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Case Manager

ATC Travelers ABaltimore, MD, US
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A Case Manager at Johns Hopkins Medicine facilitates the coordination of care for patients with complex medical and psychosocial needs.This role focuses on ensuring seamless transitions between lev...[internal_linking.show_more]

Case Manager - Case Coordinator

Kaas ConsultingNewport Beach, CA, US
[job_card.full_time]

If you like fast-paced, detail-heavy, and emotionally meaningful work, if you care about people, love organizing complexity, and take pride in getting things right with close attention to detail, y...[internal_linking.show_more]

Case Manager - Case Management

Licking Memorial Health SystemsNewark, OH , US
[job_card.part_time]

The case manager is responsible for individualized management of hospital and healthcare services necessary and appropriate to the provision of high quality, cost effective patient care.He or she w...[internal_linking.show_more]

Case Manager

AcrisureParsippany, NJ, United States
[job_card.full_time]

Job Description About Acrisure A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward.Bringing cutting-edge tech...[internal_linking.show_more]

Case Manager

Spread Your Wings, LLC.San Jose, CA, CA, US
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COME WORK WITH US! Great opportunity for someone that has a passion to work with Intellectually Disabled clients in the Santa Clara area providing Supportive Living Services.Company-paid bronze med...[internal_linking.show_more]

Case Manager

Avenues RecoveryLake Ariel, PA, USA
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Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with eighteen.With an unrivaled, evidence - based clinical curriculum and highly.Avenues continues to set new stand...[internal_linking.show_more]

Case Manager - Case Management

L.E. Cox Medical CentersSpring, MO
[job_card.full_time]

The nurse case manager assess, plans, implements, coordinates, monitors and evaluates options to facilitate the continuum of care through discharge planning.The nurse case manager collaborates with...[internal_linking.show_more]

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Case Manager

The Excalibur GroupWashington, DC, US
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The Excalibur Group is currently seeking Case Managers to join our dynamic team in Washington, D.Do you want to perform meaningful work?.Are you passionate about other’s success?.Join our team as w...[internal_linking.show_more]

Case Manager

Northeast Family ServicesWoodsville, NH, US
[job_card.full_time]

Ready for a summer schedule that works for you? ☀️ .Summer Fun Fridays at Northeast Family Services! .We close at 12:30pm every Friday from Memorial Day through Labor Day — giving our team more tim...[internal_linking.show_more]

Case Manager

Amber Court of Pelham GardensPelham Gardens, NY
[job_card.full_time]

Amber Court of Pelham Gardens -.You can put your clinical skills to work in a friendly care centered environment! Join the experiences team at Amber Court of Pelham Gardens!.Prior experience as a c...[internal_linking.show_more]

Case Manager

MeraKeyWilkes Barre, PA
[job_card.full_time]

Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do.Case Manager in our Family Group Decision...[internal_linking.show_more]

Case Manager

Boston Senior Home CareBoston, MA, USA
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Executive Office of Aging and Independence (EOAI).Case Managers conduct home visits in the Greater Boston area to assess and evaluate elder's eligibility for the State Home Care Program as well as ...[internal_linking.show_more]

Case Manager

Trinity HealthMason City, Iowa, 50401
[job_card.part_time]

The Care Transitions Case Manager collaborates with physicians, social services, nurses, community agencies and other members of the care team to define care options and resources, to plan cost-eff...[internal_linking.show_more]

Case Manager

Eastern Panhandle Mental Health CenterMartinsburg, WV, US
[job_card.full_time]

Perform administrative and certain clinical duties under the direction of EastRidge Health Systems Psychiatrists.General assistance for psychiatrists as needed.Duties performed but not limited to t...[internal_linking.show_more]

Case Manager

WestcareNorth Highlands, California, United States
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Person in this position will be responsible for the case management of a large caseload of participants in the STOP Program.Essential Job Functions include those listed below.Case management of a l...[internal_linking.show_more]

