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Case manager Jobs in Port St Lucie, FL

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Case manager • port st lucie fl

Last updated: 3 days ago
Telephonic Medical Case Manager

Telephonic Medical Case Manager

Crawford & CompanyUS, Florida
Remote
Full-time
Free CEU’s for licenses and certificates.License and national certification reimbursement.This is a work from home telephonic case management position!. Compact licensure and an advanced Nurse case ...Show moreLast updated: 30+ days ago
  • Promoted
General Manager

General Manager

Crunch Fitness - CR HoldingsPort Saint Lucie, FL, US
Full-time
Are you a high-performing leader ready to dominate in one of the fastest-growing fitness companies in the industry?.At CR Fitness, we're not just opening clubs, we’re building a leg...Show moreLast updated: 30+ days ago
  • Promoted
Case Manager Immigration Bilingual Spanish

Case Manager Immigration Bilingual Spanish

The GEO GroupStuart, FL, US
Full-time
Since inception in 2004, BI Incorporated has operated ISAP for the Department of Homeland Security (DHS) and U.Immigration and Customs Enforcement (ICE) and Enforcement and Removal Operations (ERO)...Show moreLast updated: 24 days ago
  • Promoted
Registered Nurse Case Manager, $4,500 sign on bonus M-F 8 - 4 : 30

Registered Nurse Case Manager, $4,500 sign on bonus M-F 8 - 4 : 30

Treasure Coast HospiceStuart, FL, US
Full-time
The RN is responsible for the planning and delivery of patient care, providing skilled nursing care and oversight in accordance with policies and the Florida Nurse Practice Act, utilizing the nursi...Show moreLast updated: 3 days ago
  • Promoted
Senior Manager, Revenue Cycle Manager

Senior Manager, Revenue Cycle Manager

TiaPort Saint Lucie, FL, US
Full-time
Senior Manager, Revenue Cycle Manager.Tia is on a mission to transform healthcare for women by increasing access to and improving the experience of key preventive healthcare services.Known as the b...Show moreLast updated: 12 days ago
Medical Field Case Manager

Medical Field Case Manager

GENEXPort St. Lucie, Florida, US
Full-time +1
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and w...Show moreLast updated: 30+ days ago
  • Promoted
Store Manager

Store Manager

JourneysJensen Beach, FL, US
Full-time
Journeys is a teen retail leader with an emphasis on footwear and unique specialty items including apparel, backpacks, hats and accessories. With more than 800 stores in all 50 US states, Puerto Ric...Show moreLast updated: 30+ days ago
  • Promoted
Case Manager

Case Manager

VirtualVocationsPort Saint Lucie, Florida, United States
Full-time
A company is looking for a Case Manager responsible for managing an extensive portfolio of cases and serving as the primary point of contact for attorney clients and medical experts.Key Responsibil...Show moreLast updated: 30+ days ago
  • Promoted
Case Manager (Bilingual Spanish / English) - Port St. Lucie

Case Manager (Bilingual Spanish / English) - Port St. Lucie

Easter Seals FloridaPort Saint Lucie, FL, US
Full-time
Salary will be between $44,392 to $45,367 per year (and based on education and experience), plus insurance and time off benefits. We are currently seeking a Bilingual (Spanish / English) Case Manager ...Show moreLast updated: 30+ days ago
  • Promoted
Manager

Manager

Dunkin'Port Saint Lucie, FL, US
Full-time
As a Dunkin' franchisee, we are committed to our employees as much as we are committed to our customers.We value hardworking and enthusiastic employees and we make it a priority to ensure their suc...Show moreLast updated: 30+ days ago
  • Promoted
Product Manager

Product Manager

FabulousPort Saint Lucie, FL, US
Full-time
The Product Manager ascertains what's next for the product.This person serves as a member of the Product Team and works directly with the CEO. The Product Manager we're looking for will work cross-f...Show moreLast updated: 30+ days ago
  • Promoted
Case Manager (1)

Case Manager (1)

Harmony Health GroupStuart, FL, US
Full-time
The Case Manager (CM) is responsible for assisting the Clinical team in coordinating, implementing and executing various patient related affairs to assist the patients while they are in treatment.T...Show moreLast updated: 29 days ago
  • Promoted
RN Case Manager

RN Case Manager

Cleveland ClinicStuart, FL, United States
Full-time
Join Cleveland Clinic's Martin North Hospital where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. This downtown Stuart hospit...Show moreLast updated: 30+ days ago
  • Promoted
Electrician

Electrician

Hiring ManagerPort Saint Lucie, FL, US
Full-time
Based on experience and skill level).Monday – Friday | 7 : 00 AM – 3 : 30 PM.Now Hiring : Electricians – All Levels.We’re growing fast and looking for skilled Commercial Electric...Show moreLast updated: 30+ days ago
  • Promoted
Manager

