manager of case management

The Camden Center

<div><p>Within the chain of command, the mentor&rsquo;s and companion&rsquo;s direct supervisor is the client&rsquo;s respective Case Manager. The mentor/companion reports to the case manager for all aspects of client care. It is then the case manager&rsquo;s responsibility to report directly to the client&rsquo;s family members, financial guarantors and treatment providers. This set-up serves to protect and nurture the mentor/client and companion/client relationship, ensuring that mentors/companions can focus their time and energies on their client, building rapport and a foundation of trust. The case manager will additionally communicate with the client, hour dependent, to further support their process in the case management program, making changes as needed.</p><p>
RESPONSIBILITIES Core duties and responsibilities include but are not limited to the following:</p><ul><li>Have weekly, bi-weekly, or monthly sessions with the client in efforts to further support their experience within the case management program, making changes as needed. (frequency of sessions is service dependent)</li><li>Responsible for consistent communication with all appropriate members of a client&rsquo;s team, including the client, the respective mentor/companion, family members, clinical providers, non-clinical providers and financial guarantors.</li><li>Develop and revise client reintegration plans as needed.</li><li>Provide phone support for clients.</li><li>Case managers protect and nurture the mentor/client and companion/client relationship by communicating with all outside parties.</li><li>Devote time to respective mentors/companions, collaborating alongside them and offering phone support and supervisory communication.</li><li>Provide pre-approval for reimbursement as related to any out-of-pocket expenses incurred by mentors and companions on behalf of Camden Case Management business.</li><li>Document all interactions or discussions with any member of the team, including the client, and/or mentor/companion.</li><li>Manage all information relating to toxicology screens (via urine samples).</li><li>Manage all medication management in conjunction with the mentors/companions.</li></ul><br>
MUST have a valid driver's license and be willing to transport clients if/when needed<br>
<br>
This is a W-2 position.
<br>
<br>
<b>This is an on-call/ as -needed position.</b><p>
</p><p>zs11EaSHCN</p></div>

Case Manager- San Francisco

AHMC Healthcare

<div>Overview:
<div><b>
JOB SUMMARY:</b> The Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures correct level of care: critical, telemetry, acute, observation, for all patients. The Case Manager provides an efficient, coordinated approach to clinical management, with an emphasis on discharge planning, care coordination and utilization management activities for select patient populations across the continuum of programs and services at GMC. The essential functions of the Case Manager require constant collaboration with the Social Workers, Nursing staff, Financial Counselors, Medical Staff to coordinate the care of patients in a proactive manner.
</div><div>The position requires the full understanding and active participation in fulfilling the mission of GMC - Garfield Medical Center. It is expected that the employee demonstrate behavior consistent with the core values. The employee shall support GMC - Garfield Medical Center strategic plan and goals and direction of the performance improvement plan.</div><div></div><div><b><br>
EDUCATION, EXPERIENCE, TRAINING</b></div><br>
<div></div><ul><li>
RN License in the State of California required.
</li><li>Certified Case Manager preferred.</li><li>
Meets education and competency requirements for position.</li><li>
BCLS Card AHA required.</li></ul></div><div></div>

