Outpatient Case Manager, Rn - Remote | Wfh
By Get It Recruit - Healthcare At Montebello, CA, United States

We are a dynamic healthcare organization dedicated to providing compassionate and comprehensive care to our patients. We are currently seeking a Nurse Case Manager to join our team. Overview Job ...

Rn Case Manager - Remote | Wfh
By Get.It Recruit - Administrative At San Antonio, TX, United States

Are you a dedicated Registered Nurse with a passion for patient care and case management? We have an exciting opportunity for a Remote RN Case Manager in the vibrant city of San Antonio, Texas. Join ...

Case Manager, Camba's Health Link Program - Remote | Wfh
By Get It Recruit - Transportation At New York, NY, United States

Are you passionate about making a positive impact on people's lives? Do you want to be part of a supportive and inclusive community that uplifts and empowers individuals and families? If so, we have ...

Case Management Assistant (Cma)(Remote) ($19.08 - $29.04 / Hour)
By Talentify.io At United States
Maintain up-to-date list of contractual requirements and contact information for payers, distributing new information to care management staff and leaders
Perform various clerical tasks to support care management services, such as preparing reports, scheduling appointments, and distributing requests
Comprehensive benefits package that covers a wide range of programs to support your overall well-being
Competitive compensation and hourly rate based on experience
Communicate utilization review needs, days authorized, denials, and other payer communication to care managers and physician advisors
1 year of experience working in a clinical healthcare setting
Telephonic Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Chappells, SC, United States

Compassionate Care Coordination: Utilize your exceptional clinical expertise and superb organizational skills to assess patient needs, develop comprehensive care plans, and coordinate all aspects of ...

Telephonic Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Cayce, SC, United States

As a Remote RN Case Management Specialist, you'll play an integral role in orchestrating and advocating for the comprehensive care needs of patients. By delivering outstanding medical services, ...

Case Management Assistant (Cma)(Remote)
By Intermountain Health At Las Vegas, NV, United States
Requests and retrieves medical records from the Health Information Management for retrospective utilization or quality assurance review.
Promptly communicates utilization review needs, days authorized, denials, and other communication from the payers to care managers and physician advisors.
Collaborates with the revenue cycle staff and others to research payment sources.
Supports advanced care planning by delivering advance directive information and notarizes documents upon request.
Consistently documents all communication, actions, and information.
Promptly reports issues and concerns to the departmental chain-of-command.
Rn Case Manager - Healthy First Steps Program - Remote - Fl
By UnitedHealthcare At , Gainesville, 32602
Providing patient education to assist with self-management
Case Management, Utilization Review, discharge planning or other managed care experience
Proven solid organizational skills and multitasking abilities
3+ years of experience in a hospital setting, acute care, direct care experience (OB and / or Maternity)
Proficient level of experience with Microsoft Office including Word, Excel and Outlook, with the ability to navigate a Windows environment.
Proven solid critical thinking skills
Case Manager - Entry Level - Remote | Wfh
By Get It Recruit - Healthcare At Miami, FL, United States

Join our team as a Long-Term Care Coordinator and make a positive impact on the lives of healthcare members with long-term care needs. We are seeking a dedicated professional who thrives on helping ...

Case Manager Supervisor - Remote | Wfh
By Get It Recruit - Healthcare At Ann Arbor, MI, United States

This position offers on-site opportunities. At this time, remote work options are not available for this role due to the specific requirements of the job. Qualifications Education: A Master’s ...

Manager, Hospital Case Management Performance Improvement - Remote
By Optum At , Eden Prairie, 55346
Communicate clear direction and delegate responsibilities to team members when needed, providing management and coaching
5+ years of experience in management consulting and hospital operations and/or project management in Hospital Case Management Audit & Compliance
Experience with Hospital Case Management and Utilization Management
Team Lead and/or Management experience
Experience with data management tools and/or BI tools (e.g., Tableau, MicroStrategy)
Proven to have excellent time management, organizational, and prioritization skills
Telephonic Case Manager Rn - Arizona - Remote
By Optum At , Phoenix, 85040
Provide patient education to assist with self-management
Experience in utilization review, concurrent review and/or risk management
Certified Case Manager (CCM) or the ability to obtain certification within 18 months of employment
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Identify gaps or barriers in treatment plans
Interact with Medical Directors on challenging cases
Patient Services Case Manager - Field/Remote
By Glaukos Corporation At , Aliso Viejo $54,200 - $78,500 a year

Base Salary Range: $54,200 - $78,500

Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Fort Lauderdale, FL, United States

We're seeking a dynamic and experienced Case Manager to join our passionate team. As a Case Manager, you'll embark on a rewarding journey where you'll play a pivotal role in managing all aspects of ...

