Disability case manager Job at Randstad (Edmonton)

Case Manager

As a Case Manager in the Critical Support Team, you will help vulnerable custome...

Location

Australia , Charlestown

Salary:

Not provided

Allianz

Expiration Date

Until further notice

Requirements

Experience in a comparable industry (disability support, case management, social services, critical incident response) is desirable but not essential
Experience in a similar case management role within personal injury insurance is desirable but not essential
Experience in evaluating claims or assessing damages for common law settlements is desirable but not essential
Strong drive and interest in leveraging your customer-focused experience to grow a career in case management
Known for your empathetic style and customer-focused approach, allowing you to ‘walk beside our customers’
Ability to handle difficult situations professionally while resolving complex issues
Solid problem-solving and relationship-building abilities
Year 12 certificate or equivalent
High attention to detail, excellent time management skills, and adaptability to changes
Ability to work collaboratively in a team environment, providing advice and guidance to other team members

Job Responsibility

Build effective working relationships with injured customers, family members, legal providers, and medical professionals to drive successful outcomes
Maintain high customer service standards and effective relationships with key stakeholders
Focus on strategic collaboration and case management to maximise return to health and work outcomes for customers
Make key liability decisions and assess claims for reasonable and necessary treatment
Tailor communication skills to suit client interactions, matching voice tone, pace, and style appropriately
Assess and manage injury needs, handle correspondence regarding CTP benefits, treatment, rehabilitation, and interpret medical reports
Provide timely and effective responses to customer needs and ensure accurate processing of claims.

What we offer

Inclusive Culture: Join a supportive, open-minded team focused on customer outcomes, bringing your authentic self to work every day
Flexible Work-Life Balance: Enjoy flexible and remote work options and workplace adjustments, with support for your work/life balance
Career Development: Access mentoring, development and global mobility opportunities for growth and success, including access to over 10,000 learning resources
Financial and Well-being Perks: Enjoy discounts on Allianz products, retail, tech, and travel, plus financial wellness initiatives and the Employee Share Purchase Program- own a piece of your employer.

Fulltime

Case Manager

Blue Star Homecare is a leading provider of in home lifestyle and social support...

Location

Australia , Melbourne

Salary:

Not provided

Blue Star Homecare

Expiration Date

Until further notice

Requirements

Excellent interpersonal communication, networking and negotiation skills
An ability to take the initiative, prioritise, delegate and organise activities
Knowledge of NDIS Care Plans, community resources and service networks for older Australians and their carers
Minimum 2 years Experience with person centred care planning processes, including assessment and establishing client goals
Experience managing client budgets, being responsive and accountable for time sensitive tasks
Ability to work with set KPIs and achieve targets
Experience in the Microsoft Office suite and exposure and/or ability and confidence to acquire skills for in-house client database systems
Tertiary qualifications in allied health, social science, health/welfare discipline, or a related field
In the absence of completed tertiary qualifications, experience in the delivery of person-centred practices in non complex and/or complex case management and/or demonstrated experience with complex service oriented offerings in Disability services
All appointments are made subject to a satisfactory National Police Check conducted by Blue Star Homecare and a valid Working with Children Check provided by the applicant, as requested

Job Responsibility

Review intake information engage new clients, establishing the home care agreement, care plan, budget and connect the client with services and supports
Work mobile, conducting client visits as needed, practicing person centred care planning, providing independent advice and guidance to clients and their families
Work collaboratively with clients, their carers and representatives, ensuring their ongoing needs and preferences supported, to live independently at home
Liaise with Blue Star Homecare employees, stakeholders, partnered service providers on behalf of the client and Blue Star Homecare
Conduct annual reviews for all clients, revising their care plan, goals, services and budget expenditure
Ensure operations are conducted ethically, fairly and within the statutory legal and contractual requirements
Attendance at our Head Office for training and team meetings

What we offer

Flexible working arrangements – WFH
Competitive salary to match your experience

Fulltime

Integrated Care Manager

Responsible for promoting continuity of care through a collaborative process tha...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).

Job Responsibility

Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan
Answer a diverse and high volume of health insurance related customer calls on a daily basis
Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
Maintain complete and accurate records per department policy
Demonstrate ability to apply plan policies and procedures effectively

Fulltime

Integrated Care Manager - Adult

Responsible for promoting continuity of care through a collaborative process tha...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC)
Intermediate PC proficiency
Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
Intermediate skill in word processing, spreadsheet, and database software
Maintain confidentiality and privacy
Advanced and current clinical knowledge

Job Responsibility

Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan
Answer a diverse and high volume of health insurance related customer calls on a daily basis
Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
Maintain complete and accurate records per department policy
Demonstrate ability to apply plan policies and procedures effectively

Fulltime