Mphc Case Jobs in Usa
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Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing is required, BSN preferred. Master’s degree is preferred. Minimum three years’ acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred.
LICENSURE/CERTIFICATION
Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan f care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.
EDUCATION/EXPERIENCE
Bachelor’s degree in Nursing is highly preferred. Three to five years nursing experience required (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS
Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred and must be achieved within two years of placement. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.
Remote working/work at home options are available for this role.
The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan f care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.
EDUCATION/EXPERIENCE
Bachelor’s degree in Nursing is highly preferred. Three to five years nursing experience required (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS
Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred and must be achieved within two years of placement. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.
The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan f care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.
EDUCATION/EXPERIENCE
Bachelor’s degree in Nursing is highly preferred. Three to five years nursing experience required (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS
Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred and must be achieved within two years of placement. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.
Are you a continuous learner? With more than 94,000 nurses throughout HCA Healthcare, we are one of the largest employers of nurses in the United States. Education is key to excellence! As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills. Apply today for our Registered Nurse Case Manager Home Health opening and continue to learn!
Job Summary and Qualifications
- Assesses home care patients identifying physical, psychosocial and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, call-in logs and on-site evaluations.
- Completes OASIS, assessment and visit paperwork according to agency policy. Assures clinical notes accurately indicate continuing communication and coordination of services with the physician, other interdisciplinary team members and patient/family/caregiver.
- Communicates significant findings, problems and changes to Clinical Manager and physician, and documents all findings, communications, and appropriate interventions.
- Supervises and provides clinical direction to home health aides and LPNs/LVNs to ensure quality and continuity of services provided.
- Responsible for participating in on-call rotation and emergency call according to agency policy.
What qualifications you will need:
- Basic Cardiac Life Support must be obtained within 30 days of employment start date
- Drivers License
- (RN) Registered Nurse
- Associate Degree
CarePartners, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location
CarePartners Health Services, a member of Mission Health, an operating division of HCA Healthcare, is a healthcare organization serving western North Carolina and offering a full continuum of post-acute care. Located in Asheville, North Carolina, it’s services include a Rehabilitation Hospital, Home Health, Outpatient Rehabilitation, Hospice, Palliative Care, Private Duty, PACE (Program of All-inclusive Care for the Elderly) and Orthotics & Prosthetics. With more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
If growth and continued learning is important to you, we encourage you to apply for our Registered Nurse Case Manager Home Health opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Case Manager-Support Planner (Bonus Opportunity)
Job Type: Fulltime
Work Environment: This is a hybrid position - work from your home office* with local community visits.
Work Schedule: 8:00am- 5:00pm, Monday through Friday (flexible as needed)
High quality healthcare programs, services, and PEOPLE LIKE YOU!
22 Years of Services – Helping Others Meet Life’s Challenges.
Compensation Package:
- Yearly Salary: $60,000 with a BONUS opportunity!
- Exceptional Benefits (Medical - Kaiser, Dental and Vision - Mutual of Omaha, PTO, 401k, FSA, and company paid Short Term Disability & Life and Accidental Death and Dismemberment and a host of other voluntary benefits to select from)
- At Total Care Services, Inc., a non-profit organization, we offer more than just a chance to make a significant impact in our community. As a participant in the Public Service Loan Forgiveness (PSLF) Program, joining our team means you're also eligible to apply for loan forgiveness, empowering you to serve with financial peace of mind.
- Must be a licensed driver with reliable transportation, valid insurance, and a safe driving record.
Built on Trust, Integrity, Respect, and Service to persons with disabilities.
Total Care Services, Inc. provides Supports Planning services across the state of Maryland. We help our clients access Medicaid and non-Medicaid home and community-based services (HCBS). These services are administered by the Maryland Department of Health, Office of Long-Term Services and Supports. Our aim is to promote a safe and independent life in their home and in their community.
In the case manager role you will be working with people with complex medical and/or behavioral health needs, older adults and/or adults, children, and youth with disabilities;
Must be a licensed driver with reliable transportation, valid insurance, and a good driving record;
Bachelor’s degree/Master’s degree in human services field incl. psychology, social work, sociology, nursing, counseling, or related field or equivalent work experience pertaining to case management for people with complex medical and/or behavioral health needs, older adults and/or adults, children, and youth with disabilities;
- Must be a U.S. citizen or alien who is lawfully authorized to work in the U.S.
