telephonic case manager

Enlyte

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

Telephonic Case Manager

DAVIES

<div><h3 class="jobSectionHeader"><b>Description</b></h3><div><b><br>
Our Story</b></div><div>
Imagine being part of a team that&rsquo;s not just shaping the future but actively driving it. At <b>Davies North America</b>, we&rsquo;re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.</div><div>
<br>
Davies North America is seeking a <b>Triage Telephonic Case Manager (RN)</b> to join our medical management team. In this role, you will provide clinical triage and telephonic case management at the initial report of a Workers&rsquo; Compensation claim, ensuring injured employees receive appropriate and timely medical care while supporting early return-to-work outcomes.<br>
</div><div>This position requires strong clinical assessment skills, independent decision-making, and excellent communication to coordinate care between injured workers, employers, healthcare providers, and claims professionals.</div><br>
<h3 class="jobSectionHeader"><b>
Key Responsibilities</b></h3><br>
<ul>
<li>
Conduct initial triage and telephonic case management at the outset of Workers&rsquo; Compensation claims.</li>
<li>Perform clinical assessments of injured workers to determine appropriate medical care and treatment pathways.</li>
<li>Complete initial assessment and required three-point contact in accordance with State of Florida procedures and emergency protocols.</li>
<li>Develop an initial case management care plan based on clinical findings and information obtained from the injured worker, employer, and medical provider.</li>
<li>Identify potential causation concerns or barriers to recovery and document findings appropriately.</li>
<li>Facilitate communication between injured workers, employers, claims professionals, healthcare providers, and rehabilitation specialists.</li>
<li>Monitor treatment plans to ensure adherence to state-mandated treatment guidelines and evidence-based medical protocols.</li>
<li>Address initial return-to-work capabilities with injured workers and providers, documenting updates in the case management system.</li>
<li>Maintain accurate and timely documentation of all contacts, interviews, and medical information in the claims management system.</li>
<li>Identify opportunities for cost-effective medical management and appropriate utilization of services.</li>
<li>Educate injured workers and their families about recovery expectations and care plans.</li>
<li>Maintain strict patient confidentiality and compliance with state and federal healthcare regulations.</li>
<li>Serve as a patient advocate, ensuring quality care and adherence to ethical and regulatory standards.</li>
<li>Participate in quality assurance initiatives, committees, and department activities as required.</li>
<li>Assist with training claims staff on identifying medical case management opportunities, as needed.</li></ul><br>
<h3 class="jobSectionHeader"><b>
Skills, knowledge &amp; expertise</b></h3><br>
<ul>
<li>
Registered Nurse (RN) with an active and unrestricted state license</li>
<li>Minimum of 3 years of clinical nursing experience (medical-surgical, orthopedic, neurological, ICU/CCU, occupational health, or related specialty).</li>
<li>Workers&rsquo; Compensation case management experience preferred.</li>
<li>Prior telephonic case management or triage experience preferred.</li>
<li>Strong understanding of clinical documentation and patient advocacy principles.</li>
<li>Strong clinical assessment and triage skills in a Workers&rsquo; Compensation or occupational health environment.</li>
<li>Knowledge of Workers&rsquo; Compensation medical case management practices and treatment guidelines.</li>
<li>Ability to identify barriers to recovery and develop appropriate care strategies.</li>
<li>Excellent verbal and written communication skills, with the ability to work collaboratively with multiple stakeholders.</li>
<li>Strong organizational and documentation skills with attention to detail.</li>
<li>Ability to work independently and manage multiple priorities in a fast-paced environment.</li>
<li>Proficiency with computer systems, case management software, and Microsoft Office applications.</li>
<li>Commitment to high-quality patient care, confidentiality, and regulatory compliance.</li></ul><br>
<h3 class="jobSectionHeader"><b>
Benefits</b></h3><div><b><br>
Benefits</b></div><div>
At Davies North America, we are dedicated to supporting the well-being and future of our qualifying employees. Our comprehensive benefits package includes:</div><ul>
<li>Medical, dental, and vision plans to ensure your health and that of your family.</li>
<li>A 401k plan with employer matching to help you build a secure financial future.</li>
<li>Our time-off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment.</li>
<li>Paid holidays.</li>
<li>Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones.</li>
</ul><div></div><div>
<b>Massachusetts Notice</b><br>
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.<br>
</div><div><b>Diversity and Inclusion</b></div><div>
Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard.<br>
<br>
<b>Compensation Transparency:</b>
<br>
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
<br>
<br>
<i>We do not use sites like Facebook, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal, please email us at </i><i>recruitment@davies-group.com</i></div><br>
<h3 class="jobSectionHeader"><b>
About Davies</b></h3><div>
We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses.<br>
<br>
We help our clients to manage risk, operate their core business processes, transform and grow. We deliver professional services and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation &amp; risk, customer experience, human capital, digital transformation &amp; change management.<br>
<br>
Our global team of more than 8,000 professionals operate across ten countries, including the UK &amp; the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research &amp; development, innovation &amp; automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.</div></div>

