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Most recent job postings at ccmcertification
via Enlyte Careers
posted_at: 20 days agoschedule_type: Full-time and Part-time
Company Overview
The Enlyte Family of Businesses
Mitchell | Genex | Coventry
Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to
Company Overview
The Enlyte Family of Businesses
Mitchell | Genex | Coventry
Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.
Job Description
This is a full-time, work-from-home position. The candidate must be located in the Philadelphia, Pennsylvania area due to regular local travel for in-person patient appointments.
Compensation: Competitive salary plus potential for monthly bonuses.
Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop... and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers’ compensation case management training.
Join our compassionate team and help make a positive difference in an injured person’s life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:
• Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
• Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.
• Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.
• Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.
• Work with employers and physicians to modify job duties where practical to facilitate early return to work.
• Evaluate and modify case goals based on injured/disabled person’s improvement and treatment effectiveness.
• Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
• Complete other duties, such as attend injured worker’s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.
Qualifications
• Education: Associates Degree or Bachelor’s Degree in Nursing or related field.
• Experience: 2+ years clinical practice preferred. Workers’ compensation-related experience preferred.
• Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.
• Certifications, Licenses, Registrations:
• Active Registered Nurse (RN) license required. Must be in good standing.
• URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC).
• Valid driver’s license and auto insurance required.
• Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
• Internet: Must have reliable internet.
Benefits
We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $85,000 - $95,000 annually and will be based on a number of additional factors, including skills, experience, and education.
The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.
#LI-RM1
#FCM
Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager Show more details...
The Enlyte Family of Businesses
Mitchell | Genex | Coventry
Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.
Job Description
This is a full-time, work-from-home position. The candidate must be located in the Philadelphia, Pennsylvania area due to regular local travel for in-person patient appointments.
Compensation: Competitive salary plus potential for monthly bonuses.
Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop... and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers’ compensation case management training.
Join our compassionate team and help make a positive difference in an injured person’s life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:
• Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
• Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.
• Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.
• Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.
• Work with employers and physicians to modify job duties where practical to facilitate early return to work.
• Evaluate and modify case goals based on injured/disabled person’s improvement and treatment effectiveness.
• Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
• Complete other duties, such as attend injured worker’s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.
Qualifications
• Education: Associates Degree or Bachelor’s Degree in Nursing or related field.
• Experience: 2+ years clinical practice preferred. Workers’ compensation-related experience preferred.
• Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.
• Certifications, Licenses, Registrations:
• Active Registered Nurse (RN) license required. Must be in good standing.
• URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC).
• Valid driver’s license and auto insurance required.
• Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
• Internet: Must have reliable internet.
Benefits
We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $85,000 - $95,000 annually and will be based on a number of additional factors, including skills, experience, and education.
The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.
#LI-RM1
#FCM
Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager Show more details...
via Crawford & Co. - ICIMS
schedule_type: Full-time
Excellence 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 travel to cover Philadelphia, PA region.
• National Certification such as CCM, CRC, COHN, CRRC preferred.
• RN degree required.
• Prior Workers Compensation Case
Excellence 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 travel to cover Philadelphia, PA region.
• 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. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
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 Show more details...
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 travel to cover Philadelphia, PA region.
• 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. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
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 Show more details...
via News10 Jobs
posted_at: 3 days agoschedule_type: Full-time and Part-time
The Certified Case Manager (CCM) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient's rehabilitation experience. The CCM coordinates and advocates for the patient during their hospitalization and from admission to post discharge. As an effective communicator, the CCM manages... information to effectively oversee health care delivery and
The Certified Case Manager (CCM) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient's rehabilitation experience. The CCM coordinates and advocates for the patient during their hospitalization and from admission to post discharge. As an effective communicator, the CCM manages... information to effectively oversee health care delivery and facilitate interdisciplinary plan of care decisions. The CCM facilitates timely communication regarding the patient's care, establishes and monitors the discharge plan implementation while identifying and addressing patient's psychosocial and support systems issues. The CCM oversees the effective coordination of services and manages issues in the following main areas: admission and discharge, team conference and interdisciplinary plan of care communication, patient and family education, payor relations and total fiscal management. The CCM performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team. The CCM assures that regulations regarding patient's rights are fulfilled.