- Must be able to pass a criminal background check;
- Must be flexible, able to work from home and/or community, and respond to crisis situations, including on nights and weekends;
- Effective written and oral communication skills;
- Excellent organization and time management skills;
- Proficient in using Microsoft Office; ability to learn new technologies.
What You Do:
At TCS, we strive to empower people of different abilities to live and thrive in their own homes and community. Supports Planner helps identify, access, and coordinate services and support to maintain our client’s health, safety, and independence. Supports Planner also helps with waiver eligibility determination and maintenance. Supports Planner will:
- Get to know client
- Be an advocate
- Provide information about services and supports in client community
- Help client understand their options
- Help client develop a plan of service
- Help client realize their goals
- Help client find providers
- Make arrangements for delivery of services and supports
- Monitor client services to make sure they are getting the support they need
- Help resolve any issues that may occur
Benefits:
- 401(k)
- AD&D insurance
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Loan forgiveness
- Paid time off
- Referral program
- Retirement plan
- Vision insurance
Total Care Services, Inc. is committed to equal employment opportunity and to compliance with federal, state, and local laws governing non-discrimination. Total Care Services, Inc. is proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class.
Below is the job description for the position:
Position Title: Housing Specialist
Duration: 6+ months contract (possible extension) - Onsite
Location: Bronx, NY 10458
Hours Weekly: M-F, 35hrs/week
State Client
Job Description:
- Complete case reviews to process recertification and lease renewals.
- Research and provide an accurate analysis of case activities.
- Use case research and knowledge of client to inform processing.
Duties:
- Perform income reviews and calculations.
- Ability to navigate online databases.
- Excellent written and verbal communication skills.
- Excellent customer service skills (phone and email)
We are seeking a Foster Care Case Management Specialist to join our team.
Starting Salary: $46,000
This role requires advanced knowledge in the area of child welfare, while exercising discretion and independent judgment in making decisions on the overall management and delivery of services to children on their caseload, aimed at achieving safety and permanency. This role will coordinate and facilitate activities within the Family Support Team context, working towards moving the child to a permanent home.
WHAT YOU WILL DO:
- Manage and provide services to children and families who have been referred under the Foster Care Case Management Contract.
- Continually analyze and assess each family and child situation on an individual basis, using advanced knowledge in the area of child welfare to develop recommendations regarding support services and resources that each child and family may need, such as educational plans, medical, psychiatric, and psychological assessments, therapy, independent living skills, etc.
- Facilitate service planning with the child, family, and other Family Support Team (FST) members in accordance with Cornerstones of Care, MACF & CD policy.
- Coordinate any supportive services and resources that children under case management services may need to ensure timely and efficient service delivery.
WHAT YOU WILL BRING:
Our ideal candidate will have at least 2 years of experience working with children and families and the following:
- Master's degree in social work, criminal justice, human services, education, counseling or psychology, preferred.
- Bachelor's degree in social work, criminal justice, human services, education, counseling or psychology, required.
- At least 21 years of age and pass background check, physical, and drug screening.
- A valid driver's license in the state you reside in, proof of current vehicle insurance, and reliable transportation.
WHO WE ARE:
Cornerstones of Care is a mental and behavioral health nonprofit certified in trauma-informed care that provides evidence-based prevention, intervention, treatment, and support services to help children and families improve their safety and health by making positive changes in their lives. Each year, our team empowers children and families in Kansas, Missouri, and beyond through three key service areas:
- Youth & Family Support - We help youth gain independence through social and living support programs while empowering families with the skills and resources they need to become resilient and successful.
- Foster Care & Adoption - We reunify and unite families while recruiting and providing support to foster parents and youth in foster care.
- Education & Community Trainings - We help students achieve academic success while giving educators the tools to create safe learning environments to improve their students' behaviors and offer innovative learning opportunities to build and improve knowledge in the community.
CORNERSTONES OF CARE'S ORGANIZATIONAL COMMITMENTS:
- Nonviolence - helping to build safety skills and a commitment to a higher purpose.
- Emotional Intelligence - helping to teach emotional management skills.
- Social Learning - helping to build cognitive skills.
- Open Communication - helping to overcome barriers to healthy communication, learn conflict management.
