Healthcare Case Manager
1 month ago
This is a full-time telework role in Kansas, with 50-75% travel for face-to-face visits in assigned areas once COVID restrictions are lifted. The schedule is Monday-Friday, standard business hours.
As a Health Services Strategist, you will develop, implement, support, and promote Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Healthcare.
Your responsibilities will include utilizing critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support, and education for members through the use of care management tools and resources.
Key Responsibilities:
- Conduct comprehensive evaluations of referred members' needs/eligibility and recommend approaches to case resolution and/or meeting needs by evaluating members' benefit plans and available internal and external programs/services.
- Identify high-risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as needed.
- Coordinate and implement assigned care plan activities and monitor care plan progress.
Enhancement of Medical Appropriateness and Quality of Care:
- Using a holistic approach, consult with case managers, supervisors, Medical Directors, and/or other health programs to overcome barriers to meeting goals and objectives; present cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
- Identify and escalate quality of care issues through established channels.
- Utilize negotiation skills to secure appropriate options and services necessary to meet members' benefits and/or healthcare needs.
Experience:
- Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum levels of health.
- Provide coaching, information, and support to empower members to make ongoing independent medical and/or healthy lifestyle choices.
- Help members actively and knowledgeably participate with their providers in healthcare decision-making.
Monitoring, Evaluation, and Documentation of Care:
- Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
To know more about US Tech Solutions, please visit US Tech Solutions is an Equal Opportunity Employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
-
Healthcare Case Manager
4 weeks ago
Topeka, Kansas, United States US Tech Solutions Full timeJob Summary:This is a full-time telework role in Kansas, with 50-75% travel for face-to-face visits in assigned areas. The schedule is Monday-Friday, standard business hours. The successful candidate will develop, implement, support, and promote Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to...
-
Registered Nurse Case Manager
1 month ago
Topeka, Kansas, United States Spectrum Healthcare Resources Full timeJob Title:Registered Nurse Case ManagerJob Summary:Spectrum Healthcare Resources is seeking a skilled Registered Nurse Case Manager to provide high-quality care to injured federal workers in Kansas City and surrounding areas. As a key member of our team, you will be responsible for managing cases from initial assessment to return to work, ensuring seamless...
-
Case Manager
4 weeks ago
Topeka, Kansas, United States Family Service and Guidance Center Topeka Full timeJob SummaryWe are seeking a highly skilled and compassionate Case Manager to join our team at Family Service and Guidance Center Topeka. As a Case Manager, you will work closely with children and families to provide direct services and support to help them achieve their goals and improve their overall well-being.Key ResponsibilitiesProvide direct services to...
-
Case Manager
4 weeks ago
Topeka, Kansas, United States YoungWilliams PC Full timeAt YoungWilliams PC, we are seeking a skilled Case Manager to join our Legal Team. As a Case Manager, you will play a vital role in helping Kansas families by managing legal cases and providing support.Key Responsibilities:Manage legal cases from start to finishAssist in establishing family support ordersUse locate tools to obtain customer...
-
Case Manager
1 month ago
Topeka, Kansas, United States Youthville Full timeJob Title: Case CoordinatorAt Youthville, we are seeking a highly skilled and compassionate Case Coordinator to join our team.Job SummaryThe Case Coordinator will be responsible for ensuring high-quality resident care, including the coordination of assessments, treatment planning, group therapy, individual therapy, family therapy, and aftercare planning.Key...
-
Nurse Case Manager Lead
4 weeks ago
Topeka, Kansas, United States DirectEmployers Full timeNurse Case Manager Lead Job DescriptionThe Nurse Case Manager Lead is a critical role within DirectEmployers, responsible for overseeing care management initiatives that optimize member healthcare across the care continuum. This position requires a strong clinical background, excellent communication skills, and the ability to navigate complex healthcare...
-
Nurse Case Manager
4 weeks ago
Topeka, Kansas, United States Spectrum Healthcare Resources Full timeJob Title: Nurse Case Manager - Worker Compensation IDJob Summary: We are seeking a skilled Nurse Case Manager to provide services to injured Federal workers in Kansas City and surrounding areas.Responsibilities:Provide nursing services to injured Federal workers who have immediate time loss and have not returned to work within a specified number of...
-
Acute Care Case Manager
4 weeks ago
Topeka, Kansas, United States Ardent Health Full timeTransforming Healthcare, One Patient at a TimeAt UKHS St. Francis Campus, we're committed to delivering exceptional patient care and outcomes. As a Case Manager, you'll play a vital role in coordinating care for high-risk patients and families, working collaboratively with our multidisciplinary team to identify needs and expedite effective care.Key...
