Case Manager # 26-24689
$40 - $43 per hourTemporary
USTech Solutions
Duration: 06 Months
Job Description:Responsible for performing care coordination duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care for specialty populations. This position implements interventions to ensure efficient utilization of benefits. Roles & Responsibilities:
- Assess members clinical need against establish guidelines and/or standards for specialty population-based members.
- Implement the delivery of high quality cost-effective care based on a customized population model of care supported by clinical practice guidelines established by the plan.
- Partner with the member/family physician and all members of the healthcare team to ensure the members needs are met internal and external to this organization. Advocate for the member among various sites to coordinate resource utilization.
- Utilize the care management process to set priorities plan organize and implement interventions that are goal directed toward self-care outcomes and the transition to independent status.
- Ensure care for mandated non-compliant members through the monitoring of utilization.
- Document accurately and comprehensively based on the standards of practice and current organization policies.
- Evaluate care by problem solving analyzing variances and participating in quality improvement to enhance member outcomes.
- Monitor members care activities regardless of the site of service or network participation and outcomes for appropriateness and effectiveness.
- Consult with internal stakeholders on complex cases and escalate as appropriate to internal physician resources.
- Complete other assigned functions as requested by management.
- Requires a license as an RN or Bachelor degree in social work health or behavioral science.
- Graduate level degree in Social Work or Health and Behavioral Science preferred.
- Requires a minimum of three (3) years experience serving members with special needs.
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 colour religion sex sexual orientation gender identity national origin disability or status as a protected veteran. AI Statement: By applying you acknowledge that AI-assisted tools may be used during hiring. #ZR
Required Experience:
Manager
]]><Vacancy posted 6 days ago
Similar jobs that could be interesting for youBased on the Case Manager # 26-24689 in Hopewell, NJ vacancy
- ...sites to coordinate resource utilization. Utilize the care management process to set priorities plan organize and implement interventions... .... Consult with internal stakeholders on complex cases and escalate as appropriate to internal physician resources....SuggestedTemporary work
USTech Solutions
Hopewell, NJ7 days ago $23 - $26.66 per hour
...Program and the Prenatal and Post Partum Care Nurse, the Prenatal Case Manager assists prenatal patients and their families in accessing... ...Microsoft Office, Excel and use of electronic medical records Salary Description $23.00-$26.66 per hour #J-18808-Ljbffr Zufall HealthSuggestedHourly payFull timeWork at officeLocal area- ...transition to the continuum of care. Performs duties and types of care management as assigned by management. Serves as mentor/trainer to new RN's... .... Encourages member participation and compliance in the case/disease management program efforts. Documents accurately and...SuggestedRemote jobLocal areaMonday to FridayWeekend work
- ...Case Manager Valeo Resources has partnered with a reputable mental health organization that is rapidly expanding. We are currently seeking candidates for a full-time Case Manager to join the team in Lawrence Township, NJ! In this role, you will be working with adults...SuggestedFull timeDay shift
Valeo Resources
Lawrence, NJ2 days ago $73k - $75k
...Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager PRIMARY PURPOSE OF THE ROLE: While partnering with the injured worker, employer, and medical providers, create a case management...SuggestedFull timeWork experience placementRemote workFlexible hoursSedgwick
Trenton, NJ5 days ago$52k
...Make an Impact Every Day by Supporting Recovery & StabilityCase Manager Full-Time | Monday–Friday | 11am-7pm | Schedule Flexibility: One... ..., and build meaningful, stable lives in recovery. As a Case Manager, you'll play an important role in helping clients navigate...Full timeMonday to FridayIRON Recovery and Wellness
Trenton, NJ1 day ago$50k - $53k
Rapid Rehousing Case Manager (Full-time) Are you looking for a job with a purpose where your talents and skills are valued? Are you looking to make a difference? If so, Anchor House is the perfect place for you! Having served the Trenton area for more than 47 years, Anchor...Full timeMonday to Friday- ...Job Description Job Description JOB SUMMARY: Responsible for delivering case management/counseling services for clients and families. ESSENTIAL FUNCTIONS: # Designs, implements and monitors individual program plans for clients. # Assesses client needs; investigate...
Catholic Charities - Diocese of Trenton
Trenton, NJ18 days ago - ...To provide case management for the Trenton Citadel social service programs under the direction of the Corps Officer with professional supervision provided by Divisional Headquarters Human Services Staff. The Social Services Case Manager will be able to identify the needs...Work at officeLocal area
The Salvation Army USA Eastern Territory
Ewing, NJ5 days ago - ...Serenity Hospice Rn Case ManagerSerenity Hospice provides caring and compassionate hospice care services to patients and families throughout... ...Hospice is looking to add a dedicated and compassionate RN Case Manager to delivering exceptional care, comfort and support to patients....Local area
Credenza Health
Trenton, NJ4 days ago - Horizon Blue Cross Blue Shield of New Jersey seeks a skilled case manager to assess and coordinate Dual Special Needs care, developing member-centered plans and ensuring appropriate, cost-effective services across the continuum. The role requires at least 3 years of clinical...
