The case manager applies clinical expertise and medical appropriateness criteria and works with physicians to determine appropriateness of hospital stay and appropriate level of care determination (Utilization Review) The case manager assesses patients at admission to begin discharge planning and works with a multidisciplinary team to facilitate appropriate and timely discharge (Discharge Planning). Qualifications: Minimum Knowledge, Skills, Experience Required: . Gadsden, Alabama30+ days ago ul style="margin: 0px; padding: 0px; font-family: verdana;">Care Coordination: develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions . - Utilization Review: monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays .
Collaborate with primary care providers to ensure the implementation of an individualized, comprehensive care plan with specific interventions designed to engage the member. Prevent adverse patient occurrences when possible and intervene quickly if prevention is not possible, thereby minimizing poor out comes. The case manager applies clinical expertise and medical appropriateness criteria and works with physicians to determine appropriateness of hospital stay and appropriate level of care determination (Utilization Review) The case manager assesses patients at admission to begin discharge planning and works with a multidisciplinary team to facilitate appropriate and timely discharge (Discharge Planning). Assist with discharge screening on all patients admitted and identifies patients who have complex physical, psychosocial, financial, or other discharge planning needs and refers those patients to the social worker. Georgia Mobile, AL30+ days ago Essential Functions: Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworks. Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. This position requires the ability to analyze varied environmental factors to members well-being and work independently in an autonomous setting and the ability to locate, augment, and develop resources, including information on services offered by other agencies. The Case Manager is responsible for the assessment of the social, emotional and environmental needs of Alabama Coordinated Health Network (ACHN) patients to improve the medical compliance and health outcomes of populations served. strong>Why Should You Apply? Huntsville, AL30+ days ago 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. 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. Adamsville, AL30+ days ago p>Under the direction of the MAT Administrative Manager and supervision of the Clinical Manager, and in conjunction with Alcohol & Drug (A&D) therapeutic and medical staff, the RECOVERY+ Case Manager is responsible for offering an array of recovery support and case management services to service recipients seeking treatment for substance use disorder(s) only or co-occurring disorders often in conjunction with medication-assisted treatment (MAT) as well as certain clients with trauma-specific circumstances. ENVIRONMENTAL CONDITIONS: - Prepared to travel throughout the agency's catchment area if needed, or where consumers reside to provide services including but not limited to locations such as other offices, criminal justice complexes, treatment centers, and client homes if needed.
Andalusia, AL30+ days ago Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About Ellie: Ellie Mental Health is a rapidly growing organization dedicated to reducing the stigma around mental health and innovating ways to provide accessible, high-quality care. Position Overview: We’re looking for a passionate Licensed Clinical Social Worker (LICSW) Supervisor to join our team in South Alabama. Sylacauga, Alabama30+ days ago Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. Working with a dedicated team of physicians and clinicians, you'll manage care plans that support recovery and help patients get back to the life they love. As a Home Health Registered Nurse, you will: - Provide skilled nursing care to patients, working onsite in their homes, including administering medications, performing wound care, and conducting patient assessments.
Mobile, Alabama26 days ago This position requires the ability to analyze varied environmental factors to members' well-being and work independently in an autonomous setting and the ability to locate, augment, and develop resources, including information on services offered by other agencies. The Case Manager is responsible for the assessment of the social, emotional and environmental needs of Alabama Coordinated Health Network (ACHN) patients to improve the medical compliance and health outcomes of populations served. Birmingham, Alabama24 days ago Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant change in condition in accordance with Agency defined time frames. Refers to Physical Therapist, Speech-Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills. Montgomery, Alabama30+ days ago Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant change in condition in accordance with Agency defined time frames. Refers to Physical Therapist, Speech-Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills. Birmingham, Alabama30+ days ago Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant change in condition in accordance with Agency defined time frames. Refers to Physical Therapist, Speech-Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills. Birmingham, Alabama4 days ago Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant change in condition in accordance with Agency defined time frames. Refers to Physical Therapist, Speech-Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills. Tuscaloosa, Alabama7 days ago Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant change in condition in accordance with Agency defined time frames. Refers to Physical Therapist, Speech-Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills. Birmingham, Alabama30+ days ago Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant change in condition in accordance with Agency defined time frames. Refers to Physical Therapist, Speech-Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills. Auburn, Alabama17 days ago Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant change in condition in accordance with Agency defined time frames. Refers to Physical Therapist, Speech-Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills. Fayette, Alabama30+ days ago Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant change in condition in accordance with Agency defined time frames. Refers to Physical Therapist, Speech-Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills. Birmingham, Alabama30+ days ago Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant change in condition in accordance with Agency defined time frames. Refers to Physical Therapist, Speech-Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills. Work At Home, AL30+ days ago The Care Manager-Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH) needs. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress, advocates for necessary services, and collaborates with the interdisciplinary care team to ensure optimal health outcomes. Birmingham, Alabama30+ days ago Responsibilities: We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right. Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. Knowledge of behavior management, crisis intervention and interventions common to acute psychotic consumers, and/or consumers with substance abuse issues as well as, to non-violent crisis intervention practice. The primary role of the case manager is to increase psychological adjustment for the consumer by empowering the consumers and sometimes family members with information, education and support in order to follow through once case management ends. Knowledge of behavior management, crisis intervention and interventions common to acute psychotic consumers, and/or consumers with substance abuse issues as well as, to non-violent crisis intervention practice. The primary role of the case manager is to increase psychological adjustment for the consumer by empowering the consumers and sometimes family members with information, education and support in order to follow through once case management ends. p class="cvGsUA direction-ltr align-start para-style-body" style="color:rgba( 0 , 0 , 0 , );font-family:, , 'auto';line-height:19px">In-Service Training & Continued Education Requirements: - Certification: Must obtain Case Management Certification within 6 months of hire (agency support provided).
Qualifications: - Bachelor’s degree in social work, psychology, human services, or related field required.
Birmingham, AL13 days ago li>Prepare comprehensive demands and assemble support for submission to carriers under the direct supervision of an attorney This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. p>Position Summary: Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of Members: - Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
Sylacauga, Alabama5 days ago li> Conducts case management services for participants in the “Stepping Up” program (Examples of tasks: complete case management needs assessments and develop a case management plan; implement plan by providing case management services in conjunction with county jails and area hospital staff; advocate client’s needs with community providers; link clients with community services; monitor client progress). Clinical Responsibilities: - Coordinates and provides services related to the “Stepping Up” program (Examples of tasks: works closely with the Alabama State “Stepping Up” Coordinator, the Technical Assistance Team and local community partners to implement processes and procedures to reduce the recidivism and unnecessary re-entry of people with mental illness or co-occurring mental illness and substance use disorders into local county jails and hospitals).
Montgomery, AL30+ days ago Utilizing a combination of face-to-face case management meetings electronic monitoring technologies and home visits to engage participants and drive compliance you will ensure that participants attend court hearings and comply with conditions set by DHS. As the Government Site Specialist you will use your background in criminal justice psychology andor social and case management to develop implement and coordinate case management and individual service plans for ISAP Program Participants in conformance with program requirements. |