manager case management

Henry Mayo Newhall Hospital

<div><div><div><div><div>Pay Range: MANAGER, CASE MANAGEMENT - $58.38 to $93.40
</div>
</div></div></div><div>Job Summary
The Manager reports to the Director of the Case Management and Social Work Department and is responsible for providing (24/7) leadership and management of case management, social work, utilization management, and discharge planning. The Manager assists the Director with processes and outcomes of clinical care teams and programs designed to address patients and families' clinical psychosocial and financial needs. Scope of responsibilities includes training, supervision, and evaluation of team members and participation in goal setting, program planning workflow process monitoring regulatory compliance, staff productivity assessment of good customer service quality of work, outcome evaluation, and continuous quality improvement. The Manager represents Henry Mayo Newhall Hospital to internal and external customers, including patients and family physicians, ancillary medical personnel, administration, health plans, and third-party payors.
Licensure and Certification:<ul><li>
Current California RN License</li><li>
Current BLS Provider Care</li><li>
National certification from ANCC, ACMA or Case Management Association of America preferred</li></ul>
Education:<ul><li>
Bachelor&rsquo;s degree in Nursing required</li><li>
Master&rsquo;s degree preferred</li></ul>
Experience:<ul><li>
Experience leading innovative case management programs</li><li>
Experience in utilization management and discharge planning required</li><li>
Leadership experience in acute case management required</li><li>
Experience with clinical assessment for clients with complex medical, emotional and social needs</li><li>
Experience planning, leading and organizing the resources of a team preferred</li><li>
Strong problem resolution abilities and customer relation skills</li></ul>
Knowledge and Skills:<ul><li>
Comprehensive knowledge of laws, regulations and professional standards affecting case management practice in an integrated delivery system: including but not limited to: CMS, Title 22, CHA Consent Manual, and TJC</li><li>
Knowledge of ACMA, CMSA, and NASW Standards of Practice</li><li>
Excellent verbal and written communication skills</li><li>
Ability to promote teamwork and to effectively function in teams, both as a leader and as a team member</li><li>
Working knowledge of Meditech and, Inter-Qual Criteria</li><li>
Ability to interact effectively with key internal and external constituents using collaboration, negotiation and analytical problem resolution skills</li><li>
Effective human relations and interpersonal skills necessary to lead the efforts of diverse health professionals to meet program objectives</li><li>
Demonstrated ability to implement continuous quality improvement processes and techniques, including benchmarking and outcomes measurements. PC skills, word processing, spreadsheets and managed care software programs</li></ul></div></div>

Manager, Case Management & Social Work

Gila River Health Care

<div>Summary :
The Case Manager will provide comprehensive Case Management for patients as assigned to include, but not limited to: assessing patient&rsquo;s needs; developing, implementing, monitoring, and documenting the progress of the patient throughout their hospitalization in an outside area hospital to meet their care needs prior to discharge. The intensity of Case Management is situational and appropriately based on patient need. This position is accountable for the quality of clinical services provided by both them and others and identifies barriers which may hinder effective patient care. The Case Manager performs Utilization Review of the medical necessity and appropriateness of care using InterQual criteria of patients admitted to Gila River Health Care inpatient unit: assessing patient admissions and continued stay criteria to identify issues that may delay patient discharge and facilitate resolution of these issues. 
 
