Case Management Director oversees a staff of case managers responsible for patient care coordination. Develops and implements case management programs, including utilization review, intake or discharge planning, and managed care contracting or negotiation. Being a Case Management Director evaluates patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Seeks treatments that balance clinical and financial concerns with the family's needs and the patient's quality of life. Additionally, Case Management Director contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care. Typically requires a bachelor's degree. Typically reports to top management. May require Registered Nurse (RN). The Case Management Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Case Management Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
Please Apply on our career website here: https://careers.elevancehealth.com/en/jobs/jr95848/case-management-associate-lpn-lvn/
Under the direction/supervision of an RN, the Case Management Associate contributes to the case management process by performing activities within the scope of licensure including, for example, assisting members with scheduling appointments, locating physicians, screenings for potential needs using only yes or no questions with pre-defined responses, and other activities requested by an RN, who has overall responsibility for the case management plan for the member.
This is a field based position where you could be traveling/in the field 2-3 days per week. May require face to face interactions in the following settings: hospital, clinic, and/or home.
To be considered for this role, you must live within 50 miles of a Texas Elevance Health office. Applicants in the Houston, Arlington, Bastrop, Beaumont, Coppell, Dallas, Denton and Irving areas are encouraged to apply.
Work Schedule: Monday - Friday 8am-5pm CST.
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Job Type: Full-time
Pay: From $28.85 per hour
Expected hours: 40 per week
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Work Location: On the road
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