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Weekend Case Reviewer Jobs in Missouri (NOW HIRING)

Case Manager

Saint Louis, MO · On-site

$18.75 - $24/hr

... Plan Reviews; monitors implementation and progress toward individualized goals. · Ensures ... weekends when any significant incidents occur at the residential campus which may require ...

Case Manager

Saint Louis, MO · On-site

$19.50 - $25/hr

... weekends, and holidays. * Deliver personcentered individual and group case management services in ... Prepare and review check requests and supporting documentation for client support services and ...

Case Manager

Columbia, MO · Hybrid

$22.65/hr

Apply and let's review! Schedule: Support Coordinators work a 40-hour work week Monday through ... Occasional evening or weekend hours may be needed based on caseload needs. Once the introductory ...

Case Manager

Saint Louis, MO · On-site

$19.50 - $25/hr

Participates in clinical record/utilization review of medical records and quality assurance and ... Takes on-call duty nights, weekends, and holidays, as assigned. When functioning as the on-call RN ...

Case Manager

Saint Louis, MO · On-site

$19.50 - $25/hr

Participates in clinical record/utilization review of medical records and quality assurance and ... Takes on-call duty nights, weekends, and holidays, as assigned. When functioning as the on-call RN ...

... weekends. The flexibility to adjust my schedule for family needs without penalty gives me real ... Review medical data regularly to assess service effectiveness and rehabilitation potential

... weekends. The flexibility to adjust my schedule for family needs without penalty gives me real ... Review medical data regularly to assess service effectiveness and rehabilitation potential

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Showing results 1-20

Weekend Case Reviewer information

What is the difference between Weekend Case Reviewer vs Medical Claims Processor?

AspectWeekend Case ReviewerMedical Claims Processor
Required CredentialsHigh school diploma or equivalent; some roles may require healthcare or legal certificationsHigh school diploma or equivalent; familiarity with insurance policies often preferred
Work EnvironmentRemote or office-based, reviewing cases on weekendsTypically office or remote, processing insurance claims during weekdays or weekends
Employer & Industry UsageHealthcare, insurance, legal sectorsHealth insurance companies, third-party administrators
Comparison Search IntentUnderstanding roles involving case review on weekendsUnderstanding claims processing tasks and responsibilities

The Weekend Case Reviewer primarily focuses on reviewing cases during weekends, often requiring healthcare or legal knowledge. In contrast, a Medical Claims Processor handles insurance claims, usually during regular business hours. Both roles may be remote and are common in healthcare and insurance industries, but they differ in daily tasks and specific credentials needed.

What are the most commonly searched types of Case Reviewer jobs in Missouri?

The most popular types of Case Reviewer jobs in Missouri are:

What cities in Missouri are hiring for Weekend Case Reviewer jobs?

Cities in Missouri with the most Weekend Case Reviewer job openings:

$18.75 - $24/hr

Full-time

Re-posted 17 days ago


Job description

Summary

The Residential Treatment Case Manager coordinates, monitors, and documents case management and service planning for youth in the residential program. The Case Manager facilitates the interdisciplinary treatment team process; coordinates admission, service planning, family engagement, education, permanency, transition, and discharge planning; and serves as a liaison among the youth, family/legal guardian, referral sources, courts, schools, and community providers. Clinical assessment, diagnosis, psychotherapy, and other functions requiring professional clinical licensure are provided by appropriately qualified clinical staff.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

· Provides trauma-informed, culturally responsive, youth-centered case management and completes required training.

· Completes assigned admission activities with the youth, referral source, and family/legal guardian and obtains required consents, releases, records, and placement documentation.

· Completes assigned case-management assessments, initial service planning documentation, visitation planning, and contact privileges within required timeframes and scope.

· Coordinates and facilitates interdisciplinary treatment team meetings, micro meetings, and Service Plan Reviews; monitors implementation and progress toward individualized goals.

· Ensures meaningful youth and, when appropriate, family/legal guardian participation in service planning, reviews, permanency planning, and discharge planning.

· Maintains communication with families, legal guardians, Children’s Division, courts, schools, providers, managed-care entities, and other authorized parties.

· Initiates discharge and transition planning at admission and coordinates permanency, aftercare, community supports, and transition to the least restrictive appropriate setting.

· Represents the Agency and service team at judicial hearings, IEP meetings, psychiatric appointments, family/team meetings, and other case-related meetings as assigned.

· Develops and monitors visitation and family-contact plans consistent with the service plan, court orders, placement requirements, and safety needs.

· Coordinates educational services including school registration, records, IEP-related communication, parent/teacher conferences, and communication with school personnel.

· Identifies needs related to family connections, education, medical care, behavioral health, community supports, permanency, and transition and communicates them to the interdisciplinary team.

· Promptly escalates clinical, psychiatric, medical, or significant safety concerns to qualified clinical, nursing, supervisory, emergency, or on-call personnel. The Case Manager does not independently diagnose, provide psychotherapy, or make clinical determinations outside the scope of the position.

· Participates in critical-incident follow-up, debriefing, treatment-team review, and service-plan updates as assigned. Clinical and medical assessments are completed by appropriately qualified personnel.

· Maintains complete, accurate, timely, confidential documentation in the Agency electronic health record and other required systems consistent with policy, contracts, licensing, and accreditation requirements.

· Protects youth rights, confidentiality, privacy, informed consent, and professional boundaries.

· Maintains required Safe Crisis Management (SCM) competency and follows Agency crisis-prevention, de-escalation, and restrictive-intervention policies.

· Participates in supervision, case consultation, training, quality-improvement activities, record review, and corrective-action activities.

· Participates in the on-call rotation for one week at a time, rotating every 7 weeks amongst the other members of the clinical team, which includes therapists and case managers. On-call duties involve receiving calls or text messages on evenings and weekends when any significant incidents occur at the residential campus which may require additional guidance or decision making, and communication with external partners such as Children’s Division licensing, legal guardians and ECH upper administration.

· Performs other duties assigned by the supervisor consistent with the position’s qualifications and scope.

Supervision and Clinical Consultation

The Case Manager receives administrative and case-management supervision from the designated supervisor and consults with appropriately qualified clinical, nursing, psychiatric, and supervisory personnel regarding clinical risk, mental health needs, medical concerns, psychiatric hospitalization, treatment recommendations, and matters outside the Case Manager’s education, training, or scope

Starting salary range $ 48 000

Education and/or Experience

Bachelor’s degree from an accredited college or university in Social Work, Psychology, Counseling, Human Services, Family Studies, Sociology, or a closely related human-services field required. Experience working with children or adolescents with behavioral, emotional, trauma-related, residential-treatment, or child-welfare needs is preferred.

This is a professional case-management and service-coordination position. The Case Manager does not independently perform diagnosis, psychotherapy, or other services that require professional clinical licensure.

Competencies

· Analytical / Problem Solving

· Case Coordination

· Youth and Family Engagement

· Interpersonal Skills

· Oral and Written Communication

· Teamwork

· Quality Management

· Cultural Responsiveness

· Ethics and Confidentiality

· Planning / Organizing

· Professionalism

Qualifications

The employee must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made for qualified individuals with disabilities.

Computer Skills

Working knowledge of word-processing, electronic health record, email, internet, and other software required to perform assigned duties.

Physical Demands

The physical demands described here are representative of those required to perform the essential functions of the job. The employee is regularly required to talk and hear and must demonstrate, maintain, and apply Safe Crisis Management conceptual and physical competency as established by Agency requirements. Reasonable accommodations may be made for qualified individuals with disabilities.

Work Environment

The work environment characteristics described here are representative of those encountered while performing the essential functions of this position. The employee works in a residential treatment environment and may encounter youth experiencing behavioral, emotional, or psychiatric crises.