patient case manager

Quality Comprehensive Health Center

Under the supervision of the Director of Client Services, the Medical Case Manager provides assessments of eligibility, health systems navigation, case management and education to clients seeking HIV care services through Quality Comprehensive Health Center (QCHC) who are Ryan White eligible. Patient Navigation/Case Management services will support QCHC to better serve those disproportionately at risk for or living with HIV by improving their access to medical care.Essential Duties and Responsibilities (other duties may be assigned):<ul><li>Provide patient navigation.</li><li>Coordinate patient scheduling for all providers.</li><li>Coordinate appropriate patient referrals to both internal and external agencies after patient appointments.</li><li>Assist patients as they move through the service delivery system.</li><li>Assist with the elimination of barriers including, but not limited to, insurance, financial and transportation.</li><li>Educate patients and others about HIV disease process and prevention.</li><li>Coordinate and maintain an active caseload of HIV patients.</li><li>Conducts intake interviews, performs psychosocial assessment to identify psychosocial, economic or social risk factors, performs eligibility and referral services for patient to ascertain support service needs associated with adherence to medical treatment plan.</li><li>Utilizes Motivational Interviewing techniques to identify client motivation and address barriers to change.</li><li>Links patient to a broad range of services, including, but not limited to medical care, behavioral health, substance abuse treatment, financial assistance, housing, food, financial entitlement, clothing, transportation, vocational training, and harm reduction services.</li><li>Completes all required documents for client services according to agency policies and funding source contracts under supervisor's direction. Monitors and accurately documents patients progress through individualized service planning that assesses level of functioning, adherence to medical treatment plan and access to service needs utilizing the Electronic Health Record (EHR) within defined time frame.</li><li>Act as a liaison between patient and all relevant professionals, programs, and resources to facilitate interdisciplinary care.</li><li>Monitors the progress of each need area as identified in the care plan and facilitate achievement of the service plan goals. Demonstrates initiative in maintaining contact with clients to update service needs assessments.</li><li>Develops and maintains strong relationships with community resources to maintain up-to date awareness of available resources.</li><li>Adheres to agency, state and federally (HIPAA) mandated regulations regarding confidentiality of HIV/AIDS care and services.</li><li>Attends/participates in all mandatory case management training and meetings.</li><li>Attends additional training opportunities as agency budget allows or as directed.</li><li>Stays informed about trends and developments in HIV service delivery, treatment, and substance use research.</li><li>Assist with, and coordinate, community education and outreach initiatives as requested.</li><li>Perform effectively within the organization and interpersonally with co-workers.</li><li>Develop positive working relationships with other social service, medical and mental health providers.</li><li>Other duties as required.</li></ul>Skills Required:<ul><li>Previous Ryan White experience preferred.</li><li>Experience using CAREWare preferred.</li><li>Experience assisting clients with Medicaid applications preferred</li><li>Strong organizational skills to manage caseload independently required</li><li>Basic knowledge of HIV, STis, PrEP and other prevention methods</li><li>Experience working in a clinical setting</li><li>Proactive problem solver who works well in multi-disciplinary setting</li><li>Ability to communicate well with medical providers and support staff</li><li>Strong verbal and written communication skills</li><li>Strong socio-cultural identification or work experience with MSM and LGBTQ+ preferred</li><li>Comfort discussing sexual health and risk reduction strategies</li><li>Proven organizational skills with high attention to detail</li><li>Intermediate to advanced level experience using Microsoft Office Suite</li><li>Ability to work well with diverse populations</li><li>Ability to work well within the organizational structure</li></ul>Minimum Qualifications:Bachelors or Masters Degree in Social Work or Health/Human Services required2+ years case management experience requiredEMR experience preferredJob Type: Full-timePay: Up to $50,000.00 per yearBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Flexible spending account</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Application Question(s):<ul><li>Do you hold at least a Bachelor&rsquo;s or Master&rsquo;s degree in Social Work or a related Health or Human Services field, as typically required for this position? If yes, please list your degree and area of study below.</li></ul>Education:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>HIV case management: 2 years (Preferred)</li><li>Ryan White: 2 years (Preferred)</li><li>Case management: 2 years (Required)</li></ul>Work Location: In person

Medical Case Manager

CorVel Corporation

<div>CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Reno, NV.
Work from home, and on the road. Monday &ndash; Friday, regular business hours.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction. 


ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source</li>
<li>Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans</li>
<li>Provides assessment, planning, implementation, and evaluation of patient&rsquo;s progress</li>
<li>Evaluates patient&rsquo;s treatment plan for appropriateness, medical necessity, and cost effectiveness</li>
<li>Attends doctors, other providers, home and in some cases, attorney&rsquo;s visits</li>
<li>Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy</li>
<li>Conducts home visit for initial evaluation</li>
<li>Implements care such as negotiating the delivery of durable medical equipment and nursing services</li>
<li>This role requires regular travel, dependent on the injured worker&rsquo;s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month</li>
<li>This role may require overnight travel</li>
<li>Additional duties as required</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment</li>
<li>Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers</li>
<li>A cost containment background, such as utilization review or managed care is helpful</li>
<li>Strong interpersonal, time management, and organizational skills</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred</li>
<li>Graduate of accredited school of nursing</li>
<li>Current RN Licensure in state of operation</li>
<li>Certification as a CCM, CIRS, or other Case Management certifications preferred</li>
<li>A valid driver&rsquo;s license, reliable transportation, and ability to travel to assigned locations is required</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $65,436 &ndash; $98,982

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL &ndash; Medical Case Managers:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel&rsquo;s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote</div>

Medical Case Manager II

The Mental Health Center of Western Maryland, Inc.

MOBILE TREATMENT CASE MANAGER:POSITION SUMMARY:The mobile treatment case manager provides services and functions as part of a team providing services to patients living in the community through mobile treatment or rehabilitation services. Candidates are able to provide a high level of complex interventions and work independently.DUTIES AND RESPONSIBILITIES:1. Provides experienced level of services that may include service linkage, assessment and planning of services, patient advocacy, monitoring of service delivery, patient outreach, and documentation.2. Provides case management services for a caseload of eight to 15 patients.3. Observe the behavior and physical condition of patient&rsquo;s to assess mental health status.4. Will manage and maintain medical records of assigned Mobile Treatment cases while participating on Medical Record Review team.5. Provides crisis management, family supportive interventions and case management services.6. Participate in 24-hour emergency coverage rotation and provide crisis intervention services.7. Provides liaison services for patients with various community agencies.8. Functions as part of a treatment team to serve and meet the needs of patients.9. Participates in the development and implementation of patient treatment and recovery goals.10. Documents all clinical activities in accordance with agency requirements.11. Works schedule according to needs of agency.12. Attends committee meetings as assigned.13. Participates in ongoing clinical supervision according to agency policy.14. Performs other duties as necessary.Pay: From $20.00 per hourBenefits:<ul><li>403(b)</li><li>403(b) matching</li><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>Tuition reimbursement</li><li>Vision insurance</li></ul>Work Location: In person

Mobile Treatment Case Manager

CHRISTUS Health

<div>Description 
CHRISTUS Santa Rosa Hospital - New Braunfels (CSRH-NB), nestled in the heart of downtown New Braunfels, is a full-service, 94-private bed facility that continues to expand to meet the needs of New Braunfels&rsquo; strong population growth. Innovative equipment and procedures are utilized, including an Outpatient Imaging Center, orthopedic and surgical services, rehabilitation, a renovated birthing center, including 24/7 neonatal coverage, emergency care, wound care/hyperbaric center, 3D mammography, and comprehensive heart care, from diagnostics to open-heart surgery.
Summary:
The Care Manager (CM) II 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>
Coordinates the integration of case management functions into the patient care and discharge planning processes in collaboration with other hospital departments, external service organizations, agencies, and healthcare facilities.</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 advocates on behalf of the patient related to treatment decisions and end of life issues.</li><li>
Closely monitor patient length of stay in regard to the geometric mean length of stay and communicate/collaborate with appropriate interdisciplinary team members to remove barriers and expedite discharge.</li><li>
Implements and monitors the patient&rsquo;s plan of care to ensure effectiveness and appropriateness of services.</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>
Proactively identifies and resolves delays and obstacles to discharge.</li><li>
Uses advanced conflict resolution skills as necessary to ensure timely resolution of issues.</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>
Interviews patients/families to obtain information about social, emotional, and financial factors which impact health status to develop comprehensive discharge planning assessment and care plan.</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>
Initiates discharge planning at the time of admission and makes post-hospital service referrals based upon information gathered during assessment and interactions with physicians, multidisciplinary care team, and payors as indicated.</li><li>
Acts as patient advocate by negotiating for, and coordinating, resources with payors, agencies, and vendors.</li><li>
Ensures that all elements critical to the plan of care have been communicated 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>
Assesses the patient&rsquo;s formal and informal support system as well as available benefits and/or community resources.</li><li>
Meets directly with patient/family to assess needs and develop and individualized care plan in collaboration with the physician.</li><li>
Ensures and maintains plan consensus from patient/family, physician and payor.</li><li>
Provides education, information, direction, and support related to patient&rsquo;s goals of care.</li><li>
Acts as patient advocate to develop treatment plan and coordinate patient care and to transition patient to the appropriate next level of care.</li><li>
Demonstrates and promotes respect for the dignity and rights of every patient while adhering to the safety standards and practices of the organization and the nursing profession.</li><li>
Collaborates with the physician and other health care professionals to promote appropriate use of medical center resources.</li><li>
Provides information and support to patients and families, helping them access needed resources within the medical center and community.</li><li>
Actively participates in clinical performance improvement activities involving length of stay, resource utilization, avoidable days, cost per case, and readmissions.</li><li>
Measures effectiveness of interventions through direct communication with post-acute care providers, patients, and caregivers.</li><li>
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency.</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>
May be asked to assist with special projects.</li><li>
May serve a preceptor or orienter to new associates.</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 the 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 be 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 (BSN preferred) or Masters Degree in Social Work (MSW) required or demonstrated success in CHRISTUS Care Manager I Position for at least 5 years on top of the required experience in lieu of education required.
</li></ul>Experience
<ul><li>Two or more years clinical experience with one year in the acute care setting preferred.
</li></ul>Licenses, Registrations, or Certifications
<ul><li>RN or LMSW in the state of employment is required for new hires.
</li><li>LBSW accepted for associates with 5+ years of demonstrated success and experience in CHRISTUS Care Manager I role.
</li><li>Certification in Case Management preferred.
</li><li>BLS preferred.</li></ul> 

