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Case manager • usa

Last updated: 2 days ago

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

Boohoff Law P.A.Brandon, FL, US
Full-time

Position: Full-Time Personal Injury Case Manager.Are you passionate about helping people and making a difference in your community? Boohoff Law, a top-rated personal injury law firm known for its d...Show more

Case Manager

Mental Health AssociationParsipp, NJ, US
Full-time
Quick Apply

MHA promotes mental health and total wellness for individuals facing challenges associated with mental illness and addiction recovery.We increase community awareness while enhancing mental well-bei...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

GpacSanta Monica, California, United States
Full-time
Quick Apply

One of our clients is seeking a experienced Case Manager to work in their Pre-Litigation Personal Injury plaintiff's firm.If you are compassionate and detail oriented and enjoy being the point of c...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

Ernest HealthCayce, South Carolina, United States
Full-time +1

Lexington Regional Rehabilitation Hospital.Southeaster South Carolina and Midlands.At our 40-bed hospital, we see patients who often are recovering from disabilities caused by injuries, illnesses, ...Show more

Case Manager

ServiceNetPittsfield, MA, US
Full-time

The Case Manager plays a vital role in supporting guests at The First by providing direct engagement, case coordination, and resource navigation.This position ensures that the day-to-day operations...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

100 Aurora Health Care Metro, Inc.S Lake Dr,Aurora St Lukes South Shore
Full-time

Lukes South Shore - Social Services.Schedule Details/Additional Information:.Weekend rotation (1 weekend per month).MAJOR RESPONSIBILITIESConducts complete assessments, establishes appropriate plan...Show more

Case Manager

Northeast Family ServicesKeene, NH, US
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...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

Case Manager

Radias HealthSaint Paul, MN, US
Full-time
Quick Apply

The expected salary range for this position is based on several factors including market, funding, candidates experience level, skills, training, and related knowledge.Our ranges are developed and ...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