Clinical Case Manager jobs at Aetna - 31 jobs

Become a part of our caring community and help us put health first Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving members in the Wisconsin Family Care (FC) program. In this dynamic role, you will collaborate closely with dedicated colleagues to deliver exceptional care and empower our members to thrive in their daily lives. As a Case Manager, you will provide comprehensive social service care management to frail elders and adults with intellectual, developmental, or physical disabilities who qualify for Wisconsin's FC program. Bring your compassion and expertise to help members access vital resources, promote independence, and enhance their quality of life within their communities. Key responsibilities: Assess members to identify their strengths, interests, and preferences, focusing on health and safety needs to develop a comprehensive Member Care Plan (MCP). Coordinate services that address members' health and safety needs, ensuring support is provided in the least restrictive environment in accordance with the MCP. Collaborate continuously with a Field Care Nurse (RN) to review and update care plans and address members' evolving needs. Conduct face-to-face social assessments with members upon enrollment and at minimum, every six months, typically at the member's residence. Schedule, conduct, and document quarterly in-person visits and maintain monthly contact with members by phone. Identify, arrange, and monitor support services for members, including those related to social integration, community resources, employment, housing, and other non-medical needs. Engage in clear and empathetic communication with members to better understand their needs, support informed decision-making, and ensure cost-effective service delivery. Prioritize safety by continuously evaluating risk factors and providing education to members to promote overall health and wellness. Maintain accurate and timely documentation of activities, including case notes, service authorizations, and updates to the Member Care Plan. Foster direct collaboration with service providers, natural supports, and other community partners to enhance member outcomes. Travel is necessary to conduct member visits and fulfill role responsibilities. Use your skills to make an impact Required Qualifications Four-year bachelor's degree in human services or related field with one (1) year of experience working with at least one of the Family Care target populations OR a four-year bachelor's degree in any other field with three (3) years' related experience working with at least one of the Family Care target populations. Demonstrated intermediate computer proficiency, including experience with Microsoft Office applications. ***The Family Care target group population is defined as: frail elders and adults with intellectual, developmental, or physical disabilities*** Preferred Qualifications Case Management experience Experience with electronic case note documentation and experience with documenting in multiple computer applications/systems Knowledge of community health and social service agencies and additional community resources Additional Information Workstyle: This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes. Work Location: Eau Claire and surrounding areas Travel: up to 40% throughout Eau Claire and surrounding areas. Mileage reimbursement follows our mileage policy. Typical Workdays/Hours: Monday - Friday, 8:00 am - 4:30 pm CST Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,700 - $72,600 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. **Primary Responsibilities:** + Facilitate member education and involvement of caregiver in the delivery of interventions + Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources + Ensure that members understand treatment options and are effectively linked to treatment resources + Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support) + Consider the member's needs holistically to identify gaps in care requiring intervention + Exhibit excellent customer service in engaging providers in collaborative planning + Create and maintain appropriate clinical records + Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program + Conduct condition specific research to meet member needs + Maintain success stories which can be utilized to promote program + Provide case management support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment + Explanation of authorization process + Complete discharge follow-up & if needed, discharge planning / support You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. + Active, unrestricted clinical license to practice independently without supervision in the state of Missouri + 2+ years of post-licensure experience in a related mental health environment + 1+ years of case management experience + Proven intermediate level computer skills including proficiency with MS Office Suite + Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home + Reside in Missouri **Preferred Qualifications:** + Hospital experience including intakes, assessments, discharge planning, and/or case management + Community mental health experience including case management + Experience doing chart reviews + Experience consulting with facility and/or hospital staff to coordinate treatment plans + Dual diagnosis experience with mental health and substance abuse + Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients + Experience with government funded programs **Explore opportunities at Optum Behavioral Care.** We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.** Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. Primary Responsibilities: * Facilitate member education and involvement of caregiver in the delivery of interventions * Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources * Ensure that members understand treatment options and are effectively linked to treatment resources * Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support) * Consider the member's needs holistically to identify gaps in care requiring intervention * Exhibit excellent customer service in engaging providers in collaborative planning * Create and maintain appropriate clinical records * Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program * Conduct condition specific research to meet member needs * Maintain success stories which can be utilized to promote program * Provide case management support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment * Explanation of authorization process * Complete discharge follow-up & if needed, discharge planning / support You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. * Active, unrestricted clinical license to practice independently without supervision in the state of Missouri * 2+ years of post-licensure experience in a related mental health environment * 1+ years of case management experience * Proven intermediate level computer skills including proficiency with MS Office Suite * Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home * Reside in Missouri Preferred Qualifications: * Hospital experience including intakes, assessments, discharge planning, and/or case management * Community mental health experience including case management * Experience doing chart reviews * Experience consulting with facility and/or hospital staff to coordinate treatment plans * Dual diagnosis experience with mental health and substance abuse * Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients * Experience with government funded programs Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. **Primary Responsibilities:** + Facilitate member education and involvement of caregiver in the delivery of interventions + Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources + Ensure that members understand treatment options and are effectively linked to treatment resources + Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support) + Consider the member's needs holistically to identify gaps in care requiring intervention + Exhibit excellent customer service in engaging providers in collaborative planning + Create and maintain appropriate clinical records + Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program + Conduct condition specific research to meet member needs + Maintain success stories which can be utilized to promote program + Provide case management support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment + Explanation of authorization process + Complete discharge follow-up & if needed, discharge planning / support You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. + Active, unrestricted clinical license to practice independently without supervision in the state of Missouri + 2+ years of post-licensure experience in a related mental health environment + 1+ years of case management experience + Proven intermediate level computer skills including proficiency with MS Office Suite + Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home + Reside in Missouri **Preferred Qualifications:** + Hospital experience including intakes, assessments, discharge planning, and/or case management + Community mental health experience including case management + Experience doing chart reviews + Experience consulting with facility and/or hospital staff to coordinate treatment plans + Dual diagnosis experience with mental health and substance abuse + Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients + Experience with government funded programs **Explore opportunities at Optum Behavioral Care.** We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.** Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. • Requests additional information from members or providers as needed. • Makes appropriate referrals to other clinical programs. • Collaborates with multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. • Strong written and verbal communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Certified Professional in Healthcare Management (CPHM). • Recent hospital experience in an intensive care unit (ICU) or emergency room. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. **Primary Responsibilities:** + Facilitate member education and involvement of caregiver in the delivery of interventions + Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources + Ensure that members understand treatment options and are effectively linked to treatment resources + Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support) + Consider the member's needs holistically to identify gaps in care requiring intervention + Exhibit excellent customer service in engaging providers in collaborative planning + Create and maintain appropriate clinical records + Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program + Conduct condition specific research to meet member needs + Maintain success stories which can be utilized to promote program + Provide case management support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment + Explanation of authorization process + Complete discharge follow-up & if needed, discharge planning / support You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. + Active, unrestricted clinical license to practice independently without supervision in the state of Missouri + 2+ years of post-licensure experience in a related mental health environment + 1+ years of case management experience + Proven intermediate level computer skills including proficiency with MS Office Suite + Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home + Reside in Missouri **Preferred Qualifications:** + Hospital experience including intakes, assessments, discharge planning, and/or case management + Community mental health experience including case management + Experience doing chart reviews + Experience consulting with facility and/or hospital staff to coordinate treatment plans + Dual diagnosis experience with mental health and substance abuse + Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients + Experience with government funded programs **Explore opportunities at Optum Behavioral Care.** We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.** Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. **Primary Responsibilities:** + Facilitate member education and involvement of caregiver in the delivery of interventions + Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources + Ensure that members understand treatment options and are effectively linked to treatment resources + Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support) + Consider the member's needs holistically to identify gaps in care requiring intervention + Exhibit excellent customer service in engaging providers in collaborative planning + Create and maintain appropriate clinical records + Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program + Conduct condition specific research to meet member needs + Maintain success stories which can be utilized to promote program + Provide case management support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment + Explanation of authorization process + Complete discharge follow-up & if needed, discharge planning / support You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. + Active, unrestricted clinical license to practice independently without supervision in the state of Missouri + 2+ years of post-licensure experience in a related mental health environment + 1+ years of case management experience + Proven intermediate level computer skills including proficiency with MS Office Suite + Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home + Reside in Missouri **Preferred Qualifications:** + Hospital experience including intakes, assessments, discharge planning, and/or case management + Community mental health experience including case management + Experience doing chart reviews + Experience consulting with facility and/or hospital staff to coordinate treatment plans + Dual diagnosis experience with mental health and substance abuse + Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients + Experience with government funded programs **Explore opportunities at Optum Behavioral Care.** We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.** Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. **Primary Responsibilities:** + Facilitate member education and involvement of caregiver in the delivery of interventions + Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources + Ensure that members understand treatment options and are effectively linked to treatment resources + Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support) + Consider the member's needs holistically to identify gaps in care requiring intervention + Exhibit excellent customer service in engaging providers in collaborative planning + Create and maintain appropriate clinical records + Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program + Conduct condition specific research to meet member needs + Maintain success stories which can be utilized to promote program + Provide case management support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment + Explanation of authorization process + Complete discharge follow-up & if needed, discharge planning / support You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. + Active, unrestricted clinical license to practice independently without supervision in the state of Missouri + 2+ years of post-licensure experience in a related mental health environment + 1+ years of case management experience + Proven intermediate level computer skills including proficiency with MS Office Suite + Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home + Reside in Missouri **Preferred Qualifications:** + Hospital experience including intakes, assessments, discharge planning, and/or case management + Community mental health experience including case management + Experience doing chart reviews + Experience consulting with facility and/or hospital staff to coordinate treatment plans + Dual diagnosis experience with mental health and substance abuse + Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients + Experience with government funded programs **Explore opportunities at Optum Behavioral Care.** We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.** Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

Explore opportunities with VNA of Maryland, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Transitional Case Manager (TCM), you will be facilitating seamless transitions for patients from facility settings to post-acute care. You will verify home health orders, assess care requirements, and ensure continuity of care. Your role includes assessing patients' health literacy, involving patients and families in care planning, and providing education to improve outcomes and promote self-management. You will implement rehospitalization reduction initiatives for patients at risk and communicate with healthcare providers throughout the transition. You'll enjoy the flexibility to work remotely as you take on some tough challenges. Primary Responsibilities: * Educate patients on post-discharge follow-up, homebound criteria, and obtaining prescriptions * Assess readmission risk using the LACE tool * Ensure patients and families have agency contact information * Coordinate ancillary services (DME, Infusion) as needed * Assist in preparing for patient care post-discharge * Liaise between the agency and healthcare providers * Communicate patient transfers and coordinate resumption of care * Provide feedback on readmissions and non-admit decisions * Perform other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Current, unrestricted RN, LPN, or SW licensure in state of practice * Current CPR certification * 1+ years home health experience or 1+ years of hospital case management experience * Current driver's license, vehicle insurance, access to a dependable vehicle or public transportation * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $48,700 to $87,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. #LHCJobs At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. • Requests additional information from members or providers as needed. • Makes appropriate referrals to other clinical programs. • Collaborates with multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. • Strong written and verbal communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Certified Professional in Healthcare Management (CPHM). • Recent hospital experience in an intensive care unit (ICU) or emergency room. \ Preferred Qualifications Certified Professional in Healthcare Management (CPHM). Recent hospital experience in an intensive care unit (ICU) or emergency room. ASAM Certification for behavioral health Previous experience with MCG guidelines. At least 2 years of experience with inpatient concurrent review, prior authorization and managed care; Acute care hospital experience with discharge planning and critical thinking skill set. Knowledge with Nevada Medicaid State rules and regulations (Medicaid Service Manual, billing guidelines, Provider Types, fee schedules) Ability to handle change in fast paced environment Team player with positive attitude for success Preferred License, Certification, Association Active, unrestricted Utilization Management Certification (CPHM). RN licensure preferred WORK SCHEDULE: Mon - Fri / Sun - Thurs / Tues - Sat shift will rotate with some weekends and holidays. Training will be held Mon - Fri To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

