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Case Manager

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.

Salary

ACTIVE

Company Overview:The Enlyte Family of BusinessesMitchell | 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 Cincinnati, OH area due to regular local travel (85%) for in-person patient appointments. 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:<ul><li>Demonstrate knowledge, skills, and competency in the application of case management standards of practice. </li><li>Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.</li><li>Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.</li><li>Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.</li><li>Work with employers and physicians to modify job duties where practical to facilitate early return to work.</li><li>Evaluate and modify case goals based on injured/disabled person’s improvement and treatment effectiveness.</li><li>Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively. </li><li>Complete other duties, such as attend injured worker’s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.</li></ul>Qualifications:<ul><li>Education: Associates Degree or Bachelor’s Degree in Nursing or related field.</li><li>Experience: 2+ years clinical practice preferred. Workers’ compensation-related experience preferred.</li><li>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.</li><li>Certifications, Licenses, Registrations: <ul><li>Active Registered Nurse (RN) license required. Must be in good standing.</li></ul></li><li>Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.</li><li>Internet: Must have reliable internet.</li><li>Transportation: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.</li><li> </li></ul>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 $70,600 - $75,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.     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.#LI-MC1#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

Genex Services

Medical Field Case Manager

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Sales Operations Specialist

The Sales Operations Specialist will expand the Help at Home client base through direct contact with potential clients and referral sources, with the main focus being on the more challenging referrals who do not have a preferred caregiver. The Sales Operations Specialist will be responsible for selling Help at Home services to prospective clients and caregivers across multiple regions.

Help at Home is the leading national provider of in-home personal care services, where our mission is to enable individuals to live with independence and dignity at home. Our team supports 66,000 clients monthly with the help of 53,000 compassionate caregivers across 12 states. We’re looking for people who care about others, who are willing to listen, lean in and make impactful change. Each role at Help at Home can have a positive impact in supporting our caregivers and clients. If you are someone who leads with passion and integrity and are looking to join a rapidly growing, industry leading team, Help at Home may be a good fit for you.Help at Home is hiring a fully remote Sales Operations Specialist to support our Ohio market! Job Summary:The Sales Operations Specialist will be responsible for selling Help at Home services to prospective clients and caregivers across multiple regions. The Sales Operations Specialist will expand the Help at Home client base through direct contact with potential clients and referral sources, with the main focus being on the more challenging referrals who do not have a preferred caregiver. Essential Duties/Responsibilities:<ul><li>Work on non-preferred referrals in multiple areas to help grow business for multiple branches.</li><li>Will perform all duties associated with bringing on a referral that does not have a preferred caregiver. This may include:<ul><li>Partner with recruiters to hire a potential pool of caregivers in the areas of need</li><li>Partner with onboarding to ensure the caregivers are onboarded in a timely manner</li><li>Lead the coordination of meet and greets between the client and pool caregiver</li><li>Continue to work with the client to find the caregiver that best fits their needs</li></ul></li><li>Oversee internal business development, including identifying and pursuing growth opportunities with existing referral sources to contribute to meeting goals.</li><li>Acquire, retain, and monitor key relationships with Support Coordinators for contribution towards meeting goals.</li><li>Represent Help at Home appropriately in the community to help spread brand awareness and contribute towards business development goals.</li><li>Establish and maintain effective channels of communication to ensure efficiency of operational procedures and quality relationship management.</li><li>Follows up on leads effectively and in a timely manner.</li><li>Maintains the database with all sales activities.</li><li>Perform other duties as assigned.</li></ul>This description reflects assignment of essential functions, management may assign or reassign duties and responsibilities to this job at any time that are not listed above. Education and Experience:<ul><li>High School Diploma or GED required. Bachelor's degree preferred.</li><li>Minimum two (2) years in sales or customer service; experience in healthcare sales preferred.</li><li>Medicaid, Waiver, and Home Healthcare experience preferred.</li></ul> Required Skills and Abilities: <ul><li>Ability to supervise staff and provide necessary feedback to improve overall services. Identifies and progresses toward meeting personal and professional goals.</li><li>Strong problem-solving skills; ability to deal with conflict in a professional manner.</li><li>Ability to effectively communicate externally as well as internally with all levels of the organization.</li><li>Ability to multitask and manage multiple responsibilities.</li><li>Ability to work with multiple branches, recruiters, and onboarders across different pods.</li><li>Ability to work with referrals and pool caregivers to find the best fit for both the client's and caregiver's needs.</li><li>Demonstrate compassion, responsibility, and cheerful attitude. Ability to deal with conflict in a professional manner.</li><li>Proficient with Microsoft Office Suite.</li></ul>The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.Help At Home is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, or religion or other legally protected status.Data Security and Privacy StatementAt Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including HIPAA and SOX where applicable. Your data will only be used to assess your employment suitability and won't be shared with unauthorized parties.We use strong security measures to protect your information from unauthorized access or disclosure. By submitting your application, you consent to this process. You can access, modify, or request deletion of your data by contacting us.Employees must adhere to our data protection policies and legal requirements to safeguard sensitive information.Powered by JazzHR

Help at Home

partner JazzHR

Customer Support Representative

Relationship Builder: Develop and nurture influential relationships with key customer sources such as long-term care facilities, ensuring seamless communication and follow-up. Client Coordination: Meet with patients and caregivers to coordinate services, ensuring a smooth transition to home or assisted living environments.

Overview:CommonSpirit Health at Home is a full-service health care organization that believes the best place for someone to get better is in their own home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and the health of the communities we serve. Rooted in humankindness, our ministry is at the heart of everything we do and can be seen in every patient we touch.Responsibilities:"Join Our St. Elizabeth Home HealthTeam"Now Hiring 'Remote' Client Executive Support Associate! Must reside in Ohio & Kentucky!" At St. Elizabeth Home Health, we strive to embody our mission of delivering hope and healing to those we serve. As a Client Relations Support Associate, you will be a key player in fostering strong relationships within the healthcare community. We’re looking for a motivated individual who is ready to take on new challenges, grow alongside a dedicated team, and contribute to the success of our organization. Responsibilities:<ul><li>Trend Spotting and Strategy Support: Observe and report on industry trends, helping our organization plan and execute effective business strategies.</li><li>Market Growth: Assist in maintaining and expanding our market share, identifying new business opportunities to support our growth.</li><li>Relationship Builder: Develop and nurture influential relationships with key customer sources such as long-term care facilities, ensuring seamless communication and follow-up.</li><li>Client Coordination: Meet with patients and caregivers to coordinate services, ensuring a smooth transition to home or assisted living environments.</li><li>Professional Representation: Effectively present and discuss our products and services, projecting our commitment to quality, integrity, and customer understanding.</li></ul> Benefits:<ul style="margin-top:0;margin-bottom:0"><li style="font-size:12pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Generous annual bonus structure that rewards your hard work!</li><li style="font-size:12pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Excellent Vacation Plan, Paid Holidays, and Personal Time</li><li style="font-size:12pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Medical, Dental, and Vision Plans</li><li style="font-size:12pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Tuition Reimbursement</li><li style="font-size:12pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Fidelity 401(K) Plan</li></ul>Qualifications: <ul><li>High school diploma or equivalent; one year of sales experience preferred.</li><li>Excellent verbal and written communication skills to engage effectively with clients, discharge planners, and healthcare professionals.</li><li>Strong influencing abilities and emotional self-awareness to foster trust and rapport with clients.</li><li>Demonstrated competencies in adaptability, innovation, and a drive to achieve goals.</li><li>Office personal computer skills for documentation and reporting.</li></ul>At CommonSpirit Health at Home, we are proud to be an Equal Opportunity Employer,promoting diversity, equity, and inclusion in every aspect of our organization. We value the unique contributions of all individuals, including minorities, protected veterans, and individuals with disabilities.

CommonSpirit Health

Client Relations Support Associate

Manager

Overview:The Supervisor, Health at Home Navigators (HHN) provides direct supervision to a group of Health at Home Navigators across several markets, a provides support to Health at Home Agency Directors and Care Management Directors. Supports CommonSpirit Health at Home’s mission to make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all.

Overview:The Supervisor, Health at Home Navigators (HHN) provides direct supervision to a group of Health at Home Navigators across several markets, a provides support to Health at Home Agency Directors and Care Management Directors. This position requires 50% - 75% travel.Responsibilities: <ol style="margin-top:0;margin-bottom:0"><li>Supports CommonSpirit Health at Home’s mission to make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. As a member of the CommonSpirit Health family, our mission aligns and supports that of our parent health system. Supports CommonSpirit Health and CommonSpirit Health at Home’s values, strategic goals and high standards of customer service. Consistently lives People First Behaviors. Follows the policies and procedures of the organization.</li><li>Adheres to the Corporate Compliance Program, including confidentiality of HIPAA protected health information. Supports CommonSpirit Health at Home’s mission to make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. As a member of the CommonSpirit Health family, our mission aligns and supports that of our parent health system. Supports CommonSpirit Health and CommonSpirit Health at Home’s values, strategic goals and high standards of customer service. Consistently lives People First Behaviors. Follows the policies and procedures of the organization.</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Interviews, hires, and manages complex onboarding processes </li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Manages direct reports responsible for all HR processes</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Creates connections with HHNs and hospitals  through mentorships and national support.</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Facilitates HHN calls and site visits across all markets.</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Supports local market directors and Directors of Care Management in implementing and evaluating the effectiveness of the HHN role.</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Facilitation HHN implementation calls across all new markets.</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Addresses opportunities and barriers based on experience across diverse markets.</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Assists in creating and navigating reports lists in EMR</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Facilitates support through mentorship and HHN group meetings</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Creates, updates, and disseminates new educational materials, including orientation manuals.</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Creates and monitors KPIs to demonstrate the HHN’s value to hospitals and leadership.</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Drives the growth of the HHN program/role, creating and ensures the use of up-to-date data</li></ol>dashboards and scorecards.<ol style="margin-top:0;margin-bottom:0"><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Oversight of data distribution to appropriate stakeholders.</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Communicates with the CSH analyst the needs of new HHN’s for data collection and solve for and mitigate data collection barriers.</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Assists with Contracts and A2’s</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Hospital onboarding with input from Hospital CC.</li><li style="font-size:12pt;font-family:'calibri' , sans-serif;color:#000000;font-weight:400">Supports the navigation of complex relationships with contractual labor and shared oversight to ensure the success and expansion of the Health at Home Navigator program. </li><li style="font-size:11pt;font-family:'calibri' , sans-serif;color:#262626;font-weight:400">All other duties as assigned </li></ol>Qualifications:Candidates must reside in one of the following states:  AR, AZ, CO, FL, IL, IN, KY, MI, ND, NE, OH, SC, TN, TX, WI. Active RN license in the states serviced.At least 3 years of experience as an RN. <ul><li style="font-size:10pt;font-family:'calibri' , sans-serif;color:#262626;font-weight:400">Understanding how healthcare systems function, including insurance, funding, and different service providers. </li></ul><ul><li style="font-size:10pt;font-family:'calibri' , sans-serif;color:#262626;font-weight:400">Knowledge of relevant laws, policies, and ethical guidelines governing home healthcare. </li></ul><ul><li style="font-size:10pt;font-family:'calibri' , sans-serif;color:#262626;font-weight:400">Familiarity with common medical conditions and treatments to effectively communicate with patients and families. </li></ul><ul><li style="font-size:10pt;font-family:'calibri' , sans-serif;color:#262626;font-weight:400">Awareness of local and regional resources, including social services, support groups, and other relevant organizations. </li></ul><ul><li style="font-size:10pt;font-family:'calibri' , sans-serif;color:#262626;font-weight:400">Understanding the stages of case management, including assessment, planning, implementation, and evaluation.</li></ul>

Health at Home Navigator Supervisor

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Work From Home Healthcare Jobs in Cincinnati, OH

Genex Services

Help at Home

CommonSpirit Health

CommonSpirit Health