Full time and part time openings
Job code: 100680
Qualifications
License and Certification:
- Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
- If licensure is required for his/her discipline within his/her state, individual must hold an active license.
- Current CCM® or ACM certification required.
Education, Training and Years of Experience:
- For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is diploma rather than Associate Degree.
- For all other eligible licensed or certified health care professionals, must possess a minimum of a baccalaureate degree and graduate degree is preferred.
- 2 years of rehabilitation experience preferred
Machines, Equipment Used:
- General office equipment such as telephone, copy machine, fax machine, calculator, computer.
Physical Requirements:
- Good visual acuity and ability to communicate.
- Ability to lift, lower, push, pull, and retrieve objects weighing a minimum of 30 pounds. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements.
Compliance:
- Adheres to the company's Standards of Business Conduct.
- Maintains current licensure and/or certifications, if applicable.
Skills and Abilities:
- Ability to speak, read, write, and communicate effectively.
- Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.
- Ability to work independently without supervision.
Environmental Conditions:
- Indoor, temperature controlled, smoke-free environment. Occasional outdoor exposure.
- Exposure or potential exposure to blood and body fluids may be required.
- Handicapped accessible.
- May work under stressful circumstances at times.
Proficiency or Productivity Standards:
- Meets established attendance standards.
- Adheres to hospital/department dress code including wearing ID badge.
- May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines.
- May be required to work on religious and/or legal holidays on scheduled days/shifts.
- Will be required to work as necessary during disaster situations, ie, before, during or after a disaster.
- May be required to stay after workday to assist after a disaster situation until relief arrives.
- May be required to perform other duties as assigned by supervisor Show more details...
Full time and part time openings
Job code: 100680
Qualifications
License and Certification:
- Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
- If licensure is required for his/her discipline within his/her state, individual must hold an active license.
- Current CCM® or ACM certification required.
Education, Training and Years of Experience:
- For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is diploma rather than Associate Degree.
- For all other eligible licensed or certified health care professionals, must possess a minimum of a baccalaureate degree and graduate degree is preferred.
- 2 years of rehabilitation experience preferred
Machines, Equipment Used:
- General office equipment such as telephone, copy machine, fax machine, calculator, computer.
Physical Requirements:
- Good visual acuity and ability to communicate.
- Ability to lift, lower, push, pull, and retrieve objects weighing a minimum of 30 pounds. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements.
Compliance:
- Adheres to the company's Standards of Business Conduct.
- Maintains current licensure and/or certifications, if applicable.
Skills and Abilities:
- Ability to speak, read, write, and communicate effectively.
- Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.
- Ability to work independently without supervision.
Environmental Conditions:
- Indoor, temperature controlled, smoke-free environment. Occasional outdoor exposure.
- Exposure or potential exposure to blood and body fluids may be required.
- Handicapped accessible.
- May work under stressful circumstances at times.
Proficiency or Productivity Standards:
- Meets established attendance standards.
- Adheres to hospital/department dress code including wearing ID badge.
- May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines.
- May be required to work on religious and/or legal holidays on scheduled days/shifts.
- Will be required to work as necessary during disaster situations, ie, before, during or after a disaster.
- May be required to stay after workday to assist after a disaster situation until relief arrives.
- May be required to perform other duties as assigned by supervisor Show more details...
via ZipRecruiter
posted_at: 22 days agoschedule_type: Full-time
• 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 travel to cover Philadelphia, PA region.
• National Certification such as CCM, CRC, COHN, CRRC preferred.
• RN degree required.
• Prior Workers Compensation Case Management preferred.
To provide effective case management
• 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 travel to cover Philadelphia, PA region.
• 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.
• 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.
• 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.
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. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
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 Show more details...
• 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 travel to cover Philadelphia, PA region.
• 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.
• 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.
• 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.
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. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
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 Show more details...
via ZipRecruiter
schedule_type: Full-time
At Whitman, Requardt & Associates, LLP, we are "People Focused and Project Driven". We have been in business for more than 105 years and we are known for our quality work and quality employees. This is your chance to join our team - help us to design the infrastructure and buildings that improve the world!
