Case Manager Nurse Salary in USA

Case Manager / Credentialing CoordinatorPlace of Performance: Cottage Grove, MNGeneral Description:Provide medical case management services for the Army National Guard in support of surge and contingency requirements as well as its steady-state mission.Specific Tasks:• Oversee preparation, advise, and review all packets for accuracy and completeness prior to signing and forwarding to the next level in each system.• Responsible for the preparation and management of Reserve Component Managed Care (RCMC) cases and Army Recovery Care Program (ARCP).• Responsible for submitting Incapacitation Pay (INCAP) packets.• Travel to Camp Ripley, MN or other locations in the state during the performance of this contract to attend meetings, conduct training or Soldier Readiness Processing (SRP) events as determined by the needs of the state and individual units.• Direct the Soldier to obtain a ROI when they experience an injury of lasting significance and has sought treatment at a military or civilian medical treatment facility or clinic.• Educate Soldiers and MRNCO’s on resources available to them as they are going through a Line of Duty (LOD) process, medical treatment or the medical board process. Non-duty related (NDR) cases are validated to include verifying the accuracy of the profile with supporting medical documents through electronic medical records review and assessment for LOD need.• Ensure Soldiers with Permanent 3 (P3) or Permanent 4 (P4) profiles, as described in AR 40-502, are case managed in the appropriate MEDCHART module to ensure the follow-up will continue until completion of LODs and medical board cases.• If a Soldier qualifies, you shall prepare and ensure Reserve Component Managed Care (RCMC/ARCP) cases are administratively prepared and submitted for Soldiers with low risk, low acuity continuing medical conditions resulting from an approved LOD illness, injury or disease. Only Soldiers who require medical care for 179 days or less are eligible for this managed care. Assembles necessary documents from unit and medical provider and submits SM’s for approval. Monitoring of SM’s medical status and rehab will take place by communicating with the active Army unit the Soldier has been assigned to.• Monitor and update trackers (LOD tracker, eCase, MED-DET Non-Duty PEB tracker, Temporary Profile tracker, INCAP tracker or MED tracker ) with the medical and dental status of Soldiers and ensure any medical or dental related issues identified, are followed, documented, paid for if applicable, bills paid and case managed. Track Soldier’s care from the identification of the condition to when the Soldier is either considered medically ready to deploy or is administratively separated from the military. The injured or ill Soldier must be assisted through either of these processes. This includes ensuring Soldiers are making progress with medical boards, LODs, ND-PEB, MAR2, INCAP and IDES.• Complete medical charting, case processing, medical documentation, and profile concerns for MNARNG Soldiers in all required systems of record utilized by the MED-DET which are MEDCHART, MEDPROs, Medical Evaluation Board (MEB) Trackers, ND-PEB Trackers, Temporary Profile tracker, eCase and HRR. Current status of case, contact information, suspense dates and case development will all be updated. Relevant medical documents, case processing and profile concerns will be forwarded to military or civilian medical providers. Must also maintain medical/dental office or hospital contacts for case updates and medical records requests.• Ensure Soldiers referred by a medical provider for medical, behavioral health or dental issues are receiving follow-on care, attending appointments and information is entered into the appropriate tracker, MEDCHART, eCase and HRR with the information also communicated back to the unit. Track medical appointments of injured Soldiers and Soldiers going through a board, as identified by the MNARNG Medical Management UIC Assignments, and communicate with the unit to ensure Soldier attendance and submission of follow up documentation is turned in to MRNCO and MED-DET within one week. If treatment is coordinated through their civilian provider and an ROI has not been submitted, a ROI to release their medical records to MED-DET is signed by the Soldier and submitted to the civilian clinic.• Request profile exams, medical evaluations and audiology exams at medical and hearing exam centers in order to support deployment readiness and complete the Soldiers care and treatment plan. This would be for approximately 25 Soldiers each month.Education:• Shall be at a minimum either a Registered Nurse (RN), Licensed Vocational/Practical Nurse (LVN/LPN), Social Worker, Army MOS of 68 or 42 series level 4 as comparable credentials or AOC Series 67-73 with degree.