- Democracy - helping to create civic skills of self-control, self-discipline, and administration of healthy authority.
- Social Responsibility - helping to rebuild social connection skills, establish healthy attachment relationships.
- Growth and Change - helping to work through loss and prepare for the future.
OUR WIDE STATEMENT:
At Cornerstones of Care, we commit to fostering a community where every individual, regardless of background or identity, feels deeply welcomed, valued, and empowered. We envision a diverse community where inclusion and welcoming are prioritized. A community where all voices are heard, listened to, and respected. A community where everyone's physical, emotional, social, and psychological needs are met. At Cornerstones of Care, we have a vision where equity is not just a goal but is present in all we do; every team member feels empowered to authentically contribute to their fullest potential. We hold a collective commitment to WIDE (welcoming, inclusion, diversity, and equity) that will drive us forward as a stronger organization.
OUR DIVERSITY STATEMENT:
- We partner for safe and healthy communities.
- We cultivate a culture in which children, families, team members, volunteers, donors, and community partners feel welcomed, safe, respected, empowered, and celebrated.
- We value diversity of race, religion, color, age, sex, national origin or citizenship status, sexual orientation, gender identity and expression, geographical location, pregnancy, disability, neurodiversity, socio-economic, and military status.
- We stand for anti-racism, equity, and inclusivity.
- We insist and affirm that discrimination and violence have no place in safe and healthy communities, including in our organization.
- We strive toward a more welcoming, inclusive, diverse, and equitable organization through our policies, partnerships, and practices.
OUR BENEFITS:
Cornerstones of Care offers a competitive benefits package, which includes:
- 9 Paid Holidays, Unlimited Paid Time Off, and Paid Sick Leave
- Team members who work at least 30 hours per week are eligible for
- Health insurance benefits (medical, prescription, dental, vision)
- Cafeteria plans (Health Savings Account (HSA) and Medical and Dependent Care Flexible Spending Accounts)
- Ancillary insurance benefits (accident insurance, critical illness insurance, hospital indemnity insurance, short-term disability insurance, voluntary life)
- Cornerstones of Care provides long-term disability insurance and basic term life/AD&D insurance at no cost to the team member
- Retirement savings plan (401K) with employer match
- Pet Insurance
- Employee assistance program (EAP)
- Tuition reimbursement program
- Public Service Loan Forgiveness.
- To view more information on our benefits, please visit our Job Openings page at Join Our Team - Cornerstones of Care to download the current benefits guide.
Questions?
Please contact: Cornerstones of Care, People Experience Team
8150 Wornall Rd., Kansas City, MO 64114
Phone: Fax:
Like us on Facebook at: cornerstonescareers
Cornerstones of Care is an Equal Opportunity Employer
We are seeking a Case Management Specialist to join our Pathways team.
Starting Salary: $ 43,500- $47,000 (Salary)
This role will carry out case management services as required by the contract and licensing regulations. Schedule and conduct community in-person visits with TLP youth throughout community utilizing personal vehicle (eligible for mileage reimbursement).
WHAT YOU WILL DO:
- Attend various meetings and/or court hearings.
- Aid with facilitating and/or organizing independent living skills classes.
- Assist with maintaining scattered sites apartments.
- Provide crisis intervention.
- Work collaboratively with providers in coordinating services for clients.
- Complete case notes and data entry for various software programs.
- Utilize community resources to assist youth.
- Ability to work in an on-call rotation.
- May drive up to 50 miles in one day in personal vehicle. (Eligible for Mileage reimbursement)
WHAT YOU WILL BRING:
Our ideal candidate will have 1-3 years of relevant work experience and the following requirements:
- Bachelor's degree in human behavioral science which includes 30 semester or 45 quarter hours either in development of human behavior, child development, family intervention techniques, diagnostic measures or therapeutic techniques, such as social work, psychology, sociology, guidance & counseling and child development.
- At least 21 years of age and pass background check, physical, and drug screening
- A valid driver's license in the state you reside in, proof of current vehicle insurance, and reliable transportation.
WHO WE ARE:
Cornerstones of Care is a mental and behavioral health nonprofit certified in trauma-informed care that provides evidence-based prevention, intervention, treatment, and support services to help children and families improve their safety and health by making positive changes in their lives. Each year, our team empowers children and families in Kansas, Missouri, and beyond through three key service areas:
- Youth & Family Support - We help youth gain independence through social and living support programs while empowering families with the skills and resources they need to become resilient and successful.
