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Community hospital facility looking to bring on Director Case Management! Sign On Bonus, and Full Relocation!
Accountable for the implementation, coordination and management of the Department. Direction of the Department will include clinical, financial, quality and HR management as well as program planning, education, monitoring, and maintenance. Responsible for this program that transitions patients through the continuum of care in a timely and cost-effective manner. Will oversee RNs, Social Workers and one Clerical Support. Reports to CFO.
Qualifications:
- Current license as an RN in New Mexico or compact license.
- 3+ years of Utilization and case management experience.
- 2+ years previous leadership experience in a healthcare setting.
- Certification by the National Association of Healthcare Professionals or InterQual is desirable.
- Certification as a CCM or ACM is preferred.
At Landmark Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Landmark Medical Center is actively seeking new members to join its award-winning team!
Landmark Medical Center is a 214-bed acute care hospital in Woonsocket, RI. The hospital has been “A”rated for patient safety by The Leapfrog Group and has received numerous Healthgrades awards for patient safety excellence, heart care, and orthopedics. Originally known as the "Woonsocket Hospital," Landmark Medical Center has been serving the communities of northern Rhode Island and southern Massachusetts since 1873. Learn more at :00am - 4:30pm
Responsibilities
Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Qualifications
EDUCATION, EXPERIENCE, TRAINING
1. Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
3. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
4. Current BCLS certificate, preferred.
5. Knowledge of Milliman Criteria and InterQual Criteria preferred.
6. Experience and knowledge in basic to intermediate computer skills.
#LI-DQ1
Employment Status
Part Time < 60
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: for this job online
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PLEASE READ THIS JOB ANNOUCEMENT IN ITS ENTIRETY. An Alameda County Job Application is required to be considered for ALL County recruitments.
MANAGEMENT ANALYST
Alameda County Health, Housing and Homelessness Services, Flexible Housing Subsidy Pool, is recruiting for a *provisional-project position: Management Analyst
$98,217.60-$131,601.60 Annually
Plus, excellent benefits!
This is provisional-project recruitment.
*Provisional Appointments: For a provisional appointment, a civil service exam is not required. However, to obtain a regular position, the appointee will need to compete successfully in a County Exam when open.
Project positions are generally for a specific, limited duration. Projects can last for five years but may be shorter depending on the project. Newly hired incumbents in project positions do not qualify for retirement.
This position requires CA residency.
*This position is located in Oakland CA, and is available for hybrid work.
Housing and Homelessness Services
Housing & Homelessness Services works to build a robust, integrated, and coordinated system for housing and homelessness services and acts as the County's point of contact on homelessness strategic planning and program development. Formerly the Office of Homeless Care and Coordination (OHCC), Housing & Homelessness Services (H&H) works to improve health and housing outcomes among people experiencing homelessness.
H&H operates within Alameda County Health and alongside other County agencies and departments, as well as cities, community-based organizations, and other Continuum of Care partners. Housing & Homelessness Services oversees Coordinated Entry and System Access services, the Homeless Management Information System (HMIS), and works with 50+ providers across more than 145 contracts to provide comprehensive crisis response/diversion, interim, and permanent housing services throughout the County's homelessness response system. Health Care for the Homeless (HCH), which also sits within Housing & Homelessness Services, is a federally designated health center program offering medical, mental health, dental, optometry, pharmacy, and case management services.
Learn more about us!
POSITION
Under direction, to plan, design and conduct operational, policy and programmatic studies; to recommend and assist with the implementation of program, policy and procedure modifications; to assist with the general administrative support of the organizational unit to which assigned; and to do related work as required.
DISTINGUISHING FEATURES
Positions in this class normally independently perform sophisticated research and a variety of operational and policy analysis activities designed to maximize resource utilization and operational effectiveness in the organizational unit to which assigned. This class is distinguished from Senior Management Analyst which regularly provides work direction to a small professional staff. It is further distinguished from the Administrative Specialist and Administrative Services Officer classes in that the focus of the Management Analyst class is on operational and policy research, rather than the provision of ongoing administrative services.
Duties and Responsibilities:
Note: The following are duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed.
1. Plans analytical studies to be performed; defines and clarifies problem areas; determines research methodology, identifies data sources and designs survey instruments; establishes timeframes for study completion.
