Case Manager jobs at CareStar - 1816 jobs

Social Worker - Masters Degree (required) Health Systems Management, Inc. (HSM) is a full-service healthcare management organization providing a full range of development, management, and administrative services for dialysis facilities over the past 35 years in Georgia, South Carolina, and North Carolina. HSM has an outstanding reputation in the renal community for providing high quality patient care and encouraging physician input while maintaining efficient business operations. We are currently seeking compassionate, dedicated, and highly motivated Social Workers to join our dialysis team. Social Worker Responsibilities and Physical Demands: Provides direct and indirect interventions to pre-dialysis and chronic dialysis patients. Provides clinical services in collaboration with the multidisciplinary health care team in order to assist patients in reaching their fullest rehabilitative potential. Communicates with patients and their support system to establish plan of care. Completes comprehensive psychosocial assessment. Assesses family dynamics and need for further interventions. Utilizes appropriate community resources in order to meet patient/family concrete needs. Social Worker Education Requirements and Position Qualifications: Master's degree in Social Work required. Ability to solve practical problems and deal with a number of concrete variables in situations. Must be able to work independently and plan/organize priorities autonomously. Willingness to work a flexible schedule and to fill in when needed. Excellent bedside manner and communication skills. Social Worker Benefits: Extensive Benefits Package to Include:Medical and Prescription Coverage OptionsDentalVisionFlexible Spending AccountShort and Long-Term Disability 401K with Company MatchPaid Time Off - start accruing time on your first day with the company Sign on and referral bonuses for qualified positions Employee Assistance Program for: Family Resources, Counseling, Financial, and Legal GuidancePaid on the job training. The training is a combination of classroom setting and direct patient care. Option to work remotely 1 day per week once training is completed. And more... HSM, INC maintains a drug-free workplace in accordance with state and federal laws. Health Systems Management, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, age, marital status, pregnancy, genetic information, or other legally protected status. Compensation details: 29-42 Hourly Wage PI7e1c37de0e08-37***********0

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Telephonic clinical case management with Medicare population.Uses Motivational Interviewing and engagement interventions to optimize member participation in case management programs. Completes a Comprehensive Assessment and Plan of care.Will document in clinical systems to support legacy Aetna and Coventry membership.Provides BH consultation and collaboration with Aetna partners.Active participation in clinical treatment rounds.Active participation in team activities focused on program development. Innovative thinking expected.The majority of time is spent at a desk on telephonic member outreaches and computer documentation.Assist members with locating community based behavioral health resources.Required Qualifications3+ years of direct clinical practice experience An active and unrestricted clinical behavioral health license in state of residence is required (ex: LPC, LCSW, LMFT, LPCC, LISW, LSW) Required to use a residential broadband service with internet speeds of at least 25 mbps/3mbps in order to ensure sufficient speed to adequately perform work duties. Some candidates may be eligible for partial reimbursement of the cost of residential broadband service Bilingual Spanish and English Preferred QualificationsCrisis intervention skills preferred Managed care/utilization review experience preferred Case management and discharge planning experience preferred Discharge planning experience Utilization review, prior authorization, concurrent review, appeals experience CCM preferred DSNP experience a plus Knowledge of Substance Abuse DisordersEducationMasters Degree in Social Work or Counseling required Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$54,095.00 - $116,760.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.For more information, visit ***************************************** We anticipate the application window for this opening will close on: 01/30/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Homecare Hub offers a unique solution for people with caregiving needs, focusing on small shared care and co-living environments to help individuals stay out of large institutional nursing facilities. Whether in existing care homes or customized on-demand setups, Homecare Hub provides superior, safe, and affordable care options. The innovative approach allows individuals to age with dignity in their community. In Wisconsin, the focus is on partnering with various organization to accelerate the creation of Adult Family Homes and Community Based Residential Facilities. Currently Homecare Hub partners with > 10% of the existing small homes in Milwaukee, and multiple health systems across the state. In the La Crosse region who have formed a strategic partnership with the Gundersen (Emplify) Health system. Feel free to learn more here: ******************************************************************************************************* Role Description This is a hybrid role for a case manager & care coordination position at Homecare Hub. This individual will help with placement of patients into small homes, and as well oversee a cohort of patients and assuring their clinical healthcare and non-clinical needs are met. This hybrid role is located in Wisconsin with occasional travel across the state. Most in person work will be local, and there will be a component of work from home as well. Qualifications We are seeking a social worker, however, a nurse working in he case management field will be considered. Experience in the healthcare or caregiving industry Knowledge of Medicaid and Medicare and various plans Financial Counseling skills Knowledge of Services in the La Crosse Region Excellent communication, interpersonal, and leadership skills. Technology skills Bachelor's or Master's degree in Nursing or Social work

Our Registered Nurse Case Managers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients. What we offer our Registered Nurse Case Managers (RNCM): Competitive pay, benefits, and incentives. Truly flexible scheduling - a dedication to work/life balance - Full-time/ Part-time / PRN / Weekends Daily Pay option available No Overtime Required 1:1 patient care Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day. As a Registered Nurse Case Manager (RNCM), you will: Conduct In Person patient interviews and comprehensive physical assessments. Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers. Communicate patient conditions and collaborate with appropriate providers to deliver care when patient needs evolve. Provide education to patients and families on proper home health care procedures. Ie. Wound care, IV administration, medication management. Work to decrease readmissions by promoting preventative care and ensuring continuity of care. To qualify as a Registered Nurse Case Manager (RNCM) with us, you will need: Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position Current CPR/AED/BLS/First Aid certification Reliable transportation to/from care sites and/or work locations. One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience preferred. Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status. #Columbus1

A digital healthcare company is looking for a Clinician Support Agent in San Francisco, CA. The role involves communicating with cardiac technicians and external accounts, interpreting ECG results, and ensuring high-quality patient care. Ideal candidates should have a solid background in customer service and medical terminology. This position offers a competitive salary and excellent benefits, including health, dental, and vision insurance. #J-18808-Ljbffr

