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Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 04/14/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one of our top healthcare clients.
Requirements Eighteen months of recent experience in an Acute Care Case Manager setting Active RN License BLS Certifications Degree from accredited nursing program Benefits Weekly pay and direct deposit Full coverage of all credentialing fees Private housing or housing allowance Group Health insurance for you and your family Company-paid life and disability insurance Travel reimbursement 401(k) matching Unlimited Referral Bonuses up to $1,000 Duties Responsibilities The role of the case management nurse (RN) is to coordinate continuity of care for patients often as a liaison between the patient's family and healthcare organization.
Work is administered in a variety of settings, including HMOs, community health organizations, long-term care facilities, behavioral health programs, rehabilitation centers, schools, and case management companies Coordinate continuity of care for patients often as a liaison between the patient's family and healthcare organization Strives to promote self-managed care and the use of healthcare resources in the most cost-effective way possible Ensure that the proper treatment is administered at the appropriate time in order to maximize health and well-being About Agency MedPro Healthcare Staffing is a Joint Commission certified provider of contract staffing services.
Since 1983, we have placed nursing and allied travelers in top healthcare facilities nationwide.
Join us today for your very own MedPro Experience®.
If qualified and interested, please call for immediate consideration.
MedPro Staffing is an Equal Opportunity Employer.
All applicants will be considered for employment without attention to race, color, religion, national origin, age, sex, disability, marital status or veteran status.
Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN
*Weekly payment estimates are intended for informational purposes only and include a gross estimate of hourly wages and reimbursements for meal, incidental, and housing expenses.
Your recruiter will confirm your eligibility and provide additional details.
MedPro Job ID a0Fcx00000HLWW9EAP.
Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
Posted job title: Case Manager Registered Nurse Nursing: Case Manager.
About MedPro Healthcare Staffing At MedPro Healthcare Staffing , we believe no one cares more for caregivers than we do.
Our mission is simple: you focus on your patients, and we'll take care of the rest.
As a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation.
With thousands of job opportunities available nationwide, we make it easy to find assignments that align with your goals and lifestyle.
Our on-staff clinical support team—alongside a compassionate group of experienced recruiters—provides hands-on guidance every step of the way.
From Day 1 medical benefits and a 401(k) plan to personalized career support, we're committed to ensuring every professional we serve feels valued, cared for, and empowered to succeed.
Guided by a CEO who is a Registered Nurse, MedPro is built on a foundation of clinical insight and genuine compassion for the caregiving community.
Through The MedPro Experience® , we deliver travel assignments that are rewarding, memorable, and designed to help you DREAM big, EXPLORE often, and ACHIEVE greatness.
Benefits Day 1 medical, dental, and vision benefits for you and your family Weekly pay and direct deposit Unlimited Referral Bonuses starting at $500 On Staff Clinical Support Team Access to nationwide travel assignments MPX Mobile app -24/7 real-time access to jobs, credentials, assignment details, and more Full coverage of all credentialing fees Private housing or housing allowance Tax Free Per Diems, Housing Stipends and Travel Reimbursements Company-paid life and disability insurance Travel reimbursement 401(k) matching Benefits Weekly pay Referral bonus Employee assistance programs5c143e31-5e48-4549-b638-05792d185386
This is a fully remote, telephonic role requiring candidates to work from a quiet, dedicated home office environment.
In this role, the RN Case Manager will conduct comprehensive member assessments, develop individualized care plans, and collaborate with providers and care teams to promote optimal, cost-effective health outcomes.
The position focuses on managing member needs through clinical review, care coordination, and patient engagement.
Key Responsibilities Conduct comprehensive telephonic assessments of member health needs and eligibility using clinical tools and data review.
Develop, implement, and monitor individualized care plans in collaboration with members and interdisciplinary care teams.
Coordinate care and services based on member benefit plans and available internal/external resources.
Apply clinical guidelines, policies, and regulatory standards to ensure appropriate care and benefit utilization.
Provide coaching, education, and support to promote member engagement and healthy lifestyle choices.
