healthcare case manager

WellVisor

Job Title: Case ManagerJob Summary: We are seeking a dedicated and compassionate Case Manager to join our team. The Case Manager will be responsible for coordinating and managing the care of patients in a remote setting. The ideal candidate will have strong organizational and communication skills, as well as a deep understanding of patient care.Duties: - Conduct comprehensive assessments of patients' needs and develop individualized care plans- Provide Utilization Management including prior authorization approvals - Collaborate with healthcare professionals to ensure the delivery of high-quality patient care - Coordinate and monitor patient progress throughout their healthcare journey - Advocate for patients' rights and ensure they receive appropriate medical treatment - Provide education and support to patients and their families regarding their medical conditions and treatment options - Assist in discharge planning and facilitate transitions of care - Maintain accurate and up-to-date documentation of patient interactions and interventionsQualifications: - Bachelor's degree in nursing - Current license as a registered nurse (RN) - Minimum of 3-5 years of experience in case management- Certified Case Manager preferred - Strong knowledge of medical terminology, disease processes, and treatment modalities - Excellent communication, interpersonal, and problem-solving skills - Ability to work independently and collaboratively within a multidisciplinary team - Proficient computer skills, including electronic medical record systemsBenefits: - Competitive salary based on experience - Professional development opportunitiesIf you are passionate about providing exceptional patient care and making a difference in people's lives, we encourage you to apply for the position of Case Manager. Please submit your resume and cover letter detailing your relevant experience and qualifications to cfran@wellvisor.com. We look forward to reviewing your application.Job Types: Contract, Part-timePay: $40.00 - $50.00 per hourSchedule:<ul><li>Monday to Friday</li></ul>Experience:<ul><li>Nursing: 3 years (Preferred)</li><li>Case management: 3 years (Preferred)</li></ul>License/Certification:<ul><li>RN (Required)</li></ul>Willingness to travel:<ul><li>25% (Preferred)</li></ul>Work Location: Remote

Nurse Case Manager

Orchard Villa

<div>
 Orchard Villa is seeking a detail‑oriented and collaborative Case Manager (CM) to join our Managed Care team. In this role, you will serve as a key liaison between patients, payors, physicians, and interdisciplinary care teams to ensure timely, accurate, and cost‑effective care coordination throughout the post‑acute skilled stay. This position is essential in supporting smooth transitions of care, utilization review, and optimal patient outcomes.
 
 
 Key Responsibilities
 
 
 Maintain strong working knowledge of all managed care contracts within assigned areas.
 
 
 Negotiate appropriate levels of care with contracted and non‑contracted payors.
 
 
 Coordinate smooth patient transitions and communicate discharge plans to interdisciplinary teams.
 
 
 Obtain and verify clinical and discharge information from physicians, patients, and payors.
 
 
 Complete timely reviews, authorizations, and documentation within MCO portals.
 
 
 Serve as primary point of contact for care coordination throughout the continuum of care.
 
 
 Participate in interdisciplinary team discussions to support care planning, identify barriers, and monitor progress.
 
 
 Educate and train new team members on contract terms and case management processes.
 
 
 Communicate insurance coverage and benefits to patients and families as needed.
 
 
 Assist with billing reviews, collections support and appeals as appropriate.
 
 
 Ensure patient confidentiality and compliance with HIPAA and regulatory requirements.
 
 
 Participate in monthly P&amp;L reviews and support quality improvement initiatives.
 
 
 Attend required in‑service trainings, orientations, and key account meetings.
 
 
 Provide coverage for other Case Managers as needed.
 
 
 Consistently model customer service principles and support the organization&rsquo;s mission and values.
 
 
 
 Qualifications Required
 
 
 
 Bachelor&rsquo;s degree in healthcare or a related field, OR a licensed clinical degree.
 
 
 2+ years of experience in a healthcare setting.
 
 
 
 At Least 1 Year Of Case Management Experience Preferred.
 
 
 
 Strong knowledge of workers&rsquo; compensation, insurance, and managed care.
 
 
 Exceptional verbal and written communication skills.
 
 
 Strong problem‑solving, negotiation, conflict‑resolution, and time‑management skills.
 
 
 Proficiency with Microsoft Office (Word, Excel, PowerPoint).
 
 
 
 Preferred
 
 
 
 Experience in long‑term care, sub‑acute care, or working for an insurance company, private CM, or MCO.
 
