{"id":1106,"date":"2024-08-10T07:18:14","date_gmt":"2024-08-10T07:18:14","guid":{"rendered":"https:\/\/carkendra.com\/phemployment\/?page_id=1106"},"modified":"2024-08-10T07:18:14","modified_gmt":"2024-08-10T07:18:14","slug":"case-manager-medical","status":"publish","type":"page","link":"https:\/\/carkendra.com\/phemployment\/case-manager-medical\/","title":{"rendered":"Case Manager-Medical"},"content":{"rendered":"<section class=\"detailsSection\">\n<div class=\"ng-star-inserted ql-container ql-snow ql-disabled ngx-quill-view\">\n<div class=\"ql-editor\" contenteditable=\"false\" data-gramm=\"false\">\n<p>This position will be working from home and the employee must be licensed and located in NC, GA, or FL<\/p>\n<p>Program Overview<\/p>\n<p>Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members.<\/p>\n<p>Community Care is a member centric, team-delivered, community-based care management model that joins members where they are.<\/p>\n<p>With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members\u2019 health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country.<\/p>\n<p>Acts as a liaison with member\/client \/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.<\/p>\n<p>\u2022 Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members\/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.<\/p>\n<p>\u2022 Interacts with members\/clients telephonically or in person. May be required to meet with members\/clients in their homes, worksites, or physician\u2019s office to provide ongoing case management services.<\/p>\n<p>\u2022 Assesses and analyzes injured, acute, or chronically ill members\/clients medical and\/or vocational status; develops a plan of care to facilitate the member\/client\u2019s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.<\/p>\n<\/div>\n<div class=\"ql-clipboard\" tabindex=\"-1\" contenteditable=\"true\"><\/div>\n<\/div>\n<\/section>\n<section class=\"detailsSection ng-star-inserted\">\n<h3><i class=\"\" data-fa-i2svg=\"\"><\/i>Requirements<\/h3>\n<ul>\n<li class=\"paragraphText ng-star-inserted\">including MS Word<\/li>\n<li class=\"paragraphText ng-star-inserted\">Proficiency with standard corporate software applications<\/li>\n<li class=\"paragraphText ng-star-inserted\">Ability to work independently (may require working from home).<\/li>\n<li class=\"paragraphText ng-star-inserted\">and interpersonal skills<\/li>\n<li class=\"paragraphText ng-star-inserted\">organizational<\/li>\n<li class=\"paragraphText ng-star-inserted\">Effective communications<\/li>\n<li class=\"paragraphText ng-star-inserted\">Excellent analytical and problem-solving skills<\/li>\n<li class=\"paragraphText ng-star-inserted\">Bilingual preferred<\/li>\n<li class=\"paragraphText ng-star-inserted\">Ability to occasionally travel within a designated geographic area for in-person case management activities as directed by Leadership and\/or as business needs arise<\/li>\n<li class=\"paragraphText ng-star-inserted\">discharge planning and\/or home health care coordination experience<\/li>\n<li class=\"paragraphText ng-star-inserted\">Minimum 2-3 years CM<\/li>\n<li class=\"paragraphText ng-star-inserted\">cardiac) with Medicare members.<\/li>\n<li class=\"paragraphText ng-star-inserted\">Excel<\/li>\n<li class=\"paragraphText ng-star-inserted\">palliative care<\/li>\n<li class=\"paragraphText ng-star-inserted\">post-acute care<\/li>\n<li class=\"paragraphText ng-star-inserted\">CKD<\/li>\n<li class=\"paragraphText ng-star-inserted\">CHF<\/li>\n<li class=\"paragraphText ng-star-inserted\">Minimum 3-5 years clinical practical experience preference: (diabetes<\/li>\n<li class=\"paragraphText ng-star-inserted\">hospice<\/li>\n<li class=\"paragraphText ng-star-inserted\">Outlook and PowerPoint<\/li>\n<li class=\"paragraphText ng-star-inserted\">Efficient and Effective computer skills including navigating multiple systems and keyboarding<\/li>\n<li class=\"paragraphText ng-star-inserted\">as well as some special proprietary applications.<\/li>\n<li class=\"paragraphText ng-star-inserted\">but not required<\/li>\n<li class=\"paragraphText ng-star-inserted\">or CCM) is preferred<\/li>\n<li class=\"paragraphText ng-star-inserted\">COHN<\/li>\n<li class=\"paragraphText ng-star-inserted\">CRRN<\/li>\n<li class=\"paragraphText ng-star-inserted\">CDMS<\/li>\n<li class=\"paragraphText ng-star-inserted\">Additional national professional certification (CRC<\/li>\n<li class=\"paragraphText ng-star-inserted\">Certified Case Manager is preferred.<\/li>\n<li class=\"paragraphText ng-star-inserted\">state licensing laws may apply<\/li>\n<li class=\"paragraphText ng-star-inserted\">applicant would be required to obtain a bachelor\u2019s degree within 3-5 years as part of role development<\/li>\n<li class=\"paragraphText ng-star-inserted\">Associates degree with equivalent experience<\/li>\n<\/ul>\n<h1 style=\"text-align: center;\"><a href=\"https:\/\/joblagii.com\/company\/aetna\" target=\"_blank\" rel=\"noopener\"><strong><span style=\"text-decoration: underline;\">Apply Now<\/span><\/strong><\/a><\/h1>\n<\/section>\n<p><script