Critical Tasks:
<ul><li>Demonstrates a culture of kindness through all interactions whether verbal or non-verbal with all GRHC staff members, partner facilities staff and vendors.
</li></ul><ul><li>Manages and oversees assigned patient case load to ensure delivery of all covered services identified for continuity of care across all levels of care and involved providers to achieve the optimal clinical, financial, operational, and patient satisfaction outcomes.
</li></ul><ul><li>Maintains HIPAA standards of patient confidentiality during all interactions whether written, verbal, or electronic.
</li></ul><ul><li>Establishes and promotes a collaborative relationship with members of the healthcare team within GRHC and outside facility partners.
</li></ul><ul><li>Serves as Case Manager between referral hospitals, treatment facilities and patients/patient&rsquo;s families to ensure delivery of effective and appropriate assistance and follow-up for returning to pre/post hospitalization status/care.
</li></ul><ul><li>Reviews charts of assigned patients to determine appropriate referral services based on assessed patient needs.
</li></ul><ul><li>Facilitates, schedules and/or participates in a variety of patient Case Management activities to ensure patient and/or family personal and health care needs are met in a timely manner; proactively identifies alternative resources as needed.
</li></ul><ul><li>Participates in &ldquo;on-call&rdquo; for Case Management Department and Utilization Review
</li></ul><ul><li>Performs Utilization Review of patient chart to ensure compliance with established InterQual criteria to maximize reimbursement/coverage of charges.
</li></ul><ul><li>Evaluates inpatient medical necessity and appropriateness of care utilizing InterQual criteria, for optimizing outcomes.
</li></ul><ul><li>Assesses patient admissions and continued stay to identify issues that may delay patient discharge and communicates to the interdisciplinary team while facilitating a resolution.
</li></ul><ul><li>Collects and communicates pertinent, timely information to the health care team to fulfill utilization and regulatory requirements.
</li></ul><ul><li>Collaborates with patient, family members, and other involved parties to ensure care coverage through private and governmental health care plans.
</li></ul><ul><li>Collects outcome data to be used in identifying best practices and targeting performance improvement solutions.
</li></ul><ul><li>Participates in departmental orientation, on the job training, and quality assurance programs/initiatives.
</li></ul><ul><li>Receives and responds to patient concerns; research issues for corrective action as appropriate based on findings; escalates physician/provider concerns to appropriate parties and identifies alternative solutions.
</li></ul><ul><li>Participates in a variety of department and hospital educational programs to maintain current skill and competency levels; identifies and discusses performance or training needs with Supervisor.
</li></ul><ul><li>Participates in Community Events representing GRHC and Case Management Department with ability to educate on departmental functions.
</li></ul><ul><li>Other duties as assigned by Case Management Director/Manager
</li></ul><ul><li>Establishes goals and objectives for the department that meet or exceed GRHC&rsquo;s Code of Ethics and Standards for Conduct Policy.
</li></ul><ul><li>Is familiar and remains current on safety and emergency management process for the department.
</li></ul>Required Qualifications:
<ul><li>Current State of Arizona or Compact State Registered Nurse license, BSN preferred.
</li></ul><ul><li>Current CPR for Healthcare professional's certification
</li></ul><ul><li>Must have at least 1-year previous case management experience, CCM certification preferred but must obtain within 2 years of hire.
</li></ul><ul><li>Experience must include working in an acute care and/or home care setting for at least a 12-month period.
</li></ul><ul><li>Native American population preferred.
</li></ul><ul><li>Must have a working knowledge of Case Management, acute care and/or home care environments, community resources and resource/utilization management.
</li></ul><ul><li>Case Management Specialty Area Requirements :
<ul><li>Pediatrics Case Manager &ndash; Must have at least 1 year Pediatrics experience
</li><li>Cancer Case Manager &ndash; Must have at least 1 year oncology/hospice/or cancer case management experience
</li><li>Pain Management Case Manager &ndash; Must have at least 1 year experience working with pain management patients/hospice patients .
</li><li>Women&rsquo;s Health/High Risk Pregnancy Case Manager &ndash; Must have at least 1 year Women&rsquo;s Health/Pregnancy experience
</li><li>Family Medicine Case Manager &ndash; Must have at least 1 year Medical-Surgical or Family Clinic experience
</li><li>Internal Medicine Case Manager - Must have at least 1 year Medical-Surgical or Family Clinic experience
</li><li>Emergency Department/Utilization Review Case Manager &ndash; Must have 1 year Medical-Surgical experience and/or 1 year Utilization Review experience</li></ul></li></ul></div>

