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Case Manager II (55669)
$80k-97k (estimate)
Full Time | Business Services 2 Weeks Ago
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Professional Management Enterprises is Hiring a Case Manager II (55669) Near Norfolk, VA

Seeking RN, LPN, LMSW or MSW to be responsible for health care management and coordination of members to achieve optimal clinical, financial and quality of life outcomes. MUST reside in the Tidewater Region of VIRGINIA. Schedule M-F 8:00am-5:00pm.Day to Day Responsibilities:Will be responsible for performing case management activities according to the contractual requirements and in alignment with NCQA requirements. This will include potential home visits to complete assessments as well as completion of telephonic assessments, completion of integrated care plans, and conducting interdisciplinary care team meetings. In addition, conducting needed telephonic follow-up, education, and care coordination for assigned members.Must Have Skills:
* Must have a valid driver's license and reliable vehicle for field visits* Excellent communication skills, with an ability to communicate effectively with members with chronic conditions, developmental disabilities, etc.* Strong technical skills (utilizing multiple programs at the same time) along with competency in Microsoft applications (Outlook, Teams, Excel, etc.)* Strong organizational and interpersonal skillsRequired Years of Experience:One year of experience working directly with individuals who meet the Cardinal Care Priority Population (Medicaid) criteria.Required Licensure / Education:Must have Bachelor's degree in a health or human services field, LMHP, RN/LPN, QMHP, LMSW, LBSW, MSW or BSW
It is the policy of the Company to provide equal employment opportunities to all qualified individuals and to administer all aspects and conditions of employment without regard to the following:
• Race and associated traits, including hairstyle; Color, Age, Sex, Sexual orientation, Gender, Gender identity and gender expression; Religion, including dress and grooming practices; National origin, including language use restrictions; Pregnancy, childbirth, or breastfeeding; Marital or familial status; Genetic information, including family medical history; Physical or mental disability; Citizenship and/or immigration status
• Medical conditions, including cancer, AIDS/HIV, and occupational pneumoconiosis without respiratory impairment
• Denial of family or medical care leave
• Use of a guide or support animal
• Military or veteran status
• Political activities or affiliations
• Exercise of civil rights
• Domestic violence, assault, or stalking victim status
• GED certificate
• Arrest, expunged, or sealed records
• Application for or enrollment in Medi-Cal
• Status as a smoker or non-smoker
• Credit report or credit information
• Child or spousal support withholding
• Wage garnishment for consumer debt
• Relationship with someone with a disability
• Lawful conduct occurring during nonworking hours not on Company premises
• Any other protected class, in accordance with applicable federal, state, and local laws
Discriminatory, harassing, or retaliatory behavior is prohibited from coworkers, supervisors, managers, owners, and third parties, including clientele. The Company takes allegations of discrimination, harassment and retaliation very seriously and will promptly conduct an investigation when warranted. Equal employment opportunity includes, but is not limited to, employment, training, promotion, demotion, transfer, leaves of absence and termination.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$80k-97k (estimate)

POST DATE

04/14/2024

EXPIRATION DATE

04/16/2024

WEBSITE

pme-indy.com

HEADQUARTERS

INDIANAPOLIS, IN

SIZE

200 - 500

FOUNDED

2005

CEO

HASKELL PORTEE

REVENUE

$10M - $50M

INDUSTRY

Business Services

Related Companies
About Professional Management Enterprises

PME is a Minority and Service Disabled Veteran Owned Business founded in 2006, that is a highly valued teaming partner in multiple states to large corporations such as Humana, KPMG, Ernst and Young, Anthem, and HP to name a few. Additionally, we provide services in the areas of healthcare, IT, and professional services to Department of Defense and other Federal Government clients. We also are highly engaged in state work in our home state of Indiana, as well as multiple other states nationwide. We successfully leverage our abilities in Healthcare, Managed Care, IT, and Human Capital Services w...ith our flexibility and robust performance. More
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