2. Assembles required data; designs questionnaires, conducts interviews, makes observations, researches files and literature, surveys other organizations and documents findings.
3. Collects and analyzes information; utilizes computer based and statistical techniques where appropriate; evaluates alternative problem solutions.
4. Makes recommendations for action; prepares narrative and/or statistical reports, including implementation strategies; makes presentations to management or the Board of Supervisors as required.
5. Prepares policies, procedures and other written documentation; monitors legislative and regulatory changes that may affect unit operations and recommends necessary changes.
6. Serves in a consultative role to departmental management on administrative and related issues and strategies; provides significant input into policy, operational and service delivery decisions; assists line management in the implementation and facilitation of policy and programmatic changes.
7. Represents the agency or department and serves as liaison with other County departments and agencies in areas of mutual concern; confers with representatives of governmental, business and community organizations and the public; may serve on a variety of task forces.
8. May assist with or perform specific administrative services such as negotiating and administering contracts for services, assisting with development of the budget, writing grant applications and specifications for proposal, and designing computerized systems and data bases.
9. Interprets and applies a variety of policies, rules and regulations; provides information which may require tact and judgment to employees and others.
10. May direct and review the work of others on a project or day-to-day basis.
11. Operates a variety of standard office equipment including a word processor and/or computer; may drive a County or personal vehicle to attend meetings.
MINIMUM QUALIFICATIONS
EDUCATION:
Equivalent to graduation from a four-year accredited college or university (180 quarter units or 120 semester units) with major coursework in business or public administration, or a field related to the work;
AND
EXPERIENCE:
Equivalent to three years of full-time professional level experience in independently providing complex administrative or management services, including planning, organizing and conducting high level administrative, organizational or related studies, preferably in a public agency setting.
(Additional professional or paraprofessional administrative services experience may be substituted for the education on a year-for-year basis.)
HOW TO APPLY
An Alameda County Application is required to be considered for this position. Please email your cover letter and application to:
Tyler Clark ()
The application template is available online on Alameda County's Online Employment Center @
USERS can click on "Fill out an application" to fill out an application template. Once the application is completed, candidates can click on the "Review" tab to "Print My Application" or "SAVE as PDF". An Alameda County job application must be submitted to to be considered for the position.
Alameda County HCSA is enriched with a diverse workforce. We believe the best way to deliver optimal programs and services to our communities is to hire and promote talents that are representative of the communities we serve. Diverse candidates are strongly encouraged to apply.
BENEFITS
In addition to a competitive salary, employees also enjoy an attractive benefits package with the following elements:
For your Health & Well-Being
- Medical and Dental HMO & PPO Plans
- Vision or Vision Reimbursement
- Basic and Supplemental Life Insurance
- Accidental Death and Dismemberment Insurance
- Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance
- Short and Long -Term Disability Insurance
- Voluntary Benefits - Accident Insurance, Critical Illness and Legal Services
- Employee Assistance Program
For your Financial Future
- Retirement Plan - (Defined Benefit Pension Plan)
- Deferred Compensation Plan (457 Plan or Roth Plan)
- Annual Cost of Living Adjustments as determined by bargaining units
- May be eligible for Public Service Loan Forgiveness
- May be eligible for up to $3,300 in annual County allowance
For your Work/Life Balance
- 12 paid holidays
- 4 Floating holidays and 7 Management Paid Leave days
- Vacation and sick leave accrual
- Vacation purchase program
- Catastrophic Sick Leave
- Employee Mortgage Loan Program
- Group Auto/Home Insurance
- Pet Insurance
- Commuter Benefits Program
- Employee Wellness Program
- Employee Discount Program
- Child Care Resources
*Benefit rates are dependent upon the management employee's represented or unrepresented classification.
*Click here to learn more about benefits.
Conducts comprehensive clinical reviews of adverse determinations related to medical necessity. Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making.
Provides support for claim appeals in relation to medical necessity.
Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards.
Facilitates member second level appeal process.
EDUCATION/EXPERIENCE
Graduate from an accredited school of professional nursing is required.
BSN preferred.
Minimum 2 years acute care experience or managed care experience is required.
Basic knowledge of Medicaid, Medicare preferred.
Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.
LICENSURE
Current Registered Nurse (RN) 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) is preferred.
