Medical Case Manager
4 days ago
We're on a mission to innovate healthcare and make it work better for everyone. Our vision is to help people live healthier lives, regardless of their background or circumstances.
Job Summary
This role offers an exciting opportunity to be part of our team as a Medical Behavioral RN Case Manager. You will play a crucial role in assessing plans, implementing, coordinating, monitoring, and evaluating options and services to meet the health needs of our members. Your expertise will be instrumental in promoting quality and cost-effective outcomes.
About the Role
You will be working as a direct clinical liaison between OptumCare/Care Delivery organization customers and the clinical network. This position requires you to integrate a collaborative process that assesses plans, implements, coordinates, monitors, and evaluates options and services to meet the member's health needs. You will utilize education, communication, and all available resources to promote quality and cost-effective outcomes.
Key Responsibilities:
- Screens and identifies members with high-risk, long-term chronic conditions who will benefit from care management services. Monitors utilization as needed. Referrals for cases may originate from various sources.
- Performs member evaluations and onsite visits as needed in multiple settings, including telephonic, member's homes, PCP/Specialists clinic, hospital, and skilled nursing facilities and provides feedback on planned interventions and outcomes of the plan of care.
- Performs comprehensive assessments, identifies and assists members with high-risk symptoms/diagnoses and/or members with multiple co-morbidities who will benefit from intervention and engaging in care management services. Information is collected from the patient, caregiver(s), health care providers, and other relevant parties as needed.
- Documents findings and develops individualized care plans in a concise/comprehensive manner compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations.
- Utilizes advanced clinical skills to make effective decisions to meet the member's health, behavioral health, and psychosocial needs, providing coaching, patient education, communication, and all available resources to promote quality and cost-effective outcomes.
Requirements
- Active and unrestricted licenses
- RN with 2+ years of experience
- Proficient computer skills and good working knowledge of Microsoft Word
- Maintain direct and open communication with all levels of the organization
- Ability to handle sensitive issues with members and providers in a confidential manner according to HIPAA guidelines
Estimated Salary: $60,000 - $80,000 per year
Please note that the salary range is based on industry standards and may vary depending on location, experience, and other factors.
-
Clinical Case Manager
6 days ago
Scottsdale, Arizona, United States AmTrust Financial Services, Inc. Full timeOverview We are seeking a skilled Clinical Case Manager to join our team at AmTrust Financial Services, Inc. in the United States.The salary for this position is $85,000 - $115,000 per year, depending on experience and location. Job Description This role will provide comprehensive oversight activities aligned with our organization's quality and medical...
-
Scottsdale, Arizona, United States UnitedHealth Group Inc. Full timeJob Summary:As a Comprehensive Medical Case Manager, you will play a critical role in delivering high-quality, patient-centered care to our members. This position requires a strong clinical background and excellent communication skills to effectively coordinate care and achieve optimal health outcomes.About the Role:In this role, you will work closely with...
-
Medical Imaging Modality Manager
6 days ago
Scottsdale, Arizona, United States Southwest Medical Imaging Full time{"Job Title": "MR/CT Modality Manager Position","Job Summary": "As a key member of the Southwest Medical Imaging team, the MR/CT Modality Manager will oversee all aspects of the MR/CT practice in our offices. This role involves providing leadership and management to all MR/CT Department Supervisors and assisting in supervising all MR/CT staff in accordance...
-
Medical Professional
3 days ago
Scottsdale, Arizona, United States One Medical Full timeAt One Medical, we're redefining the healthcare experience by making quality care more accessible, affordable, and enjoyable. As a Phlebotomist/Medical Receptionist, you'll play a vital role in delivering exceptional patient experiences.We're not your average doctor's office. We're on a mission to transform healthcare by improving the experience for everyone...
-
Scottsdale, Arizona, United States FUSION MEDICAL CARE PLLC Full timeAt Fusion Medical Care PLLC, we are seeking a highly skilled and experienced Medical Office Manager/Billing Specialist Lead to join our team. As a key member of our administrative staff, you will be responsible for overseeing the day-to-day operations of our medical office, ensuring smooth and efficient functioning.Job Summary:Provide leadership and guidance...
-
Medical Educator Opportunity
2 days ago
Scottsdale, Arizona, United States Little Medical School Full timeAbout Little Medical SchoolLittle Medical School is a leading provider of interactive educational programs for children, offering a unique opportunity for motivated individuals to share their passion for health and science with young minds.We are seeking highly skilled Program Instructors to lead our series of one-hour classes, featuring hands-on...
-
Radiological Technologist Manager
3 weeks ago
Scottsdale, Arizona, United States Southwest Medical Imaging Full timeJob OverviewWe are seeking a highly skilled Radiological Technologist Manager to join our team at Southwest Medical Imaging. This leadership role is responsible for overseeing the day-to-day operations of our diagnostic imaging department, ensuring that we provide the highest quality patient care and excellent customer service.
-
Nursing Professional
7 days ago
Scottsdale, Arizona, United States Select Medical Full timeCompany OverviewHonor Health Rehabilitation Hospital is a joint venture with Select Medical & Hospital, committed to providing exceptional patient care experiences that promote healing and recovery in a compassionate environment.SalaryThe estimated annual salary for this position ranges from $77,600 to $105,600, based on a 12-hour night shift schedule and...