Commonwealth Care Alliance (CCA) is a nonprofit, mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSource, a nationally recognized nonprofit managed care organization with over 2 million members across multiple states, CCA serves individuals enrolled in Medicaid and Medicare in Massachusetts through the Senior Care Options and One Care programs and its care delivery enterprises. CCA is dedicated to delivering comprehensive, integrated, and person-centered care, powered by its unique model of uncommon care, which yields improved quality outcomes and lower costs of care. Job Summary: inst ED provides patient-centered, high-quality acute care in place to adults with complex medical needs. Reporting to the Manager, Network Delivery, the inst ED Mobile Health Coordinator (MHC) is the first point of contact for patients who are seeking an inst ED visit. The Mobile Health Coordinator warmly greets all callers and completes a thorough and accurate intake for callers requesting a referral for an inst ED visit. The MHC assigns the visit to one of inst ED's paramedic partners based on geography and availability and monitors the physician assignment algorithm. In addition, the MHC monitors visit progression to ensure timely service delivery. Finally, the MHC assists the nursing team with non-clinical administrative support and serves as the main point of contact for paramedic partner dispatchers, paramedics, and the inst ED Virtual Medical Control (VMC) team for all non-clinical issues. Essential Functions: Answer incoming phone calls in a timely manner using a cloud-based platform. Collect accurate patient information and document in the inst ED NOW platform and Athena medical record to process an inst ED referral. Collect, review, and accept written consent from patients, upload consents from paramedics. Verify patient eligibility using inst ED NOW, Athena, or external payor portals. Collect payment(s) from patients (e.g., copay, co-insurance). Assign visits to one of inst ED's ambulance partners based on geography and availability; collaborate with nursing staff to prioritize high acuity patients. Communicate with the dispatchers from the ambulance partners to facilitate throughput of inst ED visits; convey clinical concerns/questions to the nursing team. Maintain awareness of all ambulance partner vehicle's status and location. Call patients if mobile health providers are unable to reach patients with an updated ETA; escalate to the nursing team when patients cannot be reached via phone. Make recommendations to improve the inst ED NOW platform. Monitor that VMC providers are checked in and out of inst ED NOW in a timely manner and outreach to them if this does not occur. Monitor VMC auto-assignments and manually re-assign if needed when a VMC provider is nearing the end of shift and cannot complete a visit. Complete an end of shift report before logging off at the end of a shift. Ensure that mobile health providers have completed all documentation by the end of their shift and outreach to the paramedic partner when there is outstanding documentation. Perform any other job related duties as requested. Education and Experience: High School or GED required Associates degree preferred Five (5) years professional work experience in a healthcare setting with at least one (1) year of remote work experience required Customer service experience via phone communications, preferably in a health care call center setting interacting with patients required Process improvement experience required Experience working closely with colleagues at all levels of a company including front-line staff to senior leaders required Medical assistant, or other related experience in an urgent care, emergency or home care setting preferred Administrative support to clinicians in healthcare setting preferred 911 Telecommunicator or Emergency Medical Dispatcher Certification preferred Mobile integrated health experience preferred Competencies, Knowledge and Skills: Ability to communicate effectively without judgment to a diverse patient population while demonstrating empathy Highly adaptable to frequent workflow changes in a fast-paced environment Willing to learn and utilize several different software applications (e.g., proprietary inst ED NOW platform, Teams, etc.) Proficient with Microsoft Outlook Superb verbal communication skills and strong written communication skills Computer and phone system proficiency (e.g., Ring Central or other cloud communications platform) Power BI or other business intelligence software knowledge preferred Proficient in Excel preferred Process improvement training (e.g., lean, six sigma, etc.) preferred Medical terminology preferred Athena (electronic medical record) knowledge preferred Bilingual (Spanish), bicultural preferred Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Must be willing to work weekends, evenings, and holidays Travel is not typically required Compensation Range: $41,200.00 - $66,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Hourly Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world. In this role, you will support the East Team covering eastern Cuyahoga County. You will be responsible for providing high quality nursing care to patients in the comfort of their own homes. As an RN, you will provide assessments, complex nursing treatments, and education to help avoid readmissions to the acute care setting. After seeing patients, Home Health RNs work remotely to complete documentation, make calls, attend meetings, coordinate patient care and arrange visit schedules. Cleveland Clinic Home Care provides a generous in-depth orientation that is tailored to each individual and their experience level. This position is eligible for student loan repayment. A caregiver in this position works days from 9:00AM to 5:00PM, with every fourth weekend and one winter/holiday requirement. A caregiver who excels in this role will: Provide direct nursing care. Perform accurate and complete admission assessments and reassessments within a specified time frame. Assess patients for safety risks, abuse and neglect. Serve as a primary coordinator of all disciplines for well-coordinated patient care. Assess, document, prioritize and manage patients' pain. Minimum qualifications for the ideal future caregiver include: Graduate from an accredited school of Professional Nursing Current state licensure as a Registered Nurse (RN) Basic Life Support (BLS) Certification through the American Heart Association (AHA) Valid Ohio Driver's (VDL) license upon hire and per policy 8-175 thereafter Proof of $100,000/$300,000 automobile insurance coverage upon hire and per policy 8-175 thereafter One year of current experience as an RN One year of experience in an acute Medical/Surgical or Home Care setting Preferred qualifications for the ideal future caregiver include: * Bachelor's of Science in Nursing (BSN) Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: ******************************************** Why You'll Love Working with Us: Competitive Pay and Mileage Reimbursement Excellent Benefits - 403b, health and dental insurance Flexible Scheduling Supportive Leadership That Has Your Back Opportunities for Advancement and Professional Growth Work-Life Balance You Can Count On Autonomy and Independence - nurse manage their own patient assignment and make critical decisions in the field. Meaningful 1-on-1 Relationships - nurses treat patients in the context of their home environment, allowing for truly personalized care. Broad Clinical Experience - receive exposure to a wide range of patient conditions, great for developing clinical skills and confidence. Technology-Driven and Innovation-Friendly - use mobile documentation and a wide range of technologies to deliver efficient, high-quality care in the home setting. Cleveland Clinic Home Care Services is a full service home health agency dedicated to continue the World-Class Cleveland Clinic care at home. Our services include skilled nursing, physical, speech and occupational therapy as well as social work and home health aide. To find out more about our services, please visit us on the internet: ***************************************************************************************** Going home with Cleveland Clinic.... ********************************** GJq8Ce8j0 Physical Requirements: Requires full range of motion, manual and finger dexterity and eye-hand coordination. Requires standing and walking for extensive periods of time. Requires corrected hearing and vision to normal range. Requires some exposure to communicable disease or bodily fluids. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. Must be ambulatory and able to drive to patients' homes, able to climb stairs, pull, push, and facilitate movement of the patient. Must be able to read, write and communicate with patients. Personal Protective Equipment: * Follows standard precautions using personal protective equipment as required. Pay Range Minimum Annual Salary: $69,680.00 Maximum Annual Salary: $111,488.00 The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).