 
 Orchard Villa &ndash; Rooted in the Community
 
 
 Rooted in the Community: Orchard Villa is deeply connected to the Oregon, Ohio community. We&rsquo;re proud to serve our neighbors with compassion and dedication, building trust one resident at a time. Join a team that&rsquo;s committed to care and community.
 
 
 Our Mission: &ldquo;Our Family Caring for Yours&rdquo; means treating every team member like family. We believe in creating a supportive, respectful, and growth-oriented environment where you can thrive both personally and professionally.
 
 
 
 What We Offer Employees
 
 
 
 A strong sense of purpose and community
 
 
 Opportunities to grow your career in skilled nursing, assisted living, rehab, long-term care, and hospice
 
 
 Full-time nurse practitioner support and interdisciplinary collaboration
 
 
 A workplace that values your unique contributions and encourages continuous learning
 
 
 We See You as a Whole Person: Just like our residents, our team members have physical, emotional, social, and intellectual needs. We&rsquo;re committed to supporting your well-being and helping you succeed.
 
 
 We are an Equal Opportunity Employer and consider all applicants for positions without the regard to race, color, religion, sex, national origin, age, national orientation, age, sexual orientation, marital or veteran status, or non-job related handicap or disability.
</div>

Case Manager

Allied adult day

1099 Case Manager – Flexible Schedule – Up to $9,375 per Month
 Location: Lexington, KY and surrounding counties
 Employment Type: Independent Contractor (1099)
 If you are disciplined, organized, and able to manage your own time, this role offers a level of flexibility and income potential that is uncommon in healthcare.
 About the Role
 You will provide Medicaid waiver case management services across the Lexington region, including traditional, PDS, and blended models. You will build and manage your own caseload over time, with consistent opportunities for growth as new clients are assigned.
 Once clients are established, ongoing monthly responsibilities are relatively light, allowing you to scale your caseload efficiently.
 What Makes This Role Different
 Set your own schedule
 Can be done alongside another job or responsibilities
 Unlimited time off as long as client needs are met
 Travel can be planned and batched efficiently
 Performance-based - not tied to hourly work
 Compensation
 Independent contractor (1099)
 Up to $9,375 per month depending on caseload size
 Mileage and business expenses are tax deductible
 Who Succeeds in This Role
 Self-directed and reliable
 Highly organized
 Detail-oriented
 Strong communicator
 Comfortable with documentation and technology
 Able to plan and batch travel efficiently
 Requirements
 Strong written and verbal communication skills
 Nursing license or bachelor's degree in a human services field
 Ability to pass a federal background check
 Valid driver's license and auto insurance
 Personal laptop or computer (software provided)
 To Apply
 Send your resume along with a short message explaining why this type of flexible, independent role fits how you work best.

1099 Case Manager

LivWell Community Health Services

POSITION: Case Manager DEPARTMENT: Support Services REPORTS TO: Support Services Manager STATUS: Non-Exempt, HourlyCompany Overview LivWell Community Health Services is a non-profit organization providing comprehensive health and support services, education, and advocacy, as related to HIV/AIDS, sexually transmitted diseases, and viral hepatitis. Quality health care is provided to persons living with HIV/AIDS or sexually transmitted diseases, support services are provided to HIV clients and their families, and prevention education and testing are provided to all clients, their families, and the community at large.Position Overview The Case Manager offers person-centered support while guiding clients through the social services and healthcare systems. The Case Manager works closely with clients to provide coordination of resources, goal-setting, and establish continuity of care through ongoing evaluation of needs and personal support systems. This position also collaborates with a multidisciplinary team to identify and eliminate barriers to care and treatment adherence.As a Case Manager, typical duties would be:<ul><li>Meeting with clients to conduct a comprehensive assessment of needs, verify eligibility for services, and introduce opportunities within the program for assistance</li><li>Completing client enrollment into eligible programs and developing an Individualized Care Plan in collaboration with the client to secure suitable support services and assistance in alignment with the program guidelines</li><li>Determining and providing the level of assistance as deemed by the support level, and referring emergency needs to the appropriate service area</li><li>Arranging client-centered services in order to coordinate care plans, such as area resources, transportation to appointments, education, advocacy, and linking to external agencies for needed services</li><li>Making regular contact with clients via phone, text, in-person, home visits, or other means to assess needs and record progress toward goals</li><li>Creating files, inputting data, and documenting encounters appropriately</li><li>Collaborating with a multidisciplinary team to assist in client medication adherence efforts and report status to the team</li><li>Assisting with the development of the orientation process for new clients and facilitating such processes</li><li>Managing the scheduling and completion of the recertification process</li><li>Working collaboratively with external partners and funding agencies to establish a network of available external client resources</li><li>Assist in maintaining a directory of available support services providers within LivWell&rsquo;s service area</li><li>Ensuring compliance with quality standards, adhering to departmental goals, objectives, standards of performance, and all policies and procedures</li><li>May assist clients with Medicaid, Medicare, insurance, and disability documentation</li><li>Performing other duties as assigned and occasional travel as required for training, in-home visits, and clinics</li></ul>This job may be for you if:<ul><li>You have well-developed active listening skills</li><li>You can work under pressure</li><li>You see the benefit of working with diverse populations</li><li>You can patiently work with others to encourage, counsel, and educate them to develop goals and plans for achievement</li><li>You are able to balance competing priorities</li><li>You pay attention to details</li><li>You are a tactful and clear communicator, both in written and verbal form</li><li>You understand the importance of privacy and staying in compliance with regulations</li><li>You are comfortable working both independently and collaboratively</li><li>You can accommodate occasional evening and weekend work hours plus travel, including overnight and multiple days, which may be solo travel.</li><li>You are willing to become a certified HIV tester to assist with events as necessary</li><li>You can lift files, documents, supplies, etc., up to 25 pounds</li><li>You care about the mission and want to make an impact</li></ul>Required Qualifications<ul><li>Bachelor&rsquo;s degree in nursing, social work, counseling, psychology, human services OR possess a Kentucky state license as a licensed practical nurse (LPN) OR an Associate Degree in Nursing (ADN)</li><li>Knowledge of community resources and sensitivity towards people living with HIV/AIDS</li><li>Valid driver&rsquo;s license and are insurable to drive LivWell CHS&rsquo; vehicles</li><li>Experience with basic technology and office computer programs, such as Microsoft Office Suite</li></ul>Preferred Qualifications<ul><li>Two years&rsquo; experience in social work or a human service-related field</li><li>Bilingual</li></ul>Physical Demands:The physical demands described here represent those that any worker must meet to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. The worker is frequently required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The worker is occasionally required to sit and stoop, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to focus.LivWell Community Health Services is an equal-opportunity employer. We encourage all applicants without regard to race, nationality, color, religion, sexual orientation, disability, sex, gender identity, age, or veteran status. We are committed to creating an inclusive, diverse, and equitable workplace for all.Benefits:<ul><li>Dental insurance</li><li>Employee assistance program</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Professional development assistance</li><li>Retirement plan</li><li>Vision insurance</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Work Location: In person

Arkos Health

<div>Welcome to Arkos Health! We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Arkos serves health plans and provider organizations by managing their highest-risk and highest-cost populations. We are currently in Arizona, Nevada, North Dakota, Illinois and Vermont! Our goal is to be the most valued partner to health plans, service providers, and the community we collectively serve. 
We are looking for a Social Services Case Manager to join our team in the Ringgold, GA area! 
How You'll Make a Difference:

The position of Social Services Case Manager will provide support and social services to health plan members and their families in accordance with an appropriate plan of care. The Social Services Case Manager provides in-home and telephonic assessment of needs, while continuing to develop, monitor, and evaluate care plans and progress, while facilitating interdisciplinary approaches to social needs. 
Why Arkos?
<ul>
<li>Great Benefits!
<ul><li>Employer-paid Medical, Dental and vision premiums at no cost to you
</li><li>Employer-paid Short-Term Disability premiums at no cost to you</li>
<li>Employer-paid Life Insurance premiums at no cost to you</li>
<li>Employer matching 401(k)</li>
<li>15 days annual combined sick/vacation and 10 days of holiday during your first year</li>
<li>Your Birthday off!</li>
</ul></li></ul><ul><li>We have great people and a growing culture! From coffee bars to Ice Cream Day, we recognize our team!
</li><li>We are ranked as the 113th fastest-growing private company in the United States and 11th within the healthcare services sector on the 2024 Inc. 5000 list! Join us today!</li></ul> 