Case Coordinator (Remote) Jobs
By Equitable At , Charlotte, Nc $45,000 - $66,000 a year
Effectively manage personal caseload to resolve errors/omissions within departmental guidelines
Professionally manage incoming inquiries from agents, brokers and internal sources concerning financial and insurance products
This role is 100% Remote
Requirements to include, but not limited to:
Equitable Pay and Benefits: Equitable Total Rewards Program
Handle both work items, outbound and inbound telephone calls, faxes, and emails to/from Financial Professionals
Case Manager \ Health Coach (Remote)
By SPECTRAFORCE At North Carolina, United States
Utilization and Quality Management/Outcomes experience preferred.
Prior experience in case management, home health, discharge planning, or concurrent review is preferred.
Previous work experience with a managed care organization or provider is preferred.
For Commercial Care Management: Multi-State Licensure preferred
Certified Case Manager (CCM) or Certified Health Coach (CHC) certification is preferred at time of hire.
Assessment: Perform a comprehensive assessment of the member’s health status, educational, and level of support needs.
High School Case Manager - Remote | Wfh
By Get It Recruit - Educational Services At Omaha, NE, United States

Are you ready to make a difference in the lives of Omaha's youth and inspire them to achieve lifelong success? We are seeking a service-driven individual like you to join our dynamic team. We are on a ...

Medical Assistant (Case Management - Remote) ($18.00 - $20.00 / Hour)
By Talentify.io At United States
Experience with electronic health records (EHR) and basic computer skills
Access to specialized experts in engineering and science
Opportunities for professional growth and development
Collaboration with visionary companies on innovative initiatives
A culture that values diversity, equity, and inclusion
A global network of clients and consultants
Case Manager - Healthy Family America (Hfa) - Remote | Wfh
By Get It Recruit - Healthcare At Colmar, PA, United States

Are you passionate about making a positive impact on the lives of pregnant women and parenting families with young children? Do you believe in providing compassionate, client-centered services that ...

Case Manager (Remote) Jobs
By Trustmark At United States
Case Management or Utilization Management experience preferred.
Excellent time management, interpersonal, communication, documentation and customer service skills
Identifies potential candidates for individual case management services and executes the screening and case management process.
Supports utilization management decisions with nationally recognized medical management criteria.
Provides individual client focused reports accentuating Case Management activity and outcome.
Facilitates the flow of claims through the Healthcare Management Department.

Are you looking for a rewarding career as a Remote Case Manager? We are looking for an experienced professional to join our team and provide case management services to our clients. You will be responsible for assessing, planning, implementing, coordinating, monitoring, and evaluating services to meet the needs of our clients. You will also be responsible for developing and maintaining relationships with clients, families, and other stakeholders. If you are passionate about helping others and have the necessary skills, this could be the perfect job for you!

Overview A Remote Case Manager is a professional who works remotely to provide case management services to clients. They are responsible for assessing, planning, implementing, coordinating, monitoring, and evaluating services for clients in order to ensure that their needs are met. They also provide support and guidance to clients and their families. Detailed Job Description A Remote Case Manager is responsible for providing case management services to clients. They must assess the client’s needs and develop a plan of care that meets those needs. They must coordinate services with other providers, monitor the client’s progress, and evaluate the effectiveness of the services provided. They must also provide support and guidance to the client and their family. They must be able to work independently and be able to communicate effectively with clients and other providers. Job Skills Required
• Excellent communication and interpersonal skills
• Ability to work independently
• Ability to assess and develop plans of care
• Ability to coordinate services with other providers
• Ability to monitor and evaluate services
• Knowledge of case management principles and practices
• Knowledge of relevant laws and regulations
• Knowledge of community resources
• Computer literacy
Job Qualifications
• Bachelor’s degree in social work, psychology, or a related field
• Master’s degree in social work, psychology, or a related field preferred
• Licensure or certification in case management preferred
• Previous experience in case management preferred
Job Knowledge
• Knowledge of case management principles and practices
• Knowledge of relevant laws and regulations
• Knowledge of community resources
• Knowledge of assessment and planning techniques
Job Experience
• Previous experience in case management preferred
Job Responsibilities
• Assess client needs and develop a plan of care
• Coordinate services with other providers
• Monitor client progress and evaluate services
• Provide support and guidance to clients and their families
• Maintain client records and documentation
• Communicate effectively with clients and other providers
• Ensure compliance with relevant laws and regulations