The Case Manager III (CM III), a key member of the primary care interdisciplinary team, provides services for patients with complex care needs. This position conducts patient outreach, engagement and psychosocial service assessment, assists in developing a patient-centered care plan, is the lead implementer of Enhanced Case Management (ECM) and coordinates service referrals and delivery. The case manager meets clients in home, clinic, or community as appropriate or required by the specific program/site. The CM III provides services to specific populations that have multiple complex health and social services needs and often provides care outside of a traditional health center setting, such as home visits, hospitals, supportive housing sites, encampments and shelters. In addition they provide comprehensive housing navigation support to clients. This is a grant funded, full time, benefit eligible opportunity, at our Oakland locationS (Medical Respite & Street Medicine) This position is represented by SEIU-UHW. Salaries and benefits are set by a collective bargaining agreement (CBA), and an employee in this position must remain a member in good standing of SEIU-UHW, as defined in the CBA. LifeLong Medical Care is a large, multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community. Our patient-centered health home is a dynamic place to work, practice, and grow. We have over 15 primary care health centers and deliver integrated services including psychosocial, referrals, chronic disease management, dental, health education, home visits, and much, much more. Benefits Compensation: $29.20 - $33.85/hour. We offer excellent benefits including: medical, dental, vision (including dependent and domestic partner coverage), generous leave benefits including ten paid holidays, Flexible Spending Accounts, 403(b) retirement savings plan. Responsibilities Outreach, via telephone and in person at LifeLong, community and residential sites, to patients who meet case management program eligibility criteria or are prioritized by LifeLong for this service Proactively meet and engage with patients to build effective relationships and assess strengths and needs through use of standard intake, screening tools, and health, and social services records review Actively involve patients and caregivers, as appropriate, in designing and delivering services, including development of care plans, assuring alignment with patients' values and expressed goals of care Provide and facilitate referrals for internal and external resources, and collaborate with the patient to complete required applications, forms, or releases of information Maintain a patient caseload in accordance with LifeLong standards for the specific population served or site requirements Utilize data registries and reports to manage caseload, meet program requirements, maintain grant deliverables, and promote high quality care Provide health education and training to patients, including but not limited to, harm reduction and disease risk-mitigation strategies that empower patients to manage their own health and wellness (e.g. overdose prevention, mitigating spread of communicable diseases) Assist patients with accessing and retaining public benefits and insurance (e.g. MediCal, SSI/SSDI, CalFresh, General Assistance), and affordable/subsidized housing Respectfully and routinely communicate with patients, their care team members, external partners, and identified social supports Maintain knowledge of patients' medical/behavioral health treatment plans and facilitate utilization of services by providing resources such as accompaniment, transportation, in-home care, reminder calls etc. Participate in team meetings to coordinate care, support patient goals, and reducing barriers to accessing services Provide case management services to patients with multiple complex acute or chronic medical or behavioral health conditions (e.g. HIV/AIDS, Hep C, congestive heart failure, severe diabetes, severe hypertension, psychosis, pregnancy, and homelessness) Provide general housing case management services that includes document readiness, housing problem solving, and assessments for Coordinated Entry System Assess patients to identify cognitive and/or behavioral health needs and provide brief interventions and short-term support using standardized tools and effective approaches for patient care Co-facilitate patient groups Provide intensive case management to a caseload size in accordance with site or program standards focusing on a subset of the highest acuity patients Provide specialized housing navigation services to patients who are matched to a housing resource through Coordinated Entry System Lead crisis intervention response, de-escalation procedures, notification of the local mental health department and/or crisis response team, and follow-up care Provide and document billable services to eligible populations that result in revenue generation for LifeLong Advocate on behalf of patients to get their needs met and/or support patients to learn advocacy strategies for themselves. Keep current on community resources and social service supports to effectively serve the target population Document patient contacts/services in required data systems (EHR, HMIS etc.) according to LifeLong policy Specific activities may vary depending on the requirements of the program and funder. Promote diversity, equity, inclusion, and belonging in support of patients and staff Represent LifeLong positively in the community and advocate on behalf of underserved populations Qualifications Commitment to working directly with low-income persons from diverse backgrounds in a culturally responsive manner Commitment to harm reduction, recovery, housing first, age-friendly and patient centered care Strong organizational, administrative and problem-solving skills, and ability to be flexible and adaptive to change while maintaining a positive attitude Excellent interpersonal, verbal, and written skills Ability to prioritize tasks, work under pressure, and complete assignments in a timely manner Ability to seek direction/approval on essential matters, yet work independently, using professional judgment and diplomacy Works well in a team-oriented environment Conducts oneself in external settings in a way that reflects positively on your employer Ability to be creative, mature, proactive, and committed to continual learning and improvement in professional settings Job Requirements High School diploma or GED At least three (3) years of progressively responsible work or volunteer experience in a community-based health care or social work setting or at least one (1) year of experience as a Case Manager II or equivalent position or registration or certification as a Certified Alcohol and Drug Counselor by one of the two certifying bodies in California Proficient skills using Microsoft Office applications like Word, Excel, and Outlook, as well as the ability to work in and/or manage databases Access to reliable transportation with current license and insurance Bilingual English/Spanish Job Preferences Bachelor's Degree in Social Work, Health or Human Services field Lived experience of homelessness, incarceration, foster care, mental health services, substance use services or addiction, or as a close family member of someone who has this experience

This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration with internal and/or external customers and contacts. Follows established regulatory guidelines, policies, and procedures in relation to member interventions and documentation of activities related to the member's care and progress across the continuum of care. Facilitates and/or participates in interdisciplinary and/or interagency meetings, when necessary, to facilitate coordination of services/resources for members. ESSENTIAL RESPONSIBILITIES * Communicate effectively while performing customer telephonic interviewing and communication with external contacts. * Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts. * Maintain knowledge of Medical Terminology and Medical Diagnostic Categories/Disease States * Educate members to enhance member understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health outcomes. * Collaborate with Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being to coordinate member care. * Collect member medical information from a variety of sources including providers and internal records and use appropriate clinical judgment, consultation with internal Physician Advisors and other internal cross-departmental consultation to determine unmet member needs. * Work primarily independently to identify, define, and resolve a myriad of problem types experienced by the member. * Develop an individualized plan of care designed to meet the specific needs of each member. * Anticipate the needs of members by continually assessing and monitoring the member's progress toward goals, care plan status, and re-adjust goals when indicated. * Maintain a working knowledge of available resources for addressing identified member needs and to facilitate proactive and efficient provision of services. * Be knowledgeable of and consider benefit design and cost benefit analysis when planning a course of intervention to develop a realistic plan of care. * Communicate and collaborate with other payers (when applicable) to create a collaborative approach to care management and benefit coordination. * Maintain a working knowledge of available community resources available to assist members. * Coordinate with community organizations/agencies for the purpose of identifying additional resources for which the MCO is not responsible. * Work within a Team Environment. * Attend and participate in required meetings, including staff meetings, internal Rounds, and other in-services to enhance professional knowledge and competency for overall management of members. * Participate in departmental and/or organizational work and quality initiative teams. * Case collaborates with peers, Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts. * Participate in interagency and/or interdisciplinary team meetings when necessary to facilitate coordination of member care and resources. * Foster effective work relationships through conflict resolution and constructive feedback skills. * Attend internal and external continuing education forums annually to enhance overall clinical skills and maintain professional licensure, if applicable. * Educate health team colleagues of the role and responsibility of Case Management and the unique needs of the populations served to foster constructive and collaborative solutions to meet member needs. * Other duties as assigned or requested. QUALIFICATIONS Minimum * Bachelor's degree in nursing or RN certification in lieu of bachelor's degree or Master's degree in Social Work, Counseling, Education, or related field and 3 years' experience in Acute or Managed Care/ experience with Medicaid or Medicare populations. OR * Bachelor's degree in Social Work with five years' experience in Acute or Managed Care/ experience with Medicaid or Medicare populations Preferred * Experience working with high-risk pregnant women OR experience working with chronic condition adult populations OR experience with pediatrics * 3 years of experience in working in Acute Care/Managed Care/Medicaid and Medicare populations. * Bilingual English/Spanish language skills. * Case Management Certification LICENSES AND CERTIFICATIONS Required * Licensed Social Worker (LSW)-Non-Specific - State (OR) Licensed Professional Counselor (LPC) - Non-Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW) - Non-Specific (OR) Licensed Master Social Worker (LMSW) Non-Specific (OR) Licensed Graduate Social Worker (LGSW) (OR) Licensed Certified Social Worker (LCSW). Incumbents in the role prior to 1/1/25 who are not currently licensed must obtain licensure by 6/30/2026. (OR) Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Preferred * None Skills * None SCOPE OF RESPONSIBILITY Does this role supervise/manage other employees? No WORK ENVIRONMENT Is Travel Required? No Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $57,700.00 Pay Range Maximum: $107,800.00 Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :Highmark Inc. : This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration with internal and/or external customers and contacts. Follows established regulatory guidelines, policies, and procedures in relation to member interventions and documentation of activities related to the member's care and progress across the continuum of care. Facilitates and/or participates in interdisciplinary and/or interagency meetings, when necessary, to facilitate coordination of services/resources for members. ESSENTIAL RESPONSIBILITIES Communicate effectively while performing customer telephonic interviewing and communication with external contacts. Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts. Maintain knowledge of Medical Terminology and Medical Diagnostic Categories/Disease States Educate members to enhance member understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health outcomes. Collaborate with Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being to coordinate member care. Collect member medical information from a variety of sources including providers and internal records and use appropriate clinical judgment, consultation with internal Physician Advisors and other internal cross-departmental consultation to determine unmet member needs. Work primarily independently to identify, define, and resolve a myriad of problem types experienced by the member. Develop an individualized plan of care designed to meet the specific needs of each member. Anticipate the needs of members by continually assessing and monitoring the member's progress toward goals, care plan status, and re-adjust goals when indicated. Maintain a working knowledge of available resources for addressing identified member needs and to facilitate proactive and efficient provision of services. Be knowledgeable of and consider benefit design and cost benefit analysis when planning a course of intervention to develop a realistic plan of care. Communicate and collaborate with other payers (when applicable) to create a collaborative approach to care management and benefit coordination. Maintain a working knowledge of available community resources available to assist members. Coordinate with community organizations/agencies for the purpose of identifying additional resources for which the MCO is not responsible. Work within a Team Environment. Attend and participate in required meetings, including staff meetings, internal Rounds, and other in-services to enhance professional knowledge and competency for overall management of members. Participate in departmental and/or organizational work and quality initiative teams. Case collaborates with peers, Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts. Participate in interagency and/or interdisciplinary team meetings when necessary to facilitate coordination of member care and resources. Foster effective work relationships through conflict resolution and constructive feedback skills. Attend internal and external continuing education forums annually to enhance overall clinical skills and maintain professional licensure, if applicable. Educate health team colleagues of the role and responsibility of Case Management and the unique needs of the populations served to foster constructive and collaborative solutions to meet member needs. Other duties as assigned or requested. QUALIFICATIONS Minimum Bachelor's degree in nursing or RN certification in lieu of bachelor's degree or Master's degree in Social Work, Counseling, Education, or related field and 3 years' experience in Acute or Managed Care/ experience with Medicaid or Medicare populations. OR Bachelor's degree in Social Work with five years' experience in Acute or Managed Care/ experience with Medicaid or Medicare populations Preferred Experience working with high-risk pregnant women OR experience working with chronic condition adult populations OR experience with pediatrics 3 years of experience in working in Acute Care/Managed Care/Medicaid and Medicare populations. Bilingual English/Spanish language skills. Case Management Certification LICENSES AND CERTIFICATIONS Required Licensed Social Worker (LSW)-Non-Specific - State (OR) Licensed Professional Counselor (LPC) - Non-Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW) - Non-Specific (OR) Licensed Master Social Worker (LMSW) Non-Specific (OR) Licensed Graduate Social Worker (LGSW) (OR) Licensed Certified Social Worker (LCSW). Incumbents in the role prior to 1/1/25 who are not currently licensed must obtain licensure by 6/30/2026. (OR) Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Preferred None Skills None SCOPE OF RESPONSIBILITY Does this role supervise/manage other employees? No WORK ENVIRONMENT Is Travel Required? No Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $57,700.00 Pay Range Maximum: $107,800.00 Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice

This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration with internal and/or external customers and contacts. Follows established regulatory guidelines, policies, and procedures in relation to member interventions and documentation of activities related to the member's care and progress across the continuum of care. Facilitates and/or participates in interdisciplinary and/or interagency meetings, when necessary, to facilitate coordination of services/resources for members. **ESSENTIAL RESPONSIBILITIES** + Communicate effectively while performing customer telephonic interviewing and communication with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts. + Maintain knowledge of Medical Terminology and Medical Diagnostic Categories/Disease States + Educate members to enhance member understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health outcomes. + Collaborate with Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being to coordinate member care. + Collect member medical information from a variety of sources including providers and internal records and use appropriate clinical judgment, consultation with internal Physician Advisors and other internal cross-departmental consultation to determine unmet member needs. + Work primarily independently to identify, define, and resolve a myriad of problem types experienced by the member. + Develop an individualized plan of care designed to meet the specific needs of each member. + Anticipate the needs of members by continually assessing and monitoring the member's progress toward goals, care plan status, and re-adjust goals when indicated. + Maintain a working knowledge of available resources for addressing identified member needs and to facilitate proactive and efficient provision of services. + Be knowledgeable of and consider benefit design and cost benefit analysis when planning a course of intervention to develop a realistic plan of care. + Communicate and collaborate with other payers (when applicable) to create a collaborative approach to care management and benefit coordination. + Maintain a working knowledge of available community resources available to assist members. + Coordinate with community organizations/agencies for the purpose of identifying additional resources for which the MCO is not responsible. + Work within a Team Environment. + Attend and participate in required meetings, including staff meetings, internal Rounds, and other in-services to enhance professional knowledge and competency for overall management of members. + Participate in departmental and/or organizational work and quality initiative teams. + Case collaborates with peers, Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts. + Participate in interagency and/or interdisciplinary team meetings when necessary to facilitate coordination of member care and resources. + Foster effective work relationships through conflict resolution and constructive feedback skills. + Attend internal and external continuing education forums annually to enhance overall clinical skills and maintain professional licensure, if applicable. + Educate health team colleagues of the role and responsibility of Case Management and the unique needs of the populations served to foster constructive and collaborative solutions to meet member needs. + Other duties as assigned or requested. **QUALIFICATIONS** **Minimum** + Bachelor's degree in nursing or RN certification in lieu of bachelor's degree or Master's degree in Social Work, Counseling, Education, or related field and 3 years' experience in Acute or Managed Care/ experience with Medicaid or Medicare populations. OR + Bachelor's degree in Social Work with five years' experience in Acute or Managed Care/ experience with Medicaid or Medicare populations **Preferred** + Experience working with high-risk pregnant women OR experience working with chronic condition adult populations OR experience with pediatrics + 3 years of experience in working in Acute Care/Managed Care/Medicaid and Medicare populations. + Bilingual English/Spanish language skills. + Case Management Certification **LICENSES AND CERTIFICATIONS** **Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Licensed Professional Counselor (LPC) - Non-Specific State ( **OR** ) Licensed Bachelors Social Worker (LBSW) **(OR)** Licensed Clinical Social Worker (LCSW) - Non-Specific **(OR)** Licensed Master Social Worker (LMSW) Non-Specific **(OR)** Licensed Graduate Social Worker **(** LGSW) **(OR)** Licensed Certified Social Worker (LCSW). Incumbents in the role prior to 1/1/25 who are not currently licensed must obtain licensure by 6/30/2026. **(OR)** Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). **Preferred** + None **Skills** + None **SCOPE OF RESPONSIBILITY** Does this role supervise/manage other employees? No **WORK ENVIRONMENT** Is Travel Required? No **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement:_** _This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $57,700.00 **Pay Range Maximum:** $107,800.00 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J274508