This hybrid role allows candidates to work primarily from home while completing occasional in-person member visits in their local area as needed.
As part of the Integrated Care Management (ICM) team, the Case Manager works with members who have complex health and social needs.
Through collaboration, the Case Manager helps coordinate services and advocate for appropriate care to improve health outcomes and promote cost-effective care solutions.
Key Responsibilities Conduct comprehensive assessments of members’ health, social, and care coordination needs.
Develop and implement individualized case management plans based on member needs, benefit plans, and available resources.
Collaborate with members, healthcare providers, and community organizations to coordinate services and support care plans.
Apply clinical guidelines, policies, and regulatory standards to ensure appropriate benefit utilization and care management.
Utilize clinical tools and data review to evaluate member eligibility and determine appropriate care strategies.
Advocate for members by identifying resources and coordinating services to address medical and social determinants of health.
Maintain accurate documentation while navigating multiple systems and case management platforms.
Participate in care management and quality management processes in compliance with regulatory and accreditation standards.
Caseload Information Telephonic/Hybrid Case Managers: Caseloads typically range from 250–500 members , depending on stratification and complexity of member needs.
Field-Based Case Managers: Caseloads typically range from 30–100 members , depending on market needs and complexity.
Required Skills & Qualifications Active, unrestricted Illinois license required: RN, LCSW, or LCPC.
Minimum 3–5 years of clinical experience required.
2–3 years of care management, discharge planning, or home health coordination experience preferred.
Experience working with case management processes and care coordination programs preferred.
Experience with Illinois waiver services preferred.
Ability to work independently in a remote/home-based environment while collaborating with teams virtually.
Proficiency with Microsoft Office (Word, Excel, Outlook, PowerPoint) and ability to navigate multiple systems.
Education Active Illinois licensure required as one of the following: Registered Nurse (RN) Licensed Clinical Social Worker (LCSW) Licensed Clinical Professional Counselor (LCPC) Keywords: case management, care coordination, discharge planning, RN case manager, LCSW case manager, LCPC case manager, managed care, Medicare, Medicaid, integrated care management, telephonic case management, hybrid case manager, population health, healthcare coordination, care management
Remote working/work at home options are available for this role.
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
This role ensures that Care Management services are delivered in alignment with DHCS requirements, managed care plan contracts, and organizational standards.
The Supervisor provides clinical-adjacent and operational guidance, supports staff in managing complex cases, monitors quality and compliance, and promotes best practices in engagement, care coordination, documentation, and outcomes.
Key Responsibilities Staff Supervision & Development Supervise, coach, and support Care Managers to ensure high-quality, person-centered service delivery.
Provide onboarding, training, and ongoing professional development related to Care Management program requirements, workflows, documentation standards, and engagement strategies.
Conduct regular individual supervision, team meetings, and case conferences to review member progress, address barriers, and support complex case management.
Complete 90-day, annual, and corrective performance evaluations; address performance concerns through coaching and performance improvement plans as needed.
Review and approve staff timecards, paid time off requests, and schedules in alignment with program needs.
Promote staff safety, and retention in a field-based, high-acuity work environment.
Program Oversight & Quality Assurance Ensure Care Managers are meeting DHCS and managed care plan requirements related to outreach, engagement, assessments, care planning, service coordination, and follow-up.
Monitor caseloads, acuity levels, and workload distribution to ensure timely and appropriate service delivery.
Review documentation for accuracy, timeliness, and compliance, including assessments, care plans, case notes, and service logs.
Track and support compliance with required engagement, visit, and contact frequency benchmarks.
Identify trends, gaps, or barriers in service delivery and collaborate with leadership to implement quality improvement strategies.
Care Coordination & Member Support (Escalated / Complex Cases) Provide guidance and consultation on high-acuity, complex, or high-risk member cases, including those involving homelessness, behavioral health needs, medical complexity, or system fragmentation.
Support Care Managers in crisis response, safety planning, hospital discharge coordination, and transitions of care.
Assist with problem-solving related to member engagement challenges, missed appointments, or difficulty accessing services.
Model best practices in motivational interviewing, trauma-informed care, and culturally responsive service delivery.
Collaboration & Stakeholder Engagement Serve as a liaison between Care Managers, internal departments, managed care plans, healthcare providers, behavioral health partners, housing providers, and community-based organizations.