- Foster Care & Adoption - We reunify and unite families while recruiting and providing support to foster parents and youth in foster care.
- Education & Community Trainings - We help students achieve academic success while giving educators the tools to create safe learning environments to improve their students' behaviors and offer innovative learning opportunities to build and improve knowledge in the community.
CORNERSTONES OF CARE'S ORGANIZATIONAL COMMITMENTS:
- Nonviolence - helping to build safety skills and a commitment to a higher purpose.
- Emotional Intelligence - helping to teach emotional management skills.
- Social Learning - helping to build cognitive skills.
- Open Communication - helping to overcome barriers to healthy communication, learn conflict management.
- Democracy - helping to create civic skills of self-control, self-discipline, and administration of healthy authority.
- Social Responsibility - helping to rebuild social connection skills, establish healthy attachment relationships.
- Growth and Change - helping to work through loss and prepare for the future.
OUR WIDE STATEMENT:
At Cornerstones of Care, we commit to fostering a community where every individual, regardless of background or identity, feels deeply welcomed, valued, and empowered. We envision a diverse community where inclusion and welcoming are prioritized. A community where all voices are heard, listened to, and respected. A community where everyone's physical, emotional, social, and psychological needs are met. At Cornerstones of Care, we have a vision where equity is not just a goal but is present in all we do; every team member feels empowered to authentically contribute to their fullest potential. We hold a collective commitment to WIDE (welcoming, inclusion, diversity, and equity) that will drive us forward as a stronger organization.
OUR DIVERSITY STATEMENT:
- We partner for safe and healthy communities.
- We cultivate a culture in which children, families, team members, volunteers, donors, and community partners feel welcomed, safe, respected, empowered, and celebrated.
- We value diversity of race, religion, color, age, sex, national origin or citizenship status, sexual orientation, gender identity and expression, geographical location, pregnancy, disability, neurodiversity, socio-economic, and military status.
- We stand for anti-racism, equity, and inclusivity.
- We insist and affirm that discrimination and violence have no place in safe and healthy communities, including in our organization.
- We strive toward a more welcoming, inclusive, diverse, and equitable organization through our policies, partnerships, and practices.
OUR BENEFITS:
Cornerstones of Care offers a competitive benefits package, which includes:
- 9 Paid Holidays, Unlimited Paid Time Off, and Paid Sick Leave
- Team members who work at least 30 hours per week are eligible for
- Health insurance benefits (medical, prescription, dental, vision)
- Cafeteria plans (Health Savings Account (HSA) and Medical and Dependent Care Flexible Spending Accounts)
- Ancillary insurance benefits (accident insurance, critical illness insurance, hospital indemnity insurance, short-term disability insurance, voluntary life)
- Cornerstones of Care provides long-term disability insurance and basic term life/AD&D insurance at no cost to the team member
- Retirement savings plan (401K) with employer match
- Pet Insurance
- Employee assistance program (EAP)
- Tuition reimbursement program
- Public Service Loan Forgiveness.
- To view more information on our benefits, please visit our Job Openings page at Join Our Team - Cornerstones of Care to download the current benefits guide.
Questions?
Please contact: Cornerstones of Care, People Experience Team
8150 Wornall Rd., Kansas City, MO 64114
Phone: Fax:
Like us on Facebook at: cornerstonescareers
Cornerstones of Care is an Equal Opportunity Employe
Company Description
Lakeside Manor is a health care assisted living facility located in Staten Island, NY. Our facility is dedicated to providing high-quality care and support to our residents. We are committed to creating a warm and welcoming environment where individuals can thrive and recover.
Role Description
This is a part-time on-site role for a Case Manager at Lakeside Manor in Staten Island, NY. The Case Manager will be responsible for coordinating care plans, conducting assessments, writing notes and ensuring quality care delivery.
Qualifications
- Case Management, Care Coordination, and Assessments skills
- Excellent communication and interpersonal skills
- Ability to advocate for patients and work in a team environment
- Knowledge of healthcare regulations and patient rights
- Bachelor's degree in Social Work, Psychology, or related field a plus
- Experience in a healthcare or long-term care setting is a plus
$20-$25 an hour depending on experience and education.
Flexible hours