Case Manager-Case Management-HHK-Sacaton

Pratt Regional Medical Center

<ul><li>Pratt,KS
</li><li>Pratt Regional Medical Center
</li><li>Case Management
</li><li>Full Time
</li><li>Days
</li><li>Management
</li><li>Req #: 2026027
</li><li>Posted: Yesterday</li></ul>
 <div>Summary
Job Summary: Leading the team to coordinate patient care, optimize resources, and ensure quality standards in healthcare. Works with the interdisciplinary team with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while providing timely and accurate information for the hospital. The nurse integrates the functions of utilization review, discharge planning, and recourse management into a singular effort to ensure, based on patient assessment, care is provided in the most appropriate setting utilizing medically indicated recourses. The hospitals' utilization review plan and discharge planning procedures outline a collaborative practice to improve quality through coordination of care impacting length of stay, minimizing cost, and ensuring optimum outcomes. The Registered Nurse is responsible for team collaboration for continued compliance with CMS Conditions of Participation regarding the Utilization Review and Discharge Planning as Case Management.
Essential Duties and Responsibilities:
<ul><li>Promote the missions, vision, and values of the organization.</li>
<li>Adheres to Simply the Best Standards of Performance.</li>
<li>Attend and communicate during team meetings that foster interdepartmental collaboration as it pertains to utilization review and discharge planning. Knowledgeable of criteria for Medicare, Medicaid, and private insurance coverage.</li>
<li>Communicate with PRMC personnel regarding admissions and discharges to various units, in regard to patient stay status updates.</li>
<li>Communicate as needed with the patient and the patient's family to assess as needed for discharge planning needs.</li>
<li>Knowledgeable of patient's financial status, diagnosis, and discharge needs. Analyzes insurance, governmental, and accrediting agency standards to determine criteria concerning admissions, treatment, and length of stay of patients.</li>
<li>Reviews patients upon admission and refers the case to the facility utilization review committee for review and course of action when the case fails to meet admission standards.</li>
<li>Compares inpatient medical records to established criteria and confers with medical and nursing personnel and other professional staff to determine legitimacy of treatment and length of stay.</li>
<li>Abstracts data from records and maintains statistics. Assist as needed with the discharge planning process alongside the Administrative Assistance for Case Management.</li>
<li>Actively participates in clinical documentation improvement activities.</li>
<li>Oversight of the discharge planning process and clinician.</li>
<li>Work with a direct supervisor to ensure targets are met for the annual plan.</li>
<li>Knowledge of the continuum of care and utilization process.</li>
</ul>
Professional Requirements:
<ul><li>Complete annual education requirements.</li>
<li>Always maintain patient confidentiality.</li>
<li>Maintain regulatory requirements, including state, federal and local regulations.</li>
<li>Comply with all organizational policies and standards regarding ethical business practices.</li>
<li>Communicate the mission, ethics, and goals of the organization.</li>
<li>Attend regular staff meetings and in-service.</li>
</ul>
Knowledge/Skills/Abilities:
<ul><li>Knowledge of nursing services and insurance coverage preferred.</li>
<li>Strong organizational and interpersonal skills.</li>
<li>Ability to determine an appropriate course of action in more complex situations.</li>
<li>Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude.</li>
<li>Ability to manage multiple and simultaneous responsibilities and to prioritize the scheduling of work.</li>
<li>Ability to maintain confidentiality of all medical, financial, and legal information.</li>
<li>Ability to complete work assignments accurately and in a timely manner.</li>
<li>Ability to handle difficult situations involving patients, physicians, or others in a professional manner.</li>
</ul>
Education/Training: Licensed as Registered Nurse in Kansas with a Bachelor's degree. BLS required. 2&ndash;3 years of experience in acute care or clinical case management. Supervise case managers, providing guidance, training, and performance evaluations.
Benefits/Compensation: We offer a competitive salary and a comprehensive fringe benefits package, commensurate with experience.
<ul><li>Health Insurance: Medical, dental, vision coverage.</li>
<li>401(K) Retirement Plan.</li>
<li>Paid Time Off (PTO).</li>
<li>Tuition Reimbursement.</li>
<li>Flexible Spending Accounts (FSA).</li></ul></div>

Manager of Case Management

Baptist Health

<div>
 Sign-On Bonus: Up to $10,000
 
 
 Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News &amp; World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors.
 
 
 What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels our commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact &ndash; because when it comes to caring for people, we're all in.
 
 
 
 Benefits
 
 
 
 At Baptist Health, we're committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:
 
 
 <ul>
 <li>
 Career growth and development opportunities, with clear pathways and ongoing support
 </li>
 <li>
 Comprehensive health and wellness resources that go beyond traditional benefits
 </li>
 <li>
 A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
 </li>
 <li>
 Tuition reimbursement to support continued learning and advancement
 </li>
 <li>
 And so much more
 
 
 </li>
 </ul>
 Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day.
 
