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Case manager • washington dc

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RN Case Manager

RN Case Manager

Children's National HospitalWashington, DC, United States
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The Case Manager Hybrid I / II will provide case management services to patients and their families or caregivers.Assist with assessment, participate. Engage in outreach activities in the community.As...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Case Manager

Case Manager

VHC HealthArlington, VA, US
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The Case Manager is responsible for the collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual's health needs through communica...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Case Manager

Case Manager

Project RedirectSilver Spring, MD, US
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Case Manager Job Responsibilities.Oversee, maintain, monitor, and supervise (1) caseload with consists of 30-40 consumers. Coordinate necessary meetings and have appropriate documentations at meetin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Case Manager

Case Manager

Morgan & Morgan, P.A.Washington, DC, US
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At Morgan & Morgan, the work we do matters.For millions of Americans, we're their last line of defense against insurance companies, large corporations or defective goods. From attorneys in all 50 st...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Case Manager

Case Manager

Unity Health Care.Washington, DC, US
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Under the supervision of the Director of Social Services, the Case Manager works with diverse populations with multifaceted needs. Primary responsibilities include, but are not limited to, assisting...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Case Manager

Case Manager

ASHLIN Management Group, Inc.Washington, DC, US
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ASHLIN is an Equal Opportunity Employer.ASHLIN is also an Equal Opportunity of Protected Veterans and Individuals with Disabilities. ASHLIN Management is a VEVRAA Federal Contractor and desires for ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Case Manager LPN

Case Manager LPN

Allegiance Benefit Plan ManagementWashington, DC, US
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Location : Allegiance office or off-site.Applicants do not have to reside in Montana.This position assists with the evaluation of medical care alternatives for cases of illness, injuries or medical / ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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RN Case Manager

RN Case Manager

Community Hospice and Palliative CareWashington, DC, US
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Under the direction of the Manager or RN Supervisor, this position is responsible for the planning and the managing of the nursing care of an assigned caseload of patients in Home Care.As a member ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Case Manager

Case Manager

Service Coordination IncBethesda, MD, United States
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SCI supports people with disabilities, behavioral challenges, medically complex needs, transitioning youth, the elderly, and other populations using Maryland Department of Health’s Targeted Case Ma...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
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Case Manager (Contractor)

Case Manager (Contractor)

PROGRESSIVE LIFE CENTERHyattsville, MD, US
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PLC) provides culturally-sensitivity human services to children, youth and families in the District of Columbia and surrounding Maryland, throughout Greater Philadelphia, and in most of Delaware.PL...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Nurse Case Manager

Nurse Case Manager

Apogee SolutionsWashington, DC, US
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Apogee Solutions, a Woman-Owned Small Business, is seeking a full-time Nurse Case Manager to support the Equal Employment Opportunity Commission (EEOC) in the Washington, DC area.Qualified candidat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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LMSW Case Manager

LMSW Case Manager

Kaiser PermanenteSilver Spring, MD, US
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Licensed Masters Social Worker (LMSW) Case Manager, Social Work- In Patient II.This role is eligible for a $9,000 sign on bonus!. For members of a defined population, responsible for collaborating w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Case Manager III

Case Manager III

Greater Washington Urban LeagueWashington, DC, US
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The Greater Washington Urban League offers a Family Work & Wellness Accelerator Program to assist approximately 300 families who have experienced homelessness and who may have recently exited a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Case Manager

Case Manager

Sasha Bruce Youthwork IncWashington, DC, US
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Sasha Bruce Youthwork (SBY) is a nonprofit organization dedicated to improving the lives of youth and families in the Washington DC area. The agency includes 19 programs ranging from shelter for hom...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Case Manager

Case Manager

Latin American Youth CenterWashington, DC, US
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Esperanza Program will provide foster care services, other related services, and release to sponsor services for Unaccompanied Children. This is a Full-time, contractual position until 10 / 31 / 2025.Ex...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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RN Case Manager

RN Case Manager

Johns Hopkins MedicineBethesda, MD, United States
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Suburban Hospital is a 228-bed, Level II Trauma Center, and a community-based hospital in Bethesda, Maryland.Suburban Hospital is a member of Johns Hopkins Medicine and has served Montgomery County...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Case Manager