Manager

Urban Air Adventure ParksPort Saint Lucie, FL, US
Full-time
Urban Air Adventure Park is gearing up to ACTIVATE AWESOME.We are seeking a highly-motivated candidate to support our vision. In this role, the Manager motivates, instills accountability and achieve...Show moreLast updated: 30+ days ago
  • Promoted
Social Work Case Manager

Social Work Case Manager

UVA HealthPort Saint Lucie, FL, US
Full-time
RELOCATE TO VIRGINIA OPPORTUNITY.Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research, comprehensive training, and compassionate care.U...Show moreLast updated: 30+ days ago
  • Promoted
Manager of Case Management Full Time Days

Manager of Case Management Full Time Days

Tenet HealthcarePort Saint Lucie, FL, US
Full-time
Able to provide assistance to the Director of Case Management in the department, but not limited to, hiring / training / managing staff, schedule coordination, analysis and reporting, interfacing, coll...Show moreLast updated: 30+ days ago
RN Navigator Case Manager - MCC II (Juno Beach, Florida)

RN Navigator Case Manager - MCC II (Juno Beach, Florida)

BlueCross BlueShield of South CarolinaFlorida
Full-time
This position is full time (40 hours / week) Monday-Friday.To work from home you must have high-speed (non-satellite) internet and a private home office. Provides active case management, assesses serv...Show moreLast updated: 30+ days ago
Case Manager, LVN - Bilingual English & Spanish (Work from Home)

Case Manager, LVN - Bilingual English & Spanish (Work from Home)

Bright HealthFlorida, US
Remote
Full-time
Our mission is to make healthcare right.We are a value-driven healthcare company committed to providing personalized care to aging and underserved populations. We do this by aligning stakeholders ac...Show moreLast updated: 30+ days ago
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Telephonic Medical Case Manager

Telephonic Medical Case Manager

Crawford & CompanyUS, Florida
30+ days ago
Job type
  • Full-time
  • Remote
Job description

Position Summary

  • Great Work Life Balance!
  • Monthly Bonus Program!
  • Free CEU’s for licenses and certificates
  • License and national certification reimbursement
  • This is a work from home telephonic case management position!
  • No Travel involved!
  • RN is required!
  • Compact licensure and an advanced Nurse case Management certification (ex : CCM, COHN, CRN) are preferred!

To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients / employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management.

Responsibilities

  • Reviews case records and reports, collects and analyzes data, evaluates injured worker / disabled individual’s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services.
  • Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW.
  • Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention.
  • May perform job site evaluations / summaries to facilitate case management process.
  • Facilitates timely return to work date by establishing a professional working relationship with the injured worker / disabled individual, physician, and employer. Coordinate RTW with injured worker, employer and physicians.
  • Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services. Maintains contact with all parties involved on case, necessary for case management the injured worker / disabled individual.
  • May obtain records from the branch claims office.
  • May review files for claims adjusters and supervisors for appropriate referral for case management services.
  • May meet with employers to review active files.
  • Makes referrals for Peer reviews and IME’s by obtaining and delivering medical records and diagnostic films, notifying injured worker / disabled individual and conferring with physicians.
  • Utilizes clinical expertise and medical resources to interpret medical records and test results and provides assessment accordingly.
  • Meets monthly production requirements and quality assessment (QA) requirements to ensure a quality product.
  • Reviews cases with supervisor monthly to evaluate files and obtain directions.
  • Upholds the Crawford and Company Code of Business Conduct at all times.
  • Demonstrates excellent customer service, and respect for customers, co-workers, and management.
  • Independently approaches problem solving by appropriate use of research and resources.
  • May perform other related duties as assigned.
  • Requirements

  • Associate’s degree or relevant course work / certification in Nursing is required; BSN Degree is preferred.
  • Minimum of 1-3 years diverse clinical experience and one of the below :
  • Certification as a case manager from the URAC-approved list of certifications (preferred);
  • A registered nurse (RN) license.
  • Must be compliant with state requirements regarding national certifications.
  • Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19.
  • Active RN home state licensure in good standing without restrictions with the State Board of Nursing.
  • Must meet specific requirements to provide medical case management services.
  • Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam within proceeding 36 months.
  • National certification must be obtained in order to reach Senior Medical Case Management status.
  • Must maintain a valid driver’s license in state of residence.
  • General working knowledge of case management practices and ability to quickly learn and apply workers compensation / case management products and services.
  • Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation.
  • Excellent analytical and customer service skills to facilitate the resolution of case management problems.
  • Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes.
  • Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees.
  • Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes.
  • Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously.
  • Demonstrated leadership ability with a basic understanding of supervisory and management principles.
  • When you accept a job with Crawford, you become a part of the One Crawford family.

  • Our total compensation plans provide each of our employees with far more than just a great salary
  • Pay and incentive plans that recognize performance excellence
  • Benefit programs that empower financial, physical, and mental wellness
  • Training programs that promote continuous learning and career progression while enhancing job performance
  • that give back to the communities in which we live and work
  • A culture of respect, collaboration, entrepreneurial spirit and inclusion