-
Imaging Modality Manager
3 weeks ago
Scottsdale, Arizona, United States Southwest Medical Imaging Full timeJob Summary: We are seeking an experienced Imaging Modality Manager to oversee all aspects of our MRI and CT modalities in the offices at Southwest Medical Imaging. The ideal candidate will provide leadership and management to our MRI and CT Department Supervisors and assist in supervising all MRI and CT staff in accordance with our organization's...
-
Lead MRI
7 days ago
Scottsdale, Arizona, United States Southwest Medical Imaging Full timeAbout Southwest Medical ImagingWe are a leading provider of medical imaging services in the Southwest region, dedicated to delivering exceptional patient care and innovative diagnostic solutions.Job Title: Lead MRI & CT Imaging ManagerEstimated Salary: $90,000 - $120,000 per yearJob Description:The Lead MRI & CT Imaging Manager will oversee all aspects of...
-
Pediatric Neurodevelopment Medical Director
5 days ago
Scottsdale, Arizona, United States Cortica Full timeAbout CorticaCortica is a rapidly growing healthcare company that pioneers innovative therapies for children with neurodevelopmental differences. Our mission is to design and deliver life-changing care, one child, one family, one community at a time.Compensation & BenefitsThe base pay range for this opening is $212,000 to $276,000. According to your skill...
-
Cloud Native Developer
6 days ago
Scottsdale, Arizona, United States Envita Medical Center Full timeEnvita Medical Center is seeking a highly skilled Cloud Native Developer to join our dynamic IT Team. This role involves designing, developing, and maintaining robust full-stack web applications with a focus on high performance, scalability, and security.Job SummaryWe are looking for an experienced developer with a strong background in Python and JavaScript,...
-
Senior Risk Management Specialist
4 days ago
Scottsdale, Arizona, United States Masis Staffing Solutions Full timeWe are seeking a Senior Risk Management Specialist at Masis Staffing Solutions. This role offers a competitive salary of $85,000 - $110,000 per year.Job Description:The Senior Risk Management Specialist will manage complex, high-value claim and suit files independently. Cases will involve intricate coverage, liability, damages, and/or injuries. May provide...
-
Scottsdale, Arizona, United States LocumTenens Full timeCompelling Opportunity for a Skilled PhysicianA renowned clinic trial is seeking an accomplished internal medicine physician to provide locum tenens coverage in Scottsdale, Arizona. As a hub for golf courses, spa resorts, and breathtaking scenery, this location offers an idyllic work environment.During your assignment, take advantage of the area's serene...
-
Veterinary Technician
7 days ago
Scottsdale, Arizona, United States Desert Veterinary Medical Specialists PLLC Full timeDesert Veterinary Medical Specialists PLLC is a leading provider of internal medicine, cardiology, and radiology specialty care in the Greater Phoenix Valley. We are seeking a skilled Veterinary Technician to join our team.The ideal candidate will have 1-2 years of experience as a veterinary technician in a veterinary hospital and possess a high school...
-
Dental Lab Coordinator
6 days ago
Scottsdale, Arizona, United States Wiand Dental Lab Full timeJob DescriptionWe are seeking a highly skilled Dental Lab Coordinator to join our team at Wiand Dental Lab. As a key member of our team, you will be responsible for providing exceptional customer service to our clients, managing client case pick-ups and deliveries, and maintaining accurate records.Key Responsibilities:Fielding client/vendor/patient phone...
-
Strategic Sourcing Manager Leader
2 days ago
Scottsdale, Arizona, United States Accumen Inc. Full timeJob OverviewThe Strategic Sourcing Manager Leader plays a pivotal role in driving Quality, Cost, and Growth objectives for our clients. This position involves expertise in complex laboratory supply chain projects and initiatives to deliver maximum value creation.Focusing on laboratory diagnostic technology and capital equipment, clinical laboratory support...
-
Care Coordination Specialist
2 weeks ago
Scottsdale, Arizona, United States Incredible Health Full timeJob OverviewWe are seeking an experienced Nurse Case Manager to join our team at Incredible Health. As a key member of our healthcare team, you will be responsible for coordinating patient care and ensuring seamless communication between healthcare providers, patients, and families.ResponsibilitiesConduct comprehensive assessments of patients, including...
-
Healthcare Transition Specialist
6 days ago
Scottsdale, Arizona, United States HonorHealth Full timeJob SummaryAs a Healthcare Transition Specialist, you will play a vital role in ensuring a seamless transition of patients from hospital to outpatient care. Collaborating with healthcare professionals, you will assess patient needs, coordinate discharge plans, and monitor post-discharge outcomes. Your expertise in case management and clinical documentation...
-
Medical Director of Obesity Management
7 days ago
Scottsdale, Arizona, United States Tenet Healthcare Full timeAbout the RoleWe are seeking an exceptional Internal Medicine Physician to lead our Bariatrics practice in Phoenix, Arizona.Key ResponsibilitiesFull-time employment with 40 clinical hours per weekNo inpatient responsibilities, only practice callBenefitsCompetitive guaranteed salary with production bonus: $250,000 - $300,000 per yearComprehensive benefits...