Triage Telephonic Nurse Case Manager

Axiom Medical

<div><p><b>Duties:
</b><br>
The Intake Nurse Case Manager (&ldquo;NCM&rdquo;) is an integral member of Axiom&rsquo;s Nursing Department (&ldquo;Nursing&rdquo;). The NCM is primarily responsible for performing telephonic medical case management for work-related and non-work-related injuries and illnesses. The NCM will be accountable for providing first aid recommendations to injured employees, keeping detailed records on employee injuries and communications in Axiom&rsquo;s database, and properly communicating any pertinent/necessary information with Axiom&rsquo;s clients. It is the responsibility of the NCM to maintain their home state RN/BSN license and obtain/maintain additional licenses as requested by management. This role is expected to uphold Axiom&rsquo;s dedication to providing the highest quality of service, care, and expertise. Additionally, the NCM will have other duties and responsibilities as determined from time to time by the Nurse Case Manager Team Manager.<br>
<br>
<b><i>Essential Functions:
</i></b><br>
The essential functions of the NCM are to:</p><ul><li>
Perform and document telephonic medical case management according to Axiom's Best Practice Guidelines and Nursing Directives.</li><li>
Uphold Axiom&rsquo;s dedication to maintaining excellent client service and relationships by providing the highest quality of service, care, and expertise.</li><li>
Educate injured workers, safety representatives, and supervisors on Axiom&rsquo;s style of case management, as needed</li><li>
Transfer cases to the Outcome Team according to Axiom procedures</li><li>
Adhere to current OSHA Guidelines and Case Management Procedures</li><li>
Adhere to current state specific Worker's Compensation Guidelines</li><li>
Participate in departmental meetings and in-services</li></ul><br>
<b>
Qualifications:</b><br>
The successful candidate should have an active RN or BSN license in good standing plus a minimum of 5 years demonstrated experience with a focus on ER, acute injury, triage management or related fields. Previous nurse case management or telephonic case management is preferred.<br>
<br>
<b>Physical Requirements:</b><ul><li>
Regularly required to, stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone keyboard reach,
</li><li>Specific vision abilities required by this job include close vision requirements due to computer work,</li><li>
Light to moderate lifting is required,</li><li>
Ability to uphold the stress of traveling,</li><li>
This is a remote position. Regular, predictable attendance is required.</li></ul><p>
</p><p>8nzWrnIRcG</p></div>