For this position we are seeking a Licensed Masters Level social worker, counselor, therapist acurrent active license for state of KY or RN who must be licensed in KY or have a compact RN license. The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and inpatient services for the KY Medicaid behavioral health population. Strong post-acute level of care experience (Nursing Facilities, Acute Inpatient, Rehabilitation, Long Term Acute care hospital, Behavioral Health Facility. Excellent computer multi-tasking skills and good productivity is essential for this fast-paced role. Good analytical thought process is important to be successful in this role. Prefer candidates that have experience doing prior authorizations for outpatient services preferrable within Behavioral Health Population. WORK SCHEDULE: Monday thru Friday 8:00 AM to 5:00 PM EST - Training Schedule (30 to 60 days) Permanent schedule will require you to work 4 to 5 days a week - with one weekend day required (Saturday, Sunday (either one or both)) This is a Remote position, home office with internet connectivity of high speed required. JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations, and ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assesses services for members - ensuring optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization / financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate cases to medical directors and presents cases in a consistent and efficient manner. • Requests additional information from members or providers as needed. • Makes appropriate referrals to other clinical programs. • Collaborates with multidisciplinary teams to promote Molina care model. • Adheres to utilization management (UM) policies and procedures. • May work collaboratively with appropriate departments to provide applied behavior analysis (ABA)/behavioral health therapy (BHT) services to Molina members with autism spectrum disorder (ASD) and other related disorders. • May approve requests for BHT by reviewing behavioral assessments and treatment plans for medical necessity and BHT best practice guidelines. This includes but is not limited to: psychological evaluation requests, comprehensive diagnostic evaluations, functional behavioral assessments, and progress reports. • May perform ongoing monitoring of BHT treatment plans to evaluate effectiveness and treatment efficacy. • May provide peer to peer consultation BHT in-network providers to support treatment planning and maximize member progress. • May work collaboratively with ABA providers to ensure best service practices for members. • May create and develops forms, recommendations and guidelines and training for BHT service delivery. • May collaborate and coordinate with behavioral health medical directors, and senior medical directors to ensure proper management of the BHT benefit. Required Qualifications • At least 2 years health care experience, including experience in behavioral health and/or hospital acute care, or equivalent combination of relevant education and experience. • Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT) or equivalent behavioral health licensure. License must be active and unrestricted in state of practice. • May require behavioral analyst experience, and/or board certification/licensure as a behavioral analyst (BCBA and/or LBA). • Demonstrated knowledge of community resources. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and demonstrate self-motivation. • Responsive in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Recent hospital behavioral health experience in an intensive care unit (ICU) or emergency room. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** The Clinical Wellbeing Specialist role is a part of a clinical team focused on behavioral health and emotional wellbeing navigation and support. The team is responsible for care and case management, which includes authorizations and coordination and assurance of appropriate levels of care to members, along with in the moment solution focused consultations and crisis support. The Clinical Wellbeing Specialist provides one-to-one engagement support with members using clinical expertise to conduct a thorough telephonic assessment of risk to self or others, clinical screening for substance abuse and medical co-morbidities for members. Solution Focused Consultation, Motivational Interviewing, and Short-Term problem resolution are the clinical modalities used to develop an individualized action plan, guiding members to appropriate benefits and resources provided by employer, community and other cross-carrier vendors. The role will provide case management services through review and evaluation of inpatient and outpatient behavioral health treatments for medical necessity, emergency status, and quality of care. The team is empowered to achieve the best possible outcome for the consumer by understanding where the consumer is at with their needs and ensuring the member receives the right care at the right time. The role includes telephonic, digital chat, and/or digital messaging for member interaction. Clinical specialists also coordinate and facilitate the response to high-risk situations through consultation with licensed staff. Work volume comes from both an inbound and outbound queue, both on demand and self-managed. Clinical Wellbeing Specialists are trained on the foundations of coaching and expected to fulfill their job duties by