DCFS CM/Field Care Manager
$65k - $88.6kHumana
Become a part of our caring community The Field Care Manager, Behavioral Health assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager, Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Field Care Manager, Behavioral Health employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensure patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. LCSW, LPC, LAC, LMFT Experience working with Department of Children and Family Services Applicable State licensure in field of study Managed Care Experience Bilingual a plus Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: wireless, wired cable or DSL connection is suggested. Humana reserves the right to require associates to upgrade their internet service if necessary. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. 65,000 - $88,600 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Humana: Humana Inc. (S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
- ...Humana is seeking a Field Care Manager, Behavioral Health to assess and coordinate care for members, guiding families toward resources to support... ...licensed behavioral health clinicians and experience with DCFS, with a remote work arrangement and potential travel for...SuggestedRemote work
$65k - $88.6k
...Humana is seeking a Field Care Manager, Behavioral Health to assess and coordinate care for members, guiding families toward resources and planning... ...of $65,000–$88,600 plus bonus eligibility. LCSW/LPC/LAC/LMFT licenses and DCFS experience are preferred. #J-18808-LjbffrSuggestedRemote work$68.4k
...implements effective utilization management strategies including: review of appropriateness of health care services, application of... ...Management ~ Experience in UM/CM/QA/Managed Care ~ Experience... ...Utilization Management or a related field SKILLS Working knowledge...CmsFull timeFor contractorsWork at officeLocal areaRemote workFlexible hoursWeekend workWeekday work- ...Humana is seeking a Field Care Manager, Behavioral Health to assess and evaluate members to achieve and maintain optimal wellness. You will guide members and families to appropriate resources and may create care plans, while interpreting needs and acting with minimal...SuggestedRemote work
- ...About Arvum Senior Living Arvum Senior Living proudly manages Assisted Living and Memory Care communities across 8 different states, representing over 2,000 units throughout the Gulf Coast and Midwest region. Rooted in our Pillars of Excellence, Arvum creates purpose...CmsFull timePart timeLocal areaFlexible hoursShift work
- ...Definition: The Nurse Care Manager works collaboratively with the providers and clinical team to support patients with chronic conditions... ..., lab results) in the Electronic Health Record using the CM documentation tool and communicates the patient's progress to the...CmsWork at officeFlexible hours
- ...Director Of Clinical Case Management The Director of Clinical Case Management develops, implements and enforces policies and procedures... .... "Experience Memorial" is more than a slogan, it's the care we provide our patients and it's the commitment to our community...CmsWork experience placement
$86k - $92k
...Genex Service LLC Medical Field Case Manager US-IA-Sioux City Job ID: 26-19431 Type: Regular Full-Time # of Openings: 1 Category: Case Management... ...disability. #LI-MC1 Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse...Full timePart timeLocal areaHome officeFlexible hours- Position Summary The Case Manager, in collaboration with the physician, provides individual program management for each patient to ensure the patient’s progression through the continuum of care in a manner that achieves the desired clinical and financial outcomes. Monitors...CmsRelief
- ...Case Manager (RN) The Case Manager (RN) plays a vital role in ensuring comprehensive patient care through effective case management practices. This position involves collaborating... ...managers with staffing structured as one CM weekend option (Saturday and Sunday, 7a-7p...CmsMonday to FridayWeekend workWeekday work
- ...Job Description Job Description JOB TITLE: Case Manager REPORTS TO: Administrator FLSA STATUS: Non-Exempt JOB OVERVIEW: In... ...patient to ensure the patient's progression through the continuum of care in a manner that achieves the desired clinical and financial...CmsDaily paidWork at office
- ...of Pivotal Placement Services by Top Echelon. Catastrophic Field Case Manager (RN) Full-Time | Permanent | Remote Field-Based | Baton Rouge... ...Manager , you will play a critical role in coordinating care for injured workers by collaborating with medical providers,...Permanent employmentFull timeWork at officeRemote workHome officeFlexible hours
- ...hospital of choicefor patients, physicians and employees. We've been caring for our community forover 60 years and offer many diverse... ...families, friends andneighbors. IMC is currently hiringa Case Manager , on a full time basis. The Case Manager is responsible for the...CmsFull time
- ...handles multi-disciplinary communications and facilitations of care throughout a patient's hospitalization, which includes a review... ...years of hospital-based experience in discharge planning, case management or utilization review.CertificationsRequired - Current registered...CmsLocal areaImmediate startFlexible hoursWeekend work
- ...currently seeking a full-time Case Manager (Registered Nurse) to work from... ..., work status, plan of care and follow up appointments to appropriate... ...to services rendered. Field Case Management services for client... ...Rotate Call to ensure 24/7/365 CM services; perform duties as...CmsFull timeTemporary workWork at officeImmediate startRemote workWork from homeMonday to FridayDay shiftAfternoon shift
- Curana Health, Inc. is seeking a Care Ally, Case Manager to join its interdisciplinary care team. The role involves assessing member needs, planning and coordinating care, and acting as a liaison among Members, their families, and the care team. Responsibilities include...
