Work from Home Case Manager Jobs

Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Complex Care Case Manager, RN for Workers Compensation. PRIMARY PURPOSE: The complex care case manager will provide comprehensive and quality telephonic case management for our injured employees with complex diagnoses and often catastrophic injuries. Our nurses will be responsible for proactively applying clinical expertise ensuring our injured employees receive medically appropriate healthcare to achieve a safe return to work or best optimal level of function through engagement with the injured employee, provider and employer. Our nurses will be empathetic informative medical resources for our injured employees, and they will partner with our adjusters to develop a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination. Responsibilities Uses clinical/nursing expertise to...

Mosaic at Home Residential Supervisor/Case Manager (Finance)About Mosaic:Mosaic is a national faith-based healthcare provider of services to people with diverse needs including intellectual and developmental disabilities, autism support, behavioral therapy and senior care. Our 3,800 employees and 800 independent contractors provide a life of possibilities to nearly 4,000 people across 10 states and 400+ communities.Building upon more than a century of service, Mosaic navigates continuous transformation in service delivery while maintaining a focus on those things that matter most: people served and their families, the people who serve, and our mission of service and advocacy.About this position:If you'd like to help people with intellectual disabilities enjoy a full life, look no further. At Mosaic, you'll have the opportunity to impact the lives of people with disabilities by connecting them with the opportunity to be fully integrated into their community. In this position you...

Job Description This position will be working from home and will require the employee to be licensed and located in New Jersey Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes,worksites, or physician's office to provide ongoing case management services. Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely...

About us: Morgan Stephens represents the nation's top healthcare systems offering the highest compensation and benefits to our top candidates. We are created and managed by experienced industry professionals in healthcare. As a leading provider of contract, contract to perm, and direct placement recruiting services to healthcare organizations throughout the United States, we have successfully served the needs of our employees and clients by placing thousands of quality healthcare professionals into organizations seeking top talent. Open Position: The RN CASE MANAGER II is responsible for the coordination of the patient's care and services. Promotes quality care using a collaborative process that coordinates, monitors, and evaluates services according to the needs of and interpersonal contact with patients. in accordance with all applicable laws, regulations, and Life Care standards. Education, Experience, and Licensure Requirements Must possess a nursing diploma...

Job Description This position will be working from home and will require the employee to make community visits once COVID restrictions are lifted. Travel will be in Lake County, Porter County, or Indianapolis Indiana Working for a dynamic, industry leading health care company that puts the focus on the member is what CVS-Aetna is all about. If you like working independently as a Social Worker and as part of a Team, this position may be what you have been looking for. As our company continues to grow our stake hold in local communities is what makes our company stand out in the health care industry. Our talented and caring health care professionals drive the delivery of high-quality services. As a Licensed Clinical Social Worker, you will use your clinical judgement to assess your member's needs.Communication, problem solving, researching resources are a component of what you will do as a Social Worker at CVS-Aetna, Community Care Program .As a Social Worker at our company you...

We're making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephonic Oncology Case Manager RN, you'll support our Oncology member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today. This position is work at home. Work schedule expectations offer some flexibility with a combination of day and consumer hours. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Making outbound calls to assess patient's current health status Identifying gaps or barriers in treatment plans Interacting with Medical Directors on challenging cases Providing patient education to assist...

Job Description Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. • Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) In this Health and Social Services Coordinator role, will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs. This position would work with the 2060 assessment team completing 2060 assessments for members in the member's homes. The more health care changes, the more certain values count. Like quality, patient-centric care, compassion and a dedication to going the extra mile. As a Field-Based LPN Health and Social Services Coordinator UnitedHealth Group, You'll wear many...

Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Complex Care Case Manager, RN for Workers Compensation. PRIMARY PURPOSE: The complex care case manager will provide comprehensive and quality telephonic case management for our injured employees with complex diagnoses and often catastrophic injuries. Our nurses will be responsible for proactively applying clinical expertise ensuring our injured employees receive medically appropriate healthcare to achieve a safe return to work or best optimal level of function through engagement with the injured employee, provider and employer. Our nurses will be empathetic informative medical resources for our injured employees, and they will partner with our adjusters to develop a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination. Responsibilities Uses clinical/nursing expertise to determine...

At Monarch, an OptumCare Company, you will perform within an innovative culture focusing on transformational change in the health care system. You will leverage your skills across a diverse and multi - faceted business. Your contributions will have an impact greater than you have ever imagined! Join us and help people live healthier lives while doing your life's best work.(sm) This position performs telephonic clinical review for the Monarch Healthcare member. Actively implements a plan of care utilizing approved clinical guidelines to transition and provide continuity of care for the member. Collaborates with the hospitalist/physician team, acute or skilled facility staff, ambulatory care team, and or member and /or member's representative. Schedule: Monday - Friday 8:00am - 5:00pm. No nights, weekends or holidays. *Allowing 100% remote capacity through the COVD-19 pandemic. The regional office is located in Irvine, CA and the person is expected to work on-site daily,...

We're making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today! Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm) As a Telephonic Complex Case Manager Nurse, you will be responsible for clinical operations and medical management activities across the continuum of care from...

We're making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today! The schedule for this position is Monday - Friday. Three days per week will be 8am - 5pm. Two days per week will be 11am - 8pm. There will be the opportunity to telecommute / work at home after 6 months if all job goals are being met. Primary Responsibilities: Make outbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self-management Interact with Medical Directors on challenging cases...