Top 160 Case manager Jobs in Mesa Az

Medical Case Manager
AmTrust Financial Services, Inc. —Scottsdale, AZ
- $80,000 - $91,000 a year
- Full-time
- Hybrid work
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Case Manager
House of Refuge —Mesa, AZ
- $48,000 - $52,000 a year
- Full-time
- Background check
- Customer service
- Research
- Health insurance
- Dental insurance
Quick Apply
Case Manager
Behavioral Systems Southwest, Inc. - Phoenix Residential Reenty Center —Phoenix, AZ
- $21.95 - $25.00 an hour
- Weekends as needed
- Mid-level
- Residential
- Driver's License
- Paid holidays
- Health insurance
Quick Apply
1d
Case Manager (FT, Front End Days)
Connections Health Solutions —Phoenix, AZ
- Full-time
- Mid-level
- Fair chance
- Associate's degree
- Paid parental leave
- Health savings account
Quick Apply
1d
Health Navigator (Case Manager, CHW, BHPP)
Gellert Health —Phoenix, AZ
- From $52,000 a year
- Full-time
- Background check
- CPR Certification
- Driver's License
- Mileage reimbursement
- Paid holidays
Quick Apply
2d
ALTCS Case Manager
Banner Health —Phoenix, AZ
- $26.40 - $44.00 an hour
- Full-time
- Remote
- Bilingual
- Experience working with individuals with disabilities
- Mid-level
1d
CASE MANAGER
CHILD CRISIS ARIZONA —Mesa, AZ
- $26.78 an hour
- 8 hour shift
- Spanish
- CPR Certification
- English
- Health insurance
- Dental insurance
Quick Apply
1d
Case Manager
Canyon Vista Recovery Center —Mesa, AZ
- Full-time
- CPR Certification
- Mid-level
- High school diploma or GED
Quick Apply
11d
Case Management Social Worker
Oscar Health —Tempe, AZ
- $26.87 - $35.27 an hour
- Remote
- Spanish
- Master of Social Work
- Licensed Clinical Social Worker
- Paid parental leave
- Paid holidays
Quick Apply
8d
Adult SMI Case Manager
Jewish Family & Children's Service —Phoenix, AZ
- $21.00 - $22.50 an hour
- Full-time
- Spanish
- English
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
1d
Case Manager - Family Shelter
UMOM New Day Centers —Phoenix, AZ
- $56,800 - $59,800 a year
- Weekends as needed
- Background check
- Microsoft Excel
- Microsoft Outlook
Quick Apply
5d
Case Manager 2
Arizona Department of Economic Security —Chandler, AZ
- $49,000 - $51,000 a year
- Full-time
- RN License
- HIPAA
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Case Manager Gateway / East Valley
Copa Health —Gilbert, AZ
- $22.50 - $24.00 an hour
- Full-time
- Spanish
- English
- Mid-level
- Wellness program
- 403(b) matching
Quick Apply
SMI Case Manager
ALIUM HEALTH —Mesa, AZ
- Pass drug screening
- Mid-level
- Outpatient experience
Quick Apply
14d
Case Manager
Neighborhood Outreach Access to Health (NOAH) —Scottsdale, AZ
- $19.47 - $25.26 an hour
- Full-time
- Background check
- BLS Certification
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
6d
Case Manager Assistant
WEST COAST TRIAL LAWYERS APLC —Phoenix, AZ
- $20 - $25 an hour
- Spanish
- Microsoft Outlook
- English
- Health savings account
- Paid holidays
Quick Apply
High Needs Case Manager
HORIZON HEALTH AND WELLNESS INC —Chandler, AZ
- Full-time
- Background check
- Spanish
- CPR Certification
- Paid holidays
- Health insurance
Case Manager - Women's Center
UMOM New Day Centers —Phoenix, AZ
- $46,800 - $49,800 a year
- Weekends as needed
- Background check
- Microsoft Excel
- Microsoft Outlook
- Mileage reimbursement
Quick Apply
16h
Case Manager
Native American Connections —Phoenix, AZ
- $21.15 - $26.92 an hour
- Full-time
- Spanish
- CPR Certification
- Mid-level
Quick Apply
9d
Case Manager
Phoenix Children's Hospital —Phoenix, AZ
- Full-time
- Customer service
- Mid-level
- Children

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Medical Case Manager

AmTrust Financial Services, Inc. -
Scottsdale, AZ

Apply Now

Job Details

Full-time
$80,000 - $91,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Opportunities for advancement
Life insurance

Qualifications

RN License

Full Job Description

Overview:

AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.

PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer. Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.

This position is hybrid out of Irvine, CA, Scottsdale, AZ or Salt Lake City, UT.

Responsibilities:

Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically necessary and appropriately delivered.
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines.
Sends letters as needed to prescribing physician(s) and refers to physician advisor as necessary
Responsible for accurate comprehensive documentation of case management activities in case management system.
Uses clinical/nursing skills to help coordinate the individual’s treatment program while maximizing quality and cost-effectiveness of care including direction of care to preferred provider networks where applicable.
Addresses need for job description and appropriately discusses with employer, injured employee and/or provider. Works with employers on modifications to job duties based on medical limitations and the employee’s functional assessment.
Responsible for helping to ensure injured employees receive appropriate level and intensity of care through use of medical and disability duration guidelines, directly related to the compensable injury and/or assist adjusters in managing medical treatment to drive resolution.
Communicates effectively with claims adjuster, client, vendor, supervisor and other parties as needed to coordinate appropriate medical care and return to work.
Performs clinical assessment via information in medical/pharmacy reports and case files; assesses client's situation to include psychosocial needs, cultural implications and support systems in place
Objectively and critically assesses all information related to the current treatment plan to identify barriers, clarify or determine realistic goals and objectives, and seek potential alternatives.
Partners with the adjuster to develop medical resolution strategies to achieve maximal medical improvement or the appropriate outcome
Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.
Engage specialty resources as needed to achieve optimal resolution (behavioral health program, physician advisor, peer reviews, medical director).
Partner with adjuster to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves
Maintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.
May assist in training/orientation of new staff as requested
Other duties may be assigned.
Supports the organization's quality program(s).

Qualifications:

Education & Licensing

Active unrestricted RN license in Arizona or Utah. California is preferred.
Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred.
Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred.
Ability to acquire, and maintain, appropriate Professional Certifications and Licenses to comply with respective state laws may be required
Preferred for license(s) to be obtained within three - six months of starting the job.
Written and verbal fluency in Spanish and English preferred

Experience

Five (5) years of related experience or equivalent combination of education and experience required to include two (2) years of direct clinical care OR two (2) years of case management/utilization management required.

Skills & Knowledge:

Knowledge of workers' compensation laws and regulations
Knowledge of case management practice
Knowledge of the nature and extent of injuries, periods of disability, and treatment needed
Knowledge of URAC standards, ODG, Utilization review, state workers compensation guidelines
Knowledge of pharmaceuticals to treat pain, pain management process, drug rehabilitation
Knowledge of behavioral health
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Leadership/management/motivational skills
Analytic and interpretive skills
Strong organizational skills
Excellent interpersonal and negotiation skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding
Auditory/Visual: Hearing, vision and talking

The expected salary range for this role is $80,000.00-$91,000.00.

Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.

What We Offer:

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

Apply Now

Refine Your Search

case manager jobs in mesa az

Medical Case Manager

Case Manager

Case Manager

Case Manager (FT, Front End Days)

Health Navigator (Case Manager, CHW, BHPP)

ALTCS Case Manager

CASE MANAGER

Case Manager

Case Management Social Worker

Adult SMI Case Manager

Case Manager - Family Shelter

Case Manager 2

Case Manager Gateway / East Valley

SMI Case Manager

Case Manager

Case Manager Assistant

High Needs Case Manager

Case Manager - Women's Center

Case Manager

Case Manager

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