Case Manager PD Days 7:30am-6pm

Endeavors

<div><div><div><b>JOB PURPOSE:</b></div></div><div><div>
The Case Manager will provide comprehensive case management to clients and their families who are homeless or at risk of homelessness with the goal of increasing their quality of life and maintaining the highest possible ability to function within the community.</div></div><div><div><b>
ESSENTIAL JOB RESPONSIBILITIES:</b></div></div><p>
</p><div><ul><li><div>Advocate for and facilitate clients&rsquo; access to community resources; housing assistance, utility assistance, and relevant community services and benefits. Build database of community resources. Provide referrals to community resources as needed.</div></li><li><div>
Conduct initial intake meeting with the client(s). Evaluate individual and family needs. Complete service plan with the client including housing and other related needs. Coordinate and monitor services, including comprehensive tracking of client activities in relation to service plan and Housing Inspections. Document detailed case notes, daily; maintain comprehensive client files. Prepare reports as requested by Lead Case Manager, Program Manager and/or Quality Assurance</div></li><li><div>
Meet regularly with Lead Case Manager to staff case load. Provide on-going program evaluation and recommendations to the Lead Case Manager and Program Director for continuous growth and quality.</div></li><li><div>
Be active in and network at monthly community groups, events, and meetings. Provide presentations at various community groups, events, and meetings within areas of responsibility to include rural and metropolitan areas. Promote the success and reputation of the Emergency Solutions program.</div></li><li><div>
Other duties as assigned.
</div></li><li><div>Demonstrate <b><i>Exceptional</i></b> customer service, in <b><i>Everything</i></b><b> </b>you do, by placing the child, family, Veteran or client first to support our mission to &quot;<b><i>Empower </i></b>people to build better lives for themselves, their families, and their communities.&quot;</div></li></ul><p><br>
</p></div><br>
<p></p><div><div><b>ESSENTIAL QUALIFICATIONS:
</b></div></div><div></div><div><div><b>EDUCATION:</b> Bachelor&rsquo;s Degree in Social Work, Sociology, Psychology or related field, preferred but not required.</div></div><div><div><b>
EXPERIENCE:</b> 1+ years case management experience; 3+ years preferred. 2+ years in a customer service focused environment. Experience with homeless, low income, veterans &amp; their families a strong plus.</div></div><div><div><b>
ATTENDANCE: </b>Must maintain regular and acceptable attendance, including on-site presence in the office five (5) days per week, as determined by the employer.</div></div><p>
</p><div><div><b>LICENSES: </b>Driver&rsquo;s License with clear record.
</div></div><p></p><div><div><b>VEHICLE: </b>Must have daily use of a vehicle without prior notice.</div></div><p>
</p><div><div><b>OTHER: </b>Must be available and willing to travel to various locations and with such frequency as the business need dictates.
</div></div><p></p><div><div>Endeavors has a longstanding practice of providing a work environment that is free from all forms of employment discrimination, including harassment, because of race, color, sex, gender, age, religion, national origin, marital status, sexual orientation, gender identity, genetic information, disability, military or veteran status, or any other characteristic protected by law. We recruit, hire, employ, train, promote, and compensate individuals based on job-related qualifications and abilities.
</div></div><div></div><div><div>Endeavors also provides reasonable accommodation to qualified individuals with disabilities or based on a sincerely held religious belief, in accordance with applicable laws. If you need to inquire about an accommodation, or need assistance with completing the application process, please email hr@endeavors.org or speak with your recruiter.
</div></div><p></p><div><div>Endeavors is dedicated to offering reasonable accommodations for individuals with disabilities. If you are a qualified candidate with a disability and need help submitting your application online, please reach out to us at recruiting@endeavors.org. If you are chosen for an interview, we will provide further details on how to request accommodations for the interview process.</div></div></div>

