Case Management Coordinator Job at CVS Health (Springfield)

Case Management Coordinator - Care Coordination - Per Diem - Days - 8hr FPH

Under the direction of the Case Manager or Discharge Planner, the Case Managemen...

Location

United States , Glendora

Salary:

30.00 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

High School diploma or equivalent preferred
One year general office/clerical experience preferred
Proficient in Microsoft Office
Knowledge of medical terminology preferred
Excellent customer service and organizational skills required.

Job Responsibility

Under the direction of the Case Manager or Discharge Planner, the Case Management Coordinator assists with the clerical needs of discharge planning
Faxing inquiries
Arranging ambulance transportation
Making phone calls to skilled nursing facilities, home health agencies, durable medical equipment companies, infusion agencies, family members, etc.
Delivers the Important Message of Medicare to patients
Documents appropriately in Meditech
Provides support to the department by checking the department voicemail, retrieving orders from the printer and distributing to appropriate staff, retrieving faxes and documenting in BAR, faxing CCS referrals, faxing Interqual reviews and documenting in BAR, ordering supplies, scheduling meetings, greeting visitors.

Parttime

Office Coordinator - Case Management

Responsible for the overall office operations, provides receptionist duties, and...

Location

United States , Tyler

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma

Job Responsibility

Performs general clerical duties and supports the operations of the department
Coordinates and maintains progress of specific projects as assigned
Coordinates and prepares for meetings
to include preparation of material, presentations and meeting minutes
Maintains up to date logs pertaining to department requirements and/or committee lists
Supports the front office and greets all incoming visitors to the department

Fulltime

Hospital Care Coordinator - RN Case Management

At BayCare, we are proud to be one of the largest employers in the Tampa Bay are...

Location

United States , Clearwater

Salary:

Not provided

IntelyCare

Expiration Date

Until further notice

Requirements

Required RN (Registered Nurse)
Required Associates of Nursing or Preferred Bachelor of Nursing
Required 2 years in Acute Care
Required 2 years Registered Nurse
Preferred ACM (Case Management)
Preferred CCM (Case Manager)

Job Responsibility

Provides linkage, monitoring, planning and advocacy for our population to achieve and maintain maximum functioning
Possesses a clear understanding of the available resources to promote quality cost effective outcomes
Effectively maintains and manages assigned caseload, contingent on needs, strengths, abilities, barriers, and preferences of the individual served
Coordinates discharge planning efforts through assessment, referral, and interdisciplinary planning
Ability to adjust to changing priorities in a fast-paced environment

What we offer

Benefits (Health, Dental, Vision)
Paid time off
Tuition reimbursement
401k match and additional yearly contribution
Yearly performance appraisals and team award bonus
Community discounts and more

Fulltime

Care Management Coordinator OhioRISE - Field - Central and SE Region of Ohio

This is a full-time field-based telework position, in Ohio. This position requir...

Location

United States , Columbus

Salary:

21.10 - 40.90 USD / Hour

CVS Health

Expiration Date

Until further notice

Requirements

2+ years of experience in behavioral health, social services, or human services
2+ years of experience with personal computers, keyboard and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint)
2+ years of experience in children's mental health, child welfare, developmental disabilities, juvenile justice, or a public sector human services or behavioral health care field, providing community-based services to children and youth, and their family/caregivers
2+ years experience in one or more of the following areas of expertise: family systems, community systems and resources, case management, child and family counseling/therapy, child protection, or child development
2+ year of experience with Ohio delivery systems, including local community networks and resources
Willing and able to travel within the assigned region up to 50% of the time
Some travel to the New Albany office may be required for trainings/meetings
Reliable transportation required
Willing and able to work beyond core business hours of Monday-Friday, 8am-5pm, as needed
Bachelor's degree or non-licensed master level clinician required

Job Responsibility

Utilizes critical thinking and judgment to collaborate and inform the case management process
Facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members
Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution
Coordinates and implements assigned care plan activities and monitors care plan progress
Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health/behavioral health programs to overcome barriers
Works collaboratively with the members' Child and Family Teams
Identifies and escalates quality of care issues through established channels
Utilizes negotiation skills to secure appropriate options and services
Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement
Provides coaching, information, and support to empower the member

What we offer

Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs
Bonus, commission or short-term incentive program

Fulltime

Complaints & Data Protection Case Coordinator

We are urgently recruiting for a Complaints & Data Protection Case Coordinator t...

Location

United Kingdom , Gateshead

Salary:

28000.00 - 33000.00 GBP / Year

Office Angels

Expiration Date

Until further notice

Requirements

Experience in an administrative, complaints, or case management environment
Strong organisational skills with the ability to manage multiple priorities and deadlines
Excellent attention to detail, particularly when handling sensitive information
Confident communication skills (written and verbal)
Good IT skills including Microsoft Office and case management systems
Understanding of confidentiality, GDPR, and data protection principles
Ability to take ownership of cases and work independently
Proactive, professional, and solution-focused approach

Job Responsibility

Manage Complaints and SARs from receipt through to full resolution
Log, acknowledge, track and monitor all cases in line with statutory deadlines
Act as a key point of contact for queries relating to complaints and SARs
Complete identity checks, information gathering, and SAR case preparation
Collate and review documentation for disclosure, including basic redaction support
Support the investigation and resolution of complaints in line with internal processes
Liaise with internal departments to obtain required information within deadlines
Maintain accurate, complete and auditable case records using internal systems
Draft professional correspondence including acknowledgements, updates, and outcomes
Escalate risks, delays, and complex cases appropriately

Director, Case Management

Director, Case Management, Baptist Jacksonville The Director of Case Management...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

Progressive leadership experience in Case Management, Care Coordination, or Utilization Management within an acute care healthcare environment required
Experience leading inpatient Case Management teams and operational initiatives required
Demonstrated experience with throughput management, discharge planning, length of stay reduction, and readmission prevention initiatives preferred
Strong operational, strategic, and interdisciplinary leadership experience required
Master’s degree in Nursing, Healthcare Administration, Social Work, or related healthcare field required
Current applicable clinical licensure preferred
ACM, CCM, or related Case Management certification preferred
Registered Nurse (RN) - State Nursing Boards
MS preferred

Job Responsibility

Provide strategic and operational leadership for the system-wide inpatient Case Management program across adult hospital campuses
Lead, mentor, and support Managers of Inpatient Case Management while promoting accountability and leadership development
Drive initiatives focused on patient throughput, length of stay reduction, readmission prevention, discharge planning, and capacity management
Collaborate with Social Services leadership to implement integrated, team-based care coordination models
Partner with hospital and health system leadership to improve operational efficiency and patient outcomes
Ensure compliance with regulatory standards, accreditation requirements, and organizational policies related to care coordination and case management
Support patient-centered care transitions and continuity of care across the healthcare continuum
Analyze operational and quality metrics to identify opportunities for process improvement and performance optimization
Foster a culture of collaboration, accountability, service excellence, and continuous improvement

Fulltime

Care Management Coordinator II

The Care Management Coordinator II is responsible for outreach to members/caregi...

Location

United States , Los Angeles

Salary:

50216.00 - 75324.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

High School Diploma/or High School Equivalency Certificate
At least 6 months of experience in an administrative and customer service role in a health care/health services setting
Knowledge of medical terminology
Strong verbal and written communication skills
Proficiency in Microsoft Office with a high level of accuracy
Excellent organizational, and time management skills
Detail-oriented and a team player
Excellent customer service skills with compassion and empathy
Ability to demonstrate sensitivity and respect for the opinions, perspectives, customs, and individual differences of others
Ability to value diversity of people and ideas, as well as interact with people from a wide range of backgrounds

Job Responsibility

Responsible for the time sensitive processes for initiating cases, managing referrals to the department, appropriate documentation, routing of information, performing computer data input, faxing, emailing, filing of confidential member information, and maintaining logs of activity
Engages members to participate in the CM/Disease Management programs by reaching out and promoting the programs to address member’s unmet needs
Completes telephonic calls to conduct the HRA with high risk members participating in the CM program
Assists the care team with developing and assessing health interventions
Conducts telephonic outreach calls to members/caregivers regularly and evaluates and documents their progress towards their healthcare goals
Consults and collaborates with the Care Management Specialist to set up provider/specialist appointments and follow up on treatment plans
Handles the incoming and outgoing calls to members/caregivers and providers to coordinate care as identified in the care plan
Initiates follow up calls to members to administer screenings or confirm linkage to appropriate resources
Provides general information to members and providers about the CM and DM programs
Performs other duties as assigned

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Director, Inpatient Oncology Nurse Case Management

The Director of Inpatient Oncology Nurse Case Management is responsible for the ...

Location

United States , Cambridge

Salary:

180000.00 - 230200.00 USD / Year

Dana-Farber Cancer Institute

Expiration Date

Until further notice

Requirements

Master's Degree
Bachelor's and Master's degrees required, one of which must be in Nursing
Registered nurse with 3-5 years' experience in case management with progressive administrative experience
Licensed as a Registered Nurse in the Commonwealth of Massachusetts and or New Hampshire as applicable

Job Responsibility

Leadership and Team Management
Collaborative Care Coordination
Change Management, Innovation, Quality Improvement
Promote a Culture of Patient-Centered Care

Fulltime

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Case Management Coordinator

Job Description

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