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Behavioral health case manager • palm bay fl

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Telephonic Medical Case Manager

Telephonic Medical Case Manager

Crawford & CompanyUS, Florida
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Free CEU’s for licenses and certificates.License and national certification reimbursement.This is a work from home telephonic case management position!. Compact licensure and an advanced Nurse case ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Customer Service Case Manager Melbourne, Florida

Customer Service Case Manager Melbourne, Florida

TTECMelbourne, Florida
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At Percepta, we bring first-class service across each market we support.This will be accomplished by creating relationships based on understanding the customer’s needs, concerns, lifestyle, and pre...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Staff Product Manager, Health Systems

Staff Product Manager, Health Systems

HeadwayPalm Bay, FL, US
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Staff Product Manager, Health Systems.Headway's mission is a big one to build a new mental healthcare system everyone can access. We've built technology that helps people find great therapists with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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RN Clinical Manager Home Health

RN Clinical Manager Home Health

amedisysMelbourne, Florida
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Are you looking for a rewarding career in homecare? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.A full benefits...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
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Health Advisor

Health Advisor

Pompa ProgramPalm Bay, FL, US
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Pompa Program Sales Health Advisor.Are you ready to join a highly motivated and rapidly growing team that is passionate about helping people with their health? Look no further than Pompa Program! H...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
RN Case Manager- Case Management

RN Case Manager- Case Management

Health FirstMelbourne, FL, USA
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The RN Case Manager is fully engaged in providing quality / no harm, customer service and stewardship by utilizing advanced clinical skills in the assessment, planning, intervention and evaluation of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
National Health Information Manager

National Health Information Manager

Calvary HealthcareMelbourne, Florida, USA
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Progress with purpose at one of Australias largest health care providers.Get ahead with salary packaging benefits and professional development in a supportive team environment.Permanent full-time o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Case Manager

Case Manager

Legacy Behavioral Health CenterWest Melbourne, FL, US
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Lucie and Indian River Counties since 2005.We are committed to improving the quality of life and level of performance of emotionally and behaviorally challenged infants, children, adolescents, fami...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
RN Case Manager - Hospice

RN Case Manager - Hospice

LHC GroupPalm Bay, FL, United States
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We are hiring for a Registered Nurse Case Manager.At Mederi Caretender's Hospice, a part of LHC Group.You can find a home for your career here. As a Hospice RN, you can expect : .Take your nursing car...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Registered Behavioral Technician (RBT)

Registered Behavioral Technician (RBT)

DevereuxMelbourne, FL, United States
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Description Unlock Potential : Become a Registered Behavior Technician and Change Lives! If supporting and mentoring children and adolescents is your passion, then you'll enjoy being a Registered ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Case Management Coordinator

Case Management Coordinator

HealthCare SupportMelbourne, FL, United States
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Travel Case Management Coordinator Melbourne, FL.HealthCare Support is actively seeking an.Travel Case Management Coordinator Melbourne, FL. Daily Responsibilities for Travel Case Management Coordin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
RBT Registered Behavioral Technician

RBT Registered Behavioral Technician

Behavioral Intervention for AutismPalm Bay, FL
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Behavioral Intervention for Autism -.Job Type : Part Time / Possibility for Full Time.Join us for a chance to make a meaningful impact while working with a supportive team!. Provide in-home 1 : 1 ABA ser...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Court Support Services Case Manager, Broadmeadows Magistrates Court

Court Support Services Case Manager, Broadmeadows Magistrates Court

Magistrates CourtMelbourne, Northern Metropolitan
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This role provides case management support utilising a client-centred and problem-solving approach to people on bail with a range of complex needs who are participating in the CISP program to engag...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Customer Service Case Manager

Customer Service Case Manager

PerceptaMelbourne, FL, US
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At Percepta, we deliver award-winning services for every stage of the automotive and mobility customer journey.This will be accomplished by creating relationships based on understanding the custome...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Medical Field Case Manager

Medical Field Case Manager

GENEXMelbourne, Florida, US
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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 w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Registered Behavioral Technician

Registered Behavioral Technician

KT-ABA LLCMelbourne, FL, US
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Provide Applied Behavior Analysis (ABA) therapy to clients in a home-based setting.Teach clients with autism and other disabilities. communication, social, and self-help skills in an individual or ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Lead Behavioral Interventionist, Part-time-AMIKids Space Coast

Lead Behavioral Interventionist, Part-time-AMIKids Space Coast

AMIkidsMelbourne, FL, United States
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Description • • • • • •This is a Saturday-only role • • • • • • •.The Lead Behavioral Interventionist is responsible for directing and safely supervising the youth in our care by providing guidance in behavior...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Statutory Accounting Manager, Life and Health

Statutory Accounting Manager, Life and Health

GE AerospaceMelbourne, FL, United States
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This role is for a specialist in technical, statutory Insuranc accounting.ERAC, Employers Reassurance Corporation and a corporate holding of GE Aerospace. We are a reinsurance company supporting the...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
RN Navigator Case Manager - MCC II (Juno Beach, Florida)

RN Navigator Case Manager - MCC II (Juno Beach, Florida)

BlueCross BlueShield of South CarolinaFlorida
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This position is full time (40 hours / week) Monday-Friday.To work from home you must have high-speed (non-satellite) internet and a private home office. Provides active case management, assesses serv...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Telephonic Medical Case Manager

Telephonic Medical Case Manager

Crawford & CompanyUS, Florida
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Position Summary

  • Great Work Life Balance!
  • Monthly Bonus Program!
  • Free CEU’s for licenses and certificates
  • License and national certification reimbursement
  • This is a work from home telephonic case management position!
  • No Travel involved!
  • RN is required!
  • Compact licensure and an advanced Nurse case Management certification (ex : CCM, COHN, CRN) are preferred!

To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients / employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management.

Responsibilities

  • Reviews case records and reports, collects and analyzes data, evaluates injured worker / disabled individual’s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services.
  • Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW.
  • Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention.
  • May perform job site evaluations / summaries to facilitate case management process.
  • Facilitates timely return to work date by establishing a professional working relationship with the injured worker / disabled individual, physician, and employer. Coordinate RTW with injured worker, employer and physicians.
  • Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services. Maintains contact with all parties involved on case, necessary for case management the injured worker / disabled individual.
  • May obtain records from the branch claims office.
  • May review files for claims adjusters and supervisors for appropriate referral for case management services.
  • May meet with employers to review active files.
  • Makes referrals for Peer reviews and IME’s by obtaining and delivering medical records and diagnostic films, notifying injured worker / disabled individual and conferring with physicians.
  • Utilizes clinical expertise and medical resources to interpret medical records and test results and provides assessment accordingly.
  • Meets monthly production requirements and quality assessment (QA) requirements to ensure a quality product.
  • Reviews cases with supervisor monthly to evaluate files and obtain directions.
  • Upholds the Crawford and Company Code of Business Conduct at all times.
  • Demonstrates excellent customer service, and respect for customers, co-workers, and management.
  • Independently approaches problem solving by appropriate use of research and resources.
  • May perform other related duties as assigned.

    • Requirements

  • Associate’s degree or relevant course work / certification in Nursing is required; BSN Degree is preferred.
  • Minimum of 1-3 years diverse clinical experience and one of the below :
  • Certification as a case manager from the URAC-approved list of certifications (preferred);
  • A registered nurse (RN) license.
  • Must be compliant with state requirements regarding national certifications.
  • Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19.
  • Active RN home state licensure in good standing without restrictions with the State Board of Nursing.
  • Must meet specific requirements to provide medical case management services.
  • Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam within proceeding 36 months.
  • National certification must be obtained in order to reach Senior Medical Case Management status.
  • Must maintain a valid driver’s license in state of residence.
  • General working knowledge of case management practices and ability to quickly learn and apply workers compensation / case management products and services.
  • Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation.
  • Excellent analytical and customer service skills to facilitate the resolution of case management problems.
  • Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes.
  • Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees.
  • Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes.
  • Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously.
  • Demonstrated leadership ability with a basic understanding of supervisory and management principles.

    • When you accept a job with Crawford, you become a part of the One Crawford family.

  • Our total compensation plans provide each of our employees with far more than just a great salary
  • Pay and incentive plans that recognize performance excellence
  • Benefit programs that empower financial, physical, and mental wellness
  • Training programs that promote continuous learning and career progression while enhancing job performance
  • that give back to the communities in which we live and work
  • A culture of respect, collaboration, entrepreneurial spirit and inclusion