Case Manager - The Roz

Rite of Passage

<div><p>✨Join a group of passionate advocates on our mission to improve the lives of youth! Rite of Passage Team is hiring for a <b><i>Case Manager </i></b>at <b>South Florida Youth Academy</b> in Miami Beach, Florida. <b>✨</b></p>
<p>
Located in beautiful Miami, Florida, our workplace offers the perfect blend of charm and vibrant community life&mdash;ideal for those who enjoy sunny weather, a relaxed lifestyle, and easy access to South Florida's thriving business and cultural scene.</p>
<p><b>
Pay</b>: $22.60 per hour</p>
<p><b>
Perks &amp; Benefits:</b> Medical, Dental, Vision and company paid Life Insurance within 90 days, and 401k match of up to 6% after 1 year of employment, Paid Time Off that can be used as soon as it accrues <b><i>and more!</i></b> ROP-benefits-and-perks-2</p>
<p><b>
What you will do:</b> As a <b><i>Case Manager</i></b>, you are responsible for administrating, developing and facilitating the completion of case plans and treatment programs in accordance with the requests of the placing agency and the needs of each student on their case load. In this role, the Case Manager collaborates with other professional staff to establish and meet the goals of each youth's treatment plan by providing individual counseling and skill development and communicate with families, probation officers, referral agencies, etc. on the progress each youth on your case load. Case Managers provide an atmosphere that is supportive of the youth&rsquo;s needs; monitor and document clinical behaviors and activities; and participate and assist with educational, social, athletic and recreational activities.</p>
<p><b>
To be considered you should: </b>Possess a BA/BS in related field ~ Have prior case management experience, including three years' experience with juveniles ~ Be at least 21 years of age ~ Be able to pass a criminal background check, drug screen (we no longer test for THC for pre-employment), physical, and TB test ~ Be able to pass a search of the child abuse central registry.
</p><p><b>Schedule:</b> 5 Days on, 2 Days off &ndash; 40 hours/week.</p><br>
<p></p>
<p><b>
Apply today and Make a Difference in the Lives of Youth!</b></p>
<p>
After 40 years of improving the lives of youth, we are looking for passionate advocates to continue the legacy of helping young people become successful adults. As a <b><i>Case Manager,</i></b> you will have the unique opportunity to create a positive, safe and supportive environment for the youth we serve while building a career rich in growth opportunities and self-fulfillment.</p>
<p><b>
Follow us on Social!</b></p>
<p>
Instagram / Facebook / Linkedin / Tik Tok / YouTube</p></div><p></p>

CASE MANAGER

Boston Medical Center

<div><div><div><h3 class="jobSectionHeader"><b>Case Manager, Denials and Appeals, 40 Hours (Days)</b></h3>
 <div></div><div><div><ul><li>46146
</li> </ul></div><div></div><div><ul><li>850 Harrison Avenue, Boston, Massachusetts
</li> </ul></div><div></div><div><ul><li>Full Time</li></ul></div></div><div></div><div><div><div><b><br>
</b></div></div><div></div><div><b>
</b></div></div><div>The UM RN will be responsible for review of potential transfers to the BMC System for tertiary care, in conjunction with the multidisciplinary care team, utilizing medical necessity screening tools to complete initial and continued stay reviews in determining appropriate level of patient care, appropriateness of tests/procedures and an estimation of the patient&rsquo;s expected length of stay. This nurse secures authorization for the patient&rsquo;s clinical services through timely collaboration and communication with payers as required and follows the UR process, in addition to the pre-denial process as defined in the attached job description and in the Utilization Review Plan in accordance with the CMS Conditions of Participation for Utilization Review.<p></p><p><b>
POSITION SUMMARY:</b></p><p></p><p>
Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual&rsquo;s health needs, using communication and available resources to promote quality, cost-effective outcomes. The care manager helps identify appropriate providers and facilities throughout the continuum of services while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the patient and the reimbursement source. This care manager is dedicated to handle the increased volume and to support the overall care management process and the department.</p><p></p><p><b>
Position: </b>Case Manager</p><p><b>
Department: </b>Denials and Appeals</p><p><b>
Schedule: </b>40 Hours (Days)</p><p></p><p><b>
JOB REQUIREMENTS</b></p><p></p><p><b>
EDUCATION:</b></p><p></p><p>
Graduate of an accredited BS Program in Nursing</p><p></p><p><b>
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED</b>:</p><ul>
<li><p>
Licensed to practice as a Registered Nurse in the commonwealth of Massachusetts</p></li>
<li><p>
CCM or related certification attained within 24 months from the hire date is preferred</p></li>
</ul><p></p><p><b>
EXPERIENCE:</b></p><ul>
<li><p>
3-5 years of diversified clinical experience is required</p></li>
<li><p>
A minimum of 2 years of previous experience involving judgment and decision making, preferably in a utilization management/case management position</p></li>
</ul><p></p><p><b>
KNOWLEDGE AND SKILLS:</b></p><ul>
<li><p>
Extensive background and knowledge of current medical/surgical patterns of practice.</p></li>
<li><p>
Medical terminology and standard medical abbreviations.</p></li>
<li><p>
Managed care concepts, the various health care delivery systems</p></li>
<li><p>
Methods for assessing an individual are level of physical/mental impairment, understanding of the physical and psychological characteristics of illness, and understanding of expected treatment.</p></li>
<li><p>
Confidentiality issues and the legal and ethical issues pertaining to them.</p></li>
<li><p>
ICD-9 and CPT nomenclature and the ability to interpret and convert this information, as applicable.</p></li>
<li><p>
Knowledge of benefits and various plan contracts, eligibility issues and requirements.</p></li>
<li><p>
Role and functional responsibilities of case management professional; case management program philosophy and purpose within Managed Care Program</p></li>
<li><p>
Excellent interpersonal, verbal and written communication and negotiations skills</p></li>
<li><p>
Strong analytical, data management and PC skills</p></li>
</ul><h3 class="jobSectionHeader"><b>
NursingCM</b></h3><p></p><p><b>
Compensation Range:</b></p>
$38.05- $75.33<p>
This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.</p><p></p><p>
Equal Opportunity Employer/Disabled/Veterans</p><p>
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or &ldquo;apps&rdquo; job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.</p></div></div></div></div>

