- Great Work Life Balance
- Monthly Bonus Program
- Free CEU's for licenses and certificates
- License and national certification reimbursement
-
Case Manager
1 week ago
Pinnacle Treatment Centers Wilkes-Barre, United States**Case Manager** · **We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth.** · Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than ...
-
Case Manager Registered Nurse
1 week ago
Geisinger Wilkes Barre, United StatesJob Title: Case Manager Registered Nurse (RN) - Special Needs Unit and Community Services · Location: Wilkes-Barre, Pennsylvania · Job Category: RN - Registered Nurse, Nursing and Nursing Support, Geisinger Health Plan · Schedule: Days · Work Type: Full time · Department: GHP RN ...
-
Case Manager- Family Development- Luzerne
1 week ago
Outreach Works Wilkes-Barre, United StatesFamily Development Specialist · Job Title: Family Development Specialist · Reports To: Team Lead · Hours: 37.5 · FLSA Status: Non-exempt · Location: Wilkes Barre, PA · **Outreach Culture**: · Outreach's mission statement states, " With respect for the individual and with the high ...
-
Geisinger Wilkes Barre, United StatesJob Title: RN - Registered Nurse Case Manager - Care Coordination · Location: Wilkes-Barre, Pennsylvania · Job Category: RN - Registered Nurse, Nursing and Nursing Support · Schedule: Evenings · Work Type: Full time · Department: GWV Care Services Operations Team · Date Posted: ...
-
Case Manager
2 days ago
Catholic Social Services of the Diocese of Scranton Wilkes-Barre, United States Permanent/Job Summary · Full time case manager position available, Duties include but are not limited to: · Case management with individuals · Needs Assessments · Case Plan development · Documentation · Advocacy, information and referral services · Responsibilities/Duties · ADMINISTRATIV ...
-
Case Manager
3 weeks ago
Beacon Specialized Living Services Clarks Summit, United States**Qualifications**: · - Bachelor's degree in Human Services or a related human services field from an accredited college or university and two years of work experience working directly with persons with disabilities or · - Associate's degree from an accredited college or universi ...
-
Case Manager
1 week ago
Washington County Mental Health Services Barre, United StatesJob Description · Job DescriptionPOSITION: Case Manager · PROGRAM: School-Based Services · DIVISION: Children, Youth and Family Services · SUMMARY OF POSITION: Develops and /or delivers ongoing community-based assessment, treatment and supports for children and youth experiencing ...
-
Case Manager
1 week ago
Washington County Mental Health Services Barre, United States Full timePOSITION: Case Manager · PROGRAM: School-Based Services · DIVISION : Children, Youth and Family Services · SUMMARY OF POSITION: Develops and /or delivers ongoing community-based assessment, treatment and supports for children and youth experiencing a severe emotional disturbanc ...
-
Medical Case Manager
2 weeks ago
Crawford & Company Wilkes Barre, PA, United States Full timeExcellence In Everything We Touch: 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 position requiring local field case management ...
-
Case Management Specialist
2 weeks ago
Luzerne County, PA Wilkes-Barre, United StatesSalary: $40,284.08 Annually · Location : Wilkes-Barre, PA · Job Type: Full-time · Job Number: 01652 · Department: Drug & Alcohol · Opening Date: 05/10/2024 · Closing Date: 5/23/2024 11:59 PM Eastern · Description · This is professional work providing a full range of case m ...
-
Manager, Medical Case Manager
2 weeks ago
Crawford & Company Wilkes Barre, PA, United States Full timeLicense and national certification reimbursement · This is a work from home position requiring local field case management travel to cover the Wilks-Barre, PA region. · Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practi ...
-
HIV/AIDS Case Manager
2 weeks ago
Caring Communities Wilkes-Barre, United StatesJob Description · Job Description HIV/AIDSCase ManagerWANTED · Location: Wilkes-Barre, PA · Compensation: $21.27 per hour · Status: Full-Time (37.5 hrs/wk) · Job Description: Conducts intakes and coordinates the assessment/treatment plan process and follow-up for each client; ...