We are looking for Construction Inspectors of all levels and disciplines to join our... growing team... We are constantly winning new contracts
At Whitman, Requardt & Associates, LLP, we are "People Focused and Project Driven". We have been in business for more than 105 years and we are known for our quality work and quality employees. This is your chance to join our team - help us to design the infrastructure and buildings that improve the world!
We are looking for Construction Inspectors of all levels and disciplines to join our... growing team... We are constantly winning new contracts and are looking for new inspectors to staff these projects.
We are seeking qualified construction inspectors, resident engineers and field office document control specialists for transportation facilities, marine/port facilities, and related underground utility construction projects in the Pittsburgh Region and western Pennsylvania.
Requirements:
• Minimum of 5 years of specific field construction inspection experience in the specified areas listed below
• Inspection Skills - Applicants must have demonstrated inspection experience in one or more of the following categories:
• Roadway & bridge construction including related storm drainage/ SWM facilities;
• Marine construction (new & renovations) including piers, wharves and terminal warehouses;
• Underground utility construction including relocation and /or installation of water-sewer pipelines, electrical conduits, manholes and fiber optic cables. Requires expertise and experience related to new construction or rehabilitation projects requiring monitoring a contractor’s work for conformance to the design plans, specifications and general permit requirements; experience tracking daily quantities, completing daily inspection reports, reviewing payment requisitions and maintaining field sketchbooks and as-built drawings.
• Additional Training or Certifications - NECEPT, NICET, MARTCP or NASSCO certifications desirable including (Concrete/ACI, Asphalt, Soils & Aggregate, Manhole/Pipeline Assessment or Inspection, etc). Certification in MOT/Temporary Traffic Control also required for any assigned contracts involving monitoring Contractor MOT or Lane Closures. Confined Space Certification required for all manhole/pipeline inspection assignments
• High School Diploma or State Equivalency Certificate for inspection positions; BS Civil Engineering and/or CCM certification for Resident Engineer and Construction Management positions
• Must have a valid driver’s license and personal vehicle for travel to and from assigned construction sites
• Must have good communication skills
• Must be able to read/interpret plans and specifications
• Writing and drawing skills are necessary to complete inspection reports and sketch books
• Basic computer skills (Word & Excel) are required for completing electronic inspection reports
• Construction Management Software Experience is desirable - Specific experience with PENNDOT and Pennsylvania Turnpike Commission Construction Management/Inspection web-based software- e.g., CDS NeXtGen, eCAMMS, ECMS Wave II, Multivista, SharePoint, and Kahua Project Management & Collaboration are additional desirable qualifications.
• Must be willing to work nights and overtime, when required by the project assignment
Benefits:
WRA recognizes that employees play an important role in its success. Our commitment to full-time employees is reflected in the comprehensive benefits package we offer:
• Flexible work schedule options
• Competitive salary
• Leave accrual and paid holidays
• Healthcare benefits
• Group Life Insurance, as well as additional optional life Insurance, short and long term disability insurance
• Flexible spending accounts for medical and dependent care reimbursement
• 401(k) Retirement Plan
• Tuition Reimbursement
• Employee Assistance Program
• Parental and maternity leave benefits
WRA is an equal opportunity/affirmative action employer and complies with all applicable anti-discrimination laws.
Applicants must be currently authorized to work In the United States on a full-time basis. We are unable to sponsor or take over sponsorship of any employment visas at this time.
• **** Not accepting resumes from 3rd party recruiters for this position *****
Position # 1677 Show more details...
We are looking for Construction Inspectors of all levels and disciplines to join our... growing team... We are constantly winning new contracts and are looking for new inspectors to staff these projects.
We are seeking qualified construction inspectors, resident engineers and field office document control specialists for transportation facilities, marine/port facilities, and related underground utility construction projects in the Pittsburgh Region and western Pennsylvania.
Requirements:
• Minimum of 5 years of specific field construction inspection experience in the specified areas listed below
• Inspection Skills - Applicants must have demonstrated inspection experience in one or more of the following categories:
• Roadway & bridge construction including related storm drainage/ SWM facilities;
• Marine construction (new & renovations) including piers, wharves and terminal warehouses;
• Underground utility construction including relocation and /or installation of water-sewer pipelines, electrical conduits, manholes and fiber optic cables. Requires expertise and experience related to new construction or rehabilitation projects requiring monitoring a contractor’s work for conformance to the design plans, specifications and general permit requirements; experience tracking daily quantities, completing daily inspection reports, reviewing payment requisitions and maintaining field sketchbooks and as-built drawings.