applying this skillset as a means of experience design. Clinical Wellbeing Specialists are expected to support goal articulation and activate the appropriate benefit or resource available to each unique member. This includes various clinical resources both within the team, as well as through broad partnerships in the organization. If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges. **Primary Responsibilities:** + Engage individually with members to clinically and holistically assess the reason for call and presenting needs including issues impacting the individual's personal wellbeing, emotional and physical health, and personal safety + Genuine passion for improving a member's behavioral health experience, supporting adults, youth, and families + "Provides services for adults, youth and families via inbound and outbound phone queues, inbound chats, and additional communications" + Anticipates member needs and proactively identifies solutions + Conduct thorough assessment of risk of harm to self, or others; assist with safety planning and coordinating services with emergency personnel and hospital staff through consultation with other licensed staff in order to access appropriate level of care and ongoing support + Coordinate follow-up care and services to individuals and organizations, as appropriate + Develop next steps and identify meaningful goals and resources utilizing Solution Focused Consultation model + Provide appropriate type of service based on member's presentation, clinical history and needs and accurately differentiate between EWS and BH services + Formulate short term problem resolution plan of action and provide Full Benefit Exploration reviewing the appropriate tools and resources to support the plan, offer and refer clients to additional benefits, and authorize additional services including behavioral health, and/or contracted + EWS and behavioral health network providers + Formulate accurate description of member's clinical presentation in their individual clinical records and maintaining appropriate records, case notes, forms and reports as well as database entries + Provide training in coaching skills foundations and successfully employs techniques in engagements with a focus on member goal articulation and achievement + Fosters a service-oriented environment and participates in human centered experience development + Identifies solutions to non-standard requests and problems + Solves moderately complex problems and/or conducts moderately complex analyses + Works with minimal guidance; seeks guidance on only the most complex tasks + Translates concepts in practice + Provides explanations and information to others on difficult issues + Coaches, provides feedback and guides others, acting as a resource for others with less experience + Participate in staff meetings, case consultations, and training opportunities + Consult as required with other licensed staff and supervisors You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Licensed Mental Health Clinician with a Master's degree in psychology, social work, counseling or marriage, or family counseling, or an RN with 3+ years of experience in behavioral health + Active, unrestricted independent clinical license in the state of California + Ability to work any of our 8.5-hour shift schedules during our normal business hours of Monday-Friday 6:45am - 7:15pm CST. It may be necessary, given the business need, to work occasional overtime + Designated workspace and access to secure high-speed internet via cable/DSL in home + Permanent residence in the state of California **Preferred Qualifications:** + 2+ years of child and family experience + Experience supporting members in an inbound call center + Proven solid written, verbal and interpersonal skills. Able to use various computer applications and move through computer screens while talking with members + Ability to build rapport, assess and address risk, and develop goals with members in a telephonic and/or online + Ability to work with a culturally and geographically diverse population + Ability to address a variety of problems and issues as presented by members + Ability to work flexibly and creatively with other professional team members *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

Optum CA is seeking an Advanced Practice Clinician (PA or NP) to join our team in Redlands Citrus, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. **Position Highlights:** + Schedule: Monday - Friday + Clinic Location: 2 W. Fern Avenue, Redlands, CA 92373 + Consults, routine visits and follow-up appointments, annual wellness visits + Medication management, patient education, referrals + Comfortable seeing patients of all ages, primarily adult medicine + Appointment Matrix: 40 / 20 minutes for new patients and general visits + Patient Schedule: Average of 18-22 patients per day + Medical Assistant and support staff You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Master's degree from four-year college and/or a professional certification beyond a four-year college + Certificate of completion from Master of Physician Assistant Studies program or accredited Nurse Practitioner Program + Current NCCPA or ANCC and/or AANP Certification + Unrestricted / Active CA PA or NP license + Current CA DEA certificate required prior to start date + Active BLS certification + EMR Proficient **Preferred Qualifications:** + 1+ years of experience; preferably in outpatient/managed care setting + Excellent patient care and time management skills The salary range for this role is $104,500 to $156,000 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Optum CA is seeking an Advanced Practice Clinician (PA or NP) to join our team in Redlands Citrus, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Position Highlights: * Schedule: Monday - Friday * Clinic Location: 2 W. Fern Avenue, Redlands, CA 92373 * Consults, routine visits and follow-up appointments, annual wellness visits * Medication management, patient education, referrals * Comfortable seeing patients of all ages, primarily adult medicine * Appointment Matrix: 40 / 20 minutes for new patients and general visits * Patient Schedule: Average of 18-22 patients per day * Medical Assistant and support