Perform crisis intervention and follow-up for members experiencing medical or behavioral health concerns.
Required Qualifications Active, unrestricted Registered Nurse (RN) license in the state of Michigan required.
Minimum 3+ years of clinical practice experience (hospital, home health, or ambulatory care).
Experience in healthcare and/or managed care industry required.
Strong computer skills with the ability to navigate multiple system.
Ability to work independently in a remote environment and adapt to a fast-paced, metrics-driven setting.
Preferred Qualifications Case management experience preferred.
Experience managing chronic conditions (e.g., diabetes, hypertension, asthma).
Experience working with Children’s Special Health Care Services (CSHCS) population preferred.
Experience with motivational interviewing and patient engagement strategies.
Keywords: RN case manager, telephonic case manager, nurse case manager, managed care, care coordination, chronic disease management, utilization management, population health, remote RN, healthcare coordination, patient advocacy, case management, Michigan RN
Location: Near Mayfield, Michigan Duration: November 2024 February 2025 Position Overview: We are seeking an experienced and skilled Certified Registered Nurse Anesthetist (CRNA) for a locum tenens assignment.
This opportunity offers a professional yet flexible environment, allowing you to work independently in a patient-focused role.
Key Details: Shift Type: Day shifts (7:00 AM
- 3:00 PM) Call Requirements: None; no weekends Coverage Reason: Temporary coverage for staff leave Patient Demographics: Adult and geriatric Average Surgical Cases: Approximately 25 per day Trauma Level: IV Documentation System: Paper/Cerner/Surginet Required Qualifications: Active Michigan medical license Board Certification (AANA) BLS/ACLS certifications COVID-19 vaccination Clean background with no malpractice or disciplinary actions Proven experience in anesthesia (not open to new graduates) Required Skills and Procedures: General surgical cases (adult patients) Minor nerve blocks IV regional anesthesia Spinal and epidural anesthesia Reimbursement Details: Hotel accommodations reimbursed Flight expenses reimbursed (local candidates preferred) Mileage or car rental costs reimbursed (one option only, not both) Submission Requirements: To be considered, please provide: An updated CV, including locums history Availability for the assignment period NPI and license details Malpractice and background documentation Professional references, if available Why Work Here? Join a collaborative team in a well-established healthcare system.
Deliver exceptional care in a facility committed to serving northern Michigan communities.
Enjoy the serene and beautiful surroundings near Mayfield, MI.
If this opportunity aligns with your skills and interests, we encourage you to apply today using Job ID .
HDAJOBS MDSTAFF
Are you a Board-Certified OB/GYN seeking a rewarding locum tenens opportunity? A dynamic womens health clinic near Wixom, MI, is looking for a skilled physician to provide comprehensive OB/GYN care.
This role offers a chance to practice in a supportive environment with a diverse range of cases.
Key Details Start Date : January 6, 2025 Schedule : 12-hour shifts, 36 hours per week Variable schedule covering clinic, call, and hospital settings Coverage Needs : Due to short staffing, youll join a team of two other OB/GYNs and collaborate with Advanced Practice Providers (APPs) and other healthcare professionals.
Duration : Open-ended locum tenens position with potential for a locum-to-perm transition.
Responsibilities Obstetrics : Manage both low-risk and high-risk pregnancies Perform routine and complex labor and delivery procedures, including C-sections, VBACs, and repairs of lacerations Gynecology : Conduct office procedures such as IUD placement, colposcopy, and cryosurgery Perform surgical gynecology procedures as needed Collaborate with a skilled team, including RNs, Medical Assistants, and front-desk staff, supported by on-site lab and ultrasound services.
Requirements Board Certification in OB/GYN Active Michigan medical license Current BLS and ACLS certifications Proficiency in EPIC EMR system preferred Perks Trauma Level 2 facility with robust resources Competitive rates, including hourly and daily rates for clinic, surgery, and on-call services Opportunity to transition into a permanent role with fee reductions based on hours worked Credentialing Estimated timeframe: 90 days Background checks required (not reimbursed) Ready to make a difference while advancing your career? Apply now and reference Job ID to explore this exciting opportunity near Wixom, MI.
