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UM Case Manager/Appeals Coordinator
Havenwyck Hospital (UHS) —Auburn Hills, MI
- $60,000 - $69,000 a year
- Full-time
- Background check
- LMFT
- Nursing
- Loan repayment program
- Health insurance
Quick Apply
Job advancement specialist/Case Manager
Cares of Washington —Everett, WA
- $55,000 a year
- Full-time
- Bilingual
- Background check
- Spanish
- Mileage reimbursement
- Paid holidays
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Case Manager - Social Worker
University of Tennessee Medical Center —Knoxville, TN
- $50,000 - $65,000 a year
- Full-time
- Master of Social Work
- Addiction Medicine
- Adults
- 403(b) matching
- Health savings account
Quick Apply
Foster Care Case Manager
Circles of Care Child Placement —Temple, TX
- $40,000 - $50,000 a year
- Full-time
- Hybrid work
- Background check
- Pass drug screening
- Mid-level
- Mileage reimbursement
- Health insurance
Quick Apply
Case Manager
Brightwell Behavioral Health —Garden City, MI
- Full-time
- Acute care
- Nursing
- Inpatient
- Health insurance
- Dental insurance
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Restore Case Manager
Nashville Anti-Human Trafficking Coalition —Nashville, TN
- From $55,000 a year
- Full-time
- Background check
- Addiction Medicine
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
Social Worker (MSW)-$10K Sign on Bonus!
Palolo Chinese Home —Honolulu, HI
- $72,800 - $95,000 a year
- Full-time
- Mid-level
- 2 years
- Free parking
- Paid holidays
Quick Apply
TravelAssist Case Manager
Divers Alert Network (DAN) —Durham, NC
- $80,000 a year
- Full-time
- Mid-level
- Office
- Bachelor's degree
- Travel reimbursement
Support Coordinator (Case Manager - 1 Year I/DD exp - 4 year degree)
Georgia Support Services —Savannah, GA
- Full-time
- Hybrid work
- Background check
- Experience working with individuals with developmental disabilities
- Nursing
- Paid holidays
- Health insurance
Quick Apply
Case Manager for Adults with Disabilities
Compass SLS & ILS —Pleasanton, CA
- $32 - $34 an hour
- Full-time
- Microsoft Word
- Background check
- Microsoft Outlook
- Health savings account
- Health insurance
Quick Apply
Case Management/Investigation
Palmer Legal Staffing —Washington, DC
- $35 an hour
- Temporary
- Background check
- Pass drug screening
- Research
Quick Apply
CASE MANAGER – CONFLICT FREE
Tri-County Community Action Agency —Johnston, RI
- Full-time
- Nursing
- Experience working with individuals with disabilities
- Mid-level
Quick Apply
Case Manager 2
Institute on Aging —San Mateo, CA
- $85,759 - $102,495 a year
- Full-time
- Hybrid work
- Bilingual
- Master of Social Work
- Experience working with individuals with disabilities
- 403(b) matching
- Mileage reimbursement
Quick Apply
Case Manager
Institute on Aging —San Mateo, CA
- $85,759 - $102,495 a year
- Full-time
- Hybrid work
- Bilingual
- Background check
- Master of Social Work
- 403(b) matching
- Mileage reimbursement
Quick Apply
Housing Case Manager
Transitional Resources —Seattle, WA
- $39.16 an hour
- Full-time
- Background check
- Bachelor of Science
- Sanitation
- Mileage reimbursement
- COVID-19 protective measures
Quick Apply
Case Manager I
Community Health Plan of Washington —Seattle, WA
- $78,960 - $122,390 a year
- Full-time
- Acute care
- Bilingual
- LMFT
- Paid jury duty
- Health savings account
Quick Apply
FPS Caseworker
Dallas - Metric —Dallas, TX
- Weekends as needed
- Experience working with individuals with developmental disabilities
- HIPAA
- Clinic
Quick Apply
Waiver Case Manager (4yr degree required, no experience necessary!)
Supportive Living Solutions —Saint Paul, MN
- $48,000 - $56,000 a year
- Full-time
- Hybrid work
- Background check
- Clean driving record
- 5 years
- Mileage reimbursement
- Paid holidays
Quick Apply
Case Management Assistant II
Sutter Health —San Francisco, CA
- $33.67 - $43.76 an hour
- 8 hour shift
- Word processing
- Computer literacy
- Mid-level
Social Service/Case Manager
South Central LA Regional Center —Los Angeles, CA
- $51,982 - $76,801 a year
- Mid-level
- Computer skills
- 2 years
- Mileage reimbursement
- Paid holidays
Quick Apply