 
 
 Description
 
 
 
 Intervenes with patients/families for psychosocial needs, assistance, support in coping with chronic acute terminal illness. Services may include consultation, discharge planning, education, counseling, advocacy, info referrals to meet the emotional, social and financial aspects of care. Provides crisis intervention to patients/families with psychosocial needs and coordinates, facilitates development of a discharge plan of care. Provides patient/family services via case finding referrals from physicians and healthcare team members. Serves as an expert, acts as a liaison between patients and community resources. Identifies patient and family psycho-social and environmental needs related to admission, diagnosis, treatment and discharge. Works collaboratively with other members of the interdisciplinary team in developing and implementing a comprehensive discharge plan. Makes appropriate referrals for to community services, may provide inpatient emotional support and counseling, crisis intervention, and bereavement services. Assesses and intervenes in situations involving child or elder abuse/neglect, domestic violence. Provides care and services to all patient groups: neonatal, infant, pediatric, adolescent, and adults. Estimated salary range for this position is $60249.48 - $78324.32 / year depending on experience.
 
 
 
 Qualifications
 
 
 
 Degrees:
 
 
 <ul>
 <li>
 Masters.
 
 
 </li>
 </ul>
 
 Additional Qualifications
 
 
 
 <ul>
 <li>
 Masters in Social Work (MSW).
 </li>
 <li>
 Demonstrate ability to solve problems in a fast-paced environment.
 </li>
 <li>
 0-1 years of social work experience in hospital or related health care setting, Emergency Department experience preferred.
 </li>
 <li>
 Intership will be considered as experience.
 </li>
 <li>
 Excellent interpersonal communication and negotiation skills.
 </li>
 <li>
 Strong analytical, data management and computer skills.
 </li>
 <li>
 Current working knowledge of discharge planning, crisis intervention, complex case management and performance improvement preferred.
 </li>
 <li>
 Strong working knowledge of community services available for insured and non-insured patients.
 </li>
 <li>
 Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
 </li>
 <li>
 Ability to work independently and exercise sound judgment.
 </li>
 <li>
 Ability to prioritize and manage multiple high-risk, complex patients.
 </li>
 <li>
 Ability to work with multiple members of a care team and maintain positive working relationships.
 
 
 </li>
 </ul>
 Minimum Required Experience: Less than 1 year
 
 
 EOE, including disability/vets
</div>

Social Work Case Manager, Case Management, $10000 Bonus, FT, 8A-6:30P

Highland Rivers Community Service Board

<div>There is a place for you at Highland Rivers Behavioral Health! 


Highland Rivers provides treatment and recovery services to individuals impacted by mental illness; substance use disorders and intellectual developmental disabilities. 


Are you ready to make a Difference? 


JOB SUMMARY: The Highland Rivers Behavioral Health Intensive Case Management (ICM) Team is a medium intensity Community-Based program for adults with severe and persistent mental illnesses such as Bi-Polar Disorders, Schizoaffective Disorders, and other Sub-Categories of thought disorders.

The Case Manager works with the individual and other supports and service providers to develop an Individual Recovery Plan (IRP) that includes the medical, behavioral, social, educational, vocational, housing, financial and other needs of the eligible individual. Services help individuals develop strategies and support to avoid out-of- home placement and reduce the need for more intensive services, and coordinate access to other needed community services and resources. 