Zepf Center has been serving the Lucas County community for over 50 years. We are the leading provider of behavioral health and substance use disorder services in Northwest Ohio. Services include adult and child psychiatric, substance abuse, case management, residential, Crisis Care, and therapy programs, as well as career development and wellness services. Zepf Center also offers primary care medical services to our patients to contribute to their continuum of care. Zepf Center is a trauma-informed agency and environment for both patients and staff. We are currently seeking a full-time Community Based Case Manager for the CCBHC grant to provide direct services to help achieve better health and wellness. Advocates for consumers to obtain healthcare and other treatment services. The purpose of this position is to provide a wide range of community support and coordination of services to people experiencing serious mental illness and to ensure their needs are addressed. They assist clients with the development of short and long-term goals and acquisition of community resources. Services will be provided with respect and in accordance with clients rights. The person in this position participates in development and coordination of the comprehensive care coordination and treatment plan, advocates for persons on their caseload, provides for assessment, linkage and referral, coordinates crisis intervention services and assists in the management of psychiatric and physical health symptoms. Levels of support required by people on caseload may vary greatly. Hours: Monday - Friday; 8:30am - 4:30pm ***Premium Pay and Benefits Offered!*** **Opportunities for Quarterly Bonuses Based on Client Engagement** Essential Duties of this position include but are not limited to: Provide direct services for consumers to help them achieve healthcare goals and improve health and wellness. Maintains clinical responsibility for those assigned clients who have either mental health diagnoses or co-occurring mental health and substance use disorders. In conjunction with the client, family and/or supportive others, and care team of assigned providers, develops and updates a strength-based Individualized Action Plan (IAP) for each client based on the completion of a case management assessment/IAP review as needed based on individual needs. Provides strength-based assessment of patients for care coordination needs, abilities, preferences, and goals, identifies objectives and interventions, and facilitates IAP updates, referrals and linkage to appropriate internal and external resources based on assessed needs. Facilitates as primary driving force of carrying out the treatment plan and facilitating warm hand offs wherever clinically appropriate. Provides therapeutic client-centered evidence-based interventions including, but not limited to, treatment planning, discharge planning, service coordination, individual/group/family counseling, transition planning, wellness programming, resource access, advocacy, recovery planning, healthcare management, and participation in/facilitation of care coordination/team meetings/trainings. Monitors clients to identify potential relapse, changes in treatment needs/goals, change in level of care, barriers to achieving goals, increase or decrease of progress, and effectiveness of the IAP. Completes required paperwork in accordance with timelines and standards required by the agency, regulatory bodies and payors. Provides assistance to patients in gaining access to essential community resources via transportation using Zepf fleet vehicles and documenting accordingly per policies and protocols. Advocate on behalf of patients to obtain appropriate treatment and services. Work with healthcare, wellness, and mental health professional staff on-site and in the community to achieve treatment goals. Keep records on care management and collects data to maintain outcome measures. Attend all required training to ensure individual and professional growth. Commitment to health equity and National Culturally and Linguistically Appropriate Services (CLAS) standards and evaluation of program cultural competency performance Position Competencies: Professional approach to all functions and relationships with all levels of staff, clients, other agencies, and community members. Proficient computer skills to manage and document case records effectively. Knowledge of community resources and levels of care Ability to coordinate service delivery for the clients on their caseload. Strong written and verbal communication skills. Organizational Competencies: Demonstrate knowledge of the agency mission, vision, goals, and philosophy as well as the policies and procedures. Strives for high client satisfaction by providing leadership and/or assistance to coworkers and clients through the integrated care process. Demonstrate consistent professionalism. Demonstrate teamwork. Abide by the agencies and/or professional code of ethics. Strives to improve own and agency operations Commit to cultivating a non-violent and trauma-informed environment for all employees and clients, through our pursuit of Sanctuary; a trauma-informed model. Commit to a deeper exploration of Sanctuary Values. Incorporates sanctuary techniques into daily work activities. Participates on sanctuary process teams and/or supports sanctuary initiatives Requirements: High School Diploma, GED, or Associates degree plus at least three years experience with care coordination in behavioral health required - OR - Bachelors degree in social work, counseling, public administration, nursing, or related field required LPN or LSW preferred. Those eligible to drive company vehicles must have a valid driver's license and be eligible for coverage as defined by the agency commercial insurance carrier. Those who drive personal vehicles in the course of business must be able to provide proof of insurance. PI6edd4e7d702e-31181-38957868

The Medical Case Manager is responsible for providing comprehensive case management services at Equitas Health and identifying and assisting HIV+ persons needing case management services throughout Ohio. The individual will operate in accordance with the established professional standards and guidelines as stated by the Ohio Revised Code and put forth by the Ohio Counselor, Social Work, and Marriage and Family Therapist Board. The individual will operate in accordance with the established professional standards and guidelines for the National Association of Social Workers (NASW) and agree to adhere to NASW standards for social work management. ESSENTIAL JOB FUNCTIONS: Essential functions of the job include, but are not limited to, traveling, driving, having reliable transportation to transport clients and meet clients, and utilizing a computer for typing and conducting research, attending meetings, conducting assessments, and counseling. MAJOR AREAS OF RESPONSIBILITY: Provide high-quality case management for clients and their families by assisting them to access medical services, health insurance, Ryan White benefits, and other resources and services to improve health outcomes, housing stability, and employment and income attainment. Conduct comprehensive psychosocial assessments for people with HIV/AIDS seeking services at intake and complete update assessments each bi-annually and as needed. Medical Case Managers will assist clients in completing and submitting all necessary documentation related to these assessments. Develop, monitor, and evaluate individual care plans for each assigned client at intake, bi-annually, and as needed thereafter. Case Plans will address services provided to the client within Equitas Health, as well as services managed within the community by other providers. Function as a central and primary access point for financial assistance programs, including but not limited to Ryan White Treatment Modernization Act (Part B and C), HOPWA short-term rental assistance, and other assistance programs as appropriate. Medical Case Managers will complete and submit paperwork as is needed to support clients in maintaining these assistance programs. Assess the client's mental health needs and provide crisis intervention as necessary. Medical Case Managers are responsible for completing lethality assessment documentation and consulting with Supervisors whenever a crisis occurs. Medical Case Managers will also reach out to community mental health services and consult with ongoing Mental Health and Therapy Providers as appropriate. Assist client with linkage to resources such as housing, respite, nutritional assistance, palliative care, chore assistance, transportation, and social functions that help increase the client's ability to remain independent in the community. Navigate community workforce programs and provide supportive services to clients that address the unique barriers to employment PLWHA may face in returning to work, understanding benefits eligibility, confidentiality, and health management in the workplace. Provide transportation to and from appointments related to resource needs, medical needs, and other activities related to the client's ability to remain independent within the community. Identify and engage health care professionals in the region to provide quality services to HIV+ individuals and establish new relationships in collaboration with ODH. Medical Case Managers will refer Providers who seek a relationship with ODH to the appropriate contacts within ODH. Represent Equitas Health within the community, engaging other service providers and providing education about special needs associated with a client living with HIV/AIDS in the primary care continuum, mental health continuum, and other community resources. Works collaboratively within a multidisciplinary team. Maintain confidentiality of clients by adhering to Equitas Health Confidentiality Policy and Procedure, HIPAA, and other established professional standards and guidelines. Medical Case Managers are responsible to maintain documentation through Equitas Health, ODH, and other software systems. All documentation will be recorded and complete within two business days of provided service. Effective written and verbal communication skills. Ensure that action items and updates are provided to Supervisor proactively. Capture feedback from clients, staff, and community partners and communicate the information to the appropriate persons. Returns client, provider, and other stakeholder correspondence within 2 business days. Achieve productivity standards maintained by Equitas Health, including spending no less than 60% per month of hours worked directly engaging with clients, their families, and other informal supports. Participate in and complete Peer Review Audits monthly. Medical Case Managers will maintain scores of no less than 90% on monthly peer reviews. Coordinate with clients in order to maintain Active status through Ryan White and other programs. Medical Case Managers are responsible to have no less than 90% of their clients within a date or identified as active in any given month. Responsible for accurate and timely completion of the documentation in order to provide accurate data and reports to Equitas Health and its Board, as well as federal, state, and local governments. Attend training, as assigned, to improve case management skills related to written and verbal skills, putting theory into practice, and accurate documentation across multiple systems. Medical Case Managers will participate in Motivational Interviewing training and Learning Groups. As appropriate, Supervisors will schedule shadowing and review recorded visits between Medical Case Managers and clients in order to evaluate Motivational Interviewing skills. Participate in Equitas Health Committees and Performance Improvement Teams as appropriate and assigned by direct supervisor. Prepare for and attend individual and group supervision per the Supervisor's schedule. Medical Case Managers are responsible for bringing client concerns, process questions, and other needs to scheduled supervisions. Medical Case Managers are required to attend 8 hours of supervision per month. Demonstrates unconditional positive regard to clients; Conducts all aspects of job responsibilities with a focus on exceptional customer service. Demonstrates continuous growth and development of Cultural Competency exhibiting an understanding, awareness, and respect for diversity. Attend monthly, quarterly, and as-needed meetings in-person at multiple agency sites and community partner locations. Utilize email, Skype, phone, and other telecommunication options to participate in meetings across sites. Other duties as assigned are related to this position by the supervisor. KNOWLEDGE, SKILLS, ABILITIES, AND OTHER QUALIFICATIONS: Minimum of BS/BSW and LSW required. Must have sensitivity to, interest in, and competence in cultural differences, HIV/AIDS, minority health, sexual practices, and a demonstrated competence in working with persons of color, and the gay/lesbian/bisexual/transgender community. Community-based Case Management and training experience desired. Proficiency in all Microsoft Office applications and other computer applications required. Reliable transportation, driver's license, and proof of auto insurance required. Knowledge and adherence to social work standards and ethics. OTHER INFORMATION: Background and reference checks will be conducted. Hours may vary, including working some evenings and weekends based on workload. Individuals are not considered applicants until they have been asked to visit for an interview and at that time complete an application for employment. Completing the application does not guarantee employment. In accordance with Equitas Health's Drug-Free Workplace Policy, pre-employment drug testing will be administered. EOE/AA It is the policy of Equitas Health that no employee or applicant will be discriminated against because of race, color, religion, creed, national origin, gender, gender identity and expression, sexual orientation, age, disability, HIV status, genetic information, political affiliation, marital status, union activity, military, veteran, and economic status, or any other characteristic protected in accordance with applicable federal, state, and local laws. This policy applies to all phases of its personnel activity including recruitment, hiring, placement, upgrading, training, promotion, transfer, separation, recall, compensation, benefits, education, recreation, and all other conditions or privileges of employment. Equitas Health values diversity and welcomes applicants from a broad array of backgrounds.

