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Medical case manager • west palm beach 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
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Case Manager

Case Manager

The Good Life TreatmentNorth Palm Beach, FL, US
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We are seeking a compassionate, detail-oriented, and organized Case Manager to support and coordinate services for individuals in need. The Case Manager will assess client needs, develop care plans,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Employment Case Manager (SOFI)

Employment Case Manager (SOFI)

Vita Nova, IncWest Palm Beach, FL, US
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Vita Nova is looking for an energetic, passionate and driven individual to help older homeless youth increase self-sufficiency by obtaining employment and increasing economic mobility so they can l...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Certified Case Manager

Certified Case Manager

Multilingual Psychotherapy CentersWest Palm Beach, FL, US
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Community Behavioral Health Agency serving Palm Beach County hiring Case managers to serve children, adults and families. Independent contractor position with flexible schedule.Full time hours (25+ ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Case Manager - Bilingual (Creole / English)

Case Manager - Bilingual (Creole / English)

Easter Seals FloridaWest Palm Beach, FL, USA
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Salary is $43,417 (plus insurance and time off benefits).We are currently seeking a Bilingual (Creole / English) Service Coordinator / Case Manager for our Treasure Coast Early Steps program in West Pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
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Medical Case Manager

Medical Case Manager

VirtualVocationsLake Worth, Florida, United States
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A company is looking for a Medical Case Manager to join their team remotely.Key Responsibilities Handle prior authorizations and insurance verification Communicate with patients, providers, and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
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Dependency Case Manager

Dependency Case Manager

Childnet IncWest Palm Beach, FL, US
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CBC) agency servicing Broward and Palm Beach County.We are contracted with the State of Florida, Department of Children and Families, to provide case management support to abused, abandoned, and ne...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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CASE MANAGER (RN / LIC)

CASE MANAGER (RN / LIC)

Universal Health Services, Inc.West Palm Beach, FL, United States
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This opportunity is Per-Diem Day shift Case Manager position.Wellington Regional Medical Center is located in Wellington, Florida. It is a 235-bed, acute care hospital, owned by a subsidiary of Univ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Case Manager / Care Coordination

Case Manager / Care Coordination

Boys TownPrimary Location : West Palm Beach, Florida
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Provides intensive and professional case management services to youth utilizing a strength based and comprehensive model. Links children and families to resources and supports, monitors the services...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
DIRECTOR OF CASE MANAGEMENT Wellington Regional Medical Center

DIRECTOR OF CASE MANAGEMENT Wellington Regional Medical Center

Southwest Healthcare SystemWEST PALM BEACH, Florida, United States
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This opportunity is full-time position at 40 hours per week, offers full benefits.Wellington Regional Medical Center is located in Wellington, Florida. It is a 235-bed, acute care hospital, owned by...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
LTSS Service Coordinator - Case Manager

LTSS Service Coordinator - Case Manager

Elevance HealthWest Palm Beach,Florida
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LTSS Service Coordinator (Bilingual in Spanish / English).This is primarily a field based position.Candidate would need to reside in one of the following counties : Miami-Dade, Broward, Hillsborough, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Personal Injury Case Manager

Personal Injury Case Manager

Alexander Shunnarah Trial AttorneysWest Palm Beach, FL, US
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Alexander Shunnarah Trial Attorneys is a rapidly growing personal injury law firm based in Alabama with offices across the nation. We handle complex cases and provide each attorney and staff with th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Pre-Suit Case Manager

Pre-Suit Case Manager

GOLDLAWWest Palm Beach, FL, US
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At GOLDLAW, a personal injury law firm, we believe the happiness, health, and engagement of our employees directly contribute to the customer service of our clients. GOLDLAW is a leading personal in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
CASE MANAGER

CASE MANAGER

Rite of PassageWest Palm Beach, FL , USA
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Join a group of passionate advocates on our mission to improve the lives of youth! Rite of Passage Team is hiring for a.Situated close to the stunning beaches of Southeast Florida, Palm Beach Youth...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
RN Case Manager - Hospice

RN Case Manager - Hospice

MorseLife Health SystemWest Palm Beach, FL, USA
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Provide prescribed medical treatment and personal care services to terminally ill persons in collaboration with the transdisciplinary team in a variety of settings. Coordinates the implementation of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
CASE MANAGER (RN / LIC)

CASE MANAGER (RN / LIC)

Foundations for LivingWEST PALM BEACH, Florida, United States
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This opportunity is Per-Diem Day shift Case Manager position .Wellington Regional Medical Center is located in Wellington, Florida. It is a 235-bed, acute care hospital, owned by a subsidiary of Uni...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Registered Nurse Case Manager Full Time Days

Registered Nurse Case Manager Full Time Days

Palm Beach Gardens Medical CenterPalm Beach Gardens, FL, United States
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The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
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Nurse Manager - Medical Surgical Unit

Nurse Manager - Medical Surgical Unit

Texas Nursing ServicesAtlantis, FL, US
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Nurse Manager – Medical Surgical Unit | Atlantis, FL.Full-Time | Days (No Weekends).Compensation & Incentives : .Sign-On Bonus : Available case by case. Relocation Assistance : Available case ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Case Manager

Case Manager

Sunshine State Health PlanLake Worth, FL, United States
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You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll ha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Registered Nurse Case Manager Per Diem Days

Registered Nurse Case Manager Per Diem Days

Tenet HealthcarePalm Beach Gardens, FL, US
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Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the high signal to noise ratio, making the content beautiful and condensed.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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