- Great Work Life Balance
- Monthly Bonus Program
- Free CEU's for licenses and certificates
- License and national certification reimbursement
-
Case Manager
1 week ago
Community Services Consortium Albany, United StatesOffering help for today and skills for tomorrow, Community Services Consortium has the unique opportunity to change lives. By providing education, tools, and resources we help individuals and families chart a brighter course for their future. If helping people help themselves sou ...
-
Case Manager
24 minutes ago
US COMM FOR REFUGE Albany, United StatesThe U.S. Committee for Refugees and Immigrants (USCRI) supports people who have lost or left their homes. For over 100 years, the unwavering commitment of our leadership, team, network of service providers, and advocates has helped redirect the destiny of countless vulnerable liv ...
-
Case Manager
2 weeks ago
U.S Comm for Refuge Albany, United StatesJob Description · Job DescriptionCase ManagerProfessionalLocations: New York, NYThe Aspire Case Manager will provide culturally and linguistically appropriate, comprehensive case management services to minor foreign national survivors of trafficking. The position will report to t ...
-
Case Manager
2 weeks ago
Catholic Charities of the Diocese of Albany Albany, United StatesJob Description · Job DescriptionCatholic Charities is an organization that values helping others at any stage in their life, regardless of race, creed, or lifestyle. We place a special emphasis on helping those who are economically poor and the vulnerable. Catholic Charities is ...
-
Case Manager
2 weeks ago
U.S Comm for Refuge Albany, United StatesJob Description · Job DescriptionThe U.S. Committee for Refugees and Immigrants (USCRI) supports people who have lost or left their homes. For over 100 years, the unwavering commitment of our leadership, team, network of service providers, and advocates has helped redirect the de ...
-
Case Manager
4 weeks ago
Albany Medical Center Albany, United StatesDepartment/Unit: · Medicine Nutrition · Work Shift: · Day (United States of America) · Case Manager · Eating Disorders Program · Albany, NY · As a Northeast Comprehensive Care Center for Eating Disorders (NECCCED)for eating disorders the case manager is a liaison for patients and ...
-
Case Manager
3 days ago
U.S Comm for Refuge Albany, United StatesJob Description · Job DescriptionOVERVIEW · Under the leadership of the Program Manager, the Case Manager for Employment Programs will oversee State and Federally funded employment programs, as well as perform employment-related activities, to help refugee clients find jobs and w ...
-
Telephonic Case Manager
2 weeks ago
Optum Albany, United StatesInternal Number: · Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resource ...
-
Telephonic Case Manager
1 week ago
Optum Albany, United StatesInternal Number: · Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resource ...
-
Case Management Coordinator
3 weeks ago
State of Oregon Albany, United StatesJob Description: · We are proud to be an Equal Opportunity Employer. We are actively working to build an equitable agency with the as our guide toward our vision of an agency free of racism, discrimination and bias. We believe that teams in which everyone can show up as their fu ...
-
ICWP Case Manager
3 weeks ago
The Arc Southwest Georgia Albany, United StatesJob Description · Job DescriptionICWP CASE MANAGER · JOB SUMMARY: · The ICWP Case manager is responsible for the overall enhanced primary case management of those individuals who have been assigned to their caseload. · Non-Exempt Position. · DUTIES AND RESPONSIBILITIES: · Collect ...
-
Source Case Manager
3 hours ago
The Arc Southwest Georgia Albany, United StatesJob Description · Job DescriptionThe Arc of SWGAJOB DESCRIPTIONSOURCE CASE MANAGER · JOB SUMMARY: · The SOURCE Case Manager is responsible for the overall enhanced primary care and case management of those members who have been assigned to their caseload. · Non- Exempt Position. ...
-
Weekend Case Manager
2 weeks ago
Catholic Charities of the Diocese of Albany Albany, United StatesJob Description · Job DescriptionCatholic Charities is an organization that values helping others at any stage in their life, regardless of race, creed, or lifestyle. We place a special emphasis on helping those who are economically poor and the vulnerable. Catholic Charities is ...
-
Residential Case Manager
3 hours ago
The Arc Southwest Georgia Albany, United StatesJob Description · Job DescriptionThe Arc of Southwest GeorgiaJOB DESCRIPTIONRESIDENTIAL CASE MANAGER SUPERVISOR · JOB SUMMARY: · The Residential Case Manager Supervisor will be responsible for the leadership of the Residential Case Managers in overseeing the clinical and non-clin ...
-
RN Case Management
3 weeks ago
Trinity Health Corporation Troy, NY, United StatesEmployment Type: · Full time · Shift: · Evening Shift · Description: · We at St. Peter's Health Partners recognize that nursing is one of the most challenging careers and the most rewarding. We work with nurses to ensure that their professional experiences meet the expectations t ...
-
Nurse Case Manager
11 hours ago
Albany Medical Center Albany, United StatesDepartment/Unit: · Radiology Support Services · Work Shift: · Day (United States of America) · Salary will commensurate with experience: Salary Range: $65,057-$107,343.00 · The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, implement and ...
-
Medical Case Manager
3 weeks ago
Crawford & Company Albany, NY, 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 Manager, Residential
3 weeks ago
St. Catherine's Center for Children Albany, United StatesJob Description · Job DescriptionAbout Our Organization: · St. Catherine's Center for Children (SCCC) is a non-profit organization that offers a wide array of services designed to meet the needs of vulnerable children, families, and adults, including residential and foster care ...
-
Prevention Case Manager
2 weeks ago
Catholic Charities of the Diocese of Albany Albany, United StatesJob Description · Job DescriptionThe Prevention Program of Community Maternity Services is seeking a Case Planner (35 hours/week) to work with families in Albany County with children at risk of foster care placement. The Case Planner will provide case management, safety assessmen ...
-
Telephonic Case Manager
1 day ago
UnitedHealth Group Albany, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel ...
Medical Case Manager - Albany, United States - Crawford & Company
Description
Excellence In Everything We Touch:
Position Summary:
This is a work from home position requiring local field case management travel to cover the Syracuse, Schenectady, Albany, Poughkeepsie, & Cooperstown NY region.
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.
*Salary Range: USD $88,000.00/Yr. - USD $92,000.00/Yr.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