GENERAL OVERVIEW:The PRIMECARE Nurse Care Manager is a member of a department providing fee-for-service geriatric care management services to elders and those who care for them.The role is varied, complex and highly visible, thus requires sufficient experience in elder care management to practice independently. The ability to establish effective collaborative relationships with a broad spectrum of people is essential. Work schedule is flexible to meet the needs of clients and clinical practice operations. Independent travel to elder's location is necessary.The objective of the position is to provide contracted professional care management services to the elder and/or the elder's "representative". These services will enable, enhance and support the elder and/or their representative in the selection, provision and management of appropriate, quality, cost-effective goods and services in the least restrictive of settings.PRINCIPLE DUTIES AND RESPONSIBILITIES:The Nurse Care Manager's primary responsibility is to the elder.Specific care manager professional service responsibilities will be to:1. Perform comprehensive and targeted geriatric care management and "informal" caregiver assessments in a variety of settings.2. Analyze assessment issues and findings, research good quality, cost effective strategies and solutions.3. Develop a comprehensive written geriatric care management "action plan" based upon the elder's safety, well being, goals and with consideration of the caregiver's needs and goals.4. Provide concrete methodologies and recommendations for successful implementation of the action plan.5. Provide "action plan" implementation services which may include:care coordination to support delivery of medical, psychosocial care and associated care plans, activities of daily living, legal, financial management, etc.education regarding the health care delivery and reimbursement systems, prescription drug cost management, health & wellness programs, long term care insurance, health care proxy, asset and legal management, government, community agencies, public & private organizations, hiring through private entities, etc.advocacy, to include writing appeals, to ensure the elder's safety, physical, legal & financial well-being, to support their caregiving & quality of life goals, navigate the healthcare delivery system, obtain third party reimbursement for covered goods and services, etc.assessment and monitoring of care being delivered to the elder and provision of recommendations to the elder and/or their representative regarding the advisability of the need to modify care, the care plan, providers and/or vendors, as necessary and appropriate consultation and/or conferencing with the elder & their formal, informal caregivers, family, significant others, representatives to assess issues, consolidate information, coordinate planning and care delivery with and for the elderassistance with selection and transitioning the elder from one environment to another6. Communication with the elder, their representative and/or providers to effectively implement plans and provide updates regarding ongoing eldercare care management issues and services.7. Practice and documentation of care management services per PRIMECARE professional standards of practice.8. Effective management of professional service billing.Patient Population Served:The staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her assigned unit.Senior Adult (55 to 64 yrs)Geriatric (65 yrs and up)* Strong assessment and problem solving skills.• Strong interpersonal skills.• Ability to work independently with minimal supervision.• Goal oriented and accountable.• Demonstrated organizational and time management skills, including ability to flex schedule to meet client & business need.• Strong oral and written communication skills.• Interest and ability in small business operation and developmentLocal Travel RequiredQualifications Registered Nurse with BSN and current MA licenseMinimum of 5 years work experience, 2 of which must be relatedCurrent Massachusetts Driver's License and ability to travel to client location/sCMC or CCM Certification preferredEEO Statement Massachusetts General Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

Job Title: Case Manager Group: Programs Department: Behavioral Health Region: VA Location: Woodbridge, VA Classification: Exempt Status: Full Time Reports to: Clinical Supervisor Supervises: Yes Travel Requirement: Yes Remote Eligible: YesCOMPANY OVERVIEWVolunteers of America Chesapeake & Carolinas empowers self-reliance and inspires hope. As a church without walls, we do this through personalized housing, ministry, health, and human services that benefit vulnerable individuals, their families and the community. Founded in 1896 in Baltimore, MD by social reformers, Ballington and Maud Booth, we were one of the first of over 30 affiliates of Volunteers of America one of the nations largest and most comprehensive human services organizations. Our founders envisioned a movement dedicated to reaching and uplifting the American people. On behalf of the organization, the Booths pledged to go wherever we are needed, and do whatever comes to hand. Their declaration continues to guide Volunteers of America's