Case Manager - Case Management

CarolinaEast Health SystemNew Bern, North Carolina
[job_card.full_time] +1

About CarolinaEast Health System.CarolinaEast Health System is committed to providing high quality, compassionate care across the Coastal Carolina region.At the heart of our system is a 350-bed, fu...[internal_linking.show_more]

Case Manager

InsideHigherEdRiverside, California, United States
[job_card.full_time]

The Case Manager is an experienced professional who provides support, guidance, and connections for students experiencing distress at UCR.Case managers are licensed clinicians who work within a FER...[internal_linking.show_more]

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Case Manager

Bright Harbor HealthcareToms River, NJ, US
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When someone has sought emergency medical care due to a mental health crisis, the hospital medical team may refer them to Crisis Diversion.This program helps individuals with: assistance navigating...[internal_linking.show_more]

Case Manager

Case Manager

ATC Travelers ABaltimore, MD, US
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  • [job_card.full_time]
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A Case Manager at Johns Hopkins Medicine facilitates the coordination of care for patients with complex medical and psychosocial needs.
This role focuses on ensuring seamless transitions between levels of care, optimizing resource utilization, and advocating for patient-centered outcomes within a world-class academic medical center.
Job Summary
The Case Manager is responsible for assessing, planning, implementing, and evaluating the transition of care for a designated patient population.
Working as a key member of the multidisciplinary team, this position identifies barriers to discharge and develops comprehensive plans that address medical, financial, and social requirements.
The role balances clinical necessity with fiscal responsibility while maintaining the highest standards of patient safety and satisfaction.
Key Responsibilities
  • Performing initial and ongoing clinical assessments to identify patient needs and determine the most appropriate level of care.
  • Developing and coordinating individualized discharge plans in collaboration with physicians, nurses, social workers, and families.
  • Conducting utilization reviews to ensure that patient stays meet medical necessity criteria as defined by insurance providers and regulatory agencies.
  • Identifying and mitigating barriers to timely discharge, such as delays in testing, equipment procurement, or placement in post-acute facilities.
  • Communicating regularly with third-party payers to obtain authorizations and provide clinical updates to ensure reimbursement.
  • Arranging for home health services, durable medical equipment, and placement in skilled nursing or rehabilitation facilities.
  • Providing education and support to patients and families regarding their care plan, community resources, and insurance benefits.
  • Documenting all assessment findings, interventions, and transition plans in the electronic medical record with clinical precision.
  • Participating in daily multidisciplinary rounds to provide updates on discharge status and care coordination efforts.
Qualifications and Requirements
  • A valid and unencumbered Registered Nurse license in the state of Maryland or a recognized compact state.
  • Bachelor of Science in Nursing (BSN) from an accredited program is typically required.
  • Current Case Management Certification (CCM) or Accredited Case Manager (ACM) credential is highly preferred or must be obtained within a specified timeframe.
  • Minimum of three years of clinical experience in an acute care setting; prior experience in case management or utilization review is strongly desired.
  • Working knowledge of Milliman Care Guidelines (MCG) or InterQual criteria.
  • Familiarity with Medicare, Medicaid, and private insurance regulations and reimbursement structures.
  • Strong critical thinking, negotiation, and conflict-resolution skills.
  • Excellent written and verbal communication skills for interacting with diverse medical teams and external agencies.
Working Conditions
  • Work is primarily performed in an office or clinical unit setting within the hospital.
  • Involves significant time spent on the telephone and utilizing computer systems for documentation and communication.
  • Requires the ability to move between different units and buildings across the hospital campus.
  • May involve high-stress situations when managing complex social cases or urgent discharge requirements.

Equal Opportunity Employer: ATC Healthcare Services is an Equal Opportunity Employer.
All applicants will be considered for employment without regards to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status or any other category protected by Federal, State or local law.
M/F/D/V EOE