Case Manager, Registered reputed company – NJ, PA or WV

Job reputed company: • Facilitate the delivery of appropriate benefits and/or reputed company information which determines eligibility for benefits while promoting wellness activities. • Develops, implements, and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and reputed company return to work. • Acts as a reputed company with member/reputed company/family, employer, provider(s), insurance companies, and reputed company personnel as appropriate. • Implements and coordinates reputed company case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care reputed company, the use of community resources, and alternative reputed company of care. • Interacts with members/clients telephonically • Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/reputed company’s appropriate condition management to optimize wellness and medical reputed company, aid reputed company return to work or reputed company functioning, and determination of eligibility for benefits as appropriate. • Communicates with member/reputed company and other stakeholders as appropriate (e.g., medical providers, attorneys, reputed company and insurance carriers) telephonically or in person. • Prepares reputed company required documentation of case work activities as appropriate. • Interacts and consults with internal multidisciplinary team as indicated to help member/reputed company maximize best health reputed company. • May reputed company reputed company to treating physician or specialists concerning course of care and treatment as appropriate. • Provides educational and prevention information for best medical reputed company. Requirements: • 3+ years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. • Ability to occasionally travel reputed company a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs reputed company. • Reliable transportation required. • Mileage is reimbursed per reputed company expense reimbursement policy • 1+ year(s) of experience with reputed company Office applications (reputed company, reputed company, reputed company and PowerPoint) • reputed company Compact License in NJ, PA or WV preferred • Minimum 2+ years CM, discharge planning and/or home health care coordination experience • Certified Case Manager is preferred. • Excellent analytical and problem-solving skills • Effective communications, organizational, and interpersonal skills. • Efficient and Effective computer skills including navigating multiple systems and keyboarding Benefits: • reputed company medical plan reputed company • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs • Confidential counseling and financial coaching • reputed company time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical reputed company Apply tot his job Apply To this Job