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Internal Case Manager Jobs in Kentucky (NOW HIRING)

EagleOne Case Management Solutions

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Field/ Remote RN Case Manager

Louisville, KY · On-site

$75K - $80K/yr

Timely closure of files with internal charting complete and up to date, including impact points * Understands and demonstrates the ability to apply Eagle OneTM case management protocols * Consults ...

Baptist Health

Case Manager RN

Elizabethtown, KY · On-site

Manage the communication among the varied care providers and other essential parties internal and external to the health care organization. Identify patients who would benefit from case management ...

Baptist Health

Case Manager RN

Elizabethtown, KY

Manage the communication among the varied care providers and other essential parties internal and external to the health care organization. Identify patients who would benefit from case management ...

Baptist Health

Case Manager RN

Elizabethtown, KY · On-site

Manage the communication among the varied care providers and other essential parties internal and external to the health care organization. Identify patients who would benefit from case management ...

Lumera Healthcare

Targeted Case Manager

Murray, KY · On-site

$17/hr

Targeted Case Managers serve as advocates, care coordinators, and resource navigators for ... Coordinate care with internal providers and external community partners to ensure continuity of ...

Lumera Healthcare

Targeted Case Manager

Murray, KY · On-site

Targeted Case Managers serve as advocates, care coordinators, and resource navigators for ... Coordinate care with internal providers and external community partners to ensure continuity of ...

Lumera Healthcare

Targeted Case Manager

Paducah, KY · On-site

Targeted Case Managers serve as advocates, care coordinators, and resource navigators for ... Coordinate care with internal providers and external community partners to ensure continuity of ...

Lumera Healthcare

Targeted Case Manager

Paducah, KY · On-site

$17/hr

Targeted Case Managers serve as advocates, care coordinators, and resource navigators for ... Coordinate care with internal providers and external community partners to ensure continuity of ...

Connect Med 360

Oncology Case Manager

Louisville, KY · On-site

$60K/yr

ConnectMed360 is seeking an Oncology Case Manager . This position is Full-Time , Remote , working ... Proactively provides updates to internal and external stakeholders on patient cases in a timely ...

ConnectMed360

Oncology Case Manager

Louisville, KY · On-site +1

$60K/yr

ConnectMed360 is seeking an Oncology Case Manager . This position is Full-Time , Remote , working ... Proactively provides updates to internal and external stakeholders on patient cases in a timely ...

Corvel

Medical Case Manager II

Louisville, KY · On-site

$66K - $101K/yr

As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... internal employee equity, and market conditions. Our ranges may be modified at any time. For ...

Corvel

Medical Case Manager II

Louisville, KY · On-site

$66K - $101K/yr

As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... internal employee equity, and market conditions. Our ranges may be modified at any time. For ...

Valeris

Executive Case Manager (Remote)

Pikeville, KY · Remote

Triage patients to internal or external resources as appropriate. * Personalized Case Management * Provides personalized case management to patients and HCPs including outbound communication to HCPs ...

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Internal Case Manager information

What is an internal case manager?

Internal Case Managers are professionals who coordinate and oversee cases within an organization, typically related to employee health, disability, workers' compensation, or other internal processes. They work to ensure that cases are managed efficiently, comply with regulations, and that affected individuals receive appropriate support and resources. Their responsibilities often include assessing needs, developing care or return-to-work plans, liaising with healthcare providers, and maintaining documentation. Internal Case Managers play a critical role in helping both employees and employers navigate complex situations and promote positive outcomes.

What are the key skills and qualifications needed to thrive as an internal case manager?

To thrive as an Internal Case Manager, you need a background in social work, healthcare, or human services along with strong case management and organizational skills, often supported by a relevant degree or certification. Familiarity with case management software, electronic health records (EHRs), and regulatory compliance systems is typically required. Exceptional interpersonal communication, problem-solving abilities, and empathy are vital soft skills for building rapport with clients and coordinating care. These skills ensure effective client advocacy, streamlined service delivery, and improved outcomes within organizational settings.

What are some common challenges an internal case manager might face when coordinating care within an organization?

Internal Case Managers often encounter challenges such as managing high caseloads, navigating complex healthcare systems, and ensuring seamless communication between multidisciplinary teams. Balancing the needs of patients or clients with organizational policies and resource limitations can also be demanding. Successful Internal Case Managers typically develop strong organizational and interpersonal skills to overcome these challenges and provide effective, patient-centered care coordination.

What is the difference between Internal Case Manager vs External Case Manager?

AspectInternal Case ManagerExternal Case Manager
CredentialsRelevant certifications (e.g., CCM, CRC), healthcare or social work backgroundSimilar certifications, often with additional licensing depending on employer
Work EnvironmentWorks within the organization, closely collaborating with internal teamsOperates externally, often from a different organization or agency
Employer & Industry UsageUsed by healthcare providers, insurance companies, and large organizationsCommon in insurance, healthcare, and social services agencies
Search & Comparison IntentPeople comparing roles within the same organization or industryIndividuals seeking external case management services or roles

Internal Case Managers focus on managing cases within their organization, collaborating closely with internal teams. External Case Managers work outside the organization, often providing services on behalf of clients or insurance companies. Both roles require similar credentials but differ mainly in work environment and employer type.