$57.3k
...supervision of the Senior Director of Behavioral Health and Supervisor of Behavioral Health provides social work services. The Medical Case Manager provides case management services in an integrated care and trauma‑informed manner. The Medical Case Manager works in a patient‑...Work at officeImmediate start- Horizon Blue Cross Blue Shield of New Jersey is seeking a Dual Special Needs Case Manager in New Jersey to assess clinical needs, develop care plans and coordinate services across the continuum of care. You will evaluate service necessity and efficiency, monitor outcomes...
- Job Summary We are seeking a Mental Health case worker to join our team! In this role, you will provide outpatient mental health services... ...function as an active member of the team. Assume overall case management responsibilities for assigned consumers including coordination...Internship
$31 per hour
...s will coordinate care of members in long term care Complete comprehensive assessments to develop and monitor care plans Manage 75-100 active cases based on intensity and acuity RN’s will work in office in Newark and occasionally make patient home visits in Mercer County...Private practiceWork at officeMonday to Friday- ...Hospice RN Case Manager (Ocean / Monmouth County, NJ) Ocean / Monmouth County, NJ Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania,...Full timeTemporary workWork at officeRemote workVisa sponsorshipFlexible hours
Ennoble Care
Monmouth Junction, NJ1 day ago - Zufall Health in New Jersey is seeking a Prenatal Case Manager to support prenatal patients and families, coordinating access to medical and social services. The role collaborates with the SVP of Nursing and Clinical Operations and the Prenatal Care team to address barriers...Local area
- ...National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager We are growing all across the US and are looking for experienced Workers Comp Field Case Managers! Must be an RN and...Full timeWork at officeRemote workWork from homeRelocation packageFlexible hours
Sedgwick
Trenton, NJ1 day ago $87.6k - $97k
...Complex Care Case Manager, RNAmTrust Financial Services, a fast growing commercial insurance company, has a need for a Complex Care Case Manager, RN for Workers Compensation managed care team.PRIMARY PURPOSE: The complex care case manager will provide comprehensive and...Work experience placementWork at officeFlexible hoursAmTrust Financial
Princeton, NJ4 days ago- Hunterdon Healthcare System Inc. is seeking a Part-time Case Manager to support children aged 0-22 with special health care needs in Flemington, NJ. The role involves developing and updating individual service plans and coordinating care across medical, educational, and...Part time
- ...across the workers' compensation industry. Learn more about ForzaCare and Ethos partnership here. JOB SUMMARY: As a Field Medical Case Manager at ForzaCare, you'll help injured workers navigate their recovery and return to work. You'll act as the central point of...
- ...Sedgwick is seeking a RN Field Case Manager to support injured workers and coordinate care across providers. This role combines field work with a home-based office and frequent travel to meet patients and medical teams. Ideal candidates have RN licensure, 1.5 years Workers...Work at officeRemote workWork from home
Sedgwick
Ewing, NJ4 days ago - ...Under the supervision of the Regional Services Manager, performs assigned duties relating to the implementation and evaluation of community... ...at various community sites to identify clients in need of case management services. Assess client needs, prepare appropriate...Full timeWork at office
- ...Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you...Full timeContract workPart timeFlexible hours
$25 - $28 per hour
...position is offered by Assist America, a wholly owned subsidiary of International Medical Group. Job Description The Medical Case Manager supports members experiencing medical emergencies while traveling, providing clear guidance, reassurance, and timely assistance...Work at officeShift workNight shiftRotating shiftInternational Medical Group
Princeton, NJ25 days ago$46.92k
...development so they can reach their full potential. Responsibilities include: Providing daily supervision and mentorship Managing household routines and student schedules Administering medications and ensuring student wellness Driving students to...Full timeWork from homeRelocationRelocation packageFlexible hoursWeekday workMilton Hershey School
Lambertville, NJ3 days ago$35 per hour
...Description JOB PURPOSE: The Disaster Human Services Case Manager provides survivor-centered disaster human services case management during supported field or remote operations. The position conducts intake and screening assesses disaster-caused and disaster-related...Contract workTemporary workLocal areaRemote workAfternoon shift- ...Blue Cross Blue Shield of New Jersey is seeking a dedicated care manager to assess Dual Special Needs members and develop person-centered... ...license (RN/LPN/SW/CSW), at least three years in home care or case management, and strong knowledge of care management and HEDIS....
- Horizon Blue Cross Blue Shield of New Jersey is seeking a Care Manager I for Specialty Programs in New Jersey. The role focuses on care coordination, transitioning members to the continuum of care, and ensuring appropriate utilization of benefits. Requires RN license or...
$63k - $84.42k
...employees bring their best and succeed, the Company succeeds. About the Role This position is accountable for the assessment and case management of Dual Special Needs members using established guidelines to ensure appropriate level of care as well as developing a member...Live inLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Case Manager # 26-24689. Be the first to apply!