staff You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Master's degree from four-year college and/or a professional certification beyond a four-year college * Certificate of completion from Master of Physician Assistant Studies program or accredited Nurse Practitioner Program * Current NCCPA or ANCC and/or AANP Certification * Unrestricted / Active CA PA or NP license * Current CA DEA certificate required prior to start date * Active BLS certification * EMR Proficient Preferred Qualifications: * 1+ years of experience; preferably in outpatient/managed care setting * Excellent patient care and time management skills The salary range for this role is $104,500 to $156,000 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Optum CA is seeking a Advanced Practice Clinician (PA or NP) to join our team in Orange County, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Position Highlights: * Schedule: Monday - Friday * Location: Office based in Irvine, CA * Introduce the member's medical group, Optum California to members, family members and caregivers * Counsel and educate patient and families regarding health plan benefits, health plan network and other programs and tools available to help improve quality of lifestyle * Conduct assessments and annual wellness exams with patient. Document chief complaint, previous medical, family, and social history, review of systems, examination, assessment, and appropriate plan of care. Responsible for the coordination of care with specialists and appropriate ancillary services * Complete all documentation and paperwork in a timely manner. Maintain quality of care standards as defined by the medical group * Identifies members needs and any gaps of care; provide recommendation of benefits/ programs associated with member's health plan and guide members appropriately. What makes an Optum organization different? * As the largest employer of Advanced Practice Clinicians, we have a best-in-class employee experience and enable you to practice at the top of your license * We believe that better care for clinicians equates to better care for patients * We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations * We grow talent from within. No matter where you want to go- geographically or professionally- you can do it here You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Master's degree from four-year college and/or a professional certification beyond a four-year college. * Certificate of completion from Master of Physician Assistant Studies program or accredited Nurse Practitioner Program * Current NCCPA or ANCC and/or AANP Certification required * Unrestricted / Active CA PA or NP license * Current CA DEA certificate required prior to start date * Active BLS certification * EMR Proficient * Excellent patient care and time management skills * Work independently and without direct supervision * Access to reliable transportation that will enable you to travel to facilities and members' homes within designated area Preferred Qualifications: * Fluency in Spanish * Minimum 1-2 years' experience; preferably in outpatient/managed care setting * Working knowledge of managed care, health plans, medical groups, IPA networks The salary range for this role is $110,000 to $166,500 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Optum CA is seeking an experienced Nurse Practitioner or Physician Assistant to join our team in Los Angeles, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Position Details: * Schedule: Monday - Friday * Location: Hybrid position, 80% will be supporting clinics, 20% will be remote. * Patient Census: 10-12 patients per day * Will be working independently with little to no supervision * Will be supporting more than 20 offices in total. Will not visit more than one clinic per day. * This position is considered short-term care. * Experience in primary care is a plus * Low stress, high independence, good work-life balance We offer competitive compensation including sign-on incentive, specialty incentive and a comprehensive benefit package including medical malpractice coverage and tail policy, generous Paid Time Off (PTO) and holidays, CME time and dollars, medical, dental and vision benefits, company paid life insurance, bonus potential. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Master's degree from four-year college and/or a professional certification beyond a four-year college. * Certificate of completion from Master of Physician Assistant Studies program or accredited Nurse Practitioner Program * Current NCCPA or ANCC and/or AANP Certification required * Unrestricted / Active CA PA or NP license * Current CA DEA certificate required prior to start date * Active BLS certification * EMR Proficient * Excellent patient care and time management skills * Work independently and without direct supervision * Access to reliable transportation that will enable you to travel to facilities and members' homes within designated area Preferred Qualifications: * Minimum 1-2 years' experience; preferably in outpatient/managed care setting * Fluency in Spanish * Working knowledge of managed care, health plans, medical groups, IPA networks Compensation for this specialty generally ranges from $120,000 - $170,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Optum CA is seeking a Primary Care Advanced Practice Clinician (Fulltime) to join our team in Montebello, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Position Highlights: * Clinic Location: Montebello, CA * Outpatient: Primary Care including office consults, annual visits, follow up appointments and in office procedures * Appointment Schedule: Monday - Friday; 40 / 20 minutes for consults and follow up appointments * Average Patients per day: 20 patients * Medical Assistant to support Physician; rooming patients, vitals, RX refills, follow up appointments What makes an Optum organization different? * As the largest employer of Advanced Practice Clinicians, we have a best-in-class employee experience and enable you to practice at the top of your license * We believe that better care for clinicians equates to better care for patients * We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations * We grow talent from within. No matter where