Full-time Description At Signature Health, our purpose is to provide integrated healthcare for our community specializing in patients with mental illness and/or addiction because we want people to realize their highest potential. If you align with our core values, putting people first, striving for excellence in the work you do each day and have a can do mindset, then Signature Health is the best place for the next step in your rewarding career. As a full-time employee, you will have access to the following employer/employee paid benefits: Medical, Dental, Vision, 401k match, HealthJoy - a no cost medical and mental health online resource available Day 1, and much more Robust earned paid time off program (PTO) Federal Loan Forgiveness Program (available on eligible roles) Professional Development Support SCOPE OF ROLE Reporting to the Manager, Ryan White Program, the Medical Case Manager will provide a range of client-centered services that link clients with health care, psychosocial and other services. You will coordinate and follow-up on medical treatments ensuring timely and coordinated access to medically appropriate levels of health and support services. The Medical Case Manager ensures continuity of care through ongoing assessment of the client's and client's key family members' needs and personal support systems. HOW YOU'LL SUCCEED Actively fulfill Medical Case Manager needs by working at various Signature Health locations as scheduled by your Supervisor. Provide an initial assessment of client service needs. Develop a comprehensive, individualized care plan and coordinate services required to implement the plan. Continuously monitor client progress to assess the efficacy of their treatment plan and conduct periodic re-evaluation and adaptation of the plan at least every six (6) months, as necessary. Provide a range of client-centered services that link clients with health care, psychosocial and other services, including benefits/entitlement counseling and referral activities, assisting the client to access other public and private programs for which the client may be eligible (.g., Medicaid, Medicare Part D, State Pharmacy Assistance Programs, and other State or local health care and supportive services). Provide ongoing assessment of the client's key family members' needs and personal support systems. Facilitate treatment adherence counseling to ensure readiness for, and adherence to, complex HIV/AIDS treatments. Maintain client charts that include the required elements for compliance with contractual and Ryan White Program requirements, including required case management activities, services, and activities, the type of contact, and the duration and frequency of the encounter. Client-specific advocacy and/or review of utilization of services Maintain clear communication with referents or designated liaison persons. Monitor and enforce client's rights and confidentiality, and ensure high ethical standards. Conduct and participate in all Quality Improvement and Utilization Review activities. Personally maintain a high standard of professional and ethical standards. Other duties as assigned. Requirements KNOWLEDGE & EXPERIENCE Bachelor's Degree required. Valid unencumbered LSW or LISW License in the state of Ohio required. Formalized training as well as practical experience in medical case management required. American Heart Association (AHA) Basic Life Support (BLS) certification required. Valid unencumbered Ohio driver's license and proof of driver's insurance required. Models and possesses core and specialty competencies and skills working with the HIV/AIDs client population. Experience collaborating with other team members to optimize outcomes clients. Familiarity of state and federal healthcare regulations. Awareness of community and state support resources for population served. WORKING CONDITIONS Work is normally performed in a typical interior/office/clinical work environment. While hours of operation are generally standard, flexibility to work evenings and extended hours may be required. Requires periods of sitting, standing, telephone, and computer work. Hearing: adequate to hear clients or patients in person, over the telephone or through telehealth technology. Speaking: adequate to speak to clients or patients in person, over the telephone or through telehealth technology. Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens. Physical effort required: occasional lifting and carrying items weighing up to 15 pounds, unassisted. Possible exposure to blood borne pathogens while performing job duties. Frequent bending, reaching, and repetitive hand movements, standing, walking, squatting and sitting, with some lifting, pushing and pulling exerted regularly throughout a regular workday. Sufficient dexterity to operate a PC and other office equipment. This Success Profile is not an exhaustive list of all functions or requirements that you may be required to perform; you may be required to perform other job-related assignments as requested by your supervisor or the company. You must be able to perform the essential functions of the position satisfactorily; however, if requested, reasonable accommodations may be made to enable you to perform the essential functions of this job, absent undue hardship. Signature Health may revise this Success Profile at any time, with or without advanced notice. All employees of Signature Health are required to comply with the Signature Health Annual Influenza Vaccination Policy. This policy requires employees to obtain an annual flu vaccination. A medical and/or religious exemption may be submitted for review by the Signature Health Review Committee. Exemption requests are not guaranteed to be approved. Signature Health is a drug-free workplace. After receiving a conditional job offer, all applicants must successfully pass a pre-employment drug screen.

