Top 11 Case manager Jobs in Trenton, Tn

Care Management Case Manager
West Tennessee Healthcare —Jackson, TN
- 8 hour shift
- Nursing
- RN License
- Hospital
CASE MANAGER, DRC
The GEO Group —Jackson, TN
- From $21 an hour
- Full-time
- Hybrid work
- Computer literacy
- Mid-level
- Office
- Paid training
- Health savings account
6d
Social Worker
Hopefield Healthcare Services Pllc —Jackson, TN
- From $23 an hour
- Part-time
- Background check
- Psychiatry
- Bachelor of Science
- Health insurance
- Paid time off
Quick Apply
8d
Social Worker 2
Software Technology Inc —Jackson, TN
- Mid-level
- Computer skills
Quick Apply
Case Manager / Program Manager / IDD Qualified Professional
RHA Health Services, LLC —Trenton, TN
- $52,000 a year
- Full-time
- Mid-level
- Residential
- Master's degree
- Health insurance
- Paid time off
Quick Apply
3d

Discover related jobs

Based on your search for case manager jobs.

Mental Health Associate (MHA)-School based
Mountain Comprehensive Care Center —Fulton, KY
Must pass a background check and have a valid KY driver’s license. Will consider LPCA, CSW, or Bachelor degree in a Human Service field.
$17.79 - $21.00 an hour
Quick Apply
Admissions Specialist 7p-7a
Perimeter Healthcare —Jackson, TN
Handle incoming inquiry calls with empathy and professionalism. Bachelor's degree in psychology, Social Work, Behavioral Health, or related field.
Quick Apply
12d

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Case Manager/Substance Use Disorder Professional
Autumn Behavioral Health Center —Marion, OH
Develop and implement treatment plans that address the unique needs of each patient, including addiction counseling and PTSD care. CDCA or higher is required.
Quick Apply
HIV Medical Case Manager
Southeast Healthcare —Columbus, OH
Ensure clients are connected to appropriate social services, including financial assistance for medical and dental needs, housing, and other community resources…
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for case manager in trenton, tn

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

case manager jobs near trenton, tn

Care Management Case Manager

West Tennessee Healthcare -
Jackson, TN

Apply Now

Job Details

Full-time

Qualifications

Customer communication
RN License

Full Job Description

Category:

RN Professional

City:

Jackson

State:

Tennessee

Shift:

8 - Day (United States of America)

Job Description Summary:

Care Management Case Managers

Provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients / caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient satisfaction, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team. Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence based practice, and to reduce the risk of readmission.

ESSENTIAL JOB FUNCTIONS:

Obtains or ensures acquisition of appropriate pre-certifications authorizations from third party payers and placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party payer guidelines
Obtains or facilitates acquisitions of urgent/emergent authorizations, continued stay authorizations, and authorizations for post-acute services as needed and with compliance with all regulatory and contractual requirements
Documents, monitors, intervenes/resolves, and reports clinical denials/appeals and supports retrospective payer audit denials; collaboratively formulates plans of action for denial trends with the care coordination teams, performance improvement teams, physicians/physician advisor, and third party payers, etc.
Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all WTH staff regarding utilization review
Assumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care; delegates to others as appropriate
Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomes
Interviews and collects patient specified data and chart review related to readmission and appropriately notifies care team
Communicates telephonically and electronically with outpatient providers in an effort to enhance the continuum of care
Integrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities; practice and governmental commercial payer guidelines
Adheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodies
Assumes responsibility for WTH required continued education and owns professional growth
Performs other duties as assigned or required

JOB SPECIFICATIONS:

EDUCATION:

Bachelor of Science in Nursing preferred.
Associate or Diploma of Nursing required

LICENSURE, REGISTRATION, CERTIFICATION:

Current licensure as Registered Nurse in the state of Tennessee.
AHA Basic Cardiac Life Support preferred.
ACM, CCM or other certification applicable to Case Management within 3 years of hire preferred

EXPERIENCE:

Minimum 3 years of recent acute clinical care experience preferred
Preferred experience in care facilitation and management and utilization review

KNOWLEDGE, SKILLS AND ABILITIES:

Strong communication skills
Ability to develop and maintain positive relationships with customers internal and external to WTH Enterprise
Care coordination / discharge and transition planning and community resource knowledge preferred

NONDISCRIMINATION NOTICE STATEMENT

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.

Apply Now

Refine Your Search

case manager jobs in trenton, tn

Care Management Case Manager

CASE MANAGER, DRC

Social Worker

Social Worker 2

Case Manager / Program Manager / IDD Qualified Professional

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for case manager in trenton, tn

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected