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Case manager • miami gardens fl

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Telephonic Medical Case Manager

Telephonic Medical Case Manager

Crawford & CompanyUS, Florida
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Free CEU’s for licenses and certificates.License and national certification reimbursement.This is a work from home telephonic case management position!. Compact licensure and an advanced Nurse case ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Case Manager (Bilingual Prelitigation)

Case Manager (Bilingual Prelitigation)

JobotDoral, FL, United States
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Leading Midwest Contractor Seeks Project Manager, Federal Projects, Industry Leading Compensation Package, Fast-Tracked Growth. This Jobot Job is hosted by : Ross Theel.Are you a fit? Easy Apply now ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Vocational Case Manager

Vocational Case Manager

VirtualVocationsHialeah, Florida, United States
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A company is looking for a Vocational Case Manager.Key Responsibilities Manage a caseload of Social Security disability beneficiaries in the Ticket to Work program Conduct vocational assessments...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Nurse Manager - Case Management - FT - Days - MRHS

Nurse Manager - Case Management - FT - Days - MRHS

Memorial Regional HospitalHollywood, FL, US
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At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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RN Case Manager

RN Case Manager

Bristol HospiceHialeah Gardens, FL, United States
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Bristol Hospice - North Miami - Miami Lakes, FL.Are you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Nurse Case Manager

Nurse Case Manager

Center for Family and Child EnrichmentMiami Gardens, FL, US
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Cherishing Our Children Since 1977.Helping children and families help themselves to live a better life and build a stronger community. The Center for Family and Child Enrichment (CFCE) is dedicated ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Hospice RN Case Manager

Hospice RN Case Manager

Moments HospiceHialeah, FL, US
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At Moments Hospice, we never want our staff to have to stress about their commute.That's why our winning compensation package includes a fleet car benefit option with gas and insurance covered....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Manager - Case Management - FT - Days - MHP

Manager - Case Management - FT - Days - MHP

Memorial Healthcare SystemHollywood, FL, US
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At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
LTSS Service Coordinator - Case Manager (Broward County)

LTSS Service Coordinator - Case Manager (Broward County)

Elevance HealthDavie, FL, United States
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This is primarily a field based position.Candidate would need to reside in one of the following counties : .This field-based role enables associates to primarily operate in the field, traveling to cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Personal Injury Case Manager

Personal Injury Case Manager

The Ward Law Group, PLHialeah, FL, US
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The Ward Law Group, voted best places to work for the past two years is where your work really matters! Where serving the community and genuinely driving results have made us a leader in personal i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Case Manager

Case Manager

United Recovery ProjectPembroke Pines, FL, United States
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United Recovery Project is seeking a professional, dedicated, and compassionate Case Manager to join our outstanding Clinical Team. We are a leading substance abuse treatment facility committed to d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Social Work Case Manager

Social Work Case Manager

UVA HealthMiramar, FL, US
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RELOCATE TO VIRGINIA OPPORTUNITY.Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research, comprehensive training, and compassionate care.U...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Targeted Case Manager

Targeted Case Manager

Advance Health and Community ServicesPembroke Pines, FL, US
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WE ARE LOOKING FOR A CERTIFIED TARGETED CASE MANAGER IN DADE AND BROWARD COUNTY JOB SUMMARY : .Responsible for providing Mental Health Targeted Case Management services to clients, under the supervis...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Case Manager

Case Manager

His House Childrens HomeOpa-locka, FL, US
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Must be flexible with schedule.Responsible for client intake, assessments, reunification packages, the development and implementation of case / service plans. Must have a Bachelor’s degree in th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Case Manager

Case Manager

Gulf Coast JFCSDavie, FL
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Are you excited by the prospect of working for an organization that truly values your contributions, provides opportunities for growth and development, AND gives you a chance to make a difference i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
LMHC / LCSW Case Manager

LMHC / LCSW Case Manager

Southern Winds HospitalHialeah, FL, US
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Job Title : LMHC / LCSW Case ManagerLocation : .Per diem, every other weekend, shift differential, and on-call bonus.If you thrive in a fast-paced, growth-oriented environment,.We empower our clinicia...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Re-Entry / Correctional Case Manager.

Re-Entry / Correctional Case Manager.