impact on Helping Americas most vulnerable. Through a dedicated and committed team of more than 850 employees and thousands of volunteers, we provide critical care, support services and hope to thousands of people each year throughout Virginia, Maryland, the District of Columbia and the Carolinas. We firmly believe our employees drive the success of the organization. Through our diversity, equity and inclusion efforts, we endeavor to attract, engage and retain qualified, diverse, compassionate individuals to join our journey and experience a work environment that offers challenging, stimulating and financially rewarding opportunities. JOB SUMMARY This position will report to the Clinical Director, Behavioral Health Services, Virginia and will provide service designed to meet the specific mental health needs of the identified client as they relate to their diagnosis and can be provided in-home, in-office, in-school or other approved/appropriate community setting. Outpatient therapy includes psychoeducational activities/interventions designed to assist the client of the reduction of dysfunction. Services are provided with client-centered and family-centered approaches and are delivered through intensive, time-limited, goal specific interventions.REQUIREMENTS Bachelors degree in a Mental or Behavioral Health field (e.g., Social Work, Psychology, Counseling). LMSW, LCSW-C, LGPC or LCPC Licensure/Certification or Provisional Licensure/Certification Eligible is preferred Ability to supervise residents who are registered with the Commonwealth of Virginia Board of Counseling. Deliver in-home or in-office services. Provide therapeutic interventions to the identified client in order to enhance and foster the clients optimal functioning and interactions in the home and community. Continually assess client needs, service availability and appropriateness. Work cooperatively with treatment team members and the family in the provision of services to meet the goals developed in the Person-Centered Plan. Provide the appropriate documentation for service delivery including treatment goals, progress notes and billing and submit documentation as specified by Medicaid and VOACC standard. Provide counseling to individuals or groups regarding psychological or emotional problems, such as stress, substance abuse, or family situations, using evaluative techniques, and develops and implements therapeutic treatment plan. Interviews patient to obtain information concerning medical history or other pertinent information. Observes client to detect indications of abnormal physical or mental behavior. QualificationsRESPONSIBILITIES Provide therapeutic interventions to identified clients in order to enhance and foster the clients optimal functioning and interactions in the home and community. Participate in weekly case management and care coordination meeting. Collaborates with Data Manager on timely submission of practitioner documentation, data outcomes, etc. Provides or supervises practitioners responsible for crisis counseling interventions. Continually assess client needs, service availability and appropriateness. Work cooperatively with treatment team members and the family in the provision of services to meet the goals developed in the Person-Centered Plan. Provide the appropriate documentation for service delivery including treatment goals, progress notes and billing and submit documentation as specified by Medicaid and VOACC standard Provide counseling to individuals, groups or families regarding behavioral or emotional problems, such as stress, substance abuse, or family situations, using evaluative techniques, and develops and implements therapeutic treatment plan. Interview clients to obtain information concerning medical history or other pertinent information. Observes client to detect indications of abnormal physical or mental behavior. Collaborate with the executive leadership team members to assist in the development of clinical programs and support the clinical expertise of staff to embed professional development and evidence-based trainings in services across the organization. Collaborate with Human Resources to contribute to the development and maintenance of the learning management system, which includes the creation of curriculum for learning platforms and materials. Delivers employee training on organizational excellence and expectations. Performs facilitation for virtual and in person training programs as needed. PHYSICAL REQUIREMENTS The physical requirements described below are representative of those that must be met by an employee to successfully perform the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. The ability to safely operate a motor vehicle to transport oneself, consumers, and program supplies as necessary. The physical ability to travel to assigned locations, stand, stoop, bend, reach, pull, push, lift, grasp, climb, talk, see, hear and perform basic and light home maintenance activities, and operate office equipment. Operating office equipment requiring continuous or repetitive hand/arm movements. The ability to remain in a sitting position for extended periods of time. OTHER DUTIES Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Get job alerts by email. Sign up now!

