RN - Case Manager
Crescent City, CA ยท On-site
... Based Guidelines, Disability Case Management, Discharge Planning, Disease Management, DRG ... 10 Coding, ICU, Long Term Acute Care/Rehab/Skilled Nursing, MS, Needs Assessment/Order DME ...
Crescent City, CA ยท On-site
... Based Guidelines, Disability Case Management, Discharge Planning, Disease Management, DRG ... 10 Coding, ICU, Long Term Acute Care/Rehab/Skilled Nursing, MS, Needs Assessment/Order DME ...
Crescent City, CA ยท On-site
... Based Guidelines, Disability Case Management, Discharge Planning, Disease Management, DRG ... 10 Coding, ICU, Long Term Acute Care/Rehab/Skilled Nursing, MS, Needs Assessment/Order DME ...
Mission Viejo, CA ยท On-site
Knowledge of disability case management, CMS guidelines, and compliance with HIPAA is essential. The candidate must be familiar with DME arrangements and transportation logistics. This role requires ...
Mission Viejo, CA ยท On-site
Knowledge of disability case management, CMS guidelines, and compliance with HIPAA is essential. The candidate must be familiar with DME arrangements and transportation logistics. This role requires ...
Dublin, OH ยท On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Dublin, OH ยท On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides expert-level disability case management and handles complex claim determinations through thoughtful review of medical documentation and accurate interpretation of disability plan provisions.
Provides expert-level disability case management and handles complex claim determinations through thoughtful review of medical documentation and accurate interpretation of disability plan provisions.
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Saint Paul, MN ยท On-site
$25/hr
The Case Manager Specialist works on behalf of the person to identify their unique needs and to minimize the impact of the disability on the person's life while assuring continuity of services and ...
New
Saint Paul, MN ยท On-site
$25/hr
The Case Manager Specialist works on behalf of the person to identify their unique needs and to minimize the impact of the disability on the person's life while assuring continuity of services and ...
New
Chicago, IL ยท On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Chicago, IL ยท On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
We are seeking a dedicated and compassionate Social Security Disability Claims Case Manager to join our team. The ideal candidate will be responsible for assisting clients with the application ...
We are seeking a dedicated and compassionate Social Security Disability Claims Case Manager to join our team. The ideal candidate will be responsible for assisting clients with the application ...
Dubuque, IA ยท On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Dubuque, IA ยท On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Dubuque, IA ยท On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Dubuque, IA ยท On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Dublin, OH ยท On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Dublin, OH ยท On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Chicago, IL ยท On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Chicago, IL ยท On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Los Angeles, CA ยท On-site
Provides expert-level disability case management and handles complex claim determinations through thoughtful review of medical documentation and accurate interpretation of disability plan provisions.
Los Angeles, CA ยท On-site
Provides expert-level disability case management and handles complex claim determinations through thoughtful review of medical documentation and accurate interpretation of disability plan provisions.
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Dublin, OH ยท On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Dublin, OH ยท On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
$16.83 - $19.60
14% of jobs
$20.79 is the 25th percentile. Wages below this are outliers.
$19.60 - $22.38
26% of jobs
The median wage is $23.93 / hr.
$22.38 - $25.15
18% of jobs
$25.15 - $27.93
10% of jobs
$30.01 is the 75th percentile. Wages above this are outliers.
$27.93 - $30.70
10% of jobs
$30.70 - $33.48
9% of jobs
$33.48 - $36.25
5% of jobs
$36.25 - $39.03
4% of jobs
$39.03 - $41.81
2% of jobs
$41.81 - $44.58
1% of jobs
$44.58 - $47.36
1% of jobs
$16
$27
$47
To excel as a Long Term Disability Case Manager, you need a background in health sciences, social work, or insurance, along with strong case management and analytical skills. Familiarity with claims management software, medical terminology, and relevant certifications such as Certified Case Manager (CCM) are often required. Excellent communication, empathy, problem-solving, and organizational skills are crucial for effectively counseling clients and coordinating with multiple stakeholders. These competencies ensure effective case resolution, compliance with regulations, and compassionate support for individuals navigating long-term disability.
A Long Term Disability (LTD) Case Manager is responsible for assessing and managing long-term disability claims. They review medical records, policy terms, and other documentation to determine eligibility for benefits. LTD Case Managers communicate with claimants, employers, and medical professionals to facilitate the claims process. They also monitor claim progress, support return-to-work initiatives, and ensure compliance with company policies and legal requirements. Their goal is to provide fair and timely claim decisions while supporting claimants through their disability journey.
Long Term Disability Case Managers often face challenges such as managing complex cases involving multiple medical and vocational issues, balancing the needs of clients with policy requirements, and ensuring timely communication among all parties involved. Addressing these challenges involves staying organized, prioritizing tasks, and building effective relationships with claimants, healthcare providers, and internal teams. Many employers provide training and mentorship to help new case managers develop strong problem-solving and communication skills. Over time, experience in handling difficult cases can lead to greater confidence and career advancement within the organization.

Other
Medical
Posted 6 days ago
Shift: Day 5x8-Hour (08:00 - 16:30)
Coordinates the utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation. Oversees the management of acute patient populations across the care continuum with a focus to provide coordinated and integrated care to prevent unnecessary admissions or readmissions. Provides discharge planning coordination and intervention for the high-risk patient presenting to the Emergency Department. Strives to promote patient wellness, improved care outcomes, efficient utilization of health services, and minimized denials of payment among a patient population with complex health needs.
Required Certifications: CA RN License, BLS
Skills: Acute Hospital, Admission Criteria, Appeals and Denials, Benefits Eligibility, Care Coordination, CMS: Centers for Medicare and Medicaid Services, Continued Stay Reviews, CPT (Current Procedural Terminology) coding and billing, Department of Health, Determine Medical Necessity per Evidence-Based Guidelines, Disability Case Management, Discharge Planning, Disease Management, DRG (Diagnosis Related Groups), Emergency Department, HIPAA Guidelines (Health Insurance Portability and Accountability Act), ICD 10 Coding, ICU, Long Term Acute Care/Rehab/Skilled Nursing, MS, Needs Assessment/Order DME, Pediatrics, Plan of Care, Surgical Services, The Joint Commission/Core Measure/National Safety Goals, Workerโs Comp Case Management, Workers Compensation
Compliance: Onboarding: Must complete labs within 3-5 days of contract signing. Work History Verification: 7-Year Work History Verification Required for all candidates. Candidates must provide accurate work history information going back 7 years from their start date and may also be required to provide documentation or contacts for the verifications if we are unable to verify any positions. Deadline: All compliance documents due 10 days prior to start. Modules: Modules are non-billable. An average of 1-5 hours spent on modules and are factored into NBO. Any time spent on modules exceeding the 16 NBO hours are billable. Modules are completed during orientation, and module hours vary by specialty. Modules are recorded through e-learning.
Client Details: Address 785 W Washington Blvd, City Crescent City, State CA, Zip Code 95531