Case Manager in Healthcare

2 weeks ago


Springfield, United States Professional Management Enterprises Full time
Job DescriptionJob Description

Seeking RN, LSW, LCSW, LPC or LCPC with LTSS experience to be responsible for health care management and coordination of members to achieve optimal clinical, financial and quality of life outcomes. MUST reside in the Springfield, IL area. This position is hybrid and will require field visits. Schedule M-F 8:00am-5:00pm.

Day to Day Responsibilities: Will be responsible for performing case management activities according to the contractual requirements and in alignment with NCQA requirements. Manage a caseload of approximately 130 LTC (Long Term Care) cases. Complete face-to-face visits with members in the LTC facilities at a minimum of an annual visit per member. Complete an annual assessment, assessment summary (DAR), care plan, and service plan per member. Collaborate with the LTC provider staff. Participates as needed in clinical care rounds.

Must Have Skills:
• Must have a valid driver’s license and reliable vehicle for field visits
• Excellent communication skills, with an ability to communicate effectively with members with chronic conditions, developmental disabilities, etc.
• Strong technical skills (utilizing multiple programs at the same time) along with competency in Microsoft applications (Outlook, Teams, Excel, etc.)
• Strong organizational and interpersonal skills

Required Years of Experience: Preferred RN/LSW/LCSW/LPC/LCPC background, but not required if enough experience in related field (about 5+ years). Previous case management or MCO experience is a plus.
Required Licensure / Education: Bachelor’s degree in nursing, social sciences, social work or related field or
Bachelor or master’s degree prepared in human-services related field

Company DescriptionProfessional Management Enterprises is a minority and veteran owned business that partners with major healthcare providers to find quality employees and thrives on helping people find positions that exceeds their expectations.Company DescriptionProfessional Management Enterprises is a minority and veteran owned business that partners with major healthcare providers to find quality employees and thrives on helping people find positions that exceeds their expectations.
  • Travel Nurse

    Found in: Talent US A C2 - 2 weeks ago


    Springfield, United States Stability Healthcare Full time

    Stability Healthcare is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Springfield, MA. Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $2318 / Week About Stability Healthcare:Stability HealthCare is a premier Per Diem and Travel Nurse Company. We provide the most qualified Nurses with great...

  • Case Manager

    3 days ago


    Springfield, United States Equus Full time

    Job DescriptionJob DescriptionCompany DescriptionWe help job seekers and career changers prepare for and advance in careers with a focus on sustainable, high-growth, high-demand industries. Our committed and well-trained workforce professionals deliver comprehensive workforce solutions at integrated career centers, sector-focused centers and community, and...

  • Travel Nurse

    Found in: Talent US A C2 - 2 weeks ago


    Springfield, United States ADN Healthcare Full time

    ADN Healthcare is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Springfield, MA. Shift: 5x8 hr days Start Date: 05/05/2024 Duration: 13 weeks Pay: $2340 / Week About ADN Healthcare:ADN Healthcare is an industry leading healthcare staffing solutions provider dedicated to identifying Healthcare Professionals that...

  • Travel Nurse

    Found in: Talent US A C2 - 2 days ago


    Springfield, United States ADN Healthcare Full time

    ADN Healthcare is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Springfield, MA. Shift: 5x8 hr days Start Date: 05/12/2024 Duration: 13 weeks Pay: $2340 / Week About ADN Healthcare:ADN Healthcare is an industry leading healthcare staffing solutions provider dedicated to identifying Healthcare Professionals that...


  • Springfield, United States CVS Pharmacy Full time

    Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance wi Behavioral Health, Analyst, Field, Medical Director, Evaluation, Healthcare, Business Services, Retail

  • Case Manager

    Found in: Talent US A C2 - 1 day ago


    Springfield, United States Cure Staffing Full time

    Cure Healthcare is seeking a RN - Case Manager for positions in Springfield, Massachusetts. Current Massachusetts license and AHA BLS required and additional certifications related to this specialty. This shift is By The Week. Required: 2 years of recent experience in Case Manager. Please inquire for specific job details and confirm shift required by...

  • Case Manager

    1 week ago


    Springfield, United States Anew Behavioral Health Full time

    Job DescriptionJob DescriptionSalary: Starting at $19Anew Behavioral Health is a mental health agency seeking a professional and compassionate Case Manager in our Springfield, Ohio office and community. We are a growing agency that offers positive, strength-based services to help clients struggling with mental health issues. Candidate should be accountable...

  • IT Requirements Manager

    Found in: Dice One Red US C2 - 2 weeks ago


    Springfield, United States Case Management Consulting, LLC Full time

    CASE Management Consulting, LLC (“CASE”) is a Woman-Owned, Minority-Owned, 8(a) Certified Economically Disadvantaged Women-Owned Small business (EDWOSB), that can offer rapid sole source procurements for business process automation tools, strategic planning, business process reengineering, robotic process automation, database design, development and...