ER Experienced - Nurse Case Manager

Fresenius Medical Care

<div></div><div><div><p>PURPOSE AND SCOPE:</p><p>
Supports all programs within the Value Based Quality Case Management Department and their specificprogram missions, visions, and customerservice philosophy. The Case Manager will promoteand support the use of Continuous Quality Improvement (CQI) principles, methods, and tools to improve processes within the department and the organization, and provide guidance,and education in collaboration with the VBQ leadership team and other internal departments to enhance operational processesand case management program outcomes and reduce company risk.</p><p></p><p>
PRINCIPALDUTIES AND RESPONSIBILITIES:</p><ul><li><p>
Responsible for telephonic Case Management to promote optimal patient outcomes related Vascular Access, Hospitalizations, Dialysis Adequacy and other ad hoc quality measures.</p></li><li><p>
Promotes the provision of quality patient care and optimal customer support for the patient population through routine effective infection, lab, missed treatment, UFR and post weight surveillance, medication reconciliation, and telephonic case management skills to ensure achievement of timely intervention and high quality service outcomes for assigned patients.</p></li><li><p>
Promotes the provision of quality patient care through immediate medication reconciliation and chart review post hospitalization to assure timely intervention and high quality outcomes for assigned patients.</p></li><li><p>
Assures effective collaboration, communication and coordination with FKC Quality teams regarding specific action plans for assigned patients not achieving an eKt/V of 1.2.</p></li><li><p>
Effectively communicate, collaborate and coordinate with Vascular Access Case Manager to assure high quality outcomes for assigned patients.</p></li><li><p>
Utilizes effective telephonic case management skills to maximize patient engagement and compliance.</p></li><li><p>
Implements payor specific quality goals and action plans, in order to achieve standards</p></li><li><p>
Ensures the use of data, benchmarking, and graphical representations in performance improvement activities. Analyzes, manages, and reports data as needed to identify improvement opportunities and measure the progress of improvement projects. Promotes and facilitates the implementation and integration of quality improvement activities within Value Based Quality department.</p></li><li><p>
Promotes utilization of CQI principles to increase customer and staff satisfaction, and provide overall improved organizational performance.</p></li><li><p>
Demonstrates a strong communication process with Clinical Managers, Hospitals, Physicians, direct patient care staff, and all support staff at the facility.</p></li><li><p>
Promotes the use of effective demonstrated practices and collaboration throughout all case management programs sharing processes, procedures, and formulas for success. Mentors and assists other case managers in identifying effective practices applicable to their needs, in testing for desired results, and the adoption and implementation of these practices.</p></li><li><p>
Collaborates with the VP of Value Based Quality Programs to:</p><ul><li><p>
Set and achieve improved departmental processes, practices, and operational outcomes.</p></li><li><p>
Identify risk areas and opportunities for improvement, and</p></li><li><p>
Assist with root cause analyses.</p></li></ul></li><li><p>
Supports quality improvement program goals directed at improvements in patient health status outcomes, policy and procedures, and established business strategies.</p></li><li><p>
Maintains and utilizes current knowledge regarding industry best practices and CMS mandates to evaluate, identify, and recommend systems and practices that would enhance and improve department processes and outcomes.</p></li><li><p>
Assures adherence to all HIPAA regulatory requirements, including, but not limited to telephonic conversations.</p></li><li><p>
Promotes, advances, and assists with implementation of FMS clinical, educational and quality initiatives as they relate to the case management department.</p></li><li><p>
Educates and advances the use of quality improvement tools to ensure adherence to CQI activities.</p></li><li><p>
Other duties as assigned.</p></li></ul><p>
Additional responsibilities may includefocus on one or more departments or locations. See applicable addendum for department or locationspecific functions.</p><p></p><p>
PHYSICAL DEMANDS AND WORKINGCONDITIONS:</p><ul><li><p>
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p><ul><li><p>
The demands include but are not limited to being able to sit at a desk for several hours a day, which includes telephonic work and/or attending required meetings. Day-to-day work includes desk and personal computer work.</p></li></ul></li><li><p>
Some travel is required.
</p></li></ul><p>EDUCATION:</p><ul><li><p>
BSN required with active unrestricted nursing licensure in practicing state - with the ability to obtain licensure in multiple states.</p></li></ul><p>
EXPERIENCEAND REQUIRED SKILLS:</p><ul><li><p>
2 - 5 years' of Clinical Nephrology Nursing; or equivalent directly related work experience.</p></li><li><p>
1 year of case management experience required.</p></li><li><p>
Certification in case management required.</p></li><li><p>
Excellent verbal and written communication skills.</p></li><li><p>
Excellent skills in customer service, relationship development, results orientation, team building, motivating employees, and decision-making.</p></li><li><p>
Working knowledge of CQI (Continuous quality improvement) principles.</p></li><li><p>
Must have working knowledge of the reimbursement and insurance verification process.</p></li><li><p>
A fundamental knowledge of managed care a plus.</p></li><li><p>
Must complete the required compliance and FMCNA orientation and training modules and attend ongoing training and development programs within the specified time line.</p></li><li><p>
Good organizational skills with ability to prioritize appropriately.</p></li><li><p>
Computer proficiencies: Microsoft Excel and/or Access, PowerPoint, Word, Lotus Notes, or other e-mail provider.</p></li><li><p>
Demonstrated skills in diversity management and performance management.</p></li></ul><p></p><p>
The rate of pay for this position will depend on the successful candidate&rsquo;s work location and qualifications, including relevant education, work experience, skills, and competencies.<br>
<br>
Rate: $XX - $XX<br>
<br>
Non-Bonus Eligible Positions: include language below.<br>
<br>
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.<br>
<br>
Bonus Eligible Positions &ndash; include language below.<br>
<br>
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance</p><p></p><p><b>
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</b></p></div><p><b>
EOE, disability/veterans</b></p></div>