HDAJOBS MDSTAFF
Location Address:
5901 Harper Dr NEAlbuquerque, NM 87109-3587
Compensation Pay Range:
Minimum Offer $62,400.00Maximum Offer $95,305.60
Summary:
Build your Career. Make a Difference. Presbyterian is hiring an RN Case Manager for the Employee Health Clinic at Northside. The Case Manager independently facilitates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomesHow you grow, learn and thrive matters here.
• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
• Malpractice liability insurance
• Loan forgiveness through the New Mexico Higher Education Department
• EPIC electronic charting system
Type of Opportunity: Full time
FTE: 1.00
Job Exempt: Yes
Work Shift: Days (United States of America)
Responsibilities:
- Identifies cases appropriate for case management. Educates providers and other PHS/PHP departments on case management services. Screens new referrals for case management appropriateness.
- Conducts in-depth assessment which includes, but is not limited to, psychosocial, physical, medical, environmental and financial parameters. Advocates for members in caseload
- Identifies cases appropriate for case management. Educates providers and other PHS/PHP departments on case management services. Screens new referrals for case management appropriateness.
- Conducts in-depth assessment which includes, but is not limited to, psychosocial, physical, medical, environmental and financial parameters. Advocates for members in caseload.
- Formulates, implements, coordinates, monitors, and evaluates strategies for patients and families collaboratively with members, families and health care teams. Develops, documents and implements plans which provide appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs.
- Actively participates in the development of clinical guidelines and pathways and incorporates processes into the role of case managers.
- Educates providers on health management strategies which can reduce need for one-on-one case management services. Educate physicians, nurses, ancillary support staff, patients, and families regarding case management role.
- Refers patients to appropriate inpatient, outpatient, and community resources.
- Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and patient satisfaction. Collect clinical path variance data that indicate potential areas for improvement of case and services provided within the system. Generates reports, which demonstrate efficacy through direct cost-savings and outcome measures.
- Complies with Case management Society of America Standards for Case Management Practice and with CCMC code of Professional Conduct for Case Managers.
- Performs other functions as required.
Qualifications:
*Associates Degree in Nursing
*State of New Mexico or Compact State Nursing License
*BLS certification REQUIRED at at time or hire
*Five years of experience in clinical nursing with a minimum of three to five in case management, utilization management, quality assurance, home care, community health, or occupational health.
*CCM certification within 3 years of hire.
*Employee Health experience preferred.
We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
Learn more about our employee benefits.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Compensation Disclaimer
The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.
CalOptima
Join Us in this Amazing Opportunity
The Team You'll Join
We are a mission driven community‐based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.
More About the Opportunity
We are hoping you will join us as a Behavioral Health Utilization Management Medical Case Manager and help shape the future of healthcare where you'll be an integral part of our BHI ‐ BH Utilization Management team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This position has been approved to be Full Telework.
- If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum.
The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and processing requests for authorization and notification of behavioral health services from health professionals, clinical facilities and ancillary providers. You will be responsible for prior authorizations, concurrent review and related processes. You will utilize CalOptima Health's medical criteria, policies and procedures to authorize referral requests from behavioral health professionals, clinical facilities and ancillary providers. You will directly interact with providers and facilities and serve as a resource for their needs. Together, we are building a stronger, more equitable health system.
Your Contributions To the Team:
- 85% ‐ Utilization Management Services
- Participates in a mission‐driven culture of high‐quality performance, with a member focus on customer service, consistency, dignity and accountability.
- Assists the team in carrying out department responsibilities and collaborates with others to support short‐ and long‐term goals/priorities for the department.
- Reviews requests for medical appropriateness by using established clinical protocols to determine the medical necessity of the request.
- Responsible for mailing rendered decision notifications to the provider and member, as applicable.