Position Title: Nurse Case Manager (Remote) 2024-1342 Location: Orlando, FL, USA Job Category: Medical Case Management Job Type: Full Time Description: Nurse Case Manager (Home Based) - Specialty Unit Remote Nation WideSalary Range: $75,000.00 - $80,000 depending on experience and qualifications.Overview Are you looking to make a difference by providing high-quality case management with a personal touch that impacts the lives of members of the World Trade Center Health Program? Would you like to be part of a highly skilled team of home-based Nurse Case Manager (NCM)s providing telephonic case management, focused on supporting individuals in maximizing their health and productivity?Nurse Case Manager ResponsibilitiesAs a Nurse Case Manager, you will work independently remotely in your home office setting while being part of a supportive nationwide team. Through the application of a unique mix of experience and certification, you will support World Trade Center Health Program members, emphasize timely facilitation and coordination of diagnosis, and be involved in the acute and chronic phases of cancer treatment, and support. Your broad responsibilities will include developing a case management plan for each injured patient throughout the various stages of recovery while tracking in a proprietary case management system. You will implement integrated medical disability case management services with the goal of preventing, minimizing, or overcoming a chronic disability. Additionally, you will provide medical expertise and serve as the critical communication link between the parties involved in complex medical disability cases. You will ensure timely interventions and facilitate continuous communication while providing patient advocacy through supporting patient choices. Nurse Case Manager QualificationsBachelors in Science Nursing or Associate in Nursing (ASN) or Nursing Diploma.Unrestricted State Registered Nursing License3 years of case management experience3 years related clinical experience in discharge planning, oncology, utilization review/management to determine the necessity of medical services, behavioral health, workers' compensation, occupational health, and/or a comparable field. Preference is given to Nurses with National Certifications in case management or related field. National Certification may be obtained within 12 months of the date of hireAttention to detail, timetables, and commitment to completing tasksExperience with Microsoft Windows and computer savvyMust be well organized, efficient, and able to work independently and within a teamResponsible for having reliable High-Speed Cable or Fiber Optic Internet service and Internet Router in established home officeMust have Excellent Communication Skills via Phone, E-Mail, Text, Verbal, Documentation Skills, and provide 24 hours follow up to all communicationU.S. CitizenshipPrior to training candidates must be able to pass a preliminary credit and background checkFor a career path that is both challenging and rewarding, join Sedgwick Government Solution’s talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, and their customers. At Sedgwick Government Solutions, caring counts. Join our team of creative and caring people of all backgrounds and help us make a difference in the lives of others.Sedgwick Government Solutions provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (range). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. To be considered for this position, please submit a resume, and complete the application. The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required. Important InformationSuccessful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire. Search Firm Representatives Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions and no fee will be paid in the event that person is hired by Government Solutions. Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation for completing the application process, please contact Government Solutions regarding accommodations. Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates. Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a). This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities. Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a). This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans. About Sedgwick Sedgwick Government Solutions is a fully owned subsidiary of Sedgwick. Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to clients’ specific needs in casualty, property, marine, benefits, and other lines. At Sedgwick, caring counts; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. www.sedgwick.com PI239313185