Case Manager VBQP

<div></div><div><div><p><b>PURPOSE AND SCOPE:</b></p><p>
Manages a team that promotes quality patient care, ongoing patient support and case management for Fresenius Medical Care (FMCNA) renal patient population (internal and external) through staff with the provision of guidance, subject matter expertise, training and support to assigned telephonic staff. Collaborates with clinical staff to assist the patient in making informed decisions, regarding dialysis and insurance issues.</p><p></p><p><b>
PRINCIPAL DUTIES AND RESPONSIBILITIES:</b></p><ul><li>
Provides oversight to the daily operations of assigned team, including but not limited to, establishing mutual goals, maintaining schedules, checking work at frequent intervals and assigning tasks and duties to improve and promote teamwork for overall department and individual growth.</li><li>
Provides subject matter expertise, leadership, support and guidance to assigned staff regarding procedures, issues and problems, ensuring appropriate application and resolution.
</li><li>Leverages team to identify, analyze, plan, organize and develop new workflow processes and/or modifies existing processes as appropriate to meet the program requirements, improve quality of care, reduce health care costs, and enhance / support the patient&rsquo;s health care or insurance needs.
</li><li>Provides strategic guidance with development of outcome and productivity reports and prepares other pertinent statistical reports noting trends and issues.
</li><li>Acts as a liaison for clinical stakeholders to address and resolve patient concerns or issues.
</li><li>Oversees caseload assignments based on patient /clinic volume and licensure requirements. Ensures team meetings compliance with state RN licenses to meet business needs.
</li><li>Utilizes evidenced based and best demonstrated practices to address barriers to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders, clinical pathways and clinical policies and procedures to improve care coordination and delivery.</li><li>
Responsible for offering staff education and development opportunities in partnership with the case management leadership, facilitates meetings and hosts staff meetings.</li><li>
Creates and provides presentations to clinical and case management staff, as appropriate.</li><li>
May be assigned a patient load depending on volume and need.
</li><li>Performs other related duties as assigned.</li></ul><p></p><p><b>
PHYSICAL DEMANDS AND WORKING CONDITIONS</b><b>:</b></p><ul><li>
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>
This job operates in an office setting. While performing the duties of this job, the employee is regularly required to talk and hear. This role routinely and frequently uses a desk and standard office equipment such as computers, phones, and photocopiers with repetitive motion.</li><li>
This position requires approximately 0% to 10% travel.</li></ul></li></ul><p><b>
SUPERVISION:</b></p><ul><li>
Responsible for the direct supervision of various levels of telephonic staff.</li></ul><p></p><p><b>
EDUCATION AND REQUIRED CREDENTIALS</b><b>:</b></p><ul><li>
Bachelor&rsquo;s Degree; Advanced Degree desirable or an equivalent combination of education and experience</li><li>
BSN required with active unrestricted nursing licensure in practicing state &ndash; with the ability to obtain licensure in multiple states.</li><li>
Certified Case Manager (CCM) required.</li><li>
Certification in nephrology specialty (CNN, CDN) a plus.</li></ul><p></p><p><b>
EXPERIENCE AND SKILLS</b><b>:
</b></p><ul><li>8 &ndash; 10 years&rsquo; related experience or an equivalent combination of education and experience.</li><li>
3+ years&rsquo; experience as a Manager preferred.</li><li>
Demonstrated ability to manage one or more departments.
</li><li>Must exhibit management/leadership skills and be able to work with and influence staff in the clinics.</li><li>
Must have knowledge of teaching-learning process, principles, and methods of adult education.</li><li>
Must be self-motivated and able to plan a diversity of activities and work independently.</li><li>
Ability to function as a part of an integrated team.
</li><li>Ability to follow oral and written communication and communicate information to individuals or groups with varying levels of education.</li><li>
Excellent communication, verbal and written, and customer service skills.
</li><li>Organized and detail oriented.</li><li>
Must exhibit practical computer skills such as e-mail, Word documents, and basic Excel spreadsheet skills. PowerPoint skills are preferred. Must be able to type proficiently.</li></ul><p></p><p>
The rate of pay for this position will depend on the successful candidate&rsquo;s work location and qualifications, including relevant education, work experience, skills, and competencies.<br>
<br>
Rate: $XX - $XX<br>
<br>
Non-Bonus Eligible Positions: include language below.<br>
<br>
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.<br>
<br>
Bonus Eligible Positions &ndash; include language below.<br>
<br>
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance</p><p></p><p><b>
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</b></p></div><p><b>
EOE, disability/veterans</b></p></div>