  • Springfield, United States Altranais Home Care Full time

    Overview: **Responsibilities**: - Conduct patient assessments and provide skilled nursing care - Monitor vital signs and symptoms, and report any changes to the healthcare team - Develop and implement patient care plans in collaboration with physicians and other healthcare professionals - Ensure compliance with HIPAA regulations and maintain accurate...

  • Licensed Vocational Nurse Home Health

    Found in: Jooble US O C2 - 18 hours ago


    Springfield, SC, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms! Performs nursing functions in accordance with the federal, state, and local laws and within the state-specific scope of practice of a licensed practical/vocational nurse and as defined by the Agency. Delivers care to clients as delegated by the regional director of clinical operations, senior case manager or...

  • Case Manager

    6 days ago


    Springfield, United States MASSMUTUAL Full time

    **The Opportunity** The Case Manager acts in a transactional “back office” capacity to assist in the processing of New Business Applications. A Case Manager supports Underwriters with ordering/obtaining requirements, may interact with internal business partners to resolve roadblocks during the Underwriting process, and processes various tasks in a...

  • Case Manager

    Found in: Talent US C2 - 5 days ago


    Springfield, United States flexup DIRECT Full time

    We are looking for a Travel Case Manager - RN RN for a great Travel nursing job in Springfield, MA.This Case Manager - RN Travel nursing job pays for 40 hours a week for 13 weeks. Below are the details of this Travel Nursing Job including the Travel nurse salary:Specialty: Case Manager - RN RNTravel Case Manager (CM ) Registered Nurse : Springfield, MATravel...

  • Case Manager

    Found in: Talent US C2 - 4 days ago


    Springfield, United States flexup DIRECT Full time

    We are looking for a Travel Case Manager - RN RN for a great Travel nursing job in Springfield, MA.This Case Manager - RN Travel nursing job pays for 40 hours a week for 13 weeks. Below are the details of this Travel Nursing Job including the Travel nurse salary:Specialty: Case Manager - RN RNTravel Case Manager (CM ) Registered Nurse : Springfield, MATravel...


  • Springfield, United States BEHAVIORAL HEALTH NETWORK, INC. Full time

    **Are you experienced in providing care for individuals overcoming co-occurring substance use and mental health issues?** Join our team of competent and compassionate professionals as a Case Manager in the MISSION Springfield** **program at Behavioral Health Network! **Your experience, knowledge and great skills will support the MISSION Springfield program...


  • Springfield, United States Greater Springfield Senior Services, Inc. (GSSSI) Full time

    Job DescriptionJob DescriptionFull-time, 35 hours/weekNOT remoteFull-time position in Protective Services Unit of Elder Services Agency. Duties include intake, investigation, service plans and monitoring cases of abuse and neglect of elders. Requires home visits, knowledge of community resources, ability to work with families, case writing, record keeping...


  • Springfield, United States Greater Springfield Senior Services, Inc. (GSSSI) Full time

    Job DescriptionJob DescriptionFull-time, 35 hours/weekNOT remoteFull-time position in Protective Services Unit of Elder Services Agency. Duties include intake, investigation, service plans and monitoring cases of abuse and neglect of elders. Requires home visits, knowledge of community resources, ability to work with families, case writing, record keeping...

  • RN Case Manager

    Found in: Appcast US C2 - 1 week ago


    Springfield, United States Software Galaxy Systems, LLC Full time

    Job description & requirements: Title : RN Case Manager Location: Springfield, MA Duration: 13 weeks + (Possibilities of extension) Hours : 36 hours per week Shift : 12 hours, 3 days (07:00 AM to 07:00 PM & 07:00 PM to 07:00 AM ) If you are not interested or not looking for job, kindly provide the details of any...

  • Case Manager I

    1 week ago


    Springfield, United States Professional Management Enterprises Full time

    Seeking RN, LSW, LCSW, LPC or LCPC with LTSS experience to be responsible for health care management and coordination of members to achieve optimal clinical, financial and quality of life outcomes. MUST reside in theSpringfield, IL area. Schedule M-F 8:00am-5:00pm. Day to Day Responsibilities:Will be responsible for performing case management activities...


  • Springfield, United States CASE Management Consulting, LLC Full time

    Job DescriptionJob DescriptionCase Management Consulting is seeking a Requirements and Help Desk Manager to perform oversight and day to day management of overall MET project/program activities and resources. Assess current business processes related to the system and recommend changes if needed. Create/prepare test plans, integrated schedules, and resource...


  • Springfield, United States CASE Management Consulting, LLC Full time

    Job DescriptionJob DescriptionCase Management Consulting is seeking a Requirements and Help Desk Manager to perform oversight and day to day management of overall MET project/program activities and resources. Assess current business processes related to the system and recommend changes if needed. Create/prepare test plans, integrated schedules, and resource...