Participate in interdisciplinary meetings, case reviews, and partner coordination meetings as needed.
Support communication and coordination with health plans to address member needs, referrals, and program expectations.
Data, Reporting & Compliance Support accurate data tracking and reporting related to caseloads, engagement, outcomes, and service delivery.
Ensure staff adherence to confidentiality, HIPAA, and organizational policies and procedures.
Assist with audits, chart reviews, and monitoring activities conducted by internal teams or external entities.
Qualifications Required Bachelor’s degree in Social Work, Psychology, Public Health, Human Services, Sociology, Gerontology, or a related field.
Minimum of two (2) years of experience working with underserved populations, including individuals with complex medical, behavioral health, housing instability, or social needs.
At least two (2) years of supervisory or lead experience in care coordination, case management, social services, or a related field.
Experience working in community-based, field-oriented programs and collaborating with multidisciplinary teams.
Knowledge of Medi-Cal, safety-net healthcare systems, and social service navigation.
Preferred Master’s degree in a related field.
Experience supervising care management or similar Medicare/DSNP or Medi-Cal managed care programs.
Bilingual and bicultural skills reflective of the communities served.
Skills & Competencies Strong leadership, coaching, and team development skills.
Ability to support staff working with high-acuity and complex member needs.
Knowledge of community resources, housing systems, behavioral health services, and care coordination best practices.
Excellent written and verbal communication skills.
Strong organizational skills and ability to manage competing priorities.
Proficiency with electronic health records, data systems, and mobile work tools.
Work Environment Hybrid role with a combination of remote work, field-based activities, and in-person meetings.
May include occasional joint field visits or community-based meetings to support staff and program needs.
Reliable transportation required including proof of required California auto liability insurance meeting state minimum limits.
Must be able to perform essential job functions such as lifting 5-10 pounds.
Partners in Care Foundation is an equal opportunity employer.
We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations.
It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race (including hair texture and protective hairstyles, such as braids, locks, and twists), color, national origin, ancestry, religion, sex, sexual orientation, pregnancy (including childbirth, lactation/breastfeeding, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics, as well as those of family members), veteran status, uniformed service member status, gender, gender identity, gender expression, transgender status, arrest or conviction record, domestic violence victim status, credit history, unemployment status, caregiver status, sexual and reproductive health decisions, salary history or any other status protected by federal, state, or local laws.
All qualified applicants will receive consideration for employment and reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the position.
Remote working/work at home options are available for this role.
Sweeney Merrigan Law is growing, and we're on the lookout for a tenacious, perceptive Case Manager to join our Pre-Litigation Team. In this role, you won't just be supporting attorneys, you'll be an essential part of our legal process, helping fight negligence and obtain justice for our clients.
Our Case Managers play a central role in keeping files organized, deadlines tracked, and communication flowing smoothly with clients, medical providers, and insurers. If you thrive in a fast-paced legal environment, enjoy digging into facts, and take pride in supporting attorneys with meaningful work, we want to hear from you!
At Sweeney Merrigan, one of Boston's leading personal injury law firms with a deep commitment to justice and client-first service, we pride ourselves on a low-ego, team-oriented workplace where everyone supports each other and works together toward excellence. We're excited to meet passionate professionals who are humble, hungry to grow, and eager to help our pre-litigation team deliver the outstanding support and results our clients deserve.
Job Title
Pre-Litigation Case Manager
Department
Personal Injury – Pre-Litigation
Reports To (Title)
Supervising Attorney
FLSA Status
Exempt Non-Exempt
Position Summary
The Pre-Litigation Case Manager supports the firm's personal injury practice by managing a caseload of matters from file opening through the pre-litigation stage. This role coordinates communication between clients, attorneys, medical providers, and insurance companies while ensuring that all case documentation, billing information, and records are maintained with exceptional organization and accuracy. Effective case management is critical to ensuring cases progress efficiently and are fully prepared for settlement or potential litigation.
