It is our vision to be the best support system that eases pain for families going through the challenges of caring for their declining loved ones. We also work to facilitate opportunities for compassionate caregivers to work with those families and fulfill the dream for seniors to stay home affordably and safely with assistance. Our Administrative/Managementteam has experiencedall levels of care needs for clients during our years working in assisted living facilities, home care agencies, home health agencies and skilled nursing facilities. Wehave a clear understanding of what it takes to make a Perfect Care Match.If you'd like to join our compassionate and motivatedteam, apply today! Do you enjoy building relationships to drive business results? Check out ourexciting opportunity for a successful sales professional that desires to make a difference with the senior population and their families! We are seeking a proven, driven andmotivated sales professional to join our team. Must be...

Full time Care Specialist openings in the Illinois area with a major healthcare company! Starting ASAP!! Apply now to Jake Z with A-Line! PAY RATE: $36.00 - $38.00 / hr. HOURS : 8 hr. shift. 8am - 5pm, Monday through Friday. Potential OT. Job Responsibilities: Contact members approved for home and community based services (HCBS) under the Supportive Living Facility waiver and members residing in long term care. Complete contractually required tasks as well as assist in coordinating overall health care. Document all interactions and required details within the system. Required : Bachelor's degree in human services related field Including but not limited to (Child, Family and Community Services, Early Childhood Development, Guidance and Counseling, Home Economics, Human Development Counseling, Human Services Administration, Human Services, Health Administration, Master of Divinity, Pastoral Care/Counseling, Psychiatry, Nursing, Psychology, Public Admin, Social Science,...

Full time Care Specialist openings in the Illinois area with a major healthcare company! Starting ASAP!! Apply now to Jake Z with A-Line! PAY RATE: $36.00 - $38.00 / hr. HOURS : 8 hr. shift. 8am - 5pm, Monday through Friday. Potential OT. Job Responsibilities: Contact members approved for home and community based services (HCBS) under the Supportive Living Facility waiver and members residing in long term care. Complete contractually required tasks as well as assist in coordinating overall health care. Document all interactions and required details within the system. Required : Bachelor's degree in human services related field Including but not limited to (Child, Family and Community Services, Early Childhood Development, Guidance and Counseling, Home Economics, Human Development Counseling, Human Services Administration, Human Services, Health Administration, Master of Divinity, Pastoral Care/Counseling, Psychiatry, Nursing, Psychology, Public Admin, Social Science,...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. (sm) This position is primarily responsible for collaborating across the organization to provide education and awareness of the Optum Care Management programs. This is a telecommuter position located in Connecticut. You may be in the field 25%-50% of the time and will telecommute/work from home when not in the field. ***This role may require multiple state licensures beyond your home state license*** Primary Responsibilities: Partnering and building relationships across the organization along with external provider offices-this could include in person provider office visits to meet with clinical staff if applicable Attending Clinical Continuum and provider meetings as the Optum CM/DM representative Providing...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) As a Telephonic Nurse Case Manager, you will be responsible for clinical operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. You will also be responsible for providing health education, coaching and treatment decision support for members. Shifts are Monday - Friday, 10am-7pm PST with the ability to flex to 9pm PST as needed. You'll enjoy the flexibility to telecommute* from anywhere in the US as you take on some tough challenges....

Description **Do you have a passion for medical billing and coding?** A large pharmaceutical company in Scottsdale are looking for great Case Managers!! If you love solving problems and genuinely helping others this position is for you!! Figure out solutions for customers seeking care. Call center environment. Manage files and completion of processes. No Selling or collections! Job Requirements MUST HAVE MEDICAL BILLING/CASE FILE MANAGEMENT EXPERIENCE. Must have high speed internet and the ability to work from home. Great communication skills and the ability to work in a team-focused environment. Must be flexible to work an 8hr shift between 5AM-6PM Monday-Saturday. Must be able to pass a Drug & Background check. If interested in immediate consideration, please email your resume directly to: RozAnna. Mapp@remx.com PLEASE MENTI ON CASE MANAGER $19/HR.

Must live in California to be considered for this position Responsibilities The Transplant Case Manager interacts with benefit specialist and claims staff for claim payment direction to ensure correct interpretation of transplant contracts and to apply payments accurately. Assists in service marketing and/or account management functions for service center-based customers, as assigned. Assists Sales Account Executive in communicating status and/or resolving issues for service center-based customers, as assigned. Participates on committees, task forces and other company projects, as assigned. Supports training initiatives or audits of case files, as assigned. Demonstrates sensitivity to culturally diverse situations, clients and customers. Any other assigned tasks as deemed necessary to meet business needs. Additionally the candidate will be responsible for the adoption and demonstration of the Consumer Health Engagement cultural beliefs. They will be responsible for...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) 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! ***This position is a telecommute / work from...