Ministry: Newcomers - Migration & Refugee ServicesPrimary Office: FredericksburgHours per Week: 40Starting Salary: $24.14 hourly (nonexempt)Telework Available: Hybrid 1 day after 90 days of trainingPosition Description:The School Liaison of the Catholic Charities Diocese of Arlington (CCDA), Migration and Refugee Services Program (MRS), assists refugee students in all applicable geographical areas under the Virginia Refugee Student Achievement Project (VRSAP). The CCDA MRS School Liaison works closely with the program manager to ensure that students receive needed assistance in all areas of their life, with a focus and emphasis on academics. The CCDA MRS School Liaison also provides orientation on the U.S. school system to refugee parents.Position Responsibilities:-Enrolls students in school after arrival including testing and school registration appointments, assisting with the completion of school physicals, and immunizations as needed.-Provides new families with orientation to school system, providing language-appropriate resources to insure clear communication.-Organizes and facilitates VRSAP activities such as the annual banquet and other student activities.-Monitors academic progress of students by obtaining teacher progress reports, ESOL levels, attendance reports, guidance counselor evaluations, and grades.-Assists with matching students to existing tutoring resources (volunteers, community centers, school programs) in their neighborhood areas.-Assists with recruiting and training volunteer tutors. Assists with guiding prospective volunteers through the application and screening process including background checks and VIRTUS training.-Monitors tutors to ensure they are addressing academic needs of students. --Provides updates on volunteer and student progress and activities.-Educates school personnel about refugee students and issues facing them (as well as cultural considerations).-Orients new families to the school system, providing language-appropriate resources to insure clear communication.-Maintain regular contact and communication with schools (and school clinics) and parents regarding refugee student health concerns.-Encourage refugee parents to become more involved and play an active role in their children’s education.-Conduct collaboration meetings regarding student concerns.-Maintain refugee student database to track participating students, date of arrival, school name and grade level.-Other duties as assigned.Qualifications & Skills:-Knowledge of refugee resettlement preferred.-Must be able to communicate effectively in writing and verbally both internally, and to clients and external agencies.-Must be able to represent Catholic Charities/MRS at conferences, trainings, and meetings in the community, particularly within the school system.-Familiarity with area Public Schools.-Must be a proactive team player and create a cooperative and positive relationship with colleagues, clients, and US Ties.-Proficient in Microsoft Word and Office products.-Must have a valid driver's license, 3 years of driving experience and be willing to transport clients in CCDA agency vehiclesEducation and Experience:-Bachelor’s degree-3 years relevant work experienceBENEFITS: Vacation, Sick, Paid FML*, 16 paid holidays in 2024, Medical, Dental, Vision, Pension, Employee Assistance Program, Diocesan Tuition Reimbursement K-12. Closed between Christmas and New Years.Physical Demands:Sitting for periods of time and some light lifting up to 25 lbs.

DescriptionIn collaboration with the patient/family, physicians and interdisciplinary team, the Case Management Coordinator ensures patient progression through the continuum of care in an efficient and cost effective manner. The Case Management Coordinator is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Care coordination, and discharge planning are accountabilities of this role. Payer-based requests regarding individual members are fulfilled, where appropriate and pertinent. The Case Manager adheres to departmental and organizational goals, objectives, standards of performance and policies and procedures, continually assuring quality patient care and regulatory compliance.RequirementsEDUCATION: Graduate of an accredited school of nursing, BSN preferred OR Masters Degree in Social Work (MSW) requiredCERTIFICATION/LICENSES: Licensed as a Registered Nurse to practice nursing in the state of New Mexico. Meets contact hour requirements for licensure, including all state required courses. OR Current licensure as an LMSW/LISW/LCSW in New Mexico. Case Management certification highly desirable -- ACM (Accredited Case Manager), CCM (Certified Case Manager, RN-BC (Board Certified in Case Management)SKILLS: Ability to communicate effectively with diverse populations Ability to function in a stressful and fast paced environment Interpersonal skills that promote teamwork Critical thinking/problem solving skills Knowledge of and ability to utilize in house and external resources Flexibility in prioritization Ability to multitask Effective organizational skills Significant knowledge and understanding of availability of community and post-acute resourcesEXPERIENCE: Two years' experience in Health Care setting preferred, with at least one year in an Acute Care Setting.NATURE OF SUPERVISION:Responsible to: Director of Case ManagementENVIRONMENT: General office environment and general hospital department/nursing units (100% of day). Blood borne Pathogens: A PHYSICAL REQUIREMENTS: Ability to move around the hospital to all units/department for about 80% of the day, in office 20% of the day. Requires close work, good vision, dexterity to write as well as to use computer keyboard.