type=\"application\/ld+json\">{\"@context\":\"http:\/\/schema.org\",\"@type\":\"JobPosting\",\"baseSalary\":{\"@context\":\"http:\/\/schema.org\",\"@type\":\"MonetaryAmount\",\"currency\":\"USD\",\"value\":{\"@context\":\"http:\/\/schema.org\",\"@type\":\"QuantitativeValue\",\"minValue\":\"\",\"maxValue\":\"\",\"value\":0,\"unitText\":\"MONTH\"}},\"datePosted\":\"2020-11-10T23:28:18.522147+00:00\",\"validThrough\":null,\"employerOverview\":\"Aetna\",\"employmentType\":\"PART_TIME\",\"hiringOrganization\":{\"@context\":\"http:\/\/schema.org\",\"@type\":\"Organization\",\"name\":\"Aetna\"},\"jobLocation\":{\"@context\":\"http:\/\/schema.org\",\"@type\":\"Place\",\"address\":{\"@context\":\"http:\/\/schema.org\",\"@type\":\"PostalAddress\",\"addressRegion\":\"Georgia\",\"addressCountry\":\"United States\",\"addressLocality\":\"Atlanta\"}},\"qualifications\":\"Otolaryngology (E.N.T)\",\"relevantOccupation\":{\"@context\":\"http:\/\/schema.org\",\"@type\":\"Occupation\",\"name\":\"Nurse\",\"occupationLocation\":{\"@context\":\"http:\/\/schema.org\",\"@type\":\"City\",\"name\":\"Atlanta\",\"address\":{\"@context\":\"http:\/\/schema.org\",\"@type\":\"PostalAddress\",\"addressRegion\":\"Georgia\",\"addressCountry\":\"United States\",\"addressLocality\":\"Atlanta\"},\"geo\":{\"@context\":\"http:\/\/schema.org\",\"@type\":\"GeoCoordinates\",\"latitude\":33.749,\"longtitude\":-84.388}}},\"responsibilities\":\"This position will be working from home and the employee must be licensed and located in NC, GA, or FL<\/p>\n<p>Program Overview                                                                                                                                                      <br \/>Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members.<br \/>Community Care is a member centric, team-delivered, community-based care management model that joins members where they are.<\/p>\n<p>With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members\u2019 health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. <\/p>\n<p>\\tActs as a liaison with member\/client \/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. <br \/>\u2022  \\tImplements and coordinates all case management activities relating to catastrophic cases and chronically ill members\/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. <br \/>\u2022  \\tInteracts with members\/clients telephonically or in person. May be required to meet with members\/clients in their homes, worksites, or physician\u2019s office to provide ongoing case management services.<br \/>\u2022  \\tAssesses and analyzes injured, acute, or chronically ill members\/clients medical and\/or vocational status; develops a plan of care to facilitate the member\/client\u2019s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.  <br \/>\",\"salaryCurrency\":\"United States dollar\",\"title\":\"Case Manager-Medical\",\"description\":\"This position will be working from home and the employee must be licensed and located in NC, GA, or FL<\/p>\n<p>Program Overview                                                                                                                                                      <br \/>Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members.<br \/>Community Care is a member centric, team-delivered, community-based care management model that joins members where they are.<\/p>\n<p>With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members\u2019 health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. <\/p>\n<p>\\tActs as a liaison with member\/client \/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. <br \/>\u2022  \\tImplements and coordinates all case management activities relating to catastrophic cases and chronically ill members\/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. <br \/>\u2022  \\tInteracts with members\/clients telephonically or in person. May be required to meet with members\/clients in their homes, worksites, or physician\u2019s office to provide ongoing case management services.<br \/>\u2022  \\tAssesses and analyzes injured, acute, or chronically ill members\/clients medical and\/or vocational status; develops a plan of care to facilitate the member\/client\u2019s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.  <br \/>\",\"identifier\":\"https:\/\/medvocation.com\/job\/for-aetna\/otolaryngology-ent\/in-united-states\/georgia\/atlanta\/20697\",\"mainEntityOfPage\":\"https:\/\/medvocation.com\/job\/for-aetna\/otolaryngology-ent\/in-united-states\/georgia\/atlanta\/20697\",\"name\":\"Case Manager-Medical\",\"sameAs\":\"https:\/\/medvocation.com\/job\/for-aetna\/otolaryngology-ent\/in-united-states\/georgia\/atlanta\/20697\",\"url\":\"https:\/\/medvocation.com\/job\/for-aetna\/otolaryngology-ent\/in-united-states\/georgia\/atlanta\/20697\"}<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This position will be working from home and the employee must be licensed and located in NC, GA, or FL Program Overview Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can &#8230; <a title=\"Case Manager-Medical\" class=\"read-more\" href=\"https:\/\/carkendra.com\/phemployment\/case-manager-medical\/\" aria-label=\"Read more about Case Manager-Medical\">Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1106","page","type-page","status-publish"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/pages\/1106","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/comments?post=1106"}],"version-history":[{"count":1,"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/pages\/1106\/revisions"}],"predecessor-version":[{"id":1107,"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/pages\/1106\/revisions\/1107"}],"wp:attachment":[{"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/media?parent=1106"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}