Duties and Responsibilities include:
<ul><li>
Community based position.</li><li>
Provide transportation for the individuals.</li><li>
Must visit individual's homes.</li><li>
Assist individuals with service needs, developing strategies and supportive, social support networks and coordinating rehabilitation services as specified in the individual&rsquo;s Individual Recovery Plan (IRP).</li><li>
Partner with the individual and CORE services provider in the development of the IRP.</li><li>
Provide individual interventions to include identifying service needs; developing strategies and supportive interventions to avoid out of home placement or the need for more intensive services; assisting individuals to increase social support networks to ameliorate life stresses resulting from the individual's condition; and coordinating rehabilitation services as specified in the individual's IRP Partner with the individual and CORE service provider in the development of the individual recovery plan.</li><li>
Link and serve as advocate with other agencies to garner needed resources for individuals.</li><li>
Provides assistance and support in crisis situations.</li><li>
Provides assessment, monitoring, and assistance to individuals.</li><li>
Provides direct service to individuals; completes all necessary paperwork according to policy; ensures individual meet eligibility criteria or refers to appropriate provider in the community.</li><li>
Manages a caseload by ensuring all services are authorized, chart paperwork is complete and current, and individual charts are closed according to policy.</li><li>
Sees a caseload at the frequency defined in the service plan; documents attempts to contact individuals and ISP reviews; completes monthly caseload reports; track appointments and case management.</li><li>
Meet weekly contact and productivity standards</li><li>
Attend treatment team meetings as directed by Program Supervisor.</li><li>
Assist with service-related compliance.</li><li>
Maintain confidentiality for all indirect/direct service in accordance with agency policies and HIPPA policies.</li><li>
Other responsibilities and tasks as may be assigned.</li></ul>

Benefits:
<ul><li>
Health Insurance through the State Health Benefit Plan of GA</li><li>
Flexible Benefits such as dental, vision, life, critical illness, etc.</li><li>
Retirement Plan with employer matching</li><li>
4 weeks of Paid Time Off with increase of accruals based on years of service</li><li>
10 paid holidays</li><li>
1 personal day</li><li>
Qualifying employer for Public Student Loan Forgiveness</li><li>
NHSC loan forgiveness in qualifying counties.</li><li>
Clinical supervision for candidates on a licensure track.</li></ul>
MINIMUM QUALIFICATIONS:
<ul><li>
Bachelor&rsquo;s Degree in Helping Field</li><li>
At least one year&rsquo;s experience working in mental health or substance use disorder field preferred.</li><li>
Must have good motor vehicle report.</li><li>
Must be 21 years of age or over</li><li>
Bilingual abilities a plus</li></ul>
Highland Rivers Behavioral Health is an Equal Opportunity Employer and does not discriminate on the basis of color, race, national origin, age sex, religion, or disability.
Selected applicants must pass a pre-employment background investigation and a pre-employment drug screen. Employment is contingent upon passing the background and the drug screen.</div>

Case Manager (Intensive Case Management)

CHRISTUS Health

<div>Description 
Summary:
The Care Manager (CM) I works in collaboration with the patient/family, physicians and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each assigned patient from admission through discharge. The CM is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Care Coordination and Discharge Planning are both responsibilities of this role. The CM assesses and responds to patient/family needs by coordinating efforts of other team members and identifies and resolves barriers that hinder effective patient care. The CM adheres to departmental and organizational goals, objectives, standards of performance, policies and procedures, and continually assures regulatory compliance.
Responsibilities: 
<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.</li><li>
Interviews patients/families to obtain information about social, emotional, and financial factors which may impact health status both prior to, and after, discharge and assess the patient&rsquo;s current formal and informal support system as well as available benefits and resources.</li><li>
Works with the CMII or CMIII to develop and monitor the patient&rsquo;s plan of care to ensure effectiveness and appropriateness of services.</li><li>
Coordinates/facilitates patient care progression throughout the continuum of care in an efficient and cost-effective manner.</li><li>
Serves as resource, provides support, and acts as an advocate on behalf of the patient related to treatment decisions and end of life issues.</li><li>
Closely monitors patient length of stay and communicates/collaborates with appropriate interdisciplinary team members to remove barriers and expedite discharge.</li><li>
Identifies and escalates local and system barriers that are impeding diagnostic or treatment progress and issues related to quality and risk as appropriate in a timely manner.</li><li>
Works to resolve identified delays to discharge.</li><li>
Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting.</li><li>
Assesses needs for discharge planning and continuing care/resource support following discharge; independently makes recommendations to patients and families regarding post-acute level of care needs and options including: 
<ul><li>Acute Rehabilitation Placement</li><li>
Nursing Home or Skilled Nursing placement</li><li>
Psychiatric or Substance Abuse placement</li><li>
New Dialysis</li><li>
Child/Adult/Domestic Abuse</li><li>
Home Health/Hospice Referrals</li><li>
Legal issues (adoptions, guardianship)</li><li>
Assistance with Advance Directives</li><li>
Community Resource needs</li><li>
Financial Issues/Funding options</li><li>
DME Referrals and Coordination</li><li>
Social Determinants of Health</li></ul></li><li>
Ensures appropriate communication and updates are provided to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care</li><li>
Provide appropriate interventions which demonstrate knowledge of and sensitivity toward cultural diversity and the religious, developmental, health literacy, and educational backgrounds of the patient population</li><li>
Provides information and support to patients and families, helping them access needed resources within the medical center and community</li><li>
Ensures and maintains plan consensus from patient/family, physician and payor</li><li>
Collaborates with the physician and other health care professionals to promote appropriate use of medical center resources</li><li>
Actively participates in Multidisciplinary/Patient Care Progression Rounds</li><li>
Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director</li><li>
Documents in the medical record per regulatory and department guidelines</li><li>
Assumes responsibility for professional growth and development.</li><li>
Must have excellent verbal and written communication and ability to interact with diverse populations.</li><li>
Must have critical and analytical thinking skills.</li><li>
Must have demonstrated clinical competency.</li><li>
Must have ability to Multitask and to function in a stressful and fast paced environment.</li><li>
Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement.</li><li>
Must have understanding of pre-acute and post-acute levels of care and community resources.</li><li>
Must have ability to work independently and exercise sound judgment in interactions with physicians, payors, patients and their families.</li><li>
Must have understanding of internal and external resources and knowledge of available community resources.</li><li>
Must have the ability to move around the hospital to all areas for the majority of the workday while in office the rest of the day; general office and hospital environment.</li></ul>
Job Requirements: 
Education/Skills
<ul><li>Graduate of an accredited school of nursing or Bachelor&rsquo;s Degree in Social Work (BSW) required.
</li></ul>Experience
<ul><li>Experience in the clinical or acute care setting preferred.
</li></ul>Licenses, Registrations, or Certifications
<ul><li>LVN/LPN or LBSW in the state of employment is required.</li></ul> 

