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Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor ...
Integrated Care Manager - Remote
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Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor ...
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Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor ...
... disability insurance, a 401K profit sharing retirement plan, and professional development ... Experience with CDMS, AMRDEC SAFE, CDMD-OA, and other Navy software is desirable. * Proficient with ...
... disability insurance, a 401K profit sharing retirement plan, and professional development ... Experience with CDMS, AMRDEC SAFE, CDMD-OA, and other Navy software is desirable. * Proficient with ...
Use laboratory systems such as CDMS, LIMS, and ELN for data management and documentation Data ... short-term disability. As a Kelly employee, you will have access to a retirement savings plan ...
Use laboratory systems such as CDMS, LIMS, and ELN for data management and documentation Data ... short-term disability. As a Kelly employee, you will have access to a retirement savings plan ...
Business Development Manager - Fleet Services
Lenexa, KS · On-site
$68K/yr
... and disability insurance options, as well as paid time off for vacation, illness, bereavement ... Work with ARs and CDMs to transition accounts and increase sales opportunities as required. Work ...
Business Development Manager - Fleet Services
Lenexa, KS · On-site
$68K/yr
... and disability insurance options, as well as paid time off for vacation, illness, bereavement ... Work with ARs and CDMs to transition accounts and increase sales opportunities as required. Work ...
... and disability insurance options, as well as paid time off for vacation, illness, bereavement ... Work with ARs and CDMs to transition accounts and increase sales opportunities asrequired. Work ...
... and disability insurance options, as well as paid time off for vacation, illness, bereavement ... Work with ARs and CDMs to transition accounts and increase sales opportunities asrequired. Work ...
... disabilities. We are a company built on excellence. We have a culture that values growth ... Let us show you how you can expand your professional experience as a CCM, CRRN, COHN, and CDMS. We ...
... disabilities. We are a company built on excellence. We have a culture that values growth ... Let us show you how you can expand your professional experience as a CCM, CRRN, COHN, and CDMS. We ...
Catastrophic Case Manager
Northridge, CA · On-site
CCM, CRRN, CDMS, or CRC preferred * 2 years minimum related experience in catastrophic case ... disability or genetic information or any other reason prohibited by law in employment.
Catastrophic Case Manager
Northridge, CA · On-site
CCM, CRRN, CDMS, or CRC preferred * 2 years minimum related experience in catastrophic case ... disability or genetic information or any other reason prohibited by law in employment.
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RN Field/ Remote RN Nurse Case Manager M-F Holidays Off
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Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor ...
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Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor ...
Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor ...
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Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor ...
Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor ...
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Workers Compensation RN Field Case Manager Registered Nurse SPANISH
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Workers Compensation RN Field Case Manager Registered Nurse SPANISH
Dallas, TX · On-site
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... disabilities. We are a company built on excellence. We have a culture that values growth ... Let us show you how you can expand your professional experience as a CCM, CRRN, COHN, and CDMS. We ...
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RN Field remote Nurse Case Manager M-F Holidays Off
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... disability/medical status within 24 hours of appointments · Adhere to jurisdictional rules and ... CCM, CDMS, CLNC) are a plus · Knowledge of workers' compensation rules is a plus but not required ...
Quick apply
Be Seen First
RN Field remote Nurse Case Manager M-F Holidays Off
San Jose, CA · On-site
$85K - $95K/yr
... disability/medical status within 24 hours of appointments · Adhere to jurisdictional rules and ... CCM, CDMS, CLNC) are a plus · Knowledge of workers' compensation rules is a plus but not required ...
Business Development Manager
Lenexa, KS · On-site
$68K/yr
... and disability insurance options, as well as paid time off for vacation, illness, bereavement ... Work with ARs and CDMs to transition accounts and increase sales opportunities asrequired. Work ...
Business Development Manager
Lenexa, KS · On-site
$68K/yr
... and disability insurance options, as well as paid time off for vacation, illness, bereavement ... Work with ARs and CDMs to transition accounts and increase sales opportunities asrequired. Work ...
The TCM is responsible for disability management, including proactive early return to work ... Certified Case Manager (CCM) certification, CDMS and/or CRRN preferred. * Compact license preferred ...
New
The TCM is responsible for disability management, including proactive early return to work ... Certified Case Manager (CCM) certification, CDMS and/or CRRN preferred. * Compact license preferred ...
New
The TCM is responsible for disability management, including proactive early return to work ... Certified Case Manager (CCM) certification, CDMS and/or CRRN preferred. * Compact license preferred ...
The TCM is responsible for disability management, including proactive early return to work ... Certified Case Manager (CCM) certification, CDMS and/or CRRN preferred. * Compact license preferred ...
Disability Cdms information
See salary details
$34.5K - $41.6K
11% of jobs
$41.6K - $48.7K
0% of jobs
$48.7K - $55.8K
0% of jobs
$55.8K - $62.9K
0% of jobs
$62.9K - $70K
1% of jobs
$70K - $77K
9% of jobs
$78.5K is the 25th percentile. Wages below this are outliers.
$77K - $84.1K
16% of jobs
The median wage is $90.7K / yr.
$84.1K - $91.2K
14% of jobs
$97.5K is the 75th percentile. Wages above this are outliers.
$91.2K - $98.3K
27% of jobs
$98.3K - $105.4K
16% of jobs
$105.4K - $112.5K
6% of jobs
$34.5K
$85.9K
$112.5K
How much do disability cdms jobs pay per year?
What job makes $10,000 a month without a degree?