How hard is it to become an internal case manager?

Becoming an internal case manager typically requires a relevant bachelor's degree in social work, healthcare, or a related field, along with experience in case management or social services. Certification, such as the Certified Case Manager (CCM), can enhance job prospects, and strong organizational and communication skills are essential for success in this role.

Is an internal case manager an entry-level job?

An internal case manager is not typically an entry-level position; it usually requires previous experience in case management, healthcare, or social services, along with strong communication and organizational skills. Many roles prefer candidates with relevant certifications or a bachelor's degree, and some employers offer training for new hires with limited experience.

What are the top 3 qualities an internal case manager should have?

An internal case manager should possess strong communication skills to effectively coordinate with clients and team members, organizational abilities to manage multiple cases efficiently, and problem-solving skills to develop appropriate solutions. Attention to detail and empathy are also important for understanding client needs and ensuring accurate case documentation. These qualities help ensure effective case management and positive client outcomes.
Internal Case Manager jobs near you

Case Manager

Florence, KY • On-site

Northern Kentucky Area Development District
Public Administration • 51 - 200 employees
Learn more about Northern Kentucky Area Development Districtexternal

$41K - $45K/yr

Full-time

Re-posted 17 days ago

Job description

Position Title: Case Manager
Division: Aging and Disability Services
Work Location: Florence
Exempt Status: Salary Non- Exempt
Supervisor: Waiver Supervisor
Supervises: N/A
 
Position Purpose:
This is specialized and technical work in providing assessment and case management services to Participant Directed Services (PDS) Waiver participants, which includes ongoing assessment for program eligibility and monitoring all aspects of care and consumer services to ensure needs of participant are being met. The role involves evaluating eligibility, developing person-centered care plans, and monitoring services to ensure participant needs are met. Work is performed under moderate to limited supervision.

Essential Duties & Responsibilities:
  • Conduct eligibility assessments and ongoing care management for assigned participants, in compliance with program policies and timelines.
  • Maintain a caseload and complete home visits to assess initial and continued program eligibility and participant needs.
  • Develop, update, and monitor individualized plans of care in collaboration with participants and caregivers.
  • Ensure accurate authorization and billing of services; monitor service delivery and resolve issues as needed.
  • Review electronic timesheets and collaborate with the PDS Financial Management Agency (FMA) on any payment concerns.
  • Serve as liaison and advocate between participants, providers, caregivers, and other stakeholders.
  • Participate in case conferences, staff meetings, and professional trainings as required by DAIL and NKADD.
  • Document all contacts, assessments, and actions in the approved case management system and maintain accurate client files.
  • Provide on-call phone coverage as scheduled.
  • Represent the program and agency professionally in all communications and interactions.

Secondary Responsibilities:
  • Assist with agency-wide projects, committees, and special initiatives as assigned.
  • Provide coverage for other Care Managers/Brokers as needed.
  • Perform additional duties as assigned.

Minimum Qualifications:
  • Education & Credentials:
    • Bachelor's degree in a Human Services field, in good standing with any applicable credentialing board or Registered Nurse (licensed in Kentucky).
  • Experience:
    • At least one year of relevant experience in medical social work, geriatrics, or working with diverse populations across the lifespan.

Knowledge, Skills & Abilities:
  • Strong interpersonal skills with the ability to communicate effectively across diverse populations.
  • Working knowledge of HIPAA and other confidentiality regulations.
  • Proficient in using computers and data entry systems; ability to learn multiple program-specific tools.
  • Solid understanding of community, state, and federal resources.
  • Strong documentation, organizational, and time-management skills.
  • Ability to make sound judgments and manage complex, sometimes stressful situations.
  • Willingness and ability to travel throughout NKADD counties for home visits and meetings.

Special Requirements:
  • Valid driver’s license and reliable transportation.
  • Ability to independently enter/exit vehicle and conduct in-person visits in a range of home environments, which may present environmental and physical hazards.

Work Environment & Physical Requirements:
  • Office-based work in a standard cubicle setting, involving frequent computer and phone use.
  • Requires standing, sitting, and occasional stooping.
  • Regular home visitations required; must be able to safely and effectively perform visits in various home settings.

Agency Expectation Statement:
In the performance of their respective tasks and duties all employees are expected to:
  • To be knowledgeable and follow all policies and procedures set by NKADD. Support the overall work and functions of NKADD.
  • Interact professionally with, other employees, customers /clients, outside agencies and the community. Show dedication to meeting the expectations and requirements of internal and external customers.
  • Show commitment to our community, and accountability and ownership of work.
  • Work effectively as a team contributor on all assignments.
  • Work independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations.
  • Perform quality work within deadlines with or without direct supervision.