-
Case Manager- Family Development- Luzerne
4 weeks ago
Employment Opportunity & Training Center of NE PA City of Wilkes Barre, United States· Position Title: Case Manager- Family Development- Luzerne · Location: Parent Child Programs · • Wilkes Barre, Pennsylvania · Department: Parent Child Programs · Employment Type: Full-Time · Minimum Experience: Entry-level · Compensation Rate: $18.50- $ 19.50 · Description: ...
-
Case Manager- Family Development- Luzerne
2 weeks ago
Employment Opportunity & Training Center of NE PA City of Wilkes Barre, United States· Position Title: Case Manager- Family Development- Luzerne · Location: Parent Child Programs · • Wilkes Barre, Pennsylvania · Department: Parent Child Programs · Employment Type: Full-Time · Minimum Experience: Entry-level · Compensation Rate: $18.50- $ 19.50 · Description: ...
-
Case Manager- Family Development- Luzerne
3 weeks ago
Employment Opportunity & Training Center of NE PA Wilkes-Barre, United StatesPosition Title: Case Manager- Family Development- Luzerne · Location: Parent Child Programs · • Wilkes Barre, Pennsylvania · Department: Parent Child Programs · Employment Type: Full-Time · Minimum Experience: Entry-level · Compensation Rate: $18.50- $ 19.50 · Description: Famil ...
-
Case Manager- Family Development- Luzerne
3 weeks ago
Employment Opportunity & Training Center of NE PA Wilkes-Barre, United States· Position Title: Case Manager- Family Development- Luzerne · Location: Parent Child Programs Wilkes Barre, Pennsylvania · Department: Parent Child Programs · Employment Type: Full-Time · Minimum Experience: Entry-level · Compensation Rate: $18.50- $ 19.50 · Description: Fam ...
-
Case Manager- Family Development- Luzerne
3 weeks ago
Employment Opportunity & Training Center of NE PA Wilkes-Barre, United States· All potential applicants are encouraged to scroll through and read the complete job description before applying. · Position Title: Case Manager- Family Development- Luzerne · Location: Parent Child Programs · • Wilkes Barre, Pennsylvania · Department: Parent Child Programs ...
-
Drug & Alcohol Case Management Specialist (Local
3 weeks ago
Commonwealth of PA Luzerne County, PA, United States**THE POSITION**: · **DESCRIPTION OF WORK**: · - This Drug & Alcohol Case Management Specialist position is professional work providing a full range of case management services in the field of drug and alcohol treatment. The individual will screen and assess their clients' needs ...
-
Case Manager
1 week ago
Department of Justice and Community Safety Northeastern United StatesAt the Department of Justice and Community Safety, we're looking for people who want to make a difference. People who take pride in their work. People who get things done. People who are committed to making Victoria a safer place. · We embrace diversity and strive to have a workf ...
-
Blended Case Manager
1 week ago
Northeast Counseling Services Nanticoke, United StatesNortheast Counseling Services is searching for a caring, compassionate person who desires a rewarding and meaningful employment life helping people with mental health issues take charge of their lives and become productive citizens. Mental health case management work is done in c ...
Medical Case Manager - Wilkes-Barre, United States - Crawford & Company
Description
Excellence In Everything We Touch:
Position Summary:
National Certification such as CCM, CRC, COHN, CRRC preferred.
RN degree required.
Prior Workers Compensation Case Management 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.May spend approximately 70% of their work time traveling to homes, health care providers, job sites and various offices as required facilitating RTW and resolution of cases.
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.
Travel may entail approximately 70% of work time.
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.
About Us:
Why Crawford?
Because a claim is more than a number — it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days.
And by helping to restore their lives, we are helping to restore our community – one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve.
united in purpose, vision and values. Learn more at
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
Sustainability programs that give back to the communities in which we live and work
A culture of respect, collaboration, entrepreneurial spirit and inclusion
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity.
All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford.
No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.
#LI-KE1