Essential Duties and Responsibilities:
<ul><li>Schedule and complete face to face visits with patients/families/caregivers</li>
<li>Complete assessment for social service needs to address barriers to health care</li>
<li>Assist and provide resources, information, and referrals to support the care plans</li>
<li>Participate in interdisciplinary team (ICT) meeting to establish, review, and revise the patient care plan</li>
<li>Maintain electronic medical records</li>
<li>Support patient, family, and caregivers with cultural and spiritual sensitivity</li>
<li>Provide holistic, family-centered care across treatment settings to improve the quality of life 
</li>
<li>Provide supervision and guidance to the member support specialist team 
</li>
<li>This person will travel to patients home in the valley up to 80% of the time</li></ul> 


Qualifications and Skills:
<ul>
<li>Degree in Social Services or related field/ or equivalent experience</li>
<li>Maintain ongoing Social Services training to stay abreast of changes in the community and educational resources for members</li>
<li>Current BLS/CPR certification required</li>
<li>Must have valid driver license and appropriate liability insurance</li>
<li>Current TB test and maintain a negative test annually required</li>
<li>Hep B vax/titer proof (Company does offer/or may sign a declination) required</li>
<li>Current flu shot (or sign waiver/follow mask policy) required</li>
<li>In-depth knowledge of health care services and other medical terminology is required</li></ul> 


What's Next?

Apply for the Job! Our recruitment team will review your application and reach out to schedule a quick call! 
Please feel free to forward this opportunity to someone you believe might be a good fit! If hired, you could be eligible for a referral bonus! 
Must complete our Culture Index Survey. Take the assessment at https://go.cultureindex.com/s/bg3VS0H2kF. This is not a pass/fail test and does not measure intelligence. 
Arkos Health EEO Statement:

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. 


Arkos Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check. 
Arkos Health participates in E-Verify to confirm eligibility to work in the United States. To view the details on this program, visit our career page at Careers - Arkos Health</div>

Social Services Case Manager

<div>Welcome to Arkos Health! We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Arkos serves health plans and provider organizations by managing their highest-risk and highest-cost populations. We are currently in Arizona, Nevada, North Dakota, Illinois and Vermont! Our goal is to be the most valued partner to health plans, service providers, and the community we collectively serve. 
We are looking for a Social Services Case Manager to join our team in the Albany, GA area! 
How You'll Make a Difference:

The position of Social Services Case Manager will provide support and social services to health plan members and their families in accordance with an appropriate plan of care. The Social Services Case Manager provides in-home and telephonic assessment of needs, while continuing to develop, monitor, and evaluate care plans and progress, while facilitating interdisciplinary approaches to social needs. 
Why Arkos?
<ul>
<li>Great Benefits!
<ul><li>Employer-paid Medical, Dental and vision premiums at no cost to you
</li><li>Employer-paid Short-Term Disability premiums at no cost to you</li>
<li>Employer-paid Life Insurance premiums at no cost to you</li>
<li>Employer matching 401(k)</li>
<li>15 days annual combined sick/vacation and 10 days of holiday during your first year</li>
<li>Your Birthday off!</li>
</ul></li></ul><ul><li>We have great people and a growing culture! From coffee bars to Ice Cream Day, we recognize our team!
</li><li>We are ranked as the 113th fastest-growing private company in the United States and 11th within the healthcare services sector on the 2024 Inc. 5000 list! Join us today!</li></ul> 


Essential Duties and Responsibilities:
<ul><li>Schedule and complete face to face visits with patients/families/caregivers</li>
<li>Complete assessment for social service needs to address barriers to health care</li>
<li>Assist and provide resources, information, and referrals to support the care plans</li>
<li>Participate in interdisciplinary team (ICT) meeting to establish, review, and revise the patient care plan</li>
<li>Maintain electronic medical records</li>
<li>Support patient, family, and caregivers with cultural and spiritual sensitivity</li>
<li>Provide holistic, family-centered care across treatment settings to improve the quality of life 
</li>
<li>Provide supervision and guidance to the member support specialist team 
</li>
<li>This person will travel to patients home in the valley up to 80% of the time</li></ul> 


Qualifications and Skills:
<ul>
<li>Degree in Social Services or related field/ or equivalent experience</li>
<li>Maintain ongoing Social Services training to stay abreast of changes in the community and educational resources for members</li>
<li>Current BLS/CPR certification required</li>
<li>Must have valid driver license and appropriate liability insurance</li>
<li>Current TB test and maintain a negative test annually required</li>
<li>Hep B vax/titer proof (Company does offer/or may sign a declination) required</li>
<li>Current flu shot (or sign waiver/follow mask policy) required</li>
<li>In-depth knowledge of health care services and other medical terminology is required</li></ul> 


What's Next?