Case Manager

Virginia Hospital CenterWashington, DC, US
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The Case Manager is responsible for the collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual's health needs through communication...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Case Manager

Case Manager

Rock Creek FoundationSilver Spring, MD, US
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At Rock Creek Foundation, we believe that having a disability and / or a mental illness should not prevent anyone from having the opportunity to participate in everyday life.That’s why we have ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Complex Case Manager

Complex Case Manager

AmeriHealth CaritasWashington, DC, US
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Care Manager (Registered Nurse / Licensed Independent Clinical Social Worker).The Care Manager (Registered Nurse / Licensed Independent Clinical Social Worker) assists members with complex medical need...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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RN Case Manager

RN Case Manager

JSSASilver Spring, MD, United States
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Come work for one of the best Hospice programs in Maryland as a full time Case Manager which provides the opportunity to work independently and make your own daily schedule.In this role you will pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
RN Case Manager

RN Case Manager

Children's National HospitalWashington, DC, United States
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The Case Manager Hybrid I / II will provide case management services to patients and their families or caregivers. Assist with assessment, participate

in planning and implementation of intervention and ensure follow-up and coordination of services. Engage in outreach activities in the community .

Assist with administrative tasks, as needed. All nursing practice is based on the legal scope of practice, national and specialty nursing standards,

Children's National Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires

registered professional nurses to be responsible and accountable for their own practice. Children's National supports the development of RN

relationships within the community; specifically those relationships associated with the health and well being of the community at large.

Qualifications : Minimum Education

Bachelor's Degree (Required)

Master's Degree (Preferred)

Minimum Work Experience

5 years experience with at least three in a pediatric setting (Required)

Required Licenses and Certifications

Registered Nurse in District of Columbia (Required)

Current certification in Case Management or Utilization Management (Preferred)

Functional Accountabilities

Professional Practice / Research

  • Participate in Shared Leadership.
  • Contribute to the MAGNET Journey of Children's National.
  • Ensure nursing practice is based on evidence of best practice.
  • Accountable to participate in the Nursing Division's Performance Improvement process (division or unit level).
  • Participate in community activities.

Patient Resource Services

  • Communicate denials, high risk, or changes in level of care using accepted processes to limit financial risk to CNMC and patients' families.
  • Navigate internal and external systems to accurately identify or secure payers and link patients to needed services.
  • Discharge Transitional Plan of Care

  • Define discharge and transitional care criteria with the healthcare team to facilitate efficient care transitions.
  • Conduct an initial assessment of patient and family to identify potential discharge barriers and needs in accordance with departmental and regulatory requirements.
  • Develop and implement a plan of care and make referrals based on a needs assessment and available resources in conjunction with care team members.
  • Transition care to external providers and services to achieve quality outcomes for patient and family .
  • Provide clinical reviews to third party payers using nationally recognized criteria and validate authorization or denial of services and
  • document appropriately in ST AR.
  • Documentation

  • Document according to departmental policy.
  • Performance Improvement

  • Identify , implement, and evaluate processes to improve customer service, reimbursement and / or hospital performance.
  • Participate in the identification of PI issues and take steps to improve unit or CRM processes.
  • Promote the development of CRM department and other members of the healthcare team.
  • Organizational Accountabilities

    Organizational Accountabilities (Staff)

    Organizational Commitment / Identification

  • Anticipate and responds to customer needs; follows up until needs are met
  • Teamwork / Communication

  • Demonstrate collaborative and respectful behavior
  • Partner with all team members to achieve goals
  • Receptive to others' ideas and opinions
  • Performance Improvement / Problem-solving

  • Contribute to a positive work environment
  • Demonstrate flexibility and willingness to change
  • Identify opportunities to improve clinical and administrative processes
  • Make appropriate decisions, using sound judgment
  • Cost Management / Financial Responsibility

  • Use resources efficiently
  • Search for less costly ways of doing things
  • Safety

  • Speak up when team members appear to exhibit unsafe behavior or performance
  • Continuously validate and verify information needed for decision making or documentation
  • Stop in the face of uncertainty and takes time to resolve the situation
  • Demonstrate accurate, clear and timely verbal and written communication
  • Actively promote safety for patients, families, visitors and co-workers
  • Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance