Job Board | Manager Case Management

Non-Clinical Case Managers

Tailored Healthcare Staffing

Tailored Healthcare Staffing is seeking non-clinical case managers to complete contract assignments with the Mississippi Army National Guard. We need four full-time and one part-time case manager. In this position you will work with soldiers who are not Fully Medically Ready (FMR) for either medical or dental concerns and oversee a course of action to enable them to return to full duty. In addition to our strong pay package you will also earn a $4,000 bonus.

This is a long-term assigment lasting one year. The case managers will be stationed throughout the state (Jackson, Tupelo, and Laurel). As this is a federal assignment, ANY state RN license will be accepted.

Why consider an assignment at a government facility? Federal government opportunities provide an array of advantages over traditional contract staffing opportunities. Medical treatment facilities include the VA Healthcare System, Department of Defense, Indian Health Services, Social Security Administration and Homeland Security, to name a few. Most opportunities with these entities represent opportunities that:

- Only require an active state license in ANY state

- Offer longer term assignments some of which are multi year in duration

- Market-driven compensation with full coverage of housing, transportation, and malpractice cost

- Offer a variety of practice environments

Most importantly, it is a great opportunity to serve those who have served us over the years. You can make a difference in the healthcare of Native Americans, active duty military, their dependents, and our veterans.

If you are interested in our feature ER assignment or would like to learn more about other government contract opportunities, please contact us at 1.800.605.0926 or simply reply to this message.

ABOUT THS: Tailored Healthcare Staffing provides assignments custom fit to you. We provide the level of service you deserve and expect. Tell us where you want to go. If we don't have the assignment you want, THS will serve as your talent agent to find it. Then, with each assignment, we will pay attention to the details that make travel nursing worthwhile. Our goal is that your assignment is a Perfect Fit(TM) every time. Ask us about our tax-advantaged earnings plan. Tailored Healthcare Staffing is a division of Health Carousel, LLC (GSA Schedule Contract #V797P-7250a).

Tailored Healthcare Staffing

800.605.0926

recruitment@tailoredhealthcarestaffing.com

Contact Person:

Andrew Lingo

Director of Marketing

Health Carousel

4500 Cooper Road, Suite 101

Cincinnati, Ohio 45242-5687

phone: +1.513.665.4544, ext. 31

fax: +1.513.793.3341

| Posted on July 28, 2010 |

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Workers Compensation Case Manager

Intracorp

I'm currently networking with case managers regarding an immediate opening we have with Intracorp. This is a Workers Compensation case manager for the Baltimore area. We are seeking an RN with at least 3 years of clinical experience, case management and worker's compensation experience is a plus. The case managers work from their home office and drive to visit patients to facilitate a safe and healthy return to work.

Would this be of interest to you or could you recommend a friend or colleague? Please feel free to share my contact info/this email with your peers.

Contact Person:

Mary Valle

Talent Consultant

CIGNA Talent Optimization

Office: 215-761-1433

Email:

Two Liberty Place

TL14F

Philadelphia PA

| Posted on July 28, 2010 |

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Utilization Review Department Manager

APWU Health Plan

The APWU Health Plan, a non-profit organization located in Glen Burnie, MD, is seeking a Utilization Review Department Manager to provide and coordinate overall direction to the activities of the department staff. This position is responsible for managing the Health Plan’s activities in all areas of Utilization Management to include: review of utilization and benefit expense (quantitative analysis of data) vendor agreements, program implementations, and related reporting systems. This position functions under the auspices of both Health Plan and OPM guidelines and policies. We offer a competitive salary; health, dental, & vision insurance; 401(k); generous vacation leave; company paid pension; and tuition reimbursement.

Qualifications:

- Bachelors Degree in business.

- 5 to 7 years experience in health insurance field.

- Experience with utilization management program design and administration.

- Experience with cost containment program design.

- Knowledge of health insurance to include: customer service, claims, provider relations and managed care.

- 5 years management experience in health insurance environment.

- Excellent oral and written communication skills.

Please ensure all of the above requirements are clearly reflected in your resume or specifically addressed in your cover letter. Stated salary requirements (range is acceptable) are required for consideration. Experience in a Union environment preferred. No relocation assistance available. Must pass criminal records check prior to employment. Please email to at hr@apwuhp.com or fax to 410-424-1655.

Agencies – APWU Health Plan does not accept unsolicited resumes from third party vendors. Only resumes received from contracted agencies/vendors will be considered. Any unsolicited resumes sent to APWU Health Plan will not be recognized and such agency will have no recourse from APWU Health Plan.

EOE M/F/D/V; Drug-Free Employer

Contact Person

Hope Reyes

Employee Relations Coordinator

APWU Health Plan

410-424-1580

| Posted on July 28, 2010 |

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Corporate Director of Patient Resource Management

Tyler & Company

The Organization ()

Mountain States Health Alliance, (MSHA) is one of the nation's largest regional non-profit healthcare systems with 13 hospitals in TN and VA, and $1 billion in net revenues. Based in Johnson City, TN, MSHA is integrated both vertically and horizontally.

In 2005, MSHA won the Excellence Award, which uses Baldrige National Quality Program criteria.

Mountain States was ranked one of the nation's most 100 Wired Hospitals in 2007.

Johnson City Medical Center, MSHA's flagship facility is a 488-bed regional tertiary referral center and Level I Trauma Center; it was also named a Top 100 Heart Hospital by Solucient and was the first Nurse Magnet hospital in the state.

The Opportunity

The Corporate Director of Patient Resource Management coordinates and manages patient-centered care activities within the context of case management at a regional level for all MSHA system hospitals in Tennessee (TN).

Provides leadership and strategic direction for case management/social services including: utilization review, discharge planning and pre-certification for all Mountain States Health Alliance facilities in the TN region.

Identifies key measures of success and maximizes resource utilization and clinical documentation.

Develops policies and procedures; manages and develops budgets; ensures regulatory compliance.

Extensive interaction and collaboration with executives, clinicians and staff throughout the region.

Member of the senior management team; reports to MSHA Tennessee's Chief Medical Officer with 55 direct reports.

The Candidate

Registered nurse or other relevant clinical degree, with five years of applicable clinical experience. Baccalaureate degree required, master's in a business or health related field preferred.

Three to five years of progressive management experience. Current case management experience preferred.

Insurance pre-certification, utilization review and recertification, DRG management; regulatory expertise.

Financially astute with budgetary experience.

Strong knowledge of disease management processes and appropriate clinical interventions.

Flexible with the ability to address ambiguous situations.

Excellent customer service, with collaborative interpersonal and strong communication skills.

The Community ( and )

Set in a historically significant and culturally rich community, Johnson City is surrounded by an abundance of unspoiled natural beauty with four distinctive seasons. With a population of 62,000, it is the largest city in the Tri-Cities area and the 4th largest metropolitan area in TN. Johnson City is ranked the #44 "Best Small Place for Business and Careers" in the USA by Forbes. It has excellent public and private schools.

A competitive salary, relocation and executive benefits package is offered. If you know someone who may be interested, please contact:

Jane Fischer

Research Associate

Member of Signium International

5 Christy Drive, Ste. 108

Chadds Ford, PA 19317

Ph: 610-558-6100, ext. 231

E-Mail: jfischer@tylerandco.com

| Posted on July 16, 2010 |

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