Facilitates the rehabilitation process for adults with severe and persistent mental illness. Provides monitoring and coordinates the delivery of necessary evaluation and assessments to identify the patient needs, development of the rehabilitation plan, linkage and coordination of appropriate community services. Assists with independent skills training; advocacy for financial, medical and legal entitlements. Arranges for crisis intervention. Services are mobile and delivered primarily in the community. The Case Manager works under the supervision a licensed clinician and is assigned a complex caseload with multiple and varied problems based on experience, expertise and education. Patients with severe and persistent mental illness who are assigned may present a history of significant risk to themselves and/or others. Responsibilities In conjunction with the supervisor, prepares and reviews periodically an individualized service plan with the patient and assists the patient/service providers in achieving service plan objectives. Revises service plan with the patient at annual reviews and as care needs changed. Possesses knowledge of community resources and coordinates all needed referrals for residential, financial, vocational, psychiatric, educational, health and counseling needs. Represents MHS to the community caregivers, citizens, and community leaders, explaining MHS policies. Collects patient collateral information from involved providers such as physicians, hospitals, private practitioners, Court officials and other care givers. With the patient, identifies and prioritizes problems , needs and opportunities so that level of assistance can be determined. Charts patient's progress in their clinical record and completes all paperwork necessary by MHS policy for professional, administrative, financial, and evaluative purposes of monitoring clinical care and of assuring efficient and effective agency operations. Ensures that the needed release forms are signed and correct. Maintains a professional relationship and provides face to face contacts with patients regardless of service environment (e.g. residential, inpatient). Screens for pain and encourages patient to follow up with a health care provider of their choice. Delivers mobile services which are community based. Engages in outreach, problem solving, advocating, crisis intervention, skills training. In consultation with supervisor, addresses urgent needs such as stabilization, medication, homicidal and suicidal behaviors by assisting the patient in accessing appropriate intervention. Presents patient cases for review with team and/or supervisor. Consults with other providers and community caregivers to strengthen and coordinate social intervention programming. Identifies deficits in community resources and forwards them to supervisor. Is responsible to deliver the number of units of service budgeted by the Vice President in order to assure the fiscal viability of MHS. Participates in quality improvement activities when appropriate. Actively assesses patients for crisis stabilization and intervenes during signs of crisis, utilizing de-escalation techniques and crisis management skills. Assist patients with entitlements. Follows all universal precautions for safety, infection control and follows all state, federal and joint commission health and safety standards. Treats patients and family with dignity and respect at all times, and holds all patient information in the strictest confidence. Adhere to professional standards, policies and procedures, federal, state and local requirements and Joint Commission standards, including National Patient Safety Goals. Presents a positive image of MHSCC to other community agencies, caregivers and citizens Completes all MHS required education and training, including initial agency orientation, mandatory trainings and educations, and up keep of all required certifications and licensure as required by state, federal and regulatory requirements. Demonstrates organizational stewardship and exemplifies the mission, vision and values of MHS. Performs other job-related tasks as assigned Education/Experience High School diploma or equivalent with 3 years' experience in mental/behavioral health (required) -OR-- Associate or bachelor's degree in a social/human services related field (preferred) Experience with SUD/Dual Diagnosis preferred Licensure/Certifications Valid OH drivers license, valid auto-insurance and be able to meet the MHS liability insurance standards CDCA/LCDC (Preferred) Ability to be credentialed as a QMHS within 30 days of hiring NVCI CPR(BLS)/First Aid MHS provides CPR (BLS)/First Aid and NVCI (CPI Blue Card) for all new staff, along with on-going education and on-the-job training opportunities . All MHS candidates are required to have an Ohio BCI check (FBI check required if you have lived in Ohio for less than 5 years, or for working with children), 5-panel drug screen and Residential candidates must have a 2-step TB (or proof of prior TB) upon conditional offer of employmen

North Community Counseling Centers (NCCC) is seeking a Residential Case Manager (QMHS) to provide services in the Franklin County area. Residential Case Managers provide a variety of services including advocacy, linkage to resources and working collaboratively with the Next Generation Residential Program to provide comprehensive care. QMHS for Residential - 20 clients - 4 houses - primarily coordinating medical appointments, self care appointments, and activities. NCCC offers competitive salaries, medical and dental benefits to qualified employees and opportunities for growth and advancement. Associates, bachelors or master's degree preferred. Must have valid driver's license and current insurance. Responsibilities: Client advocacy Linkage to resources Communicate client updates to all relevant parties working closely with residential staff Facilitate referrals to other healthcare professionals and programs Coordinate transportation and/or assist residents to appointments as needed Maintain accurate client documentation Coordinate and facilitate groups Qualifications: Previous experience in social work, mental health and a residential setting preferred Compassionate and caring demeanor Ability to build rapport with clients, family members and/or significant others Strong leadership qualities Excellent written and verbal communication skills Valid Driver's License & Insurance is a must Reliable Transportation Flexible hours as needed Agency Benefits: Paid Time off & Holidays Medical, Dental and Vision Insurance Coverage Possible Monthly Bonus Career Growth Mileage Reimbursement Paid time off Pay Frequency: Bi weekly Job Type: Full-time Pay ranges for the QMHS position are based on experience and level of licensure. Candidates may select a set salary or variable hourly wage. Salary QMHS positions are offered a benefits package. This position requires 89 billable hours per month. $42,000 - $44,000 Annual Salary North Community Counseling Centers is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Responsible for the full client care cycle including: assessing, planning, implementing, monitoring, and evaluating actions required to meet the clients' health and human services needs. Position Description: Working with offsite support, coordinate and provide care that is safe, timely, effective, efficient, equitable, and client-centered Maintain caseload and productivity by maintaining regular contact with clients to monitor and assess progress Handle case assignments, draft service plans, review case progress and determine case closure with growing independence Deliver on-going services to clients which may include: crisis intervention, advocacy, medication monitoring, transportation assistance, budgeting, housing assistance, and referral and linkage to community resources as needed Assist in helping clients achieve wellness and autonomy through supportive counseling and facilitating multiple care aspects (care coordination, information sharing, etc.) Develop and/or implement individualized client service plans and ensure compliance with applicable standards and agency policies Document all clinical activities to meet specific program, funder and credentialing entity criteria timely and with accuracy Participate in treatment team and assist in making recommendations for client status changes May lead educational groups and/or facilitate group curriculum May require transportation of clients in vehicle Adhere to professional standards as outlined by protocols, rules and regulations Other duties as assigned Required Knowledge, Skills and Abilities: Ability to learn case management principles, healthcare management and reimbursement requirements Excellent organizational and time management skills Effective verbal and written communication skills Ability to relate to and interact with a wide variety of people Advanced level problem solving skills and ability to multi-task while prioritizing Ability to utilize technology including electronic service documentation system Basic computer skills with ability to navigate Microsoft applications including but not limited to Word, Outlook, Excel, Teams. and Power Point Job Requirements: Associate's Degree in Behavioral Science or related field, or equivalent work experience as allowed/required by regulatory bodies Valid driver license and auto insurance Essential Functions/Physical Demands: Positional: Driving in accordance with job duties assigned. Occasional standing and walking. Occasional to frequent sitting. Gross Mobility: Rare climbing, or crawling. Infrequent balancing, stooping, kneeling, or crouching. Frequent to constant reaching and handling. Sensory: Rare tasting/smelling. Infrequent use of color vision. Occasional use of far visual acuity, depth perception, and field of vision. Frequent use of near and midrange visual acuity, and visual accommodation. Frequent to constant talking. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or on the basis of disability.