- Screens inpatient and outpatient requests for the Medical Director's review, gathers pertinent medical information prior to submission to the Medical Director, follows up with the requester by communicating the Medical Director's decision and documents follow‐up in the utilization management system.
- Completes the required documentation for data entry into the utilization management system at the time of the telephone call or fax to include any authorization updates.
- Contacts the health networks and/or CalOptima Health Customer Service regarding health network enrollments.
- Identifies and reports any complaints to the immediate supervisor utilizing the call tracking system or through verbal communication if the issue is of an urgent nature.
- Refers cases of possible over/under utilization to the Medical Director for proper reporting.
- Completes care coordination activities as related to Transition Care Management (TCM) activities.
- Reviews International Classification of Diseases (ICD‐10), Current Procedural Terminology (CPT‐4) and Healthcare Common Procedure Coding System (HCPCS) codes for accuracy and the existence of coverage specific to the line of business.
- 10% ‐ Administrative Support
- Assists manager with identifying areas of staff training needs and maintains current data resources.
- Complies with data tracking protocols.
- 5% ‐ Other
- Completes other projects and duties as assigned.
Do You Have What the Role Requires?
- Current California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of clinical experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
You'll Stand Out More If You Possess the Following:
- Utilization management reviewer experience.
- Managed care experience.
- Behavioral health clinical experience.
What the Regulatory Agencies Need You to Possess?
- Current California unrestricted license such as LCSW, LPCC, LMFT or RN.
Your Knowledge & Abilities to Bring to this Role:
- Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.
- Work independently and exercise sound judgment.
- Communicate clearly and concisely, both orally and in writing.
- Work a flexible schedule; available to participate in evening and weekend events.
- Organize, be analytical, problem‐solve and possess project management skills.
- Work in a fast‐paced environment and in an efficient manner.
- Manage multiple projects and identify opportunities for internal and external collaboration.
- Motivate and lead multi‐program teams and external committees/coalitions.
- Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.
Your Physical Requirements (With or Without Accommodations):
- Ability to visually read information from computer screens, forms and other printed materials and information.
- Ability to speak (enunciate) clearly in conversation and general communication.
- Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face‐to‐face interactions.
- Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
- Lifting and moving objects, patients and/or equipment 10 to 25 pounds
Ways We Are Here For You
- You'll enjoy competitive compensation for this role.
- Our current hiring range is: Pay Grade: 313 ‐ $90,820 ‐ $145,312 ($43.66 ‐ $69.8615).
- The final salary offered will be based on education, job‐related knowledge and experience, skills relevant to the role and internal equity among other factors.
- This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**)
- A
PACT RN Case Manager Help Others, Make a Difference, Save a Life.
Do you want to make a difference in people's lives every day? Or help people navigate the tough spots in their life? And do it all while working where your hard work is appreciated? You have a lot of choices in where you work…make the decision to work where you are valued! Join the McNabb Center Team as the PACT RN Case Manager today! The PACT RN Case Manager JOB PURPOSE/SUMMARY Summary of role of team : The Program for Assertive Community Treatment (PACT) is an evidence-based treatment modality designed specifically to serve those with severe and persistent mental illness.
Clients served by PACT are typically diagnosed with a thought disorder, have a history of psychiatric hospitalization, and are unable to engage with more traditional forms of outpatient care.
The goals of PACT are to assist individuals in the reduction of mental health symptoms, to function successfully in the community, to live as independently as possible and to reduce hospitalizations and/or incarcerations.
Goals are tailored to each individual's needs and may be adjusted quickly to respond to changes.
PACT interventions include ongoing assessment, case management, medication management, advocacy, group therapy and goal-oriented individual therapy services.
Crisis support is available 24 hours per day, 7 days per week.
Summary of position : The PACT RN Case Manager serves as a clinical member of a multi-disciplinary team by providing treatment and case management support to clients; Duties include: Referral, linkage, and advocacy services to promote access to resources; Side by side support in the community and during appointments to promote engagement and accurate understanding of information; Ongoing assessment of client functioning to relay information to other members of the clinical team; Crisis intervention and emergency services as needed.