Seminole Tribe of FloridaHollywood, FL, US
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The Center for Behavioral Health Department Re-Entry Program provides culturally appropriate, community based Re-Entry services to Seminole Tribe Community. Services are designed to help STOF Re-Ent...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Registered Nurse, Case Manager, FT, Days

Registered Nurse, Case Manager, FT, Days

Public Health Trust of Dade CoNorth Miami Beach, FL, United States
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Location : Jackson North Medical Center - Case Management.Address : 160 NW 170th St, North Miami Beach, FL 33169.Case Manager RN is a professional member of the health care team who has 24 / 7 accounta...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Healthcare Consultant ITravel Case Manager Social Worker

Healthcare Consultant ITravel Case Manager Social Worker

Conflux SystemsHialeah, Florida, USA
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Here are the job details for your review : .Job Title : Healthcare Consultant I / Travel Case Manager / Social Worker.Duration : 3 Months Contract (Potential for extension). Location : Miami Dade County ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Telephonic Medical Case Manager

Telephonic Medical Case Manager

Crawford & CompanyUS, Florida
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Position Summary

  • Great Work Life Balance!
  • Monthly Bonus Program!
  • Free CEU’s for licenses and certificates
  • License and national certification reimbursement
  • This is a work from home telephonic case management position!
  • No Travel involved!
  • RN is required!
  • Compact licensure and an advanced Nurse case Management certification (ex : CCM, COHN, CRN) are preferred!

To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients / employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management.

Responsibilities

  • Reviews case records and reports, collects and analyzes data, evaluates injured worker / disabled individual’s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services.
  • Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW.
  • Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention.
  • May perform job site evaluations / summaries to facilitate case management process.
  • Facilitates timely return to work date by establishing a professional working relationship with the injured worker / disabled individual, physician, and employer. Coordinate RTW with injured worker, employer and physicians.
  • Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services. Maintains contact with all parties involved on case, necessary for case management the injured worker / disabled individual.
  • May obtain records from the branch claims office.
  • May review files for claims adjusters and supervisors for appropriate referral for case management services.
  • May meet with employers to review active files.
  • Makes referrals for Peer reviews and IME’s by obtaining and delivering medical records and diagnostic films, notifying injured worker / disabled individual and conferring with physicians.
  • Utilizes clinical expertise and medical resources to interpret medical records and test results and provides assessment accordingly.
  • Meets monthly production requirements and quality assessment (QA) requirements to ensure a quality product.
  • Reviews cases with supervisor monthly to evaluate files and obtain directions.
  • Upholds the Crawford and Company Code of Business Conduct at all times.
  • Demonstrates excellent customer service, and respect for customers, co-workers, and management.
  • Independently approaches problem solving by appropriate use of research and resources.
  • May perform other related duties as assigned.
  • Requirements

  • Associate’s degree or relevant course work / certification in Nursing is required; BSN Degree is preferred.
  • Minimum of 1-3 years diverse clinical experience and one of the below :
  • Certification as a case manager from the URAC-approved list of certifications (preferred);
  • A registered nurse (RN) license.
  • Must be compliant with state requirements regarding national certifications.
  • Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19.
  • Active RN home state licensure in good standing without restrictions with the State Board of Nursing.
  • Must meet specific requirements to provide medical case management services.
  • Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam within proceeding 36 months.
  • National certification must be obtained in order to reach Senior Medical Case Management status.
  • Must maintain a valid driver’s license in state of residence.
  • General working knowledge of case management practices and ability to quickly learn and apply workers compensation / case management products and services.
  • Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation.
  • Excellent analytical and customer service skills to facilitate the resolution of case management problems.
  • Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes.
  • Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees.
  • Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes.
  • Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously.
  • Demonstrated leadership ability with a basic understanding of supervisory and management principles.
  • When you accept a job with Crawford, you become a part of the One Crawford family.

  • Our total compensation plans provide each of our employees with far more than just a great salary
  • Pay and incentive plans that recognize performance excellence
  • Benefit programs that empower financial, physical, and mental wellness
  • Training programs that promote continuous learning and career progression while enhancing job performance
  • that give back to the communities in which we live and work
  • A culture of respect, collaboration, entrepreneurial spirit and inclusion