Case Management Coordinator
2 months ago
The Case Management Coordinator is responsible for supporting the delivery of quality member care to members of the EDWP/SOURCE program. This position applies skills in monitoring records, logs and in maintaining effective working relationships with all departments. This position combines the activities of direct and indirect care to members. The position also interacts with Support Service Providers and other stakeholders.
Primary Duties and Responsibilities
- Monitor phone calls and faxes to the CM department.
- Support the department in the resolution of member and provider issues ensuring adequate communication with members and all stakeholders.
- Ensure adequate communication between CM department, Compliance, and all other departments as it relates to changes in member personal information, status, and services.
- Assist the Case Management Department and its delegates in the day-to-day operations.
- Take on assignment of projects that will be undertaken by the department from time to time to ensure compliance within the department.
- Provide back-end support and customer service to members, providers and all stakeholders in a courteous and professional manner in accordance with performance standards.
- Assist in the completion of SFC Validations for members on the Structure Family Care program.
- Support the Case Management department with any re-broker and increase requests.
- Assist with packet reviews after members go to IDT.
- Contact members who have received SSI increased income, who could lose their EDWP eligibility.
- Perform scheduled and unscheduled visits to member(s) as needed to facilitate quality assurance inspections
- Responsible for taking on additional tasks within the department as needed.
Bilingual would be a plus.
Competencies include but not limited to: Teamwork, detailed oriented, time management
-
Case Management Coordinator
1 week ago
Atlanta, Georgia, United States Ace Care Management Full timeJob OverviewAce Care Management is seeking a dedicated Care Coordination Professional to join our team and contribute to the delivery of high-quality care services to our members.This role involves a combination of direct and indirect care activities, from monitoring communications and records to collaborating with various departments and stakeholders. The...
-
Case Coordinator
4 weeks ago
Atlanta, United States MultiPlan Full timeAt MultiPlan, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster...
-
Nurse Case Manager II
3 days ago
Atlanta, Georgia, United States Elevance Health Full timeAbout the RoleWe are seeking a skilled Nurse Case Manager II - Care Coordinator to join our team at Elevance Health. As a key member of our care management team, you will play a critical role in ensuring our members receive high-quality, patient-centered care.Key ResponsibilitiesAssess and Develop Care Plans: Conduct thorough assessments to identify...
-
Case Manager
4 weeks ago
Atlanta, Georgia, United States CVS Health Full timeThis position is a fulltime telework Case Manager RN position.Develops, implements, and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work.Community Care Case Manager use a collaborative process of assessment, planning, facilitation,...
-
Case Manager
1 month ago
Atlanta, United States Shepherd Center Full timeShepherd Center, located in Atlanta, Georgia, is a private, not-for-profit hospital specializing in medical treatment, research and rehabilitation for people with spinal cord injury, brain injury, stroke, multiple sclerosis, spine and chronic pain, and other neuromuscular conditions. Join us in our mission to help people with a temporary or permanent...
-
Registered Nurse Case Coordinator
2 weeks ago
Atlanta, Georgia, United States CVS Health Full timeJoin CVS Health and Make a DifferenceAt CVS Health, we are united by a common mission: to enhance every moment of your health. Our commitment to delivering personalized, human-centric healthcare is at the heart of everything we do.Position OverviewThe Registered Nurse Case Coordinator role is part of Aetna's National Medical Excellence (NME) team and offers...
-
Registered Nurse Case Coordinator
2 weeks ago
Atlanta, Georgia, United States CVS Health Full timeJoin CVS Health and Make a DifferenceAt CVS Health, we are united by a clear mission: to bring compassion to every aspect of health care. Our commitment to providing personalized, human-centric health solutions is at the heart of everything we do.Position OverviewThe Registered Nurse Case Coordinator role is part of Aetna's National Medical Excellence (NME)...
-
Clinical Case Manager
5 days ago
Atlanta, Georgia, United States Grady Health System Full timeJob SummaryThe Nurse Care Coordinator collaborates with other members of the case management and healthcare teams to ensure optimal patient outcomes. This role utilizes professional nursing skills to:Assist patients in achieving optimal health and wellness.Ensure appropriate use of healthcare resources.Facilitate and coordinate timely care along the...
-
Case Manager
4 weeks ago
Atlanta, United States CVS Health Full timeThis position is a fulltime telework Case Manager RN position.Develops, implements, and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work.Community Care Case Manager use a collaborative process of assessment, planning, facilitation,...
-
Case Manager
1 week ago
Atlanta, United States Pacer Staffing Full timeJob Summary The Case Manager provides comprehensive case management services to TRICARE beneficiaries. This role involves screening referrals, conducting assessments, developing individualized care plans, and monitoring outcomes. The Case Manager ensures compliance with HIPAA regulations, URAC standards, and TRICARE policies while advocating for...