Serves as a specialist for medical concerns and medication issues while administering and delivering medications to clients in both the office and community; Embraces the key values of case management: empowerment, normalization, rehabilitation, and continuity of care TYPICAL WORKING CONDITIONS/ENVIRONMENT PACT is an outpatient program, and the majority of duties are performed in the community and client homes.
Services are limited to those that reside in the Knox County catchment area.
This position does include limited time in the office for team meetings and documentation.
PACT is a fast-paced program best suited for individuals that are flexible and able to multitask while prioritizing the evolving needs and concerns of individuals served in order to promote the highest quality outcomes.
JOB DUTIES/RESPONSIBILITIES This job description is not intended to be all-inclusive; and employee will also perform other reasonably related job responsibilities as assigned by immediate supervisor and other management as required.
This organization reserves the right to revise or change job duties as the need arises.
Moreover, management reserves the right to change job descriptions, job duties, or working schedules based on their duty to accommodate individuals with disabilities.
This job description does not constitute a written or implied contract of employment.
1.
Participates as an active member of a multi-disciplinary team.
Begins and ends workday as scheduled and is accessible by phone when working in the field.
Is on time for and participates appropriately in daily treatment team and weekly treatment planning meetings.
Provides detailed written reports when excused from attending treatment meetings.
Responds appropriately to all EMR flags, emails, and voicemails within 2 working days.
Submits to Services Coordinator, or designee, proposed schedule for the following week by the stated deadline.
Schedules shall include standing appointments, other clinically appropriate appointments (medically related, DHS, Social Security, payee, housing, etc.), and unavailable blocks (break, paperwork, travel time, etc.).
Follows protocol for assigned changes in schedule.
2.
Completes documentation in compliance with CARF and SSOC standards.
Documents client contact per program standards.
Documents the administration of injections within 24 hours of service delivery.
Completes all documents including, but not limited to, 6-month treatment plans, 3-month treatment plans, assessments, and crisis plans on or before stated deadlines.
Demonstrates connection between treatment goals and documented services.
3.
Provides primary case management for an assigned group of clients including ongoing assessment, direct clinical treatment, rehabilitation and support services, and medication delivery.
Provides case management for all program participants as needed and directed by supervisory staff.
Delivers medications daily, twice per week, and weekly to identified clients according to established protocol.
Administers injections to clients as directed by the PACT Prescriber and PACT Lead RN.
Educates all clients as needed regarding medications, symptoms, coping strategies, personal growth and development, etc.
Provides side-by-side support as needed to promote client independence.
Acts as a liaison between clients and community agencies, resources, families, and natural supports to facilitate treatment.
4.
Adheres to defined productivity standards regarding client contact.
Clients on assigned caseload shall be met with a minimum of twice per week, unless this is deemed clinically inappropriate by supervisory staff.
Achieves a minimum of 150 contacts per month.
Failed attempts to engage clients for contact shall be documented.
Compensation: Starting salary for this position is approximately $32.76/hr based on relevant experience and education.
Schedule: Schedule is variable and includes a mix of 8am
- 5pm and 11am
- 8pm shifts.
Shifts include a rotation of both weekends and holidays.
Staff provide on call coverage that may include overnight contact with clients.
This position includes some flexibility to allow for coverage during staffing shortages.
Travel : Mostly limited to Knox County with the rare potential for travel to surrounding counties.
This position does require the transportation of clients in a personal vehicle.
Equipment/Technology: This position requires the use of basic technology including a cell phone and computer.
Equipment/Technical Competency : Must possess basic computer skills along with the ability to learn how to successfully navigate the electronic medical record.
QUALIFICATIONS
- PACT RN Case Manager Experience / Knowledge: At least one year of experience working with the SPMI population preferred.
Must have the ability to relate positively with and be emotionally supportive of clients with severe and persistent mental illness.
Education / License : Must have either a Bachelor's or Associate's degree in nursing.
Must have licensure as a registered nurse in the state of Tennessee.
Clinical experience preferred.
