Bilingual Case Manager
2 weeks ago
The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, assessing member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and resources required to meet desired health and social outcomes. The Case Manager is responsible for providing patient centered care across the care continuum. ROLE RESPONSIBILITIES * Assessment of the medical, social, and behavioral needs of an assigned population * Care Plan development and prioritization to transition members to optimal levels of health and self-management * Coordinate interdisciplinary team meetings as required * Collaboration across providers and healthcare settings to ensure optimal quality outcomes for an assigned population * Provide transition of care interventions as required * Facilitate care coordination, self-management planning, discharge planning, and health education for an assigned population * Facilitate linkage to appropriate community resources to address social determinants of health * Adjudicate referrals and apply evidence-based clinical criteria to coordinate member care needs across all care setting * Ensure member communication and notices are composed in a manner consistent with regulatory standards. * Adheres to the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned. EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE * Associate's degree in Nursing, Bachelor's degree preferred * Minimum 2 years of experience in medical management clinical functions. * Working knowledge of MCG, InterQual, and NCQA standards * Bilingual in English and Spanish is required. LICENSURES AND CERTIFICATIONS * Active and Unrestricted License as a Registered Nurse (RN). COMPACT RN License required. * Certification in Case Management (CCM) or Managed Care Nursing (CMCN) preferred PROFESSIONAL COMPETENCIES * · High level of critical thinking and problem-solving skills * · Strong work ethic and overall positive attitude * · Effective communication skills including verbal and written * · Ability to manage time effectively, understand directions, and work independently in a fast-paced environment * · Demonstrated flexibility, organization, and self-motivation * · Highly adaptable to change
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Bilingual Case Manager
2 weeks ago
Tampa, United States NeueHealth Full timeBilingual Case Manager (RN)The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, assessing member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and resources required to meet desired...
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Bilingual Case Manager
1 week ago
Tampa, United States NeueHealth Full timeBilingual Case Manager (RN) The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, assessing member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and resources required to meet desired...
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Bilingual Case Manager
6 days ago
Tampa, United States NeueHealth Full timeBilingual Case Manager (RN) - Remote Florida LicenseThe role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, assessing member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and resources...
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Bilingual Case Manager
4 days ago
Tampa, United States NeueHealth Full timeBilingual Case Manager (RN) The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, assessing member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and resources required to meet desired...
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Bilingual Case Manager
4 days ago
United, United States Bethany Full timeBilingual Case ManagerRequisition #: req13203 Location: Hybrid/Remote within Pennsylvania Hours: Full-time (40-hours/week) Bilingual English/Spanish*****IMPORTANT: This remote/hybrid position requires regular travel in Pennsylvania for in-home visits. Some out of state travel required.*****This position is offering a one time Sign-on Bonus: $1500 Additional...
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Case Management Nurse
2 weeks ago
Fresno, CA, United States Pinnacle Case Management Solutions, LLC. Full timeCompany 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...
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Targeted Case Manager
1 week ago
Tampa, United States Gracepoint Full timeJob DescriptionJob DescriptionPOSITION SUMMARY:The Targeted Case Manager provides advocacy, coordination, and continuity of evidence-based care for individuals and families in need through a collaborative process of triage, assessment, planning, and communication. Participates as a member of a multidisciplinary treatment team. Reports to the Program...
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Targeted Case Manager
2 weeks ago
Tampa, United States Gracepoint Full timeJob DescriptionJob DescriptionPOSITION SUMMARY:The Targeted Case Manager provides advocacy, coordination, and continuity of evidence-based care for individuals and families in need through a collaborative process of triage, assessment, planning, and communication. Participates as a member of a multidisciplinary treatment team. Reports to the Program...
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Bilingual Long Term Case Manager
2 days ago
Tampa, United States A-Line Staffing Solutions Full timeJob DescriptionJob DescriptionA-Line Staffing is now hiring a Long Term Care Coordinator in the Tampa, FL Area. The Long-Term Care Coordinator would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week.If you are interested in this position, please Apply to this Posting to Jon at Aline.Long Term...
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Field Nurse Case Manager
2 weeks ago
, CA, United States Pinnacle Case Management Solutions, LLC. Full timeCompany 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...
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Case Manager
2 weeks ago
Tampa, FL, United States NeueHealth Full timeCase Manager (RN)SCOPE OF ROLE The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, assessing member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and resources required to meet...
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Case Manager RN
1 week ago
Tampa, FL, United States Tampa General Hospital Full timeCase Manager RNJob Description: The Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...
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Case Manager RN
3 weeks ago
Tampa, FL, United States Tampa General Hospital Full timeCase Manager RNJob Description: The Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...
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Registered Nurse
2 months ago
Pasco, WA, United States Professional Case Management Full timeMake 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...
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Registered Nurse
2 weeks ago
Portsmouth, OH, United States Professional Case Management Full timeMake 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...
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Case Manager RN
1 week ago
Tampa, FL, United States Tampa General Hospital Full timeCase Manager RN Job Description: The Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...
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Case Manager RN
3 weeks ago
Tampa, FL, United States Tampa General Hospital Full timeCase Manager RN Job Description: The Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...
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Case Manager
6 days ago
Tampa, FL, United States NeueHealth Full timeCase Manager (RN) - Remote Florida LicenseSCOPE OF ROLE The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, assessing member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and...
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Registered Nurse
2 months ago
Santa Fe, NM, United States Professional Case Management Full timeMake 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...
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Case Manager
5 days ago
Tampa, United States Urban Strategies LLC Full timeJob DescriptionJob DescriptionJOB OVERVIEWJOB TITLECase ManagerPROGRAMUrban Strategies – Refugio Unaccompanied ChildrenWORK SCHEDULEFive Days per Week, 40 Hours per Week, 12 Months per YearLOCATIONTampa, FLREPORTS TOCenter DirectorJOB TYPEFull-TimeGENERAL JOB DESCRIPTIONCase Managers are responsible for coordinating family reunification services and...