Jail Diversion Case Manager works with individuals involved in or at risk of involvement with the ... Maintain high quality client documentation and records management utilization electronic charting.
Jail Diversion Case Manager works with individuals involved in or at risk of involvement with the ... Maintain high quality client documentation and records management utilization electronic charting.
Case Manager, Registered Nurse PRN
Florence, AL · On-site
$10/hr
... utilization review activities. Reports to the Director or Manager of Department. How you'll ... Accurately documents case management activities, plans, and outcomes. * Participates in performance ...
Case Manager, Registered Nurse PRN
Florence, AL · On-site
$10/hr
... utilization review activities. Reports to the Director or Manager of Department. How you'll ... Accurately documents case management activities, plans, and outcomes. * Participates in performance ...
... utilization review activities. Reports to the Director or Manager of Department. How you'll ... Accurately documents case management activities, plans, and outcomes. * Participates in performance ...
... utilization review activities. Reports to the Director or Manager of Department. How you'll ... Accurately documents case management activities, plans, and outcomes. * Participates in performance ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
Case Manager, Registered Nurse PRN
Florence, AL · On-site
$10/hr
... utilization review activities. Reports to the Director or Manager of Department. How you'll ... Accurately documents case management activities, plans, and outcomes. * Participates in performance ...
Case Manager, Registered Nurse PRN
Florence, AL · On-site
$10/hr
... utilization review activities. Reports to the Director or Manager of Department. How you'll ... Accurately documents case management activities, plans, and outcomes. * Participates in performance ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
Maintain high quality client documentation and records management utilization electronic charting ... Case Management Certification • Knowledge of Community Lay-out (Madison County Area) • ...
Maintain high quality client documentation and records management utilization electronic charting ... Case Management Certification • Knowledge of Community Lay-out (Madison County Area) • ...
The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical ...
The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical ...
Case Management * Schedule: Monday-Friday 8am-4:30pm with rotating weekends every 9-10 weeks * Work ... Utilization Management/Review experience * CCM, ACM, or ANCC certification What You Will Do ...
Case Management * Schedule: Monday-Friday 8am-4:30pm with rotating weekends every 9-10 weeks * Work ... Utilization Management/Review experience * CCM, ACM, or ANCC certification What You Will Do ...
Case Management * Schedule: Monday-Friday 8am-4:30pm with rotating weekends every 9-10 weeks * Work ... year Utilization Management/Review experience * CCM, ACM, or ANCC certification Coordinates the ...
Case Management * Schedule: Monday-Friday 8am-4:30pm with rotating weekends every 9-10 weeks * Work ... year Utilization Management/Review experience * CCM, ACM, or ANCC certification Coordinates the ...
Utilization Case Manager information
What is a Utilization Case Manager?
A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.
What does a utilization case manager do?
A utilization case manager reviews and authorizes healthcare services to ensure they are necessary and appropriate, often working with insurance companies and healthcare providers. They analyze patient records, coordinate care plans, and ensure compliance with policies, typically using case management software and requiring strong communication skills.
How does a Utilization Case Manager typically collaborate with healthcare providers and insurance companies?
Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.
What jobs pay 4000 a week without a degree?
Utilization Case Managers typically do not earn $4,000 weekly without relevant experience or certifications; most roles in healthcare or social services pay less. High-paying jobs that can reach this level without a degree are rare and often involve specialized skills, sales, or entrepreneurship. Generally, achieving such income without a degree requires significant experience, licensing, or working in high-demand fields like real estate or certain trades.
What is the highest paid case manager?
The highest paid case managers are often those with advanced certifications, specialized skills, or experience in high-demand fields such as healthcare or insurance. Senior or managerial roles, such as Utilization Review Managers, can earn salaries exceeding $80,000 to $100,000 annually. Compensation varies based on location, industry, and level of responsibility.
Is being a MOA a good entry level job?
A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative and clinical skills. It provides experience with medical records, patient communication, and office procedures, which can serve as a foundation for advancing in healthcare careers. However, the job's suitability depends on individual career goals and the specific workplace environment.
What are the key skills and qualifications needed to thrive as a Utilization Case Manager, and why are they important?
To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.
What is the difference between Utilization Case Manager vs Utilization Review Nurse?
| Aspect | Utilization Case Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, case management certification | RN license, certification in utilization review |
| Work Environment | Case management teams, hospitals, insurance companies | Utilization review departments, hospitals, insurance providers |
| Primary Focus | Coordinating patient care, discharge planning, resource allocation | Assessing medical necessity, reviewing patient records for appropriateness |
| Common Usage | Broader case management roles, patient advocacy | Specific review of medical necessity and insurance claims |
While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.
What are popular job titles related to Utilization Case Manager jobs in Alabama? For Utilization Case Manager jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Utilization Case Manager jobs in Alabama look for? The top searched job categories for Utilization Case Manager jobs in Alabama are:
What cities in Alabama are hiring for Utilization Case Manager jobs? Cities in Alabama with the most Utilization Case Manager job openings:
Full-time
Medical, Dental, Vision, Life, PTO
Posted 22 days ago
Job description
Job Description: Jail Diversion Case Manager works with individuals involved in or at risk of involvement with the criminal justice system who have mental health and/or substance use needs. Key responsibilities include coordinating behavioral health services and client care activities, developing and implementing individualized service plans, providing crisis intervention and monitoring treatment compliance. The Jail Diversion Case Manager collaborates with courts, law enforcements, treatment providers and community partners. The goal is to promote recovery, reduce recidivism, increase community stability, and support clients in successfully maintaining treatment and independent functioning within the community. This is a full-time position working Monday-Friday, 8am-5pm.