Physical/Emotional/Social
- Skills/Abilities: Must have a strong commitment to the right and ability of each person with a severe and persistent mental illness to live in and engage with the community while maintaining access to competent and appropriate support services.
Must have a demonstrated ability to abide by professional/ethical codes of conduct and to establish supportive and respectful relationships with clients.
Must be able to achieve and maintain CPR and HWC certifications.
Must maintain a valid driver's license with an F endorsement, and well as access to a personal vehicle.
Must be able to see and hear normal tones.
Frequent sitting, standing, walking, bending, stooping, and reaching.
Possible exposure to biological hazards.
Location: Knox County, Tennessee Apply today to work where we care about you as an employee and where your hard work makes a difference! Helen Ross McNabb Center is an Equal Opportunity Employer.
The Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment.
Helen Ross McNabb Center conducts background checks, driver's license record, degree verification, and drug screens at hire.
Employment is contingent upon clean drug screen, background check, and driving record.
Additionally, certain programs are subject to TB Screening and/or testing.
Bilingual applicants are encouraged to apply.
Compensation details: 32.76-32.76 Hourly Wage PI3356726500a1-25448-39833449
Job Summary:
The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes.
Essential Functions:
- Ensures consistent care along the entire health care continuum by assessing and closely monitoring members’ needs and status.
- Authorizes covered services and coordinates care regardless of payer.
- Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team.
- Works with member/family to maintain the most independent living situation possible
- Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings.
- Regularly assesses members for ongoing eligibility for services based on the specific plan’s eligibility criteria.
- Performs home visits as required to assess members’ living situation, cultural influences, functional and cognitive needs.
- Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member.
- Ensures appropriate, safe plan for members’ discharge from their plan.
- Identifies same day grievances, investigates and documents accordingly. Documents any grievance according to plan policy.
- Identifies and presents members with complex care management needs or in difficult to manage situations at Intensive Care management meetings (ICM).
- Responds to members’ requests in the designated timeframes and completes Initial Adverse Determinations (IAD) as indicated
- Identifies members requiring Care Management Review (CMR), evaluates documentation provided by the IDT including hospital or nursing home discharges planners, and formulates appropriate plan of care.
- Documents care management/coordination according to company policy to the specific plan the member is enrolled in, which may include monthly telephonic and in person recertification notes.
- Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members’ needs.
- Perform any other job related duties as requested.
Education and Experience:
- Associates degree in Nursing from an accredited nursing program required
- Bachelor's degree in Nursing preferred
- Three (3) years of experience as a registered nurse required
- Clinical experience in geriatrics and/or managed long-term care experience preferred
- Experience using multiple languages may be required based on operational needs
Competencies, Knowledge and Skills:
- Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
- Ability to communicate effectively with a diverse group of individuals
- Ability to multi-task and work independently within a team environment
- Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
- Adhere to code of ethics that aligns with professional practice
- Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
- Strong advocate for members at all levels of care
- Strong understanding and sensitivity of all cultures and demographic diversity
- Ability to interpret and implement current research findings
- Awareness of community & state support resources
- Critical listening and thinking skills
- Decision making and problem-solving skills
- Strong organizational and time management skills
- Bilingual speaking and writing skills are preferred
Licensure and Certification:
- Current, unrestricted Registered Nurse licensure in the state of New York required
- Case Management Certification preferred
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
- Up to 25% (regular) travel may be required to travel to different locations, including homes, offices, or other public settings, to perform work duties
Compensation Range:
$100,000 - $115,000.. We takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
#AC1
#ACP
This hybrid contract role allows autonomy while coordinating care for members and aligns with the organization’s focus on delivering high-quality, patient-centered care.
The Case Management Coordinator will assess, plan, implement, and coordinate case management activities both telephonically and face-to-face to evaluate members’ medical needs and facilitate overall wellness.
You will support both medically complex and supportive members, develop proactive care plans, and connect members to appropriate services and supports.
Responsibilities: Coordinate case management activities for Medicaid Long Term Care/Comprehensive Program enrollees.
