Top 26509 Complex case manager Jobs

Utilization Review Coordinator
Neuropsychiatric Hospitals —Huber Heights, OH
- Full-time
- Nursing
- Psychiatry
- Mid-level
- Health insurance
- Dental insurance
Case Manager (Service Coordinator)
Service Coordination, Inc —Columbia, MD
- $64,395 - $79,861 a year
- Pass drug screening
- HIPAA
- Research
- Paid training
- 403(b) matching
Quick Apply
6d
Utilization Management Clinician I
Community Health Plan of Washington —Seattle, WA
- $35.92 - $55.67 an hour
- Full-time
- Mid-level
- Analysis skills
- Critical & Intensive Care
- Paid jury duty
- Health savings account
Quick Apply
Case Manager
Skilled Wound Care —Los Angeles, CA
- $25 - $29 an hour
- HIPAA
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
13d
Executive Case Manager (Remote)
Valeris —Remote
- Remote
- Bilingual
- Background check
- 5 years
- Health savings account
- AD&D insurance
Quick Apply
Case Manager, Reimbursement
United Biosource Corporation —Remote
- Full-time
- Remote
- 6 years
- Mid-level
- Bachelor's degree
- Wellness program
- Health savings account
13d
Distribution Case Manager
BetterLife —Remote
- $55,000 - $65,000 a year
- Full-time
- Remote
- Mid-level
- Microsoft Office
- Finance
- Life insurance
Quick Apply
Case Manager / Patient Advocate (non-clinical)
Valeris —Remote
- Monday to Friday
- Remote
- Background check
- Spanish
- Pass drug screening
- Health savings account
- AD&D insurance
Quick Apply
Sr. Case Manager, Reimbursement
United Biosource Corporation —Remote
- Remote
- 3 years
- Bachelor's degree
- Continuous improvement
- Wellness program
- Health savings account
11d
Case Manager (Veterans Affairs Disability Claims)
Bravo Claims Solutions —Remote
- From $50,000 a year
- Full-time
- Military
- Mid-level
- Analysis skills
Quick Apply
3d
Social Work Case Manager
Devoted Health —Remote
- $70,000 - $85,000 a year
- Full-time
- Spanish
- Writing skills
- Mid-level
- Dental insurance
- 401(k)
4d
Pediatric Physical Therapist (PT)
ChildrenFirst Home Healthcare —Orlando, FL
- $55 - $58 an hour
- Call employer
- Physical & Rehabilitation Medicine
- Residential
- Experience working with children
- Travel reimbursement
- Mileage reimbursement
Quick Apply
Licensed Clinical Social Worker
Deer Oaks - The Behavioral Health Solution —Maryville, MO
- Choose your own hours
- Licensed Clinical Social Worker
- Adults
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Licensed Clinical Social Worker
Deer Oaks - The Behavioral Health Solution —Moscow, ID
- Choose your own hours
- Licensed Clinical Social Worker
- Adults
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Outpatient Therapist - LCADC
Woods Services —Mount Holly, NJ
- $60,000 - $67,500 a year
- Full-time
- Mid-level
- Outpatient experience
- Master's degree
- Paid training
- Continuing education credits
Quick Apply
Licensed Professional Counselor
Deer Oaks - The Behavioral Health Solution —Maryville, MO
- Choose your own hours
- Adults
- LPC
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Registered Nurse, RN (Full Time Nights) - Up to $20k Signing Bonus Offered
ClearSky Rehabilitation Hospital of Elwood-St. Joseph, LLC —Elwood, KS
- $33.55 - $44.00 an hour
- 12 hour shift
- RN License
- Hospital
- BLS Certification
- Continuing education credits
- Health savings account
Quick Apply
Licensed Clinical Professional Counselor (LCPC)
Deer Oaks - The Behavioral Health Solution —Moscow, ID
- Choose your own hours
- Adults
- Mid-level
- Driver's License
- Paid holidays
- Health insurance
Quick Apply
Licensed Marriage and Family Therapist
Deer Oaks - The Behavioral Health Solution —Moscow, ID
- Choose your own hours
- LMFT
- Adults
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
RN Float FT/PT/PRN
South Coast Hospice & Palliative Care Services, Inc. —Coos Bay, OR
- $40 - $45 an hour
- Part-time
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply

I want to receive the latest job alert for complex case manager

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

complex case manager jobs near

Utilization Review Coordinator

Neuropsychiatric Hospitals -
Huber Heights, OH

Apply Now

Job Details

Full-time

Benefits

Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
Employee discount

Qualifications

Customer communication
Employee relationship building
Transitional care planning in clinical case management
Bachelor's degree
Clinical data entry
Utilization management
Resource utilization in healthcare
Managing patients as a clinical case manager
Hospital experience
Quality data entry

Full Job Description

About Us:

Healing Body and Mind.

NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it’s needed most.

With locations in Indiana, Michigan, Texas, and Arizona, we’re expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day

Overview:

North Valley Behavioral Hospital, a brand new psychiatric hospital within the NeuroPsychiatric Hospitals network, is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.

Benefits of joining NPH

Competitive pay rates
Medical, Dental, and Vision Insurance
NPH 401(k) plan with up to 4% Company match
Employee Assistance Program (EAP) Programs
Generous PTO and Time Off Policy
Special tuition offers through Capella University
Work/life balance with great professional growth opportunities
Employee Discounts through LifeMart

Responsibilities:

Filing documents as needed.
Initial Precertification with payors.
Concurrent Clinical review with payors.
Document in the electronic system daily in real time.
Admission audit.
Ensures that CON’s/RON’s and CMS certifications are completed by provider.
Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
Complies with hospital expectations regarding ethical behavior and standards of conduct.
Complies with federal and hospital requirements in the areas of protected health information and patient information.
Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
Provides education to nursing staff. leadership team, and providers regarding documentation.
Actively works with the business office regarding resolution of appeals/denials and retrospective reviews.

Qualifications:

Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.

Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.

Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.

Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW

Apply Now

Refine Your Search

complex case manager jobs

Utilization Review Coordinator

Case Manager (Service Coordinator)

Utilization Management Clinician I

Case Manager

Executive Case Manager (Remote)

Case Manager, Reimbursement

Distribution Case Manager

Case Manager / Patient Advocate (non-clinical)

Sr. Case Manager, Reimbursement

Case Manager (Veterans Affairs Disability Claims)

Social Work Case Manager

Pediatric Physical Therapist (PT)

Licensed Clinical Social Worker

Licensed Clinical Social Worker

Outpatient Therapist - LCADC

Licensed Professional Counselor

Registered Nurse, RN (Full Time Nights) - Up to $20k Signing Bonus Offered

Licensed Clinical Professional Counselor (LCPC)

Licensed Marriage and Family Therapist

RN Float FT/PT/PRN

I want to receive the latest job alert for complex case manager

Related Searches

Explore jobs in more locations

Healing Body and Mind.

Job Seeker Tools

Employer Tools

Browse

Stay Connected