Top 9 Senior case manager Jobs in Remote

Social Worker, Care Management (Remote/NYC)
EmblemHealth —New York, NY
- $68,040 - $118,800 a year
- Remote
- Microsoft Outlook
- Licensed Clinical Social Worker
- Mid-level
Senior Business Immigration Case Manager
CIP PC. —Cincinnati, OH
- $65,000 - $105,000 a year
- Remote
- 7 years
- Microsoft Outlook
- Word processing
Senior Manager of Case Law Content Expansion
LexisNexis —Remote
- $99,700 - $197,784 a year
- Full-time
- 3 years
- Contracts
- Senior level
- Parental leave
- Flexible schedule
Senior Litigation Case Manager
Newrez —Greenville, SC
- Full-time
- Remote
- 5 years
- Analysis skills
- Driver's License
- Paid parental leave
- Health savings account
Senior Manager of Case Law Content Expansion
RELX —Remote
- $99,700 - $197,784 a year
- Full-time
- 3 years
- Contracts
- Senior level
- Parental leave
- Flexible schedule

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Social Worker, Care Management (Remote/NYC)

EmblemHealth -
New York, NY

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Job Details

$68,040 - $118,800 a year

Qualifications

Master's degree in social work
Master's degree
Team management

Full Job Description

Summary of Position

Achieve optimal benefit and results from the comprehensive management of members with chronic and/or catastrophic illness, members who are frail elderly and/or members whose illness is complicated by challenging psychosocial conditions. Provide global, episodic, specialized or complex care management and utilization management as needed to ensure coordination of health care delivery, member education, and preventative intervention. Coordinate care in a variety of settings and provides focus on transition activities to benefit clinical needs of members while performing the care management process. Assist in managing members with behavioral health, substance abuse, and/or psychosocial conditions/issues, consulting with colleagues across the enterprise. on behavioral health, substance abuse, and/or psychosocial issues. Facilitate member adoption of strategies to promote physician recommended behavior changes. Help members improve health outcomes and provide feedback to members of the medical and care management care teams.

Principal Accountabilities

Develop, facilitate, and communicate a plan of care in partnership with the member, his/her significant other, primary caregiver, the primary and attending physicians, and various providers.
Provide care management through assessment, planning, implementation, coordination, monitoring, and evaluation to ensure member receives services and supports required to meet psychosocial, educational and health care needs.
Assist members with the coordination of services from various settings as appropriate. Include facilitating discharge from acute setting to home and acute setting to alternate settings. Provide Care Coordination throughout the continuum of care by including the member, member’s family and providers in the process.
Assess identified members to determine members appropriate for management early in their disease process at any time during the continuum of care.
Assess members’ Social Determinants of Health, such as housing, food, transportation, and safety in the home; assess members’ mental health needs including PHQ2 and 9 Depression screening.
Provide mental health counseling referrals and provide appropriate support as needed.
Optimize the quality of care and of life for the member. Identify members appropriate for specialty programs.

Qualifications

Bachelor’s degree
Masters’ in social work (LMSW) required
Certification in clinical social work (LCSW) preferred
4 – 6+ years’ case management and/or managed care experience
Knowledge of Federal and State regulations for Medicare and Medicaid and other national and state funded programs
Knowledge of community resources access
Proven track record in leading care management team(s)
Health plan experience
Strong problem-solving skills
Detailed oriented and organized
Excellent communication skills (verbal, written, presentation, interpersonal)
Proficient with MS Office (Word, Excel, Powerpoint, Teams, Outlook, etc.)

Additional Information

Requisition ID: 1000003209
Hiring Range: $68,040-$118,800

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senior case manager jobs in remote

Social Worker, Care Management (Remote/NYC)

Senior Business Immigration Case Manager

Senior Manager of Case Law Content Expansion

Senior Litigation Case Manager

Senior Manager of Case Law Content Expansion

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