Conduct comprehensive evaluations of members using care management tools and data review, including face-to-face assessments when required.
Implement and monitor assigned care plan activities.
Conduct multidisciplinary reviews to achieve optimal outcomes.
Identify and escalate quality-of-care issues through established channels.
Utilize negotiation and motivational interviewing skills to secure services and maximize member engagement.
Provide coaching, education, and support to empower members in healthcare decisions and healthy lifestyle choices.
Monitor, evaluate, and document care in compliance with regulatory and accreditation guidelines.
Travel approximately 75% within the region to visit members at home, assisted living, and nursing facilities as needed.
Qualifications: Case management experience required; long-term care experience preferred.
Fluent in Spanish and English (required).
Proficient in Microsoft Office, including Excel.
Bachelor’s degree in social work or a related field.
Ability to multitask, prioritize, and adapt in a fast-paced environment.
Strong verbal and written communication skills.
Preferred Skills: Experience with care management tools and processes.
Strong critical thinking and judgment.
Ability to empower members and promote behavior change.
Additional Information: Hybrid role: primarily remote but requires occasional face-to-face visits.
Training conducted online via Microsoft Teams.
Candidates must reside in Miami Dade County zip codes listed above.
Contract role with potential to extend or convert to permanent.
.
Location: Woodhaven, MI
Company: Schneider
Pay: Competitive weekly pay (inquire for details)
Start Date: ASAP
About the Position
Intermodal Dedicated truck driver
Average pay: $1,350-$1,650 weekly
Home time: Weekly
Experience: 3 months or greater CDL experience
Overview Haul automotive freight in containers secured to company-owned chassis.
Haul freight for one customer to/from railyard to various destinations.
100% no-touch freight that is 90% drop-and-hook.
Drive in and out of railyards within IL, IN, MI and OH.
Pay and bonus potential Mileage pay, plus hourly pay while on duty, not driving.
$8,500 sign-on bonus paid over 12 monthly payments in your first year for experienced drivers.
Paid orientation.
Paid time off after 6 months, plus 6 days of holiday pay per year.
Annual bonus: Earn up to 3% of annual gross pay each year.
Qualifications Valid Class A Commercial Driver's License (CDL).
Tanker endorsement and HazMat endorsement are strongly preferred.
Live within 50 miles of Woodhaven, MI.
Minimum 3 months of Class A driving experience.
Need one or more of your endorsements, or unsure if you qualify? Call us at 8 , and we can talk you through it. Additional benefits Medical, dental and vision insurance.
401(k) savings plan with company match.
Unlimited referral bonuses.
Credit for Military Experience and Military Apprenticeship programs, plus more military benefits.
Leading equipment and technology specs designed for driver comfort.
See full list of driver benefit package.
More reasons to choose Schneider Intermodal driving More drop-and-hook freight – Spend more time moving and less time waiting at loading docks.
Specific training – Attend paid intermodal orientation at a major hub.
Leading technology – Use tablets and mobile apps to get the job done quicker and easier.
Schneider's inclusive culture Our history has taught us that treating everyone with dignity and respect is vital to our ongoing success. We embrace and seek out diversity that is inclusive of thought, race, ethnicity, national origin, sex, gender, gender expression, age, religion, sexual orientation, ability, medical condition, veteran or military status, experience and background. This diversity and openness ensures all associates have equal access to opportunities and resources to contribute fully to the organization's success, and it fuels innovation, improves strategic thinking and cultivates leadership. Any applicant may request a reasonable accommodation to complete a job application, pre-employment testing, or job interview or to otherwise participate in the hiring process consistent with the Americans with Disabilities Act (ADA) by contacting their Recruiter, Human Resources Business Partner, and/or Human Resources Leave Administration.
Schneider uses E-Verify to confirm the employment eligibility of all newly hired associates. To learn more about E-Verify, including your rights and responsibilities, please visit .
Job Company Driver
Schedule FULLTIME
Sign On Bonus 8500
PI282710232