Work Schedule: 
8AM - 5PM Monday-Friday
Work Type: 
Full Time</div>

Care Manager II - Case Management

<div>CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Macon/Warner Robbins, GA area.

Work from home, and on the road. Monday &ndash; Friday, regular business hours.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.

Must be a registered nurse. Must have national certification &ndash; CCM, COHN, CRRN, CDMS.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source</li>
<li>Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans</li>
</ul><ul><li>Provides assessment, planning, implementation, and evaluation of patient&rsquo;s progress</li>
<li>Evaluates patient&rsquo;s treatment plan for appropriateness, medical necessity, and cost effectiveness</li>
</ul><ul><li>Attends doctors, other providers, home and in some cases, attorney&rsquo;s visits</li>
<li>Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy</li>
<li>Conducts home visit for initial evaluation</li>
<li>Implements care such as negotiating the delivery of durable medical equipment and nursing services</li>
<li>This role requires regular travel, dependent on the injured worker&rsquo;s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month</li>
<li>This role may require overnight travel</li>
<li>Additional duties as required</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment</li>
<li>Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers</li>
<li>A cost containment background, such as utilization review or managed care is helpful</li>
<li>Strong interpersonal, time management, and organizational skills</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred</li>
</ul><ul><li>Graduate of accredited school of nursing</li>
<li>Current RN Licensure in state of operation</li>
<li>Certification as a CCM, CIRS, or other Case Management certifications preferred</li>
<li>A valid driver&rsquo;s license, reliable transportation, and ability to travel to assigned locations is required</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $63,739 - $95,264

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL &ndash; Medical Case Managers:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel&rsquo;s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote</div>

