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Social work case manager Jobs in West Jordan, UT

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Social work case manager • west jordan ut

Last updated: 23 hours ago
  • Promoted
Major Case Manager

Major Case Manager

AmTrust FinancialSouth Jordan, UT, United States
Full-time
US-NY-Latham | US-AZ-Scottsdale | US-NJ-Princeton | US-IL-Chicago | US-FL-Boca Raton | US-TX-Dallas | US-CA-Irvine | US-FL-Maitland | US-UT-South Jordan | US-GA-Alpharetta.Complex Care Case Manager...Show moreLast updated: 21 days ago
Case Manager

Case Manager

United Energy Workers HealthcareMurray, UT, US
Full-time
Quick Apply
About Us At United Energy Workers Healthcare, established by the grandchildren of a dedicated Department of Energy worker, we’re committed to providing exceptional, personalized care to the e...Show moreLast updated: 1 day ago
  • Promoted
Sr. Social Media Manager

Sr. Social Media Manager

Ivy City Co.Riverton, UT, United States
Full-time
Founded by three women navigating the early days of motherhood, Ivy City was born from a.What started at kitchen tables and nap times has grown into a. Today, Ivy City is more than a clothing brand....Show moreLast updated: 27 days ago
Hospice RN Case Manager

Hospice RN Case Manager

Rocky Mountain CareUtah County, UT
Full-time
We are looking for experienced, qualified .Hospice patients in a professional and compassionate manner.It’s an often demanding job but it can also be very satisfying and rewarding as you can be a p...Show moreLast updated: 30+ days ago
  • Promoted
Social Worker

Social Worker

University of Utah HealthWest Valley City, UT, US
Full-time
As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a cu...Show moreLast updated: 13 days ago
Valeo Home Health Physical Therapist Case Manager

Valeo Home Health Physical Therapist Case Manager

Hire VelocityUtah County, UT, United States
Full-time
Quick Apply
Valeo Home Health & Hospice is a 4 time Best of State and 3-time Top Workplace winner, who services Utah, Salt Lake, Weber, and Davis counties. We strive to be renowned for our dedication to exc...Show moreLast updated: 23 hours ago
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Case Manager | Valley Woods

Case Manager | Valley Woods

Valley Behavioral HealthWest Valley City, UT, US
Full-time +1
Uncertified Case Managers will obtain certification within the first 90 days and pay will be increased.Certified CM pay is calculated based on years of certified experience.On-Demand Pay allows acc...Show moreLast updated: 19 days ago
Social Work Care Manager

Social Work Care Manager

Intermountain HealthcareMurray , UT
Full-time
Assesses patients and / or patient's family, caregivers, and / or legal representatives and arranges for needed interventions. Plans interventions to help patients cope with social, emotional, economic,...Show moreLast updated: 30+ days ago
  • Promoted
Social Media Manager

Social Media Manager

SERVICE HERO CONSULTING LLCSouth Jordan, UT, United States
Full-time
We’re looking for a driven, detail-oriented.Salt Lake City, UT and surrounding areas.This role is perfect for someone who thrives in client-facing environments, communicates clearly and confidently...Show moreLast updated: 30+ days ago
RN Case Manager

RN Case Manager

Superior Home Care & HospiceMurray, UT, US
Full-time +1
Hospice / Home Health RN Case Manager • •$1000.Superior Home Care and Hospice - Salt Lake City, UT.We are a locally owned and operated hospice and home health agency, celebrating our 27th year.We have...Show moreLast updated: 1 day ago
Registered Nurse Case Manager

Registered Nurse Case Manager

CommonSpirit Health Mountain RegionWest Valley City, Utah
Full-time
Welcome to CommonSpirit Health Mountain Region : .CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating ...Show moreLast updated: 30+ days ago
  • Promoted
Medical Field Case Manager

Medical Field Case Manager

Genex ServicesMagna, UT, 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: 1 day ago
Case Manager

Case Manager

BI IncorporatedMurray, Utah, United States
Full-time
As a Case Manager, you will be part of a stable, established, and yet still growing organization with a great deal of diversification, which will present you with a range of different challenges.Si...Show moreLast updated: 30+ days ago
Veteran Case Manager