you want to go- geographically or professionally- you can do it here You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Board eligible/Board Certified or ability to attain prior to start * Unrestricted California NP/PA License * Current BLS, ACLS certification * Current California DEA certificate or ability to attain prior to start * EMR Proficient * Fluent Spanish with ability to pass a language assessment The salary range for this role is $104,500 to $156,000 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Optum CA is seeking a Full time Primary Care Advanced Practice Clinician to join our team in Downtown Los Angeles, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Position Details: * Clinic Locations: Pasadena-Downtown Los Angeles, CA * Outpatient: Primary Care including office consults, annual visits, follow up appointments and in office procedures * Appointment Schedule: Monday - Friday; 40 / 20 minutes for consults and follow up appointments * Average Patients per day: 18-20 patients * Comfortable seeing pediatric to geriatric aged patients; general in office procedures * Medical Assistant to support Physician; rooming patients, vitals, RX refills, follow up appointments What makes an Optum Career different? * As the largest employer of Advanced Practice Clinicians, we have a best-in-class employee experience and enable you to practice at the top of your license * We believe that better care for clinicians equates to better care for patients * We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations * We grow talent from within. No matter where you want to go- geographically or professionally- you can do it here You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Board eligible/Board Certified or ability to attain prior to start * Unrestricted California NP/PA License * National Board Certification * Fluent Spanish Required * Current BLS, ACLS certification * Current California DEA certificate or ability to attain prior to start * EMR Proficient * Demonstrated excellent communication skills and time management Compensation for this specialty generally ranges from $104,500- $156,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

A great opportunity to help military members and their families! This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family. Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources. Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term. Non-medical Counseling topics are varied but often include the following issues: Stress Transition/Relocation Grief and loss Employment issues Marital/couple conflict or communication Parent-Child Relational Problems Academic or Educational problems Problems related to Primary Support The successful candidate will have demonstrated excellence with solution focused therapy with a passion to deliver a service experience that exceeds the participant's expectation. The team works in a fast-paced environment, on a queue, taking non-medical counseling calls in the moment, as well as through scheduled appointments. The team is staffed 24/7 in support of the schedules of miliary members around the world. This role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time. Duties and Responsibilities: Provide participants with confidential, non-medical counseling services Assess the participant's immediate risk and biopsychosocial needs Provide appropriate referrals for resources and treatment Use clinical expertise, professional judgment and best practices Execute duty to warn/mandated reporting processes Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process Demonstrate the ability to be agile and flexible in work process. Deliver excellent clinical judgment and interpersonal communication skills Understand confidentiality and privacy regulations Demonstrate excellent verbal and written communication Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families. Qualifications: Must be a U.S. Citizen Master's degree or PhD from an accredited graduate program in a mental health related field such as social work, psychology, marriage/family therapy, or counseling Current, valid, unrestricted counseling license in Washington that grants the authority to provide counseling services as an independent practitioner in their respective fields. Multi-state licensure highly preferred. Ability to meet the expectation to sit / apply for cross-licensure in additional state(s). Licensure costs will be fully covered by the company upon hire Minimum 4 years post masters clinical experience as a mental health and/or substance use clinician with demonstrated understanding of multiple therapeutic modalities, including brief therapy. Knowledge and experience with Employee Assistance Programs (CEAP certification optional) Knowledge and experience in crisis management Solid understanding of Z-codes Proficient with multiple software and system applications. Demonstrated ability to set priorities including, but not limited to time management and organizational skills Ability to manage own caseload and coordinate all assigned cases Passion for helping the military community Understanding of military life and culture After accepting an offer of employment, obtain and maintain a federal public trust clearance status with the US Government. The information that will be requested during the process can be reviewed on the U.S. General Services Administration website: SF85P QUESTIONNAIRE FOR PUBLIC TRUST POSITIONS. You do not need to complete this form or provide any information until after you have accepted an offer of employment. If you are provided an offer of employment and accept, you will need to provide the requested information on the public trust questionnaire directly to the government through a third-party collection agency. Since public trust clearance is a condition of employment, this means that if you are unable to obtain clearance or if you lose clearance, you will not be eligible to work in this position, and your offer may be rescinded or employment may be terminated. REQUIRED WORK HOURS: Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends and holiday time. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 65,600 - 109,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.