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Case manager • usa

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Case Manager

ATC Travelers ABaltimore, MD, US
Full-time

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...Show more

Case Manager

Boohoff LawSeattle, Washington, United States
Full-time
Quick Apply

Boohoff Law, a top-rated personal injury law firm is seeking a Full-Time Case Manager to handle pre-litigation files in Tampa.Joining a firm with a reputation for serving the community through its ...Show more

Case Manager

Louisiana Community CareBall, LA, USA
Full-time
Quick Apply

Supervise the progress of each person with disabilities to in to include writing the Individual Support Plan (ISP) and Behavior Support Plans (BSP) documents, chairing ISP/BSP meetings, developing ...Show more

Case Manager

University of California San FranciscoSan Francisco, California
Full-time

Please note: the anticipated duration of this assignment is 6 months; possibility of extension.The Case Manager promotes the achievement of optimal clinical and resource outcomes and is responsible...Show more

Case Manager - Case Coordinator

Kaas ConsultingNewport Beach, CA, US
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...Show more

Case Manager

Memorial Hermann Health SystemPearland Hospital
Full-time

Graduate of an accredited school of professional nursing required; Bachelors of Nursing preferred, .Masters of Social Work program.Current and valid license to practice as a Registered Nurse in the...Show more

Case Manager

AcrisureParsippany, NJ, United States
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...Show more

Case Manager

Spread Your Wings, LLC.San Jose, CA, CA, US
Full-time
Quick Apply

Due to company growth we are adding another manager to our San Jose Supportive Living Services Team.Do you have experience leading teams to provide services? Do you have experience working providin...Show more

Case Manager

The Excalibur GroupWashington, DC, US
Full-time
Quick Apply

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...Show more

Case Manager

Amber Court of Pelham GardensPelham Gardens, NY
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...Show more

Case Manager

Right at Home MontgomeryOpelika, AL
Full-time

Are you looking for a challenging role that allows development opportunities while improving the quality of life for those you serve? Are you passionate about person-centered care and committed to ...Show more

Case Manager- Case Management

Arnot HealthElmira, NY, USA
Full-time

The Case Manager coordinates, negotiates, procures services resources for and manages the care of complex patients to facilitate achievement of quality and cost, patient outcomes.The Case Manager w...Show more

Case Manager

TandymUSA, New York, Manhattan
Full-time
Quick Apply

This position is for a Case Manager located in New York, NY, responsible for managing a caseload of participants and developing comprehensive service plans.Setting: Adults with mental and physical ...Show more

CASE MANAGER

Calvert Health SystemPrince Frederick, MD
Full-time

Performs utilization review and discharge planning to patients through the continuum of care.Creates care plans for patients, updates the care plans according to the patients' conditions, and educa...Show more

Case Manager

USCRIAlbany, NY, US
Full-time

The Refugee Health & Wellness Program focused on support, advocacy, and case management services for refugees with chronic or critical medical or mental health issues.The Refugee Health Promotion (...Show more

Case Manager

ELKB GROUP LLCEncino, CA, US
Full-time

Under the direct supervision of the CCO and the Recovery Services Manager provides a variety of relationship-based interventions including group counseling, crisis intervention, individual counseli...Show more

Case Manager

Archdiocese of St. LouisO Fallon, MO, US
Full-time

Louis strives to teach and share our faith, serve others, and foster unity throughout the St.Once a part of Kenrick-Glennon Seminary's campus, the Cardinal Rigali Center in Shrewsbury, MO is today ...Show more

Case Manager - Case Management

CarolinaEast Health SystemNew Bern, North Carolina
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...Show more

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Case Manager

Case Manager

ATC Travelers ABaltimore, MD, US
30+ days ago
Job type
  • Full-time
Job description
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