- Assessment of the medical, social, and behavioral needs of an assigned population
- Care Plan development and prioritization to transition members to optimal levels of health and self-management.
- Coordinate interdisciplinary team meetings as required
- Collaboration across providers and healthcare settings to ensure optimal quality outcomes for an assigned population
- Provide transition of care interventions as required
- Facilitate care coordination, self-management planning, discharge planning, and health education for an assigned population.
- Facilitate linkage to appropriate community resources to address social determinants of health
- Adjudicate referrals and apply evidence-based clinical criteria to coordinate member care needs across all care setting
- Ensure member communication and notices are composed in a manner consistent with regulatory standards.
- Adheres to the Policies and Procedures set forth by the Quality Management Committee.
- Associate's degree in Nursing, Bachelor's degree preferred
- Minimum two (2) years of experience in medical management clinical functions.
- Working knowledge of MCG, InterQual, and NCQA standards
- Active and Unrestricted License as a Registered Nurse (RN)
- Certification in Case Management (CCM) or Managed Care Nursing (CMCN) preferred
- High level of critical thinking and problem-solving skills
- Strong work ethic and overall positive attitude
- Effective communication skills including verbal and written
- Ability to manage time effectively, understand directions, and work independently in a fast-paced environment
- Demonstrated flexibility, organization, and self-motivation
- Highly adaptable to change
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Case Manager
4 days ago
Lutheran Services Florida Tampa, United States**Lutheran Services Florida (LSF) envisions a world where children are safe, families are strong, and communities are vibrant.** · LSF is seeking a talented **Case Manager - Refugee** who wants to make an impact in the lives of others. · **Purpose and Impact**: · Provide informat ...
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Case Manager
1 week ago
Catholic Charities Tampa, United States**SUMMARY**: The Pathways Case Manager shall provide direct services to enable clients that do not qualify for assistance in other Agency Programs that have been referred internally or externally. The Pathways Case Manager will provide social services and assistance to improve th ...
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Case Manager Aide
1 week ago
Catholic Charities Tampa, United States**SUMMARY**: The Mercy House Case Manager Aide shall provide direct services to enable clients that do not qualify for assistance in other Agency Programs that have been referred internally or externally. The Mercy House Case Manager Aide will provide social services and assistan ...
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Medical Case Manager
5 days ago
Empath Health Tampa, United StatesThe Case Manager (CM): · Mon-Fri 8am-5pm · - Will provide case management services to the HIV/AIDS population as they request such services. · - CM will perform client and program related record keeping functions and stay abreast and informed of all aspects of the AIDS epidemic. ...
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Hippy Case Manager
5 days ago
Success 4 Kids and Families Hillsborough County, FL, United States**Position Summary** · Under the coaching and guidance of the Program Manager, the Family Support Coordinator provides client support through S4KF's system of wraparound values, support services, and case management to HIPPY participants who are experiencing the need for addition ...
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Resettlement Program Case Manager
3 weeks ago
Church World Service Tampa, United StatesAbout CWS: · Imagine waking up every morning with the chance to change someone's life. Imagine knowing your efforts will benefit both your career and our neighbors around the world. At CWS, our team knows they are making a difference every day. Whether you're in our offices supp ...
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Case Manager Homeless Prevention
1 week ago
Dawning Family Serivces Tampa, United States**Job Fair: Open Interviews for multiple positions.** · **Please join us for an in-person interview at Dawning Family Services on Thursday, 1/25/24 between 1-5pm.** · **6718 N Armenia Ave, Tampa, FL 33604** · **Please bring your resume and 3 professional references** · **Position ...
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Case Manager Coordinated Entry Specialist
1 week ago
Dawning Family Serivces Tampa, United States**Job Fair: Open Interviews for multiple positions.** · **Please join us for an in-person interview at Dawning Family Services on Thursday, 1/25/24 between 1-5pm.** · **6718 N Armenia Ave, Tampa, FL 33604** · **Please bring your resume and 3 professional references** · **Position ...