At Signature Health, our purpose is to provide integrated healthcare for our community specializing in patients with mental illness and/or addiction because we want people to realize their highest potential. If you align with our core values, putting people first, striving for excellence in the work you do each day and have a can do mindset, then Signature Health is the best place for the next step in your rewarding career. As a full-time employee, you will have access to the following employer/employee paid benefits: * Medical, Dental, Vision, 401k match, HealthJoy - a no cost medical and mental health online resource available Day 1, and much more * Robust earned paid time off program (PTO) * Federal Loan Forgiveness Program (available on eligible roles) * Professional Development Support SCOPE OF ROLE Reporting to the Manager, Ryan White Program, the Medical Case Manager will provide a range of client-centered services that link clients with health care, psychosocial and other services. You will coordinate and follow-up on medical treatments ensuring timely and coordinated access to medically appropriate levels of health and support services. The Medical Case Manager ensures continuity of care through ongoing assessment of the client's and client's key family members' needs and personal support systems. HOW YOU'LL SUCCEED * Actively fulfill Medical Case Manager needs by working at various Signature Health locations as scheduled by your Supervisor. * Provide an initial assessment of client service needs. * Develop a comprehensive, individualized care plan and coordinate services required to implement the plan. * Continuously monitor client progress to assess the efficacy of their treatment plan and conduct periodic re-evaluation and adaptation of the plan at least every six (6) months, as necessary. * Provide a range of client-centered services that link clients with health care, psychosocial and other services, including benefits/entitlement counseling and referral activities, assisting the client to access other public and private programs for which the client may be eligible (.g., Medicaid, Medicare Part D, State Pharmacy Assistance Programs, and other State or local health care and supportive services). * Provide ongoing assessment of the client's key family members' needs and personal support systems. * Facilitate treatment adherence counseling to ensure readiness for, and adherence to, complex HIV/AIDS treatments. * Maintain client charts that include the required elements for compliance with contractual and Ryan White Program requirements, including required case management activities, services, and activities, the type of contact, and the duration and frequency of the encounter. * Client-specific advocacy and/or review of utilization of services * Maintain clear communication with referents or designated liaison persons. * Monitor and enforce client's rights and confidentiality, and ensure high ethical standards. * Conduct and participate in all Quality Improvement and Utilization Review activities. * Personally maintain a high standard of professional and ethical standards. * Other duties as assigned. Requirements KNOWLEDGE & EXPERIENCE * Bachelor's Degree required. * Valid unencumbered LSW or LISW License in the state of Ohio required. * Formalized training as well as practical experience in medical case management required. * American Heart Association (AHA) Basic Life Support (BLS) certification required. * Valid unencumbered Ohio driver's license and proof of driver's insurance required. * Models and possesses core and specialty competencies and skills working with the HIV/AIDs client population. * Experience collaborating with other team members to optimize outcomes clients. * Familiarity of state and federal healthcare regulations. * Awareness of community and state support resources for population served. WORKING CONDITIONS * Work is normally performed in a typical interior/office/clinical work environment. * While hours of operation are generally standard, flexibility to work evenings and extended hours may be required. * Requires periods of sitting, standing, telephone, and computer work. * Hearing: adequate to hear clients or patients in person, over the telephone or through telehealth technology. * Speaking: adequate to speak to clients or patients in person, over the telephone or through telehealth technology. * Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens. * Physical effort required: occasional lifting and carrying items weighing up to 15 pounds, unassisted. * Possible exposure to blood borne pathogens while performing job duties. * Frequent bending, reaching, and repetitive hand movements, standing, walking, squatting and sitting, with some lifting, pushing and pulling exerted regularly throughout a regular workday. * Sufficient dexterity to operate a PC and other office equipment. This Success Profile is not an exhaustive list of all functions or requirements that you may be required to perform; you may be required to perform other job-related assignments as requested by your supervisor or the company. You must be able to perform the essential functions of the position satisfactorily; however, if requested, reasonable accommodations may be made to enable you to perform the essential functions of this job, absent undue hardship. Signature Health may revise this Success Profile at any time, with or without advanced notice. All employees of Signature Health are required to comply with the Signature Health Annual Influenza Vaccination Policy. This policy requires employees to obtain an annual flu vaccination. A medical and/or religious exemption may be submitted for review by the Signature Health Review Committee. Exemption requests are not guaranteed to be approved. Signature Health is a drug-free workplace. After receiving a conditional job offer, all applicants must successfully pass a pre-employment drug screen.

GCBHS has immediate openings for Mental Health Case Managers to help adults who are experiencing severe and persistent mental illness and who live in the community. Join our mission to help individuals with mental illness and addictions to lead healthy and productive lives. We have teams located in Cincinnati and Amelia, Ohio to serve individuals in Clermont and Hamilton County. This is a great starting point for a recent Social Work or Psychology graduate and students in an MSW or Masters in Mental Health Counseling program. Why Work at GCBHS? Boost Your Earning Potential: We now offer up to $50/hour in Productivity Bonuses! Did you know you could earn up to $15,000 in state-funded bonuses? Ask our team for more information about Ohio's State-Sponsored Workforce Initiatives! Paid Time Off and Sick Time (accrued separately) Flexible work schedules + mileage reimbursement Public Student Loan Forgiveness Comprehensive health insurance (dental/vision) 403(b) Retirement with agency matching Tuition Assistance ($2,500 per semester or quarter for MSW or MA Counseling) Internship and Practicum opportunities for MSW and MA Counseling students (prioritized for current employees) Bonus opportunities based on productivity metrics Eligibility for discretionary annual incentive bonus We offer a Case Management Training Academy with start dates every month! No experience is required! We are looking for BSW, Psychology, Sociology, Criminal Justice, or related Human Services degree graduates. GCBHS offers great career advancement opportunities and a rich benefits package including Tuition Assistance ($2,500 per semester for a MSW or MA in Counseling). We also provide practicum supervision, licensure supervision, and continuing education credits. Responsibilities for Case Manager: Provides case management - Community Psychiatric Support Treatment (CPST) services and Therapeutic Behavioral Services (TBS) to persons with severe mental illness in an outpatient setting and in the community. May provide treatment to persons with substance use disorder as a secondary diagnosis. Provides services to individuals in the Greater Cincinnati area, including Hamilton and Clermont counties. Provides face-to-face services in the office and in the community along with telehealth services. Establishes therapeutic relationships, assesses complex problems, selects problem-solving interventions, and helps clients to function effectively. The case manager develops an Individual Recovery Plan and coordinates access to the recommended medical treatment services, employment assistance, housing assistance, and other targeted services. Coordinates, conducts or participates in assessments; provides crisis assistance services; delegates recovery plan tasks to appropriate service providers; and monitors overall service delivery. Requirements for Case Manager: Bachelor's degree in social work, Psychology, Sociology, Criminal Justice, or related Human Services degree. Experience in social services and behavioral health is preferred but not required. The position requires frequent driving of own personal vehicle. A valid driver's license, vehicle, and insurable driving record are required. GCBHS has been named a Top Workplace in Greater Cincinnati and Northern Kentucky 13 years in a row ! Please visit our website ************* to learn more about GCBHS. #LifeChanging #INDCM EEO Employer F/M/Disabled/Vets