• Additional Training or Certifications - NECEPT, NICET, MARTCP or NASSCO certifications desirable including (Concrete/ACI, Asphalt, Soils & Aggregate, Manhole/Pipeline Assessment or Inspection, etc). Certification in MOT/Temporary Traffic Control also required for any assigned contracts involving monitoring Contractor MOT or Lane Closures. Confined Space Certification required for all manhole/pipeline inspection assignments
• High School Diploma or State Equivalency Certificate for inspection positions; BS Civil Engineering and/or CCM certification for Resident Engineer and Construction Management positions
• Must have a valid driver’s license and personal vehicle for travel to and from assigned construction sites
• Must have good communication skills
• Must be able to read/interpret plans and specifications
• Writing and drawing skills are necessary to complete inspection reports and sketch books
• Basic computer skills (Word & Excel) are required for completing electronic inspection reports
• Construction Management Software Experience is desirable - Specific experience with PENNDOT and Pennsylvania Turnpike Commission Construction Management/Inspection web-based software- e.g., CDS NeXtGen, eCAMMS, ECMS Wave II, Multivista, SharePoint, and Kahua Project Management & Collaboration are additional desirable qualifications.
• Must be willing to work nights and overtime, when required by the project assignment
Benefits:
WRA recognizes that employees play an important role in its success. Our commitment to full-time employees is reflected in the comprehensive benefits package we offer:
• Flexible work schedule options
• Competitive salary
• Leave accrual and paid holidays
• Healthcare benefits
• Group Life Insurance, as well as additional optional life Insurance, short and long term disability insurance
• Flexible spending accounts for medical and dependent care reimbursement
• 401(k) Retirement Plan
• Tuition Reimbursement
• Employee Assistance Program
• Parental and maternity leave benefits
WRA is an equal opportunity/affirmative action employer and complies with all applicable anti-discrimination laws.
Applicants must be currently authorized to work In the United States on a full-time basis. We are unable to sponsor or take over sponsorship of any employment visas at this time.
• **** Not accepting resumes from 3rd party recruiters for this position *****
Position # 1677 Show more details...
via ZipRecruiter
posted_at: 2 days agoschedule_type: Full-time
In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols and order sets according to the patients' admission diagnosis, influencing the progression of care, facilitating the... patients' navigation through the acute care episode,
In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols and order sets according to the patients' admission diagnosis, influencing the progression of care, facilitating the... patients' navigation through the acute care episode, and proposes an appropriate transition plan within 48 hours of admission. The Case Manager serves as an advocate for the patient and family throughout the entire acute episode of care.
Education
Other : Graduate of accredited school of nursing (Required)
Bachelors Degree : BSN (Preferred)
Experience
1 year experience as a Registered Nurse in an acute care setting (Required)
2 Years experience in a Hospital setting as a Case Manager (Preferred)
License/Certifications
RN-LIC - PA Registered Nurse License (Required)
CCM - Certified Case Manager (Preferred)
Show more details...
Education
Other : Graduate of accredited school of nursing (Required)
Bachelors Degree : BSN (Preferred)
Experience
1 year experience as a Registered Nurse in an acute care setting (Required)
2 Years experience in a Hospital setting as a Case Manager (Preferred)
License/Certifications
RN-LIC - PA Registered Nurse License (Required)
CCM - Certified Case Manager (Preferred)
Show more details...
via ZipRecruiter
posted_at: 4 days agoschedule_type: Full-time
Job Description
Registered Nurse Case Manager - Workers' Compensation...
Spectrum Healthcare Resources has opportunities for Registered Nurse Case Managers to join our team in Cherry Hill, NJ!
Are you a compassionate and skilled Registered Nurse ready to make a difference in the lives of injured workers? Join the Department of Labor's team as an RN Case Manager at the forefront of ensuring the well-being and recovery of those who have faced workplace
Job Description
Registered Nurse Case Manager - Workers' Compensation...