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Pre-suit Paralegal/case Manager- Tampa
1 week ago
Burnetti, P.A. Tampa, United States**WE ARE GROWING Burnetti, P.A. has been serving the injured people of Florida for over 20 years and we are seeking a full time Experienced Pre-Litigation Case Manager with experience managing pre-suit auto accident, slip and fall, and general personal injury cases f**or our Tamp ...
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Case Manager
2 weeks ago
Home Base Inc. Petersburg, United StatesCase Manager/Wrap Facilitator · Home Base, Inc. · Petersburg, WV 26621 · Do you enjoy working with families? Are you interested in Psychology, Social Work or Counseling, or looking to make a career change? Are you just starting out in Counseling, and want hands on experience? Mak ...
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Case Manager
1 week ago
Catholic Charities Clearwater, United StatesThe Pinellas Hope Case Manager shall provide direct services to enable clients that do not qualify for assistance in other Agency Programs that have been referred internally or externally. The Pathways Case Manager will provide social services and assistance to improve the social ...
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Case Manager
3 weeks ago
Catholic Charities Clearwater, United StatesThe Pinellas Hope Case Manager shall provide direct services to enable clients that do not qualify for assistance in other Agency Programs that have been referred internally or externally. The Pathways Case Manager will provide social services and assistance to improve the social ...
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Case Manager
2 weeks ago
Lutheran Services Florida Tampa, United States contractLutheran Services Florida (LSF) envisions a world where children are safe, families are strong, and communities are vibrant. · LSF is looking for a talented Case Manager who wants to make an impact in the lives of others. · Purpose and Impact: · The Case Manage is responsible for ...
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Case Manager
4 days ago
Lutheran Services Florida Tampa, United States Full timeLutheran Services Florida (LSF) envisions a world where children are safe, families are strong, and communities are vibrant. · LSF is looking for a talented Case Manager who wants to make an impact in the lives of others. · Candidate must be bilingual (English to Spanish). · Trav ...
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Case Manager
4 days ago
Lutheran Services Florida Tampa, United States Full timeLutheran Services Florida (LSF) envisions a world where children are safe, families are strong, and communities are vibrant. · LSF is looking for a talented Early Childhood Service Coordinator who wants to make an impact in the lives of others. · This position is Monday - Saturda ...
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Case Manager
2 weeks ago
C.H.O.I.C.E. Inc. Pinellas County, FL, United StatesWaiver support coordination (case manager) for persons with disabilities. This is the service of advocating for the recipient and identifying, developing, coordinating, and accessing supports and services on the recipient's behalf, regardless of the funding source. · Education. B ...
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Case Manager
2 weeks ago
TGH Rehabilitation Hospital Tampa, FL, United StatesDescription · TGH Rehabilitation Hospital is an 80-bed inpatient rehabilitation hospital in the medical district of downtown Tampa. This state of the art facility with all private rooms is operated jointly between Tampa General Hospital and Lifepoint Health. A career here is more ...
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Case Manager
2 weeks ago
Morgan & Morgan, P.A. Tampa, United StatesAt Morgan & Morgan, the work we do matters. For millions of Americans, we're their last line of defense against insurance companies, large corporations or defective goods. From attorneys to client support staff, creative marketing to operations teams, every member of our firm has ...
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Case Manager
6 days ago
Lourdes Health Pasco, United States Full timeCollaborate with consumers with severe mental illnesses. Designs, implements and coordinates services in order to assist the person in achieving personal goals, maintaining an optimum living environment and to decrease the barriers to recovery. Works with consumer to develop rela ...
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Case Manager
6 days ago
NeueHealth Tampa, FL, United StatesCase Manager (RN) - Remote Florida License · SCOPE OF ROLE · The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, assessing member needs, planning for care, monitoring the effi ...
Case Manager - Tampa, FL, United States - NeueHealth
Description
Case Manager (RN)
SCOPE OF ROLE
The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, assessing member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and resources required to meet desired health and social outcomes.
ROLE RESPONSIBILITIES
LICENSURES AND CERTIFICATIONS
PROFESSIONAL COMPETENCIES