-
ECHO Program Case Coordinator
2 weeks ago
Atlanta, Georgia, United States Pacer Staffing Full timeShift - Standard | Mon to Fri Location – Remote (Case Manager – focusing on serious diagnoses in children, including those with Down syndrome and other significant disabilities.) Position Overview: This role involves delivering case management services to TRICARE beneficiaries enrolled in the Extended Care Health Option (ECHO). The ECHO...
-
Case Manager Professional
12 hours ago
Atlanta, Georgia, United States Aniz Inc Full timeJob DescriptionAniz Inc is seeking a highly skilled and compassionate Case Manager to join our team. As a Case Manager, you will play a critical role in ensuring the well-being and success of our clients.Key Responsibilities:Client Assessment and Care Planning: Conduct thorough assessments of clients' needs and develop personalized care plans to achieve...
-
Nurse Case Manager
4 weeks ago
Atlanta, Georgia, United States Grady Health System Full timeJob DescriptionSUMMARY The Nurse Case Manager collaborates with other members of the case management and health care teams, utilizes professional nursing skills to:assist the patient in achieving optimal health; assure appropriate use of health care resources; facilitate/coordinate timely care along the continuum; decrease unnecessary variances in care...
-
Case Manager
4 weeks ago
Atlanta, United States Aniz Inc Full timeCase Management Accomplishes clients’ care by assessing treatment needs; developing, monitoring, and evaluating treatment plans and progress; facilitating interdisciplinary approaches; monitoring staff performance. Admits new clients by reviewing records and applications, conducting orientations. Determines client's requirements by completing intake...
-
Case Manager
4 weeks ago
Atlanta, United States Aniz Inc Full timeJob DescriptionJob Description Case ManagementAccomplishes clients’ care by assessing treatment needs; developing, monitoring, and evaluating treatment plans and progress; facilitating interdisciplinary approaches; monitoring staff performance.Admits new clients by reviewing records and applications, conducting orientations.Determines client's...
-
Case Manager
4 weeks ago
Atlanta, United States Aniz Inc Full timeJob DescriptionJob DescriptionCase ManagementAccomplishes clients care by assessing treatment needs; developing, monitoring, and evaluating treatment plans and progress; facilitating interdisciplinary approaches; monitoring staff performance.Admits new clients by reviewing records and applications, conducting orientations.Determines client's requirements...
-
Registered Nurse Case Coordinator
1 week ago
Atlanta, Georgia, United States Shaker for ChristianaCare Direct Full timePosition: RN Case Manager - Day ShiftSchedule: Monday to Friday (Hours: 8:00 AM - 4:30 PM with call rotation every 7 weeks) No Holidays or WeekendsLocation: Newark, DESign-on Bonus: $10,000Overview:Shaker for ChristianaCare Direct is seeking a dedicated Registered Nurse (RN) Case Manager with expertise in Discharge Planning within an Acute Care Hospital...
-
Registered Nurse Case Coordinator
1 week ago
Atlanta, Georgia, United States Shaker for ChristianaCare Direct Full timePosition: RN Case Manager - Day ShiftSchedule: Monday to Friday (Hours: 8:00 AM - 4:30 PM with call rotation every 7 weeks) No Holidays or WeekendsLocation: Newark, DESign-on Bonus: $10,000Overview:Shaker for ChristianaCare Direct is seeking a dedicated Registered Nurse (RN) Case Manager with expertise in Discharge Planning within an Acute Care Hospital...
-
Registered Nurse Case Coordinator
2 weeks ago
Atlanta, Georgia, United States Shaker for ChristianaCare Direct Full timePosition: RN Case Manager - Day ShiftSchedule: Monday to Friday (Hours: 8:00 AM - 4:30 PM with call rotation every 7 weeks) No Holidays or WeekendsLocation: Newark, DESign-on Bonus: $10,000Overview:Shaker for ChristianaCare Direct is seeking a dedicated Registered Nurse (RN) Case Manager with expertise in Discharge Planning within an Acute Care Hospital...
-
Registered Nurse Case Coordinator
2 weeks ago
Atlanta, Georgia, United States Shaker for ChristianaCare Direct Full timePosition: RN Case Manager - Day ShiftSchedule: Monday to Friday (Hours: 8:00 AM - 4:30 PM with call rotation every 7 weeks) No Holidays or WeekendsLocation: Newark, DESign-on Bonus: $10,000Overview:Shaker for ChristianaCare Direct is seeking a dedicated Registered Nurse (RN) Case Manager with expertise in Discharge Planning within an Acute Care Hospital...