-
Clinical Case Manager
4 weeks ago
Topeka, Kansas, United States CVS Health Full timeJob SummaryCVS Health is seeking a skilled Clinical Case Manager to join our team. As a Clinical Case Manager, you will play a critical role in facilitating appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to...
-
Case Manager Paralegal
1 month ago
Topeka, Kansas, United States DiPasquale Moore Full timeJob OverviewAs a Paralegal/Case Manager, you will play a vital role in supporting our Attorneys in their work. You will work closely with a team of Attorneys from the beginning of a case through the end, providing exceptional customer service and ensuring seamless communication with clients.Duties and Responsibilities:Provide top-notch customer service to...
-
Nurse Case Manager
1 month ago
Topeka, Kansas, United States Gentiva Full timeAbout the RoleWe are seeking a compassionate and skilled Registered Nurse to join our team as a Home Health RN Case Manager. As a key member of our healthcare team, you will provide high-quality patient care and support to individuals in their homes, promoting independence and well-being.ResponsibilitiesAdminister skilled nursing care to clients in their...
-
Senior Case Manager
4 weeks ago
Topeka, Kansas, United States DiPasquale Moore Full timeJob Summary: We are seeking a highly skilled and organized Senior Case Manager to join our team at DiPasquale Moore, LLC. As a key member of our staff, you will provide exceptional customer service to clients, manage a high-volume caseload, and support our attorneys in their work.Key Responsibilities:Provide daily customer service to clients, ensuring timely...
-
Topeka, Kansas, United States CVS Health Full timeJob SummaryCVS Health is seeking a skilled Clinical Case Manager to join our team. As a Clinical Case Manager, you will play a critical role in facilitating appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services.Key...
-
Behavioral Health Case Manager
4 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob Summary:The Behavioral Health Case Manager I is a vital role at Elevance Health, responsible for providing comprehensive care to members with behavioral health and substance abuse needs. This position requires a strong clinical background, excellent communication skills, and the ability to work effectively in a hybrid model.Key Responsibilities:Conduct...
-
Foster Care Programs Case Manager I
4 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob Summary:We are seeking a skilled Special Programs Case Manager I to join our team at Elevance Health. As a key member of our team, you will be responsible for performing case management telephonically and/or by home visits within the scope of licensure for special programs, such as Foster Care. Your primary goal will be to manage overall healthcare costs...
-
Case Administrator
4 weeks ago
Topeka, Kansas, United States Kansas Bankruptcy Court Full timeJob SummaryThe Kansas Bankruptcy Court is seeking a highly skilled and detail-oriented Case Administrator to join our team. As a Case Administrator, you will be responsible for providing administrative support to the court, including managing case files, preparing documents, and performing various clerical tasks.ResponsibilitiesManage case files and maintain...
-
Field-Based RN Case Manager
4 weeks ago
Topeka, Kansas, United States UnitedHealthcare Full timeAt UnitedHealthcare, we're committed to simplifying the healthcare experience and creating healthier communities. Our team of dedicated professionals is passionate about removing barriers to quality care and making a meaningful difference in the lives of millions of people. If you're a motivated and compassionate RN with a passion for community health, we...
-
School Based Case Manager
4 weeks ago
Topeka, Kansas, United States Family Service and Guidance Center Topeka Full timeJob SummaryFamily Service and Guidance Center Topeka is seeking a skilled School Based Case Manager to join our team. As a School Based Case Manager, you will work collaboratively with school districts to create a system of care for children and youth with serious emotional disturbance (SED).Key ResponsibilitiesProvide direct services to children and youth...
-
School Based Case Manager
4 weeks ago
Topeka, Kansas, United States Family Service and Guidance Center of To Full timeJob Title: School Based Case ManagerFamily Service and Guidance Center of To is seeking a highly motivated and experienced School Based Case Manager to join our team. As a School Based Case Manager, you will work collaboratively with school districts to create a system of care for identified clients that promote both good mental health and academic...
-
School Based Case Manager
4 weeks ago
Topeka, Kansas, United States Family Service and Guidance Center Topeka Full timeJob SummaryThe Family Service and Guidance Center Topeka is seeking a skilled School Based Case Manager to join our team. This role will provide direct services to serious emotional disturbance (SED) children/youth and their families based on the philosophies and principles of the strengths model.Key ResponsibilitiesCollaborate with school districts to...