Medical Case Manager I

Shannon Health

<div><div>Job Summary
The peri-operative nurse case manager combines clinical documentation optimization, preoperative risk stratification, and case management expertise. The primary purpose of this role is to have a comprehensive, systematic approach to optimize workflows, pre-op risk assessment and documentation before, during, and after surgery, with an emphasis on surgical medical necessity, status appropriateness, and prior authorization. The role is a specialized position that combines oversight of the medical record with coordination of patient care focusing on regulatory compliance, improving patient outcomes, and managing healthcare resources efficiently. The role simultaneously manages patient cases, ensuring complete and accurate medical record documentation for coding and reimbursement and identifying high-risk surgical populations with chronic conditions or advanced age, while collaborating with the healthcare team to improve quality of care and documentation. The peri-operative case manager, working under the direction of case management leadership, in conjunction with office managers, directors, clinical documentation specialists, coders and lead physicians, will have utilization review and compliance expertise to identify and facilitate modifications to quality and completeness of medical record documentation and allow for early identification of clinical, functional, and social risk factors that may influence admission status, length of stay, and discharge needs for surgical patients. The perioperative case manager will be responsible for aligning workflows, assisting with pre-operative risk assessment, and documentation to ensure financial, compliance, and operational optimization.
Supervises the Following Positions
Positions: N/A
Physical Requirements
<ul><li>The ability to perform the duties and responsibility of the position, with or without reasonable accommodations for disabilities.
</li><li>The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50)</li>
<li>Sufficient strength, mobility and stamina to make frequent location and position changes, assist with patient care, and perform other physical activities of average difficulty.
</li><li>Candidates whose disabilities make them unable to meet the requirements will still be considered fully qualified if they can perform the essential functions of the job with reasonable accommodations.</li>
<li>May be exposed to infectious or contagious disease.</li>
<li>May have to handle emergency situations.</li>
<li>May be subject to irregular hours.</li>
<li>May be required to wear protective equipment such as eye protection, face protection, masks, sterile/nonsterile gloves, isolation gowns.</li>
<li>May be exposed to toxic/caustic/chemicals/detergents.
</li><li>Physical activities include continuous sitting, and occasional walking, standing, bending, squatting, climbing, kneeling and twisting.</li>
<li>Activity Conditions (Occasionally, Frequently, Continuously):
<ul><li>Sitting- Continuously</li>
<li>Walking- Frequently</li>
<li>Standing- Frequently</li>
<li>Bending-Frequently</li>
<li>Squatting- Frequently</li>
<li>Climbing-Occasionally</li>
<li>Kneeling-Occasionally</li>
<li>Twisting-Occasionally</li> 
</ul></li></ul>Visual and Hearing Requirements
<ul><li>Must be able to see with corrective eye wear.</li>
<li>Must be able to hear clearly with assistance</li>
</ul>
Working Conditions
Primarily Works in a well-lighted and air-conditioned environment with period of heavy workload and stress. Works in various conditions.
Performance: Essential Functions
Decision Making: Ability to make decisions and takes appropriate action based on the information they have. Recognizes own limitations and consults with the supervisor, manager, or team member when appropriate.
Time Management: Works efficiently and manages duties to ensure that tasks are completed with accuracy and within the scheduled shift or reasonable amount of time.
Quality &amp; Quantity: Demonstrates accurate, knowledge and skill to carry out job duties. Follows departmental work policies and procedures. Speed and consistency of output, and time utilization of job duties.
Computer Knowledge &amp; Electronic Equipment Use: Demonstrates ability to consistently utilize electronic equipment and online computer programs to perform job duties, including electronic documentation, and order entry.
Resource Utilization: Consistently utilizes and maintains supplies and equipment to minimize lost charges and unnecessary equipment repair-replacement.
Confidentiality: Adheres to established policies on privacy and security requirements for compliance with the Health Insurance Portability and Accountability Act (HIPAA), as applicable by Shannon Policy.
Performance: Position Specific Essential Functions
<ul><li>Onsite clinical collaboration working directly with the healthcare team to attend meetings, provide education, and discuss specific cases.
</li><li>Collecting patient information related to diagnosis and care by conducting chart reviews.
</li><li>Assessing documentation validity via utilization review, analytic software, and critical thinking skills to: modify risk by developing recommendations for risk reduction such as patient safety indicators; improve the clinical depiction of the patient leading to better quality outcomes in surgical settings; contribute to hospital efficiency, cost savings, and appropriate use of resources; provide data for performance metrics and quality initiatives.
</li><li>Identifying and communicating documentation or risk assessment opportunity with providers (for needed documentation support, ambiguity, or conflict).</li>
<li>Meeting productivity requirements established in department standards.
</li><li>Collaborating with physicians, nurses, and other clinical staff to clarify documentation, address gaps, identify opportunities for improvement in the documentation process, and provide education on best practices for accurate and compliant record keeping.
</li><li>Upholding the integrity of the hospital medical record by complying with organizational, legal, ethical, and regulatory requirements.
</li><li>Manage patient cases from admission through discharge by ensuring that necessary documentation supports the care plan and subsequent billing.
</li><li>Providing superior customer service to customers and coworkers with professional conduct and respectful behavior.
</li><li>Strong interpersonal skills that allow for effective communication with different levels of hospital personnel</li>
<li>Solid verbal and written communication skills required.
</li><li>Organization, prioritization, critical thinking, and attention to detail are needed.
</li><li>Basic computer and office equipment knowledge; Electronic Medical Record training provided.</li>
<li>Prior knowledge of medical and pharmacology terminology required.</li>
<li>Performs other duties as assigned.</li>
</ul>
Qualifications
Education
<ul><li>Required
<ul><li>High School Diploma</li>
<li>Associate's degree in nursing</li>
</ul></li><li>Preferred
<ul><li>Bachelor's degree in nursing</li>
</ul></li></ul>Experience:
<ul><li>Required
<ul><li>Five years of experience in acute care/hospital setting</li>
</ul></li><li>Preferred
<ul><li>One year of experience in clinical documentation improvement, utilization review, and/or acute care case management</li>
</ul></li></ul>Certification/Licensure:
<ul><li>Required
<ul><li>Registered Nurse (RN) with Authorization to Practice in the State in Texas</li>
</ul></li><li>Preferred
<ul><li>CCM/ACM or relevant clinical documentation certification</li>
</ul></li></ul></div> 
Location: Shannon Health &middot; CASE MANAGEMENT 
Schedule: Full Time, Days, M-F</div>

