Advantage Case Manager

1 month ago

Claremore OK United States Cherokee Nation Home Health Service Full time
Responsible for the development, implementation, and monitoring of a comprehensive plan of care on an individualized basis for ADvantage members to ensure that the member able to remain in their home, safe and independent as possible.
*RESPONSIBILITIES**:*

* Understands and adheres to established agency policies and procedures.
* Develop and implement a comprehensive plan of care on an individual basis for ADvantage members and monthly follow-ups to ensure that outcomes are being met and resources are being identified. Adjust members plan of care as needed.
* Coordinates assessment/reassessment and admission of members to the ADvantage Program.
* Coordinate services with home care agencies to assist CM in establishing and maintaining plan of care through the initial, 6-month, reassessment and other times as directed by CM when member needs nursing services.
* Seeks out all appropriate resources that member is eligible for, before using ADvantage Medicaid funds.
* Review and evaluate service plans, goals, addendums, and service plan reviews to ensure services are meeting Members needs.
* Keeps CM Supervisor updated on status of members and areas of concern.
* Completes follow-up visits and telephone calls on each member per agency guidelines.
* Maintains current record on member of any changes in status or needs. Submit updated information to designated person by designated times to ensure compliance with agency, ADvantage Program standards, and state licensure requirements.
* Ensure that Supervisory Aide Visits, RN Evaluations, and Case Management follow-up monitoring are completed per ADvantage Administration Unit standards.
* Develop professional working relationships with all the organizational representatives, providers, and families to ensure continuity of care for members.
* Keep home care agency updated on needs or changes in service plan for member.
* Submit completed paperwork within allotted time frames to ensure continuity of care and for supervisor to review and approve.
* Case Management Billing Sheets must be submitted within 24-hours of service date.
* Reassessments must be submitted no later than 21-days prior to ADvantage due date.
* Initial service plans must be submitted within 8-business days upon receiving member.

* Must bill weekly debit amounts in accordance with the Case Manager Billing Scale.
* Other duties as assigned.

*QUALIFICATIONS**:*

* Must be an LPN or RN with one year of paid professional experience or have a Baccalaureate degree with one year of paid professional experience with the aging or disabled population.
* Must be a certified Case Manager or will be required to complete one week of orientation including job shadowing a certified Case Manager before attending certification training
* Have valid drivers license, auto insurance, and dependable transportation.
* Have a sympathetic attitude toward the care of the sick and elderly.
* Ability to follow directions, read and write.
* Maturity and ability to deal effectively with the demands of the job.

Job Type: Full-time

Pay: $20.00 - $28.00 per hour

Benefits:
* 401(k)
* Dental insurance
* Flexible schedule
* Flexible spending account
* Health insurance
* Life insurance
* Mileage reimbursement
* Paid time off
* Vision insurance
Schedule:
* Monday to Friday

Work Location: In person

  • Advantage Case Manager

    1 month ago

    Claremore, OK, United States Cherokee Nation Home Health Service Full time

    Responsible for the development, implementation, and monitoring of a comprehensive plan of care on an individualized basis for ADvantage members to ensure that the member able to remain in their home, safe and independent as possible. *RESPONSIBILITIES**:** Understands and adheres to established agency policies and procedures. * Develop and implement a...

  • Advantage Case Manager

    1 month ago

    Claremore, United States Cherokee Nation Home Health Service Full time

    Responsible for the development, implementation, and monitoring of a comprehensive plan of care on an individualized basis for ADvantage members to ensure that the member able to remain in their home, safe and independent as possible.*RESPONSIBILITIES**:** Understands and adheres to established agency policies and procedures.* Develop and implement a...

  • Registered Nurse

    4 weeks ago

    Portsmouth, OH, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in Ohio   Come join our growing team! A few of our perks:Create your own schedule!$38/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...

  • Registered Nurse

    2 months ago

    Pasco, WA, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in Washington   Come join our growing team! A few of our perks:Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...

  • Case Management Nurse

    4 weeks ago

    Fresno, CA, United States Pinnacle Case Management Solutions, LLC. Full time

    Company DescriptionPinnacle Case Management Solutions, LLC provides nurse case management services to employers, third-party administrators, and insurance carriers in the Workers' Compensation industry. Our dedicated team of nurses support all parties involved in the recovery process, including the claim examiner, employer, provider, and injured worker. We...

  • Registered Nurse

    2 months ago

    Santa Fe, NM, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in New Mexico   Come join our growing team! A few of our perks:Create your own schedule!$40/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...

  • Field Nurse Case Manager

    4 weeks ago

    , CA, United States Pinnacle Case Management Solutions, LLC. Full time

    Company DescriptionPinnacle Case Management Solutions, LLC provides nurse case management services to employers, third-party administrators, and insurance carriers in the Workers' Compensation industry. Our dedicated team of nurses support all parties involved in the recovery process, including the claim examiner, employer, provider, and injured worker. We...