Essential Duties and Responsibilities
- Manage a caseload of personal injury matters from initial file setup through the pre-litigation stage while maintaining highly organized and accurate case records
- Communicate regularly with clients, insurance adjusters, medical providers, and other third parties to obtain documentation and coordinate case progress
- Open insurance claims, draft letters of representation and notice letters, and assist with other legal correspondence as directed by the supervising attorney
- Gather and review medical records and billing documentation, confirming balances, payment sources, and treatment details
- Coordinate PIP and MedPay claims, including claim setup, application assistance, billing coordination, and exhaustion notifications
- Contact medical providers, billing departments, and collection agencies to confirm balances, payment histories, and outstanding bills
- Maintain detailed and accurate case notes within the firm's case management system, ensuring every communication, document, and update is properly logged
- Monitor case milestones, deadlines, and treatment updates across multiple active matters
- Assist with preparing demand packages and ensuring that medical records, billing summaries, and supporting documentation are complete
- Provide regular updates to attorneys and internal team members regarding case status
- Maintain strict confidentiality and professionalism when handling client information and financial documentation
Personal injury case management requires careful coordination of documentation, communication, and deadlines to ensure cases progress efficiently and are prepared for settlement negotiations.
Required Qualifications
Education & Experience:
- High school diploma or equivalent required; associate's or bachelor's degree strongly preferred
- 1–3 years of experience in personal injury case management, legal support, medical billing coordination, or a related role in a contingency-based law firm preferred
Skills & Competencies:
- Exceptional organizational skills with the ability to manage numerous active cases simultaneously
- Strong attention to detail and ability to maintain precise records across multiple providers and billing sources
- Excellent written and verbal communication skills with the ability to interact professionally with clients, attorneys, and third-party stakeholders
- Ability to be persistent and proactive when following up with insurance companies and medical billing departments to obtain necessary information
- Comfortable spending a significant portion of the workday communicating with providers and insurers
- Proficiency with case management software and standard office technology
- Ability to prioritize tasks, track deadlines, and maintain highly organized electronic case files
Certifications/Licenses (if applicable):
- None required
Preferred Qualifications (optional)
- Active Notary Public commission or willingness to obtain one
- Fluency in more than one language, enabling effective communication with a broader and more diverse client base
- Prior experience working in a plaintiff-side personal injury law firm
Physical Requirements / Working Conditions
- Prolonged periods of sitting at a desk and working on a computer
- Frequent communication via telephone and electronic communication throughout the workday
Supervisory Responsibilities
Yes No
Compensation and Benefits
Salary range: $45,000 – $60,000 annually, commensurate with experience.
Benefits are provided in accordance with firm policy and may include health insurance and eligibility for 401(k) matching after one year of employment.
Disclaimer
This job description is not intended to be all-inclusive. The employee may be required to perform other related duties as assigned to meet the organization's ongoing needs.
Equal Employment Opportunity Statement
Sweeney Merrigan Law is proud to be an Equal Employment Opportunity employer. We are committed to fostering a diverse and inclusive workplace where all individuals are treated with dignity and respect. We welcome and encourage applications from candidates of all backgrounds, experiences, and perspectives, including but not limited to those based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, or any other characteristic protected by applicable law. We believe that a diverse workforce enhances our ability to serve our clients and strengthens our firm culture.
Company Description
Ugwonali Law Group is a legal practice dedicated to providing exceptional legal services to clients across diverse practice areas. Based in Atlanta, GA, the firm focuses on delivering results-driven solutions tailored to the unique needs of each client. With a team of skilled professionals, Ugwonali Law Group is deeply committed to achieving favorable outcomes with a client-centered approach. The firm prides itself on its professionalism, integrity, and dedication to justice.
Responsibilities
- Prepare and file legal documents and correspondence with courts and opposing counsel
- Schedule and coordinate depositions, meetings, and court appearances
- Communicate with clients, attorneys, and other parties involved in the cases
- Maintain accurate and up-to-date case files and databases
- Assist with billing and other administrative tasks as needed
- Interview prospective clients over the phone or in person
- Open Insurance Claims
- Opening new files
- Collect and analyze intake information
- Collect all relevant documents
- Fully investigate each case
- Maintain contact with clients regularly
- Verify insurance coverage and maintain contact with the insurance company
- Manage the medical care of clients
- Explain procedures or forms to clients
- Prepare documents and correspondence
- Draft settlement demand packages
- Relay settlement negotiation from attorney to clients and adjusters, utilizing demands/offers in Client Profiles
- Collect documentation of all damages sustained, such as medical records, bills, and loss of income
- Read and interpret medical records and reports
- Organize tangible damages
- Perform legal research to obtain documentation regarding health insurance, medical records, social security, and medical providers
- Assess legal documents to ensure compliance with all legal requirements
- Organize and maintain all case files and information concerning engagement, whether electronic or paper, in accordance with the law firm's policies
- Aid attorneys with all aspects of case management, including billing, docketing deadlines, and providing reminders as requested
- Provide recommendations to attorneys with regard to cost and time-effective ways to accomplish the client’s goals
- Complete legal research to obtain documentation regarding medical records, health insurance, social security, and medical providers
- Manage, update, and organize all case files and information with regard to engagement, whether electronic or paper, in accordance with firm policies
- Inform clients and outside counsel on case status as requested
- Support attorneys with all aspects of case management, including billing, docketing deadlines, and providing reminders as needed
- Draw up legal documents for attorney review
Qualifications
- Must have a strong work ethic and be able to work well in a fast-paced environment
- Must have great people skills, as the position requires a great deal of client contact
- Must be able to meet deadlines
- Must be able to prioritize work and work under pressure
- Must be detail-oriented
- Must be familiar with relevant laws as they apply to personal injury claims, motor vehicle accidents, and insurance
- Knowledge of medical terms and traumatically induced conditions is helpful
- Knowledge of insurance coverage types and policies is helpful
- Time management skills
- Ability to work independently and as part of a team
- Proficiency in Microsoft Office and legal case management software
- Ability to multitask and stay self-motivated
- A high school diploma is required - a 2-year degree and Paralegal certification are acceptable, but a Bachelor’s degree is preferred
- Exceptional organizational skills as well as effective communication skills, both written and oral, are needed
- Extensive experience conducting legal research and drafting legal documents is essential
- Computer proficient - specifically with case management software, word processing, and spreadsheet presentation
- Be a self-starter and able to effectively manage multiple matters at once
- Comfortable with computer programs, such as spreadsheet presentation, word processing, and case management software
- Case management process experience is needed - preferably as a personal injury case manager, or related jobs such as legal secretary, paralegal, or legal assistant at a law firm, non-profit, or human services agency
- High school diploma is required - 2-year degree and Paralegal certification are acceptable, but a Bachelor’s degree is preferred
- Legal research and legal document drafting experience is critical
Compensation
$21 - $26 hourly
About Ugwonali Law Group Llc
- We are a small but fast-growing Personal Injury law firm headquartered in Atlanta. The Ugwonali Law Group is a firm that takes a hands-on approach to every case we handle. Unlike other attorneys and law firms in Atlanta, the Ugwonali Law Group will personally handle every aspect of your case. You can rest assured that your case is in the very best hands.
In this role, you will perform comprehensive patient assessments, develop individualized care plans, and collaborate with providers and care teams to ensure members receive appropriate, cost-effective care.
The RN Case Manager plays a key role in supporting patient transitions, coordinating services, and advocating for patient needs while ensuring compliance with treatment plans and promoting positive health outcomes.
Key Responsibilities Perform comprehensive assessments of high-risk patients to evaluate clinical and social care needs.
Develop and implement individualized care plans in collaboration with primary care providers and healthcare teams.
Coordinate care transitions between providers, facilities, and community resources.
Collaborate with physicians, social workers, discharge planners, and claims professionals to ensure appropriate levels of care.
Identify and coordinate non-medical support services such as housing or transportation to support treatment compliance.
Engage specialty resources and community services as needed to improve patient outcomes.
Maintain detailed documentation of clinical, functional, and financial outcomes throughout the case management process.
Identify opportunities for health promotion and illness prevention.
Prevent adverse patient events whenever possible and intervene quickly to minimize negative outcomes.
Performance Expectations Case management benchmark of 30 cases per week (Monday-Friday).
Required Qualifications Current, unrestricted Registered Nurse (RN) license.
Associate’s or Bachelor’s Degree in Nursing or related field.
Experience with Home Care Home Base (HCHB), PointCare, or PointClickCare systems.
Case Management Certification preferred.
Proficiency with Microsoft Teams and other technology platforms.
Keywords: RN case manager, nurse case manager, care coordination, patient advocacy, discharge planning, care transitions, population health, home health case management, utilization management, HCHB, PointClickCare, PointCare, clinical case management, healthcare coordination