Peri-Operative Case Manager

Libertana Home Health

<div>Job Description
Position: ICMS Case Manager
Pay Range: $24.00-$27.00 PER HR
Reporting To: ICMS Program Manager
Work Type: On-site 

POSITION SUMMARY:
This position will deliver intensive case management services to assist clients in achieving the highest level of independence, mental, physical, and emotional well-being. Permanent supportive housing provides services with a whatever it takes for as long as it takes attitude. Participation in services is voluntary; however, staff are responsible for finding ways to engage the most service-resistant tenants. The Case Manager will work collaboratively with the Site Manager, Clinical Supervisor, Director of Services, Mental Health Providers, and Property Manager, to mitigate tenant problems and proactively address issues that put tenants at-risk of eviction.
QUALIFICATIONS:
<div><ul><li>Bachelor&rsquo;s degree in social work or Mental Health related field preferred.</li></ul>
<ul><li>Minimum one year experience with the homeless population. Or a minimum of two years of experience providing direct mental health or intensive case management services to homeless/chronically homeless individuals.</li></ul>
<ul><li>Experience working with clients with mental illness, chronic health issues, and substance use disorders.</li></ul>
<ul><li>Expertise in the following areas: chronically homeless individuals, outreach and engagement strategies, intensive case management services, best practice models, mental health and substance use disorder services, crisis intervention, suicide assessment and prevention, affordable housing and public benefits applications, housing and landlord/tenant rights, eviction prevention, etc.</li></ul>
<ul><li>Proficient knowledge of managed care organizations, Medicare, and Medi-Cal</li></ul>
<ul><li>Excellent interpersonal skills and sensitivity to working with culturally diverse populations.</li></ul>
<ul><li>Well-organized and able to comply with documentation and reporting requirements.</li></ul>
<ul><li>Ability to maintain professional boundaries with clients and effectively manage time.</li></ul>
<ul><li>Current CPR certification.</li></ul></div> 

ESSENTIAL DUTIES AND RESPONSIBILITIES:
The following is a representation of the major duties and responsibilities of this position. The agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions 

<div><ul><li>Outreach and engagement</li></ul>
<ul><li>Intake, assessment, and individualized service plans</li></ul>
<ul><li>Assistance with rental subsidy and lease applications, housing location, and eviction prevention</li></ul>
<ul><li>Ongoing onsite case management</li></ul>
<ul><li>Linkages to health, mental health, and substance use disorder services</li></ul>
<ul><li>Assistance with benefits establishment</li></ul>
<ul><li>Transportation</li></ul>
<ul><li>Assistance with life skills and community participation, volunteer and educational opportunities, and employment</li></ul>
<ul><li>Conforms to all agency policies and procedures.
</li></ul><ul><li>Maintains/conserves confidentiality of patient and agency information always with HIPAA regulations.
</li></ul><ul><li>Regularly attend and participates in scheduled case conferences, staff meetings and agency in-services.
</li></ul><ul><li>Follows policies and procedures as per Employee Handbook.
</li></ul><ul><li>Maintains all required credentials up to date.
</li></ul><ul><li>Reports Fraud and Abuse.
</li></ul><ul><li>Knowledge of mandated reporting.
</li></ul><ul><li>Conducts timely recording and/or documentation of client contact.
</li></ul><ul><li>Attend Department meetings (in person, by phone or on the web).
</li></ul><ul><li>Performs other duties as assigned.</li></ul> 
</div>
PHYSICAL REQUIREMENTS:
<ul><li>Stand, sit, talk, hear, and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis up to 20% of the time.
</li><li>Reach, stoop, kneel and bend up to 15% of the time</li>
<li>Moderate amount of walking up to 15% of the time.</li>
<li>Moderate amount of driving up to 50% of the time.</li>
<li>Close vision requirements due to computer work on a frequent basis</li>
<li>Light to moderate lifting may be required up to 25lbs on a frequent basis.
</li><li>Pushing and pulling up to 25lbs.</li></ul></div>

ICMS Case Manager

Search 10000+ Patient case manager jobs near you this March. New roles added regularly across leading industries. Apply today.