- Oversee the workflow and day-to-day operations of the case management function
- Review analyzes of activities, costs, operations and forecast data to determine progress toward stated goals and statistical/financial purposes for case management
- Ensure compliance with federal and state regulations and contractual agreements
- Develop, implement and maintain compliance with policies and procedures regarding medical and social case management
- Develop, implement, and maintain case management programs to facilitate the use of appropriate medical and community resources and decrease health plan financial exposure
- Ensure proper coordination and communication of medical service functions with other departmental functions at the business as assigned.
- Assist with provision of Medicare coverage and services
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Case Manager
2 weeks ago
El Rio Health Tucson, United StatesThe primary goal of the El Rio Health · Case Manager is to support El Rio's Mission of providing comprehensive, quality health care that is affordable and accessible to all who may have healthcare needs, by successfully performing the primary essential functions. · Minimum Educa ...
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Case Manager
1 week ago
Terros Tucson, Arizona, United States PermanentOverview: · Terros Health is pleased to share an exciting and challenging opportunity for a Case Manager/Care Coordinator - Families FIRST for Tucson, AZ. · Working as part of a team for the Terros Health's Families FIRST program at our Tucson location, this individual will impac ...
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Manager, Case Management
1 week ago
Centene Tucson, United StatesYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...
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assistant case manager-case aide
2 weeks ago
Arizona Official Website of State of Arizona Tucson, United StatesDEPARTMENT OF CHILD SAFETY · The Arizona Department of Child Safety (DCS) is a social and human services agency whose mission is to successfully engage children and families to ensure safety, strengthen families, and achieve permanency. DCS has field office locations located thr ...
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Case Manager
1 week ago
National Youth Advocate Program Tucson, United StatesJob Details Job Location : Tucson, AZ Education Level : 4 Year Degree Salary Range : Undisclosed Job Category : Nonprofit - Social Services Description · Who we are · National Youth Advocate Program has been serving communities and clients since 1978 and we continue to grow eac ...
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Case Manager
3 days ago
Terros Tucson, United States· Case Manager - Tucson, AZ · Job Locations · US-AZ-Tucson · Job ID · # of Openings · 1 · Category · Behavioral Health/Social Work · Program · Families F.I.R.S.T. · Weekly Hours · 40 · Overview · Terros Health is pleased to share an exciting and challenging opportunity for a Cas ...
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Case Manager
2 weeks ago
SAGE Counseling Tucson, United StatesLooking to make an impact with those involved in the Criminal Justice system? Join SAGE Counseling Our treatment programs were developed for criminal offenders, and families involved in the child-welfare system. Our overall clinical approach is grounded in the evidence-based stan ...
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Case Manager
2 days ago
SAGE Counseling Tucson, United StatesLooking to make an impact with those involved in the Criminal Justice system? Join SAGE Counseling Our treatment programs were developed for criminal offenders, and families involved in the child-welfare system. Our overall clinical approach is grounded in the evidence-based stan ...
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Case Manager
4 days ago
Terros Tucson, United StatesOverview · Terros Health is pleased to share an exciting and challenging opportunity for a Case Manager/Care Coordinator - Families FIRST for Tucson, AZ. · Working as part of a team for the Terros Health's Families FIRST program at our Tucson location, this individual will impact ...
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Case Manager
4 weeks ago
El Rio Community Health Center Tucson, United StatesSchedule: · Monday - Friday 8:00 AM to 5:00 PM · Salary: · $ $32.15 hourly - Depending on Qualifications · The Case Manager, as part of the patient care team, provides direct case management of all assigned patients; thereby contributing to the improvement of patient care, th ...
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Case Manager
2 weeks ago
Southwest Key Programs Tucson, United StatesJob Summary: · The Case Manager is responsible for the submission of service plans and other assessments required for the compiling of a comprehensive case file found on Southwest Key Programs (SWK) designated web-based program with supporting. documentation maintained in physica ...
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Case Manager
1 week ago
Community Medical Services Tucson, United StatesOverview: · Shift: Monday-Friday 7AM to 3PM · Community Medical Services (CMS) is urgently hiring a Case Manager to help individuals suffering from addictions to opioids and other illicit substances gain access to care. Every day, under the direct supervision of the Clinic Mana ...
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case manager
3 weeks ago
Old Pueblo Community Services Tucson, United StatesSafety sensitive position is a job or position where the employee holding this position has the responsibility for his/her own safety or other people's safety. An employee has to be with clear mind and diligent while occupying such positions. · Following the Housing First Model ...
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Case Manager RN
1 week ago
Northwest Medical Center TUCSON, United States Full timeSign on bonus for eligible experienced Case Manager RNs offered $15k · Position is Full Time working at Northwest Medical Center in Case Management / Care Management · What we offer: · Our nurses enjoy a robust benefits package including health insurance, flexible scheduling, 1 ...
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Manager, Case Management
1 week ago
Centene Corporation Tucson, United StatesYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...
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Case Manager I
1 day ago
Lutheran Social Services of the Southwest Tucson, United StatesJob Description · Job DescriptionLutheran Social Services of the Southwest is a non-profit organization with Corporate Offices in Phoenix and Tucson and additional offices throughout Arizona. · Lutheran Social Services of the Southwest administers programs and services to help bu ...
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Lead Case Manager
6 days ago
Catholic Community Services of Southern Arizona Inc Tucson, United StatesCatholic Community Services of Southern Arizona, Inc. (CCS) is thriving For 90 years, CCS has focused its mission to strengthen families, support communities, provide compassionate services, and deliver excellence. Providing Help. Creating Hope. Serving All. · We credit our cont ...
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Case Manager RN
1 week ago
Community Health Systems Tucson, United States**Description****Sign on bonus for eligible experienced Case Manager RNs offered $15k****Position is Full Time working at Northwest Medical Center in Case Management / Care Management****What we offer:**Our nurses enjoy a robust benefits package including health insurance, flexib ...
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Lead Case Manager
1 week ago
Catholic Community Services of Southern Arizona Inc Tucson, United StatesJob Description · Job DescriptionCatholic Community Services of Southern Arizona, Inc. (CCS) is thriving For 90 years, CCS has focused its mission to strengthen families, support communities, provide compassionate services, and deliver excellence. Providing Help. Creating Hope. S ...
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Medical Case Manager
1 week ago
Tanque Verde Pediatrics Tucson, United StatesJob Description · Job DescriptionTanque Verde Pediatrics an established pediatric practice searching for a Medical Case Manager to join our team. The successful candidate will be responsible for working directly with patients and their families to provide excellent service and ad ...
Manager, Case Management - Tucson, United States - Arizona Complete Health
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Description
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
Perform duties to conduct and manage the day-to-day operations of the case management functions communicating with departmental and plan administrative staff to facilitate daily department functions.
Education/Experience: Bachelors degree in Nursing, Social Work or equivalent experience. 3+ years of case management experience. Thorough knowledge of utilization management. Familiarity with Medicaid and Medicare managed care practices and policies, Childrens Health Insurance Program (CHIP), and State Children's Health Insurance Program (SCHIP). Supervisory or lead experience preferred.
License/Certification: Current state drivers license and automobile insurance. Case Management Certification (CCM) preferred.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.