- ...person is our continued commitment.What You'll Do:The PACE Home Care Coordinator (LPN) is an integral member of the PACE... ...caregiver, and staff education related to home safety and disease management within the LPN scope of practice.The Home Care Coordinator practices...CmsLocal areaImmediate startDay shift
- ...Summary The Care Manager (CM) PRN works in collaboration with the patient/family, physicians, and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each assigned patient from admission through...CmsDaily paidReliefWork at officeLocal area
- Job Description The Field Access Manager (FAM) serves as the subject-matter expert on access related issues for healthcare professionals (HCPs)... ...and clinic operations; Adaptability, Adaptability, Clinical Care, Company Policies, Cost Effectiveness Analysis, Data Analysis...For contractorsWork at officeLocal areaRemote workRelocationVisa sponsorshipFlexible hoursShift work
- ...Exceptional care starts with exceptional people. For us, this is more than a job– it’s a calling. It’s waking up each day, looking... ...people and teams. Together we are leading the way. This job manages identified complex/catastrophic patients attributed to the organization...CmsFull timeWork experience placementWork at officeLocal areaImmediate start
- ...direct impact. Join Gilead and help create possible, together. As an expert in Liver market access , the Senior Field Reimbursement Manager - Liver will remain informed about local and national payer policies and acquisition pathways, proactively addressing coverage...For contractorsWork at officeLocal areaRemote work
- ...and Top 10% National Performance. We are seeking a full-time Anesthesiologist and Pain Management Physician to provide high-quality anesthesia and interventional pain care in both inpatient and outpatient settings while working with a collaborative, multidisciplinary...CmsWeekly payFull timeLocumImmediate startRelocation package
$85k - $134.2k
Summary The Field Production Manager is responsible for bringing best-in-class Chobani and La Colombe consumer activations to life across the United States. This hands-on role leads the planning, logistics, transportation, warehousing, setup, execution, and breakdown of...Full timeLocal areaFlexible hoursNight shiftEarly shift$138.9k - $200.2k
Position: Field Sales Manager Job Description: Why You'll Love This Role Innovation happens when the right people, ideas, and technology come together. At Arrow, our Sales teams connect customers with the expertise, solutions, and global capabilities they need to...Hourly payFull timeTemporary workWork experience placementWork at officeRemote work$153.94k - $199.21k
...Gilead and help create possible, together. Job Description As an expert in Liver market access , the Senior Field Reimbursement Manager – Liver will remain informed about local and national payer policies and acquisition pathways, proactively addressing...Full timeFor contractorsWork at officeLocal areaRemote work- ...Recognized as a top place to work in health care, Baptist Health cares for more patients... ...in physician coding, evaluation and management (E/M) coding, and outpatient procedures,... ...documentation and accurately assign ICD-10-CM diagnosis codes and CPT-4 procedure codes...CmsFull timeWork at officeRemote workDay shift
- ...Recognized as a top place to work in health care, Baptist Health cares for more patients... ...and procedure codes using the ICD-10-CM/PCS Classification System to each patient... ...applicable. Advises and coordinates with Management, CDI and HIM on coding documentation....CmsFull timeCurrently hiringRemote work
- ...the patient medical record. Classification systems include ICD-10-CM and CPT 2005 edition, and all coding is in accordance with... ..., the American Hospital Association, and the Health Information Management Association. All work is carried out in accordance with the Health...Cms
- ...US Reports To: Head, Market Access About This Role: The Field Reimbursement Manager plays a critical role in facilitating patient access to new... .... Demonstrate extensive knowledge of individual managed care account’s geographic presence/influence, payer mix, product...Contract workWork at officeLocal areaRemote work
- ...and Medicaid regulations, reimbursement, and interdisciplinary care planning. Responsibilities: Coordinate and complete accurate... ...compliance with CMS guidelines and RAI Manual requirements. Manage Medicare and PPS assessments while maximizing appropriate...Cms
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