Work Schedule: 
5 Days - 8 Hours
Work Type: 
Full Time</div>

Care Manager I - Case Management

Cherokee Nation Home Health Services

Cherokee Nation Home Health Services is a non-profit heath care agency that has been in business for 40+ years. The Outreach department within CNHHS currently provides services to clients enrolled in the ADvantage Waiver program for nearly 40 counties in Eastern Oklahoma. The ADvantage Case Manager at Cherokee Nation Home Health Service is responsible for overseeing and coordinating care plans for clients enrolled in the ADvantage Waiver program. This role involves assessing client needs, developing personalized service plans, and ensuring the delivery of high-quality home health services to promote client independence and well-being. Key Responsibilities: - Conduct comprehensive assessments of clients' needs and circumstances to develop individualized care plans. - Coordinate with healthcare providers, family members, and other stakeholders to ensure seamless delivery of services. - Monitor and evaluate the effectiveness of care plans, making necessary adjustments to meet clients' evolving needs. - Advocate for clients' rights and ensure their access to necessary resources and services. - Maintain detailed and accurate documentation of client interactions, assessments, and service plans. - Provide guidance and support to clients and their families, helping them navigate the healthcare system. - Ensure compliance with all relevant regulations and standards related to the ADvantage Waiver program. - Participate in ongoing training and professional development to stay updated on best practices in case management and home health services. EDUCATION: License Practical Nurse, Registered Nurse, Bachelors Degree in Social Work or a related field OKDHS ADvantage Case Management Certification, preferred EXPERIENCE: Minimum of one year of paid professional or technical experience providing direct care services to the aging or disabled population, required. SKILLS AND ABILITIES: Excellent communication skills, both written and verbal, for effective interaction with clients, families, and healthcare providers. Strong organizational skills with the ability to manage multiple cases simultaneously. Proficiency in using case management software and electronic health records. Ability to work independently and collaboratively with a team environment. Demonstrated problem-solving skills and the ability to make sound decisions in complex situations. Empathy and compassion for individuals from various backgrounds and with varying needs. Pay: $24.00 - $30.00 per hour Expected hours: 40 per week Benefits: <ul><li>401(k) matching</li><li>Dental insurance</li><li>Disability insurance</li><li>Flexible schedule</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Mileage reimbursement</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

ADvantage Case Manager

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