldquo;error proof&rdquo; systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.</li>
<li>Prepares and maintains appropriate documentation as required.</li>
<li>Maintains established policies and procedures, objectives, quality assessment and safety standards.</li>
<li>Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.</li>
<li>Prepares and presents utilization data analysis as required.</li>
<li>Participates in the development and delivery of educational information and process improvements related to job accountabilities and case management principles.</li>
<li>Attends meetings as required.</li>
</ul>
<p><b>Benefits Offered:</b></p>
<ul>
<li>Comprehensive health benefits</li>
<li>Flexible spending and health savings accounts</li>
<li>Retirement savings plan</li>
<li>Paid time off (PTO)</li>
<li>Short-term disability</li>
<li>Education assistance</li>
<li>Financial education and support, including DailyPay</li>
<li>Wellness and Wellbeing programs</li>
<li>Caregiver support via Wellthy</li>
<li>Childcare referral service via Wellthy</li>
</ul><p><b>
Qualifications</b><br>
<br>
<b>Minimum Education:</b></p>
<ul>
<li>Associates Degree Required</li>
<li>Bachelors Degree Preferred</li>
</ul>
<p><b>Work Experience:</b></p>
<ul>
<li>2 years Recent acute care experience Required</li>
<li>Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred</li>
</ul>
<p><b>Licenses:</b></p>
<ul>
<li>Licensed Registered Nurse Upon Hire Required or</li>
<li>Registered Nurse Multi State License Upon Hire Required and</li>
<li>Basic Life Support Upon Hire Required</li>
<li>Certified in Case Management Preferred</li>
</ul>
<p><b>Knowledge, Skills, and Abilities:</b></p>
<ul>
<li>Excellent interpersonal and communication skills.</li>
<li>Basic computer skills.</li>
<li>Desire and ability to work in a supportive and collaborative team environment.</li></ul></div>

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