Case Manager, Denials and Appeals, 40 Hours (Days)

Connections Case Management LLC

<p><b>Start Date: 6-1-26</b></p><p><b>Position: Medicaid Waiver Case Manager</b></p><p><b>Service Area:</b> Case Manager will be serving <b>Hancock</b> <b>and surrounding counties</b>. This position requires working remotely from your home office and travel within your service area. This is <b>NOT</b> a fully remote position. You must live within the service area to be considered for this position.</p><p><b>Job Summary:</b> Case Managers support individuals participating in a Medicaid waiver program. The CM will ensure they have access to services available on the waiver, other Medicaid state plan services as well as providing additional resources within their community. A primary role in this position is one of advocacy for the individuals we serve.</p><p><b>Responsibilities and Duties:</b>&middot;</p><p>&middot; Following a person-centered process</p><p>&middot; Annual Planning</p><p>&middot; Quarterly Monitoring face to face</p><p>&middot; Maintaining and managing all electronic records</p><p>&middot; Facilitating interdisciplinary team and other meetings</p><p>&middot; Completing/maintaining each individual's waiver budget</p><p>&middot; Monitoring service delivery and utilization</p><p>&middot; Ensuring individuals' health and welfare</p><p>&middot; Maintaining/Building relationships with individuals, families, guardians, providers</p><p><b>Skills:</b> &middot;</p><p>&middot; Ability to plan, organize, manage time, and work productively in a virtual environment under minimal supervision to provide timely and quality service delivery for individuals</p><p>&middot; Intermediate level of technology skill; strong oral and written communication skills</p><p>&middot; Team facilitation</p><p>&middot; Critical thinking</p><p>&middot; Attention to detail</p><p>&middot; Team collaboration</p><p><b>Work Schedule:</b></p><p>&middot; Monday- Friday 8-4:30, 40-hour work week, with the expectation to return contact within 24 hours (with exception of weekends/holidays)</p><p>&middot; Virtual and community-based work environment</p><p>&middot; 24 hour crisis line and staff responsible for handling after hour emergencies</p><p>&middot; Ability to flex schedule to facilitate face to face meetings with individuals who cannot meet during business hours</p><p>&middot; Autonomy in scheduling home visits</p><p><b>Knowledge/Experience:</b> Must have a Bachelor&rsquo;s degree in Psychology, Social Work, Counseling, Nursing, Special Education, Rehabilitation, Gerontology, or another field of study with one year of direct work experience with persons with intellectual disabilities.</p><p><b>Required: </b>Authorization to access State of Indiana&rsquo;s operating systems. CPR certification, annual TB Test, valid driver&rsquo;s license, current auto insurance, proof of education. Ability to pass a background check and arrest record. CM must have a dedicated home office space where Protected Health Information cannot be accessed by others. CM is required to have all furnishings for a home office- internet, phone, computer, and ability to print. Reliable transportation.</p><p><b>Preferred:</b> Knowledge or experience of case management; experience in team facilitation; and experience working from home. Experience with Health and Wellness Waiver, Traumatic Brain Injury Waiver, Family Support Waiver or Community Integration Habilitation Waiver</p><p><b>Benefits:</b></p><p>&middot; Medical, dental and vision</p><p>&middot; 401K</p><p>&middot; Life Insurance- company paid</p><p>&middot; Supplemental plans available</p><p>&middot; 15 days paid vacation, plus 11 paid holidays</p><p>&middot; iPad and keyboard, with data services and personal hotspot</p><p>&middot; A laptop computer is available throughout orientation, upon request</p><p>&middot; Wifi extender, upon request/need</p><p>&middot; Salary ranges are based on level of experience and ability to meet quality expectations for caseload</p><p>&middot; Ongoing professional development in a supportive environment</p><p>&middot; Promotional opportunities - Connections believes in the talents of our team and promotes within</p><p>&middot; Caseload resides in home and surrounding counties, reducing mileage</p><p>Connections Case Management understands that employees are more than just case managers. They have families and lives outside of their professional careers. Our company values the health and well-being of our employees. We understand that if we provide supports that allow our employees to have a quality life at work and home, a good income and personal time away from work responsibilities, the return will be in quality supports for those they have on their caseload.</p><p>Every employee does Case Management at Connections. The average caseload is 45 individuals. Each case manager is part of a smaller, regionally based team of 4-7 people which allows for direct quality support and monitoring by a supervisor. Additionally, your role as case manager is supported with an open and accessible team concept. Because Connections serves all 92 counties in Indiana, employees are encouraged to use all forums to connect with colleagues and utilize a team approach to Case Management.</p><p>For more information about Connections Case Management please visit us at www.connectionsin.com where you can also download an application. Please also look us up on social media and check out our reviews on Glassdoor!</p><p>Job Type: Full-time</p><p>Pay: $42,000.00 - $57,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible schedule</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Parental leave</li><li>Retirement plan</li><li>Vision insurance</li></ul><p>Work Location: On the road</p>