DescriptionPOSITION SUMMARY: In collaboration with the patient/family, physicians and interdisciplinary team, the Case Management Coordinator ensures patient progression through the continuum of care in an efficient and cost effective manner. The Case Management Coordinator is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Care coordination, and discharge planning are accountabilities of this role. Payer-based requests regarding individual members are fulfilled, where appropriate and pertinent. The Case Manager adheres to departmental and organizational goals, objectives, standards of performance and policies and procedures, continually assuring quality patient care and regulatory compliance.RequirementsEDUCATION: Graduate of an accredited school of nursing, BSN preferred OR Masters Degree in Social Work (MSW) requiredCERTIFICATION/LICENSES: Licensed as a Registered Nurse to practice nursing in the state of New Mexico. Meets contact hour requirements for licensure, including all state required courses. OR Current licensure as an LMSW/LISW/LCSW in New Mexico. Case Management certification highly desirable -- ACM (Accredited Case Manager), CCM (Certified Case Manager, RN-BC (Board Certified in Case Management)SKILLS: Ability to communicate effectively with diverse populations Ability to function in a stressful and fast paced environment Interpersonal skills that promote teamwork Critical thinking/problem solving skills Knowledge of and ability to utilize in house and external resources Flexibility in prioritization Ability to multitask Effective organizational skills Significant knowledge and understanding of availability of community and post-acute resourcesEXPERIENCE: Two years' experience in Health Care setting preferred, with at least one year in an Acute Care Setting.NATURE OF SUPERVISION:Responsible to: Director of Case ManagementENVIRONMENT: General office environment and general hospital department/nursing units (100% of day). Blood borne Pathogens: A PHYSICAL REQUIREMENTS: Ability to move around the hospital to all units/department for about 80% of the day, in office 20% of the day. Requires close work, good vision, dexterity to write as well as to use computer keyboard.

DescriptionPOSITION SUMMARY:  In collaboration with the patient/family, physicians and interdisciplinary team, the Case Management Coordinator ensures patient progression through the continuum of care in an efficient and cost effective manner. The Case Management Coordinator is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs.  Care coordination, and discharge planning are accountabilities of this role. Payer-based requests regarding individual members are fulfilled, where appropriate and pertinent.  The Case Manager adheres to departmental and organizational goals, objectives, standards of performance and policies and procedures, continually assuring quality patient care and regulatory compliance.RequirementsMINIMUM QUALIFICATIONS: EDUCATION:  Graduate of an accredited school of nursing, BSN preferred OR Masters Degree in Social Work (MSW) requiredCERTIFICATION/LICENSES: Licensed as a Registered Nurse to practice nursing in the state of New Mexico.  Meets contact hour requirements for licensure, including all state required courses. OR Current licensure as an LMSW/LISW/LCSW in New Mexico.  Case Management certification highly desirable – ACM (Accredited Case Manager), CCM (Certified Case Manager, RN-BC (Board Certified in Case Management)SKILLS: Ability to communicate effectively with diverse populationsAbility to function in a stressful and fast paced environment Interpersonal skills that promote teamworkCritical thinking/problem solving skillsKnowledge of and ability to utilize in house and external resourcesFlexibility in prioritizationAbility to multitaskEffective organizational skillsSignificant knowledge and understanding of availability of community and post-acute resourcesEXPERIENCE: Two years’ experience in Health Care setting preferred, with at least one year in an Acute Care Setting.NATURE OF SUPERVISION:Responsible to: Director of Case ManagementENVIRONMENT: General office environment and general hospital department/nursing units (100% of day).  Blood borne Pathogens: A PHYSICAL REQUIREMENTS: Ability to move around the hospital to all units/department for about 80% of the day, in office 20% of the day.  Requires close work, good vision, dexterity to write as well as to use computer keyboard.

Location: Orange, CASalary: $45.00 USD Hourly - $50.00 USD HourlyDescription: The Judge Group is currently seeking an LVN Case Manager for a fantastic client of ours in Orange, CA! This is a full time position and will require you to work on-site with a potential to work remotely in the future!If you would be interested to apply or would like more information, please send your most updated resume to Jacob at [email protected]! Below you can find a basic overview of the opportunity!Job Overview:The Medical Case Manager (LVN) will be responsible for reviewing and processing requests for authorization and notification of medical services from health professionals, clinical facilities and ancillary providers. The incumbent will be responsible for prior authorization and referral related processes, which includes on-line responsibilities as well as select off-line tasks.Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Reviews requests for medical appropriateness.Qualifications:High school diploma or equivalent required. Current, unrestricted Licensed Vocational Nurse (LVN) license to practice in the state of California required. 3 years of nursing experience required; 1 year of utilization management/prior authorization review experience required.Again, if you would be interested to apply or would like more information, please reach out to Jacob at [email protected] You,Jacob Contact: [email protected] job and many more are available through The Judge Group. Find us on the web at www.judge.com

The Associate Director of Nurse Case Management works closely with the Director of Nurse Case Managers. The AD is responsible for managing a team of Regional Nurse Case Managers, who educate patients and caregivers as part of the argenx Patient Support Program. They will provide direction and coaching to the team, ensuring effective support of the unique needs of patients throughout their treatment journey. The AD will be responsible for the daily support of the Nurse Case Managers ensuring metrics and deliverables to strengthen the patient experience.Roles and Responsibilities:Assists in the process of developing and implementation of patient support case management processes, including identification of patient needs and utilization of all available resources to achieve desired outcomes for patients and educational processed for the Nurse Case Management teamEffectively manages patient access needs in treatment initiation and onboarding, collaborating with third-party partners and internal access teams as appropriateEvaluates patient case data to ensure that support is provided in accordance with clinical guidelines and organizational standardsDemonstrates leadership/example in all aspects of compliance including, but not limited to, program, data privacy, ongoing education, and pharmacovigilance (PV) adherenceMaintains and monitors quality case management documentation to assure compliance with program, data privacy, ongoing education, and PV adherenceDemonstrates strong communication skills with internal and external constituents and utilizes all available internal cross functional departments and available reporting tools to strategize the achievement of company goalsSkills and Competencies:Previous experience managing a regional team of Nurse Case Managers. Experience with case management oversight and cross-functional collaboration across a medium to large commercial organization preferredProven ability to effectively partner with internal access and field teams as well as thirty-party reimbursement partners to identify and resolve customer concerns and issuesPrevious case management and/or patient support experience in the pharmaceutical, biotech, or related industry is preferredKnowledge of clinical data and pharmacologyAbility to problem solve and communicate complex access and fulfilment scenario to regional teams responsible for educating patients and healthcare professionalsExperience with identifying and developing training content for the nurse case management teamDemonstrated time management skills; planning and prioritization skills; ability to multi-task and maintain prioritization of key projects and deadlines.Demonstrated effective presentation skills; ability to motivate others; excellent interpersonal (written and verbal) skills - with demonstrated effectiveness in working cross-functionally and independentlyDemonstrated ability to develop, follow and execute plans in an independent environmentDemonstrated ability to effectively build positive relationships both internally and externallyDemonstrated ability to be adaptable to changing and fast paced work environments and responsibilitiesMust be able to thrive in team environment and willing to contribute at all levels with flexibility and a positive attitudeFully competent in MS OfficeFlexibility to work weekends and evenings, as neededParticipate in and complete required pharmacovigilance trainingComply with all relevant industry laws and argenx policiesAbility to travel 50-60%Education, Experience and Qualifications:Bachelor's degree, Masters preferredBSN and/or RN licensureCurrent nursing license in good standing5 + years clinical experience in healthcare to include pharmaceutical or biotech3-5+ years of case management and reimbursement experience5+ plus years' experience in building and managing teams#LI-RemoteAt argenx we strive to create a welcoming and inclusive environment. Here all applicants will receive equal consideration for employment without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other applicable legally protected characteristics. argenx is proud to be an equal opportunity employer.If you require reasonable accommodation in completing your application, interviewing, or otherwise participating in the candidate selection process please contact us at [email protected]. Only inquiries related to an accommodation request will receive a response.PDN-9bd966c7-4ea4-4e78-ba2c-2d46224ba01c