Spectrum Healthcare Resources has opportunities for Registered Nurse Case Managers to join our team in Cherry Hill, NJ!
Are you a compassionate and skilled Registered Nurse ready to make a difference in the lives of injured workers? Join the Department of Labor's team as an RN Case Manager at the forefront of ensuring the well-being and recovery of those who have faced workplace injuries. Be a pivotal part of a mission-driven organization dedicated to providing exceptional care and support to injured workers on their journey to rehabilitation. If you're passionate about nursing, advocacy, and making a positive impact on people's lives, this is your opportunity to contribute to the health and recovery of our workforce.
These services will be in support of the United States Department of Labor, Office of Workers' Compensation (OWCP) and the Division of Federal Employees' Compensation (DFEC). Nurses will be expected to create and manage the return to work care plan for injured workers.
Position Details:
• Provide nursing services to injured Federal workers who has immediate time loss and has not returned to work within a specified number of days. Will manage a case typically from 3 to 6 months
• Following up with the physician's office and employee's supervisor to coordinate light duty, job accommodations and return to work date.
• Enter necessary and any relevant information regarding each case into the OWCP/DFEC case management system.
• Other duties as assigned
Position Requirements:
• Active state or compact RN license to work in the assigned areas
• Minimum of two (2) years adult medical/surgical nursing experience
• Minimum of two (2) years case management experience in the workers' compensation arena.
• Ability to handle confidential patient information.
• Ability to communicate effectively with injured workers employer and treating physician's office
• Have knowledge of computer operations and proficiency in the use of basic word processing, data entry, and automated record
Also preferred (but not required):
• Specialized certification in one of the following areas: Insurance Rehabilitation (CIRS/CRRN), Disability Management (CDMS), and/or Nurse Case Manager Board Certified (ANCC/ANA).
• Recent experience with the DFEC nurse intervention program.
• Baccalaureate Degree in Nursing (BSN) from an accredited institution
• Certified Case Manager (CCM)
All applicants must have regular access to a computer with:
• Hard disk with 30 GB available
• Monitor with a display of 1280x1024 or higher Internet connection wired 1.5 Mbps(up) / 1.2 Mbps(down) or faster
• TWAIN-compatible scanner with ability to scan multi page documents (up to 6 pages)
• Windows Operation Systems
• Adobe Reader 9.0 or higher
• Adobe Flash Player 10
Competitive Compensation, with an estimated annual income of $102,000.00 to $106,000.00, if working on a full-time basis.
Company Overview:
Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals.
Spectrum Healthcare Resources is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Location : LocationUS-Cherry HillRecruiter : Full Name: First LastKara SmileyDirect phone number314-744-4151Recruiter : EmailKara_Smiley@spectrumhealth.comRemote / Work from home available?YesEmployment Type: OTHER Show more details...
Registered Nurse Case Manager - Workers' Compensation...
Spectrum Healthcare Resources has opportunities for Registered Nurse Case Managers to join our team in Cherry Hill, NJ!
Are you a compassionate and skilled Registered Nurse ready to make a difference in the lives of injured workers? Join the Department of Labor's team as an RN Case Manager at the forefront of ensuring the well-being and recovery of those who have faced workplace injuries. Be a pivotal part of a mission-driven organization dedicated to providing exceptional care and support to injured workers on their journey to rehabilitation. If you're passionate about nursing, advocacy, and making a positive impact on people's lives, this is your opportunity to contribute to the health and recovery of our workforce.
These services will be in support of the United States Department of Labor, Office of Workers' Compensation (OWCP) and the Division of Federal Employees' Compensation (DFEC). Nurses will be expected to create and manage the return to work care plan for injured workers.
Position Details:
• Provide nursing services to injured Federal workers who has immediate time loss and has not returned to work within a specified number of days. Will manage a case typically from 3 to 6 months
• Following up with the physician's office and employee's supervisor to coordinate light duty, job accommodations and return to work date.
• Enter necessary and any relevant information regarding each case into the OWCP/DFEC case management system.
• Other duties as assigned
Position Requirements:
• Active state or compact RN license to work in the assigned areas
• Minimum of two (2) years adult medical/surgical nursing experience
• Minimum of two (2) years case management experience in the workers' compensation arena.