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UM Case Manager/Appeals Coordinator

Havenwyck Hospital (UHS) -
Auburn Hills, MI

Quick Apply

Job Details

Full-time
$60,000 - $69,000 a year

Benefits

Loan repayment program
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Opportunities for advancement
Life insurance
Referral program

Qualifications

Appeals
RN License
LMSW
LPC
Master's degree
Case appeal in utilization management
Bachelor's degree
LBSW
Case management
Substance abuse
Experience working with individuals with substance use disorders
Care plans
Insurance claims appeal handling
Hospital experience

Full Job Description

UM CASE MANAGER/APPEALS COORDINATOR

HAVENWYCK HOSPITAL (a UHS facility)

Havenwyck Hospital is a Joint Commission-accredited and licensed psychiatric hospital, overlooking Lake Galloway in Auburn Hills, Michigan. We specialize in providing comprehensive, compassionate behavioral health services to children, adolescents and adults. It is the ultimate goal of our dedicated staff to build strength, confidence and knowledge within each patient, in hopes that they may continue learning and understanding their needs and practicing self-care for the rest of their lives.

For more information, please visit us at www.havenwyckhospital.com

POSITION SUMMARY:

The Utilization Management Case Manager/ Appeal Coordinator has responsibility for organizing and conducting the managed care process and managing the appeal process. These duties shall be directed toward supporting the hospital's mission in the pursuit of excellence in care/service and will include (but not limited to): conducting timely admission and continued stay record reviews with external payers, utilizing approved criteria to make determinations of medical necessity and level of care planning, verifying active treatment by completing internal audit reviews within approved time frames, assisting the treatment team when indicated in the discharge planning process, and acting as liaison with MD/Clinical Treatment Team and external agencies. Report authorizations, denials, and documentation concerns, as well as collaborate effectively across departments to minimize denials/facilitate optimal use of hospital resources. In addition, this position is responsible for identifying cases for appeal, submitting those appeals, and tracking their status.

QUALIFICATIONS

Bachelor Degree in social work, psychology, counseling or nursing required. Master’s degree in social work, psychology, or counseling preferred.
Valid license in the State of Michigan as a Limited or fully licensed (LBSW, RN, LLMSW, LMSW, LLP, TLLP, LPC, LMFT, etc.) required.
A minimum of 2 years of post-graduate related experience in psychiatric or substance abuse treatment required. Hospital utilization review/utilization management experience preferred
Experience in appeals process required.
Familiarity with managed health care process, medical terminology, experience in case management, discharge planning, and/or utilization review preferred.

If you would like to learn more about this position before applying, please contact Havenwyck Hospital at 248-373-9200.

BENEFIT HIGHLIGHTS:

Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plan
401(K) with company match and discounted stock plan
Career development opportunities within UHS and its 300+ Subsidiaries
Free Basic Life Insurance
Tuition Reimbursement
SoFi Student Loan Refinancing Program
Student Loan Repayment Program - for some degrees and criteria

What do our current employees value at Havenwyck Hospital and UHS?

An environment that puts patient care first. One of the most rewarding aspects of this job is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Supportive and responsive leadership. You are never alone, as you are part of a large network of peer co-workers that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement with UHS.

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Job Type: Full-time

Pay: $60,000.00 - $69,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Referral program
Tuition reimbursement
Vision insurance

Application Question(s):

What is your desired annual compensation?

Education:

Bachelor's (Required)

Experience:

Post Graduate Psychiatric or Substance Abuse Treatment: 2 years (Required)
Hospital Utilization Review/Utilization Management: 1 year (Preferred)

License/Certification:

LBSW, RN, LLMSW, LMSW, LLP, TLLP, LPC, or LMFT (Required)

Work Location: In person

Quick Apply

Refine Your Search

case management jobs

UM Case Manager/Appeals Coordinator

Job advancement specialist/Case Manager

Case Manager - Social Worker

Foster Care Case Manager

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Restore Case Manager

Social Worker (MSW)-$10K Sign on Bonus!

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Support Coordinator (Case Manager - 1 Year I/DD exp - 4 year degree)

Case Manager for Adults with Disabilities

Case Management/Investigation

CASE MANAGER – CONFLICT FREE

Case Manager 2

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Case Manager I

FPS Caseworker

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Case Management Assistant II

Social Service/Case Manager

I want to receive the latest job alert for case management

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