Case Manager- Medicaid Waiver

Catholic Charities

<div><p>Catholic Charities of the Archdiocese of Newark (CCAN) is one of New Jersey&rsquo;s largest social service agencies. CCAN, a non-profit corporation, has programs and facilities located in Bergen, Essex, Hudson, and Union counties. Mount Carmel Guild Behavioral Health System, a CARF accredited division of Catholic Charities of the Archdiocese of Newark, is a leading provider of mental health and addiction services in Northern New Jersey.</p><p>
We are currently seeking a Case Manager for our Partial Care department. Partial Care provides treatment for the severely and persistently mentally ill population, who may also have substance abuse problems. The program offers assessment and treatment planning, prevocational skill training, medication management, and case management. The Case Manager Provides case management and support to PC clients. Facilitates groups. Documents according to regulatory standards. Carries a caseload. Functions as part of PC Team. Interfaces with PC psychiatrist. Maintains collateral contacts with family members and providers in the community on behalf of clients. .</p><p><b>
Requires one of the following:</b></p><ul><li>
Bachelor's degree in a human services field,</li></ul><p></p><p><b>
Visit our website www.ccannj.org</b></p><p><i>
In response to the Gospel of Jesus Christ, Catholic Charities, as a ministry of the Archdiocese of Newark, serves the poor and marginalized and advocates for their needs in order to promote the inherent dignity and worth of all people without regard to race, religion, or culture.</i></p><p>
CCAN offers a competitive compensation and a comprehensive benefits package. CCAN is an equal opportunity employer. M/F/D/V. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex, sexual orientation, gender identity, gender expression, national origin/ancestry, citizenship, disability, age, marital or family status, and military or veteran status.<br>
<br>
<b>Salary: $35-$40k</b></p><p>
</p><p>17d8a24ojo</p></div>

Case Manager - PC - Cranford

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