Veteran Case Manager

The Road HomeSouth Salt Lake City, UT, US
Full-time
Quick Apply
Who We Are The Road Home was founded in 1923 and has been a leader in the endeavor to end homelessness for over 100 years. We provide low-barrier emergency shelters, supportive services, and housing...Show moreLast updated: 15 days ago
  • Promoted
Registered Nurse / Case Manager

Registered Nurse / Case Manager

Ovation Primary Care & HospiceCottonwood Heights, UT, USA
Full-time
Ovation Hospice, is currently seeking a highly skilled and compassionate Registered Nurse / Case Manager in Salt Lake City, UT, with a focus on geriatrics, hospice, and palliative care to join our H...Show moreLast updated: 30+ days ago
Social Work Internship - HMHI Crisis Care Center

Social Work Internship - HMHI Crisis Care Center

University of UtahSouth Salt Lake, Utah, United States
Part-time +1
The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven c...Show moreLast updated: 30+ days ago
Major Case Manager

Major Case Manager

AmTrust FinancialSouth Jordan, UT, United States
21 days ago
Job type
  • Full-time
Job description

Major Case Manager

Job Locations US-NY-Latham | US-AZ-Scottsdale | US-NJ-Princeton | US-IL-Chicago | US-FL-Boca Raton | US-TX-Dallas | US-CA-Irvine | US-FL-Maitland | US-UT-South Jordan | US-GA-Alpharetta

Requisition ID

2025-18625

Category

Managed Care

Position Type

Regular Full-Time

Overview

AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Complex Care Case Manager, RN for Workers Compensation managed care team.

PRIMARY PURPOSE : The complex care case manager will provide comprehensive and quality telephonic case management for our injured employees with complex diagnoses and often catastrophic injuries. Our nurses will be responsible for proactively applying clinical expertise ensuring our injured employees receive medically appropriate healthcare to achieve a safe return to work or best optimal level of function 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

Responsibilities

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Uses clinical / nursing expertise to determine whether all aspects of a patient's care, at every level, are medically necessary and appropriately delivered.

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  • Improve the quality of life with the overall goal of return to pre-injury status. Assist the injured employee and family to secure optimal care and achieve full recovery.

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  • Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines.

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  • Coordination of medically appropriate care where multiple services may be needed such as discharge planning for hospitalizations, pain and symptom management, home health, provider home visits, home based palliative care or assistance with daily living activities.

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  • Responsible for accurate comprehensive documentation of case management activities in case management system. This includes documenting medical and disability case management strategies for claim resolution, based on clinical expertise . Adheres to confidentiality policy. Includes written correspondence as needed to prescribing physician(s) and refers to physician advisor as necessary

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  • 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.

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  • Establishes effective return to work plans with employer, injured employee, provider and other parties as needed. 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.

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  • 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.

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  • Communicates effectively both verbal and written with medical professionals, claims adjuster, client, vendor, supervisor and other parties as needed to negotiate, coordinate appropriate medical care and effective return to work plans utilizing critical thinking skills, clinical expertise and other resources needed to achieve an optimal case outcome.

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  • 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

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  • 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.

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  • Partners with the adjuster to develop medical resolution strategies to achieve maximal medical improvement or the appropriate outcome

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  • Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.

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  • Engage specialty resources as needed to achieve optimal resolution (behavioral health program, physician advisor, peer reviews, medical director).

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  • Partner with adjuster to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves

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  • Maintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.

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  • May assist in training / orientation of new staff as requested

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  • Other duties may be assigned.

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  • Supports the organization's quality program(s).

    • Qualifications

    Education & Licensing :

    Active unrestricted RN license in a state or territory of the United States required .

    Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred.

    Certification in case management, rehabilitation nursing or a related specialty is highly preferred (CCM, COHN, CRRN, etc ).

    Acquisition and maintenance of Insurance License(s) may be required to comply with state requirements.

    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 :

    Minimum Five (5) years of related experience required to include two (2) years of direct clinical care AND three (3) years of combination of either case management / managed care setting / discharge planning / utilization management required .

    Preferred previous clinical experience emergency room, critical care, home care or rehab experience.

    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

    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.

    Connect With Us!

    Not ready to apply? Connect with us for general consideration.