What company hires the most people with disabilities?
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Full-time
Posted 3 days ago
Key responsibilities
Manage and oversee all staff activities related to the development and delivery of health improvement and management programs for members with complex and chronic health care needs.
Provide oversight and recommendations on the cases being managed through any of the programs.
Direct all activities required to maintain accreditation for Case and Utilization Management.
Blue Cross Blue Shield Of Arizona rating
6.0
Based on 9 frontline employees who took The Breakroom Quiz
256th of 277 rated insurance
Job description
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
- Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
- Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
- Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
- Onsite: daily onsite requirement based on the essential functions of the job
- Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building
Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
This position is hybrid within the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.
PURPOSE OF THE JOB
Responsible for developing and managing the day to day processes required to provide Care Management (UM and CM) activities that promote quality, cost effective outcomes and remain compliant with all regulatory requirements . This job description includes both utilization management and case management functions with the intent that the manager will be primary in either utilization management or case management.
REQUIRED QUALIFICATIONS
Required Work Experience
- 2 years of experience in full-time equivalent of direct clinical care to the consumer
- 1 year of experience in a supervisory role
Required Education
- Associate's Degree in general field of study or Post High School Nursing Diploma; or or Master's Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D.
Required Licenses
- Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) as a Registered Nurse (RN); or independent license in the behavioral health profession such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.).
Required Certifications
- Once they have directly supervised the integrated care process within (3) years with the organization, hold a certification in case management from the following certifications; Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).
PREFERRED QUALIFICATIONS
Preferred Work Experience
- 5 years of experience in full-time equivalent of direct clinical care to the consumer or health insurance field
- 2 years of experience in a supervisory role
- 2 years of experience working in a managed care organization
Preferred Education
- Bachelor's or Master's Degree in Nursing or Health and Human Services related field of study; or Doctoral degree in behavioral health related field
Preferred Licenses
- N/A
Preferred Certifications
- Active and current certification in case management from the following certifications; Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
- Manage and oversee all staff activities related to the development and delivery of health improvement/management programs for members with both complex and chronic health care needs.
- Promotes the integrated, whole-person approach to a continuum of care.
- Provide oversight and recommendations on the cases being managed through any of the programs.
- Direct all activities required to maintain accreditation for Case and Utilization Management.
- Responsible for monitoring and reporting department and program performance measures including IRR. - makes recommendations for improvements to operational practices based on the results.
- Evaluate, interpret, and negotiate applicable benefit and regulatory requirements.
- Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person.
- Responsible for the review, update and accuracy of documentation, computer files, policies and procedures related to the departmental goals and objectives - makes recommendations for improvements to operational practices based on the
- Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and implement operational changes and process improvement.
- Keep status of unit current in accordance with service standards, systems, procedures, forms and manuals through staff meetings, verbal and written communications.
- Provide current case management resources and pertinent clinical resources.
- Facilitate opportunities for staff training, continuing education, and development such as identifying needs, developing curriculum, delivering and coordinating training. This includes clinical decision making and critical thinking related to member's care.
- Ensure that updates related to organizational goals and organizational changes are communicated to staff.
- Perform a formal evaluation of job performance per Blue Cross Blue Shield of Arizona (BCBSAZ) corporate policy to include review and assessment of the CM program documentation produced by the Care Management staff members.
- Obtain feedback on support staff job performance from care managers who receive direct support from, and interact on a regular basis
- Interview, evaluate and make recommendations in regard to employment decisions.
- Participate in continuing education and current developments in the field of medicine, behavioral health, social determinants and managed care at least annually.
- This position has an onsite expectation of 2 days per week and requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
- Perform all other duties as assigned.
REQUIRED COMPETENCIES
Required Job Skills
- Intermediate skill in use of office equipment including copier, fax machine, scanner and telephones
- Intermediate PC proficiency
- Intermediate skill in word processing, spreadsheet, and database software
Required Professional Competencies
- Maintain confidentiality and privacy in consideration of State, Federal, BCBSAZ and other accreditation requirements
- Advanced and current clinical knowledge
- Demonstrates knowledge and understanding of the medical management process
- Analytical knowledge necessary to generate reports based on available data and the ability to make decisions based on reported data
- Capable of investigative and analytical research
- Practice interpersonal and active listening skills to achieve customer satisfaction
- Compose a variety of business correspondence
- Interpret and translate policies, procedures, programs and guidelines
- Navigate, gather, input and maintain data records in multiple system applications
- Establish and maintain working relationships in a collaborative team environment with all BCBSAZ Departments/Divisions
- Organizational skills with the ability to prioritize tasks and work with multiple priorities
- Independent and sound judgement with good problem solving skills
Required Leadership Experience and Competencies
- Make use of employee's skills and abilities to deliver business objectives
- Use available information to focus team's activities and identify priorities
- Ability to develop and build a high performing team culture - this is implied in above bullet Represent BCBSAZ in the community
PREFERRED COMPETENCIES
Preferred Job Skills
- Advanced PC proficiency
Preferred Professional Competencies
- Maintains current knowledge of State, Federal, BCBSAZ, and other applicable regulatory/accrediting agency requirements as they apply to department functions
- Working knowledge of McKesson Interqual® , Milliman Care Guidelines, ASAM or other nationally recognized medical necessity criteria
Preferred Leadership Experience and Competencies
- Demonstrates effective presentation skills
- Demonstrated effective leadership skills
Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.
About Blue Cross Blue Shield of Arizona
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Phoenix, AZ, US
Year founded
1939