  • RN Case Manager

    4 weeks ago

    , OK, United States Integris Health Full time

    INTEGRIS Health Southwest Medical Center, Oklahoma’s largest not-for-profit health system has a great opportunity for a Case Manager in Oklahoma City, Oklahoma. In this position, you’ll be a part of our Case Managment team providing exceptional work supporting the INTEGRIS Health caregivers and the community at large. If our mission of partnering with...

  • RN Case Manager

    4 weeks ago

    North Dallas, TX, United States American Health Partners Full time

    RN Case ManagerCome Grow with Us! TruHealth is a division of American Health Partners, a multifaceted company with operations in multiple states. We own nursing homes, health plans for Medicare beneficiaries living in long-term care facilities, as well as divisions offering psychiatric care, home health, hospice, rehabilitation and specialty pharmacy...

  • RN Case Manager

    2 weeks ago

    North Dallas, TX, United States American Health Partners Full time

    RN Case ManagerCome Grow with Us! TruHealth is a division of American Health Partners, a multifaceted company with operations in multiple states. We own nursing homes, health plans for Medicare beneficiaries living in long-term care facilities, as well as divisions offering psychiatric care, home health, hospice, rehabilitation and specialty pharmacy...

  • RN Case Manager

    1 month ago

    , OK, United States Integris Health Full time

    INTEGRIS Health, Oklahoma’s largest not-for-profit health system has a great opportunity for a RN Case Manager in Oklahoma City, OK. In this position, you’ll work Days, Full-time, with our Case Management team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to...

  • RN Case Manager

    2 weeks ago

    , OK, United States Integris Health Full time

    INTEGRIS Health, Oklahoma’s largest not-for-profit health system has a great opportunity for a RN Case Manager in Oklahoma City, OK. In this position, you’ll work Days, Full-time, with our Case Management team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to...

  • Case Manager

    2 months ago

    Tulsa, OK, United States Hillcrest Medical Center Full time

    OverviewJoin our team as a evening shift, full-time, Case Management, Registered Nurse in Tulsa, OK.  Fulfilling your purpose begins here:  People First, Always. Here’s how we take care of our people:Medical, vision, dental health insurance, health savings account / flexible spending, competitive pay, paid time off, 401k retirement plan with company...

  • Case Manager

    2 weeks ago

    Tulsa, OK, United States Hillcrest Medical Center Full time

    OverviewJoin our team as a evening shift, full-time, Case Management, Registered Nurse in Tulsa, OK.  Fulfilling your purpose begins here:  People First, Always. Here’s how we take care of our people:Medical, vision, dental health insurance, health savings account / flexible spending, competitive pay, paid time off, 401k retirement plan with company...

  • RN Case Manager

    1 week ago

    Tulsa, OK, United States Genie Healthcare Full time

    Overview:We are seeking a dedicated Registered Nurse Case Manager to join our team. The ideal candidate will have experience in various medical settings and possess a strong background in patient care and case management.Responsibilities:- Provide comprehensive nursing care to patients- Manage and coordinate patient cases from admission to discharge- Conduct...

  • RN Case Manager 32HRW

    3 weeks ago

    Houston, TX, United States Erickson Living Full time

    RN Case Manager 32HRWLocation: Eagle's Trace by Erickson Senior Living Eagle's Trace is a beautiful 70-acre continuing care retirement community located just minutes from the metroplex in West Houston, Texas. We're part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of senior living and health care...

  • Compassionate and Skilled Caregiver/CNA

    4 weeks ago

    , MD, United States Inhome Advantage Full time

    Job DescriptionInhome Advantage is now hiring CNA's for private duty assignments to take care of seniors in Baltimore County who want to stay in their own home but need some assistance in order to do so safely. If you want to help others and any of these cases sound like an opportunity you would be interested in, please apply online...

  • Lead Medical Director

    4 weeks ago

    Chattanooga, TN, United States Jackson Physician Search Full time

    BlueCross BlueShield Tennessee is recruiting the next Lead Medical Director for their Medicare Advantage program. This is a remote position, but applicants must have an active Tennessee medical licenseHighlights of the role:• Fully Remote position, can live anywhere in the United States (excludes CA, MA, NH, NJ, NY due to state law, tax code, regulatory...

  • Case Manager Registered Nurse

    7 days ago

    Brooksville, FL, United States The Tampa General Hospital Full time

    Case Manager Registered Nurse - Case ManagementA Case Manager facilities a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes....

  • RN Case Manager

    2 weeks ago

    Hinton, OK, United States Good Shepherd Hospice Full time

    Description** $5,000 Sign-On Bonus**Good Shepherd Hospice is seeking a compassionate candidate for a Register Nurse Case Manager serving patients and their families in Yukon, El Reno, Weatherford, and surrounding communities.The RN provides nursing assessment, planning and care to maximize the comfort and health of patients and families. The RN responds to...