What you'll be doing:
- Provide outpatient case management services to the seriously mentally ill population.
- Provide direct services to severely mentally ill clients to address needs which are unmet as well as information about continuum of care
- Provide training on money management as it relates to meeting the needs of the client to obtain and maintain psychiatric stability residential settings
- Provide follow-up progress as per need of client to treatment team members
- Evaluate client’s residential stability and assist those clients who need a more stable environment
- Provide Basic Living Skills training when necessary as it relates to clients immediate needs while preparing clients for a less intensive level of care within the community
- Assist clients with obtaining medication
- Monitor medication compliance, maintain awareness of common side effects, and ensure client is taking medication as directed on a regular basis
- Provide traditional case management services as well as collateral services such as transportation to appointments, referral agencies, etc.
- Maintain high quality client documentation and records management utilization electronic charting.
- Monitor the care and services clients receive in residential setting
- Develop a positive working relationship with Residential Care manager/owner to meet needs of clients
- Develop and implement an Individual Service Plan which consists of goals, resources, and interventions.
- Review client’s progress every three months and revise the Individual Service Plan as needed
- Review SUN-R 6 months after initial assessment and then at intervals of 12 months thereafter
- Revise client’s goals once met, or progress as they occur
- Assist mentally ill clients through crisis situations and/or arranging for the provision of such assistance by other professional or personal caregivers
- Perform incidental care to families of the mentally ill and assist those family members in understanding the mental illness
- Work closely with Madison County Metro Jail staff, Judges, Probation Officers, Attorneys, Community agencies and other members of Jail Diversion Team.
- Identify individuals in the Metro Jail eligible for release who have Mental Health and Substance Abuse needs
- Establish continuity of care with participants by reducing recidivism rate and linking participants to needed services.
- Assist participants with establishing and maintaining a healthy support system, living environment and financial stability.
- Visit participants in their environment to assess progress, provide instruction, support and direction.
- Provide family support and education as needed.
- Ensure participant receives minimum contact once per week during initial transition phase.
- Coordinate, attend and ensure participant follow up with court hearings and treatment services to include drug rehabilitation services and medical services.
- Completely necessary paperwork in a timely manner in accordance with State and Program Standards. (progress notes, SUN-R, tracking after release, etc.)
- Become aware of participants medications, side effects, triggers and signs of decompensation and/or relapse.
- Provide traditional case management services as well as collateral services such as transportation to appointments and other ancillary services.
- Assist participants through crisis situations and/or arrange for the provision of such assistance.
- Attend and participate in Diversion Team meetings.
- Identify individuals in the Metro Jail eligible for release who have Mental Health and Substance Abuse needs
- Establish continuity of care with participants by reducing the recidivism rate and linking participants to needed services.
- Assist participants with establishing and maintaining a healthy support system, living environment and financial stability.
- Visit participants in their environment to assess progress, provide instruction, support and direction.
- Provide family support and education as needed.
- Ensure participant receives minimum contact once per week during the initial transition phase.
- Coordinate, attend and ensure participant follow up with court hearings and treatment services to include drug rehabilitation services and medical services.
- Complete necessary paperwork in a timely manner in accordance with State and Program Standards. (progress notes, SUN-R, tracking after release, etc.)
- Become aware of participants medications, side effects, triggers and signs of decompensation and/or relapse.
- Provide traditional case management services as well as collateral services such as transportation to appointments and other ancillary services.
- Assist participants through crisis situations and/or arrange for the provision of such assistance.
- Attend and participate in Diversion Team meetings.
- Complete other duties as assigned.
This job description is only a summary of the typical functions of the job and is not designed to be an exhaustive or comprehensive list of all possible duties, tasks, or responsibilities that are required of the employee as they may change, or new ones may be assigned at any time with or without notice.
What we’re looking for:
- Bachelor’s degree in social sciences field
- Excellent 5-year driving record & reliable transportation
- Excellent verbal and written communication skills
- State of Alabama Adult Case Management Training
- Knowledge of community lay-out (Madison County area)
- Knowledge of community agencies and resources
Benefits
What we offer:
- Competitive medical, dental, and vision premiums
- State Retirement participation through RSA plus an optional 457b plan with a company match
- Nine (9) paid holidays throughout the year
- Ability to continually accrue up to 15 days of PTO a year (unused rolls over)
- Company-paid Group Life and AD&D insurance and Long-Term Disability
- Licensure reimbursement
- Tuition discounts through learning partnerships with Athens State University, Capella University, and Wallace State Community College
We are compassionate towards those impacted by behavioral health disorders.
We are dedicated to one another through collaboration and teamwork.
We are optimistic problem-solvers who do what it takes to get the job done.
About WellStone
Sourced by ZipRecruiter
Industry
Offices of mental health practitioners
Company size
201 - 500 Employees
Headquarters location
Huntsville, AL, US
Year founded
1969