Sr Manager Telephonic Case Management

CorVel Corporation

<div><p>The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient&rsquo;s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel.</p>
<p>
This is a remote role.</p>
<p><b>
ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:</b></p>
<ul>
<li>Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source</li>
<li>Provide assessment, planning, implementation, and evaluation of patient's progress</li>
<li>Evaluate patient's treatment plan for appropriateness, medical necessity, and cost effectiveness</li>
<li>Utilize medical and nursing knowledge to discuss the current treatment plan/alternate treatment plans with the physician</li>
<li>Make medical recommendations of available treatment plans to the payer</li>
<li>Implement care such as negotiating and coordinating the delivery of durable medical equipment and nursing services</li>
<li>Devise cost-effective strategies for medical care</li>
<li>Required to prepare organized reports within a specified timeframe</li>
<li>Minimum Productivity Standard is 95% per month</li>
<li>Additional duties as assigned</li></ul><br>
<p></p>
<p><b>
KNOWLEDGE &amp; SKILLS:</b></p>
<ul>
<li>Ability to make independent medical decisions and recommendations to all parties</li>
</ul><ul><li>Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment</li>
<li>Ability to interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkers</li>
<li>Excellent written and verbal communication skills</li>
<li>Ability to meet designated deadlines</li>
<li>Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management, and organizational skills</li>
<li>Ability to work both independently and within a team environment</li></ul><br>
<p></p>
<p><b>
EDUCATION &amp; EXPERIENCE:</b></p>
<ul>
<li>Bachelor&rsquo;s degree required, BSN preferred</li>
<li>Graduate of accredited school of nursing</li>
<li>Current RN Licensure in state of operation</li>
<li>3 or more years of recent clinical experience, preferably in rehabilitation</li>
<li>URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire</li>
<li>Strong clinical background in orthopedics, neurology, or rehabilitation preferred</li>
<li>Strong cost containment background, such as utilization review or managed care helpful</li>
<li>Certification as a CIRS or CCM preferred</li></ul><br>
<p></p>
<p><b>
PAY RANGE:</b></p>
<p>
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.</p>
<p>
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.</p>
<p>
Pay Range: $66,941 - $101,258</p>
<p>
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management</p>
<p>
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.</p><br>
<p></p>
<p><b>
ABOUT CORVEL:</b></p>
<p>
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!).</p>
<p>
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.</p>
<p><b>
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.</b></p>
<p>
#LI-Remote</p></div>

Telephonic Case MGR II

The Mental Health Center of Western Maryland, Inc.

<p><b>MOBILE TREATMENT CASE MANAGER:</b></p><p><b>POSITION SUMMARY:</b>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.</p><p><b>DUTIES AND RESPONSIBILITIES:</b></p><p>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.</p><p>2. Provides case management services for a caseload of eight to 15 patients.</p><p>3. Observe the behavior and physical condition of patient&rsquo;s to assess mental health status.</p><p>4. Will manage and maintain medical records of assigned Mobile Treatment cases while participating on Medical Record Review team.</p><p>5. Provides crisis management, family supportive interventions and case management services.</p><p>6. Participate in 24-hour emergency coverage rotation and provide crisis intervention services.</p><p>7. Provides liaison services for patients with various community agencies.</p><p>8. Functions as part of a treatment team to serve and meet the needs of patients.</p><p>9. Participates in the development and implementation of patient treatment and recovery goals.</p><p>10. Documents all clinical activities in accordance with agency requirements.</p><p>11. Works schedule according to needs of agency.</p><p>12. Attends committee meetings as assigned.</p><p>13. Participates in ongoing clinical supervision according to agency policy.</p><p>14. Performs other duties as necessary.</p><p>Pay: From $20.00 per hour</p><p>Benefits:</p><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><p>Work Location: In person</p>

Mobile Treatment Case Manager

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