Company : Gateway Health Plan Job Description : JOB SUMMARY This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration with internal and/or external customers and contacts. Follows established regulatory guidelines, policies, and procedures in relation to member interventions and documentation of activities related to the member's care and progress across the continuum of care. Facilitates and/or participates in interdisciplinary and/or interagency meetings, when necessary, to facilitate coordination of services/resources for members. ESSENTIAL RESPONSIBILITIES Communicate effectively while...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) This is a Telephonic Case Manager position and is telecommute / work from home from any location in We are 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...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) As a Telephonic Transplant Nurse Case Manager RN, you will drive positive outcomes by supporting a diverse member population with education, advocacy and the connections to the resources they need. This is a telecommute/work from home position. Shift: Monday - Friday, 8:00 AM - 5:00 PM. 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 members' current health status Identifying gaps or barriers in treatment...

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) As a Senior Field-Based Case Manager, you'll wear many hats, and work in a variety of environments. Sometimes, you'll interact with members leaving the hospital - possibly with new medications or diagnoses. Or perhaps you'll perform home visits, assisting members with safe, effective transitions from care environments to where they live. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more. The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressed, more effective health care system for...

Overview About Fallon Health Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation's top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. About NaviCare : Fallon Health is a leader in providing senior care solutions such as NaviCare, a Medicare Advantage Special Needs Plan and Senior Care Options program. Navicare integrates care for adults age 65 and older who are dually eligible for both Medicare and MassHealth Standard. A personalized primary...

Case Manager Opportunity in Financial Services Case Manager, Remote Position, Highland Capital Brokerage Location(s): Pacific or Mountain Time Zones INTERNAL APPLICANTS: All qualified internal applicants, irrespective of location, will be considered for all internally posted roles at this time. Compensation range displayed in internal postings is the national average, and compensation decisions will be employee-location based. Role Type: Full time Summary: Responsible for the case management of life applications assigned. The candidate will manage and facilitate timely, accurate and relevant communications between broker, vendors, Highland Capital SVP, and Life Insurance carriers on pending cases (both formal & informal). Position requires the analytical ability to combine medical, financial, reinsurance and general life insurance expertise on top of the mechanics of managing a case. Case management duties include reviewing applications for completeness,...

Remote positions still require that you reside in Texas. 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: We are seeking qualified RN Case Managers. JOB RESPONSIBILITIES: Responsible for health care management and coordination of Health Plan Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Health Plan members progress...

Company Description Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description This is a TEMP-TO-PERM Care Manager position. The need for this position is due to new business. This is a remote position with hours from 8am - 5pm, EST. The manager is flexible with a 30 or 60 minute typical day will consist of scheduling reviews that could take up to 45 minutes. These outbound c alls are to providers to discuss quality improvement measures, clinical practices and medical necessity guidelines. The selected candidate will discuss cases with the manager or...

We are seeking a RN Case Manager who will work remotely and lives in the Northern, Central or Tidewater Region in Virginia. The Northern Region consists of the area from Page, Frederick, Loudoun, Prince William to Culpeper County. The Central Region consists of the area from Stafford, Cumberland, Mecklenburg, Southampton, New Kent to Westmoreland County. The Tidewater Region consists of the area from Accomack, James City, Suffolk to Virginia Beach County. This position will support the Dual-Eligible Special Needs Plans (D-SNP) program members. KNOWLEDGE, SKILLS & ABILITIES Completes face-to-face comprehensive assessments of members per regulated timelines. Facilitates comprehensive waiver enrollment and disenrollment processes. Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member...

A prestigious non-profit social service organization dedicated to providing tremendous support services to adults and the elderly in New York City is seeking a remote Case Manager to conduct home assessments and screenings for new clientele. The case manager will relay information about crisis situations, monitor deadlines, and follow up with clients in a timely manner. Conduct client screenings, assessments, and monthly in-home visits Collect health, legal and financial information. Assist in budget preparation. Monitor housing stability and habitability. Cooperate with family members to identify needs and develop service plans, Mobilize formal and informal resources and services needed to maximize a participant's physical, social, and emotional wellbeing, and monitoring service delivery. The development and implementation of a written case plan for the provision of the full range of social services for the older adult client(s) and family. Individual and family...

Must live in California to be considered for this position Responsibilities The Transplant Case Manager interacts with benefit specialist and claims staff for claim payment direction to ensure correct interpretation of transplant contracts and to apply payments accurately.Assists in service marketing and/or account management functions for service center-based customers, as assigned.Assists Sales Account Executive in communicating status and/or resolving issues for service center-based customers, as assigned.Participates on committees, task forces and other company projects, as assigned.Supports training initiatives or audits of case files, as assigned.Demonstrates sensitivity to culturally diverse situations, clients and customers.Any other assigned tasks as deemed necessary to meet business needs.Additionally the candidate will be responsible for the adoption and demonstration of the Consumer Health Engagement cultural beliefs. They will be responsible for role modeling the six...

California Therapy Services - We're looking for immediate hire for one part time home health LVN Case Manager to join our very busy well established contract therapy company. California Therapy Services has been the leading home health therapy company in Southern California since 2014 and works with many home health agencies.***After the training period has been completed this will be a REMOTE WORK opportunity!***The LVN Case Manager will be responsible for managing our home health patient census with the goals of improving compliance, patient care/outcomes, and business partners experience through efficient and timely communication. They will oversee and communicate with a large staff of physical, occupational, and speech therapists to ensure timely care, goal completion, documentation compliance, and the transition to outpatient mobile rehab services when appropriate. The LVN Case Manager will also be responsible for providing reports to administrative staff and business...