Apply for the Job! Our recruitment team will review your application and reach out to schedule a quick call! 
Please feel free to forward this opportunity to someone you believe might be a good fit! If hired, you could be eligible for a referral bonus! 
Must complete our Culture Index Survey. Take the assessment at https://go.cultureindex.com/s/bg3VS0H2kF. This is not a pass/fail test and does not measure intelligence. 
Arkos Health EEO Statement:

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. 


Arkos Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check. 
Arkos Health participates in E-Verify to confirm eligibility to work in the United States. To view the details on this program, visit our career page at Careers - Arkos Health</div>

<div>Welcome to Arkos Health! We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Arkos serves health plans and provider organizations by managing their highest-risk and highest-cost populations. We are currently in Arizona, Nevada, North Dakota, Illinois and Vermont! Our goal is to be the most valued partner to health plans, service providers, and the community we collectively serve. 
We are looking for a Social Services Case Manager to join our team in the Brunswick, GA area! 
How You'll Make a Difference:

The position of Social Services Case Manager will provide support and social services to health plan members and their families in accordance with an appropriate plan of care. The Social Services Case Manager provides in-home and telephonic assessment of needs, while continuing to develop, monitor, and evaluate care plans and progress, while facilitating interdisciplinary approaches to social needs. 
Why Arkos?
<ul>
<li>Great Benefits!
<ul><li>Employer-paid Medical, Dental and vision premiums at no cost to you
</li><li>Employer-paid Short-Term Disability premiums at no cost to you</li>
<li>Employer-paid Life Insurance premiums at no cost to you</li>
<li>Employer matching 401(k)</li>
<li>15 days annual combined sick/vacation and 10 days of holiday during your first year</li>
<li>Your Birthday off!</li>
</ul></li></ul><ul><li>We have great people and a growing culture! From coffee bars to Ice Cream Day, we recognize our team!
</li><li>We are ranked as the 113th fastest-growing private company in the United States and 11th within the healthcare services sector on the 2024 Inc. 5000 list! Join us today!</li></ul> 


Essential Duties and Responsibilities:
<ul><li>Schedule and complete face to face visits with patients/families/caregivers</li>
<li>Complete assessment for social service needs to address barriers to health care</li>
<li>Assist and provide resources, information, and referrals to support the care plans</li>
<li>Participate in interdisciplinary team (ICT) meeting to establish, review, and revise the patient care plan</li>
<li>Maintain electronic medical records</li>
<li>Support patient, family, and caregivers with cultural and spiritual sensitivity</li>
<li>Provide holistic, family-centered care across treatment settings to improve the quality of life 
</li>
<li>Provide supervision and guidance to the member support specialist team 
</li>
<li>This person will travel to patients home in the valley up to 80% of the time</li></ul> 


Qualifications and Skills:
<ul>
<li>Degree in Social Services or related field/ or equivalent experience</li>
<li>Maintain ongoing Social Services training to stay abreast of changes in the community and educational resources for members</li>
<li>Current BLS/CPR certification required</li>
<li>Must have valid driver license and appropriate liability insurance</li>
<li>Current TB test and maintain a negative test annually required</li>
<li>Hep B vax/titer proof (Company does offer/or may sign a declination) required</li>
<li>Current flu shot (or sign waiver/follow mask policy) required</li>
<li>In-depth knowledge of health care services and other medical terminology is required</li></ul> 


What's Next?

Apply for the Job! Our recruitment team will review your application and reach out to schedule a quick call! 
Please feel free to forward this opportunity to someone you believe might be a good fit! If hired, you could be eligible for a referral bonus! 
Must complete our Culture Index Survey. Take the assessment at https://go.cultureindex.com/s/bg3VS0H2kF. This is not a pass/fail test and does not measure intelligence. 
Arkos Health EEO Statement:

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. 


Arkos Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check. 
Arkos Health participates in E-Verify to confirm eligibility to work in the United States. To view the details on this program, visit our career page at Careers - Arkos Health</div>

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