• Ability to handle confidential patient information.
• Ability to communicate effectively with injured workers employer and treating physician's office
• Have knowledge of computer operations and proficiency in the use of basic word processing, data entry, and automated record
Also preferred (but not required):
• Specialized certification in one of the following areas: Insurance Rehabilitation (CIRS/CRRN), Disability Management (CDMS), and/or Nurse Case Manager Board Certified (ANCC/ANA).
• Recent experience with the DFEC nurse intervention program.
• Baccalaureate Degree in Nursing (BSN) from an accredited institution
• Certified Case Manager (CCM)
All applicants must have regular access to a computer with:
• Hard disk with 30 GB available
• Monitor with a display of 1280x1024 or higher Internet connection wired 1.5 Mbps(up) / 1.2 Mbps(down) or faster
• TWAIN-compatible scanner with ability to scan multi page documents (up to 6 pages)
• Windows Operation Systems
• Adobe Reader 9.0 or higher
• Adobe Flash Player 10
Competitive Compensation, with an estimated annual income of $102,000.00 to $106,000.00, if working on a full-time basis.
Company Overview:
Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals.
Spectrum Healthcare Resources is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Location : LocationUS-Cherry HillRecruiter : Full Name: First LastKara SmileyDirect phone number314-744-4151Recruiter : EmailKara_Smiley@spectrumhealth.comRemote / Work from home available?YesEmployment Type: OTHER Show more details...
via Prime Healthcare - ICIMS
posted_at: 13 days agoschedule_type: Full-time
Overview
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Lower Bucks Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference...
Lower Bucks Hospital is a community hospital, serving the Lower Bucks County region with medical, surgical, and emergency care. Located in historic
Overview
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Lower Bucks Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference...
Lower Bucks Hospital is a community hospital, serving the Lower Bucks County region with medical, surgical, and emergency care. Located in historic Bristol, Pennsylvania, the Hospital is well-known for its knowledgeable medical staff, including cardiology, orthopedics, radiology, wound care, and general surgery. The hospital has more than 200 physicians on staff, as well as another 700 employees.
We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Responsibilities
The working Manager of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and utilization review technicians. Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs. Integrates and coordinates services using continuous quality improvement tools. Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Qualifications
EDUCATION, EXPERIENCE, TRAINING
Required qualifications:
1. Licensed clinician in your state.
2. Grandfathered prior to April 1, 2015. Minimum 5 years’ post graduate of an accredited school of Social Work for Licensed Clinical Social Worker.
3. Minimum 5 years’ experience in a Case Management position.
4. Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process.
5. Experience and knowledge in basic to intermediate computer skills.
Preferred qualifications:
1. Certification in Case Management, BS or BSN or related field preferred.
2. Current BCLS certificate preferred.
3. Knowledge of Milliman Criteria and InterQual Criteria preferred Show more details...
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Lower Bucks Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference...
Lower Bucks Hospital is a community hospital, serving the Lower Bucks County region with medical, surgical, and emergency care. Located in historic Bristol, Pennsylvania, the Hospital is well-known for its knowledgeable medical staff, including cardiology, orthopedics, radiology, wound care, and general surgery. The hospital has more than 200 physicians on staff, as well as another 700 employees.
We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Responsibilities
The working Manager of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and utilization review technicians. Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs. Integrates and coordinates services using continuous quality improvement tools. Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Qualifications
EDUCATION, EXPERIENCE, TRAINING
Required qualifications:
1. Licensed clinician in your state.
2. Grandfathered prior to April 1, 2015. Minimum 5 years’ post graduate of an accredited school of Social Work for Licensed Clinical Social Worker.
3. Minimum 5 years’ experience in a Case Management position.
4. Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process.
5. Experience and knowledge in basic to intermediate computer skills.
Preferred qualifications:
1. Certification in Case Management, BS or BSN or related field preferred.
2. Current BCLS certificate preferred.
3. Knowledge of Milliman Criteria and InterQual Criteria preferred Show more details...
via ZipRecruiter
posted_at: 7 days agoschedule_type: Full-time
In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols and order sets according to the patients' admission diagnosis, influencing the progression of care, facilitating the... patients' navigation through the acute care episode,
In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols and order sets according to the patients' admission diagnosis, influencing the progression of care, facilitating the... patients' navigation through the acute care episode, and proposes an appropriate transition plan within 48 hours of admission. The Case Manager serves as an advocate for the patient and family throughout the entire acute episode of care.
Education
Bachelors Degree : in Nursing (BSN) or combination of education and experience in lieu of with commitment to obtain BSN within 2 years from date of hire (Required)
Experience
1 Year experience in acute care Case Management setting or Utilization Management at an acute care facility and/or insurance company in either UR or CM. (Required)
General Experience with knowledge of theories, principles, and concepts related to nursing practice and strong leadership capabilities. (Required)
General Experience and knowledge of InterQual criteria (Preferred)
License/Certifications
RN-LIC - PA Registered Nurse License (Required)
CCM - Certified Case Manager (Preferred)
Show more details...
Education
Bachelors Degree : in Nursing (BSN) or combination of education and experience in lieu of with commitment to obtain BSN within 2 years from date of hire (Required)
Experience
1 Year experience in acute care Case Management setting or Utilization Management at an acute care facility and/or insurance company in either UR or CM. (Required)
General Experience with knowledge of theories, principles, and concepts related to nursing practice and strong leadership capabilities. (Required)
General Experience and knowledge of InterQual criteria (Preferred)
License/Certifications
RN-LIC - PA Registered Nurse License (Required)
CCM - Certified Case Manager (Preferred)
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via ZipRecruiter
posted_at: 6 days agoschedule_type: Full-time
In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols and order sets according to the patients' admission diagnosis, influencing the progression of care, facilitating the... patients' navigation through the acute care episode,
In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols and order sets according to the patients' admission diagnosis, influencing the progression of care, facilitating the... patients' navigation through the acute care episode, and proposes an appropriate transition plan within 48 hours of admission. The Case Manager serves as an advocate for the patient and family throughout the entire acute episode of care.
Education
Bachelors Degree : in Nursing (BSN) or combination of education and experience in lieu of with commitment to obtain BSN within 2 years from date of hire (Required)
Experience
1 Year experience in acute care Case Management setting or Utilization Management at an acute care facility and/or insurance company in either UR or CM. (Required)
General Experience with knowledge of theories, principles, and concepts related to nursing practice and strong leadership capabilities. (Required)
General Experience and knowledge of InterQual criteria (Preferred)
License/Certifications
RN-LIC - PA Registered Nurse License (Required)
CCM - Certified Case Manager (Preferred)
Your Tomorrow is Here!
Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.
To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here!
Equal Opportunity Employer/Veterans/Disabled
An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Your Tomorrow is Here!
Temple University Hospital is a nationally respected teaching hospital on Temple University's bustling Health Sciences Center campus. The hospital provides a comprehensive array of healthcare services both basic and complex to patients from around the corner, across the country and around the world. As the chief clinical training site for the Lewis Katz School of Medicine at Temple University, the hospital provides a dynamic environment for high-quality care, teaching, and cutting edge research Show more details...
Education
Bachelors Degree : in Nursing (BSN) or combination of education and experience in lieu of with commitment to obtain BSN within 2 years from date of hire (Required)
Experience
1 Year experience in acute care Case Management setting or Utilization Management at an acute care facility and/or insurance company in either UR or CM. (Required)
General Experience with knowledge of theories, principles, and concepts related to nursing practice and strong leadership capabilities. (Required)
General Experience and knowledge of InterQual criteria (Preferred)
License/Certifications
RN-LIC - PA Registered Nurse License (Required)
CCM - Certified Case Manager (Preferred)
Your Tomorrow is Here!
Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.
To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here!
Equal Opportunity Employer/Veterans/Disabled
An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Your Tomorrow is Here!
Temple University Hospital is a nationally respected teaching hospital on Temple University's bustling Health Sciences Center campus. The hospital provides a comprehensive array of healthcare services both basic and complex to patients from around the corner, across the country and around the world. As the chief clinical training site for the Lewis Katz School of Medicine at Temple University, the hospital provides a dynamic environment for high-quality care, teaching, and cutting edge research Show more details...
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