Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs.
We're more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day.
At Vynca, our mission is to provide comprehensive care for more quality days at home.
About the job
Internal Title: Clinical Lead Care Manager
We're seeking an exceptional Clinical Lead Care Manager (CLCM) to join our team. Under the direction of the ECM Clinical Manager, the CLCM serves as the client's primary point of contact and works with all their providers such as doctors, specialists, pharmacists, social services providers, and others to make sure everyone is in agreement about the client's needs and care. The CLCM manages client cases, coordinates health care benefits, provides education and facilitates member access to care in a timely and cost-effective manner. The CLCM collaborates and communicates with the client's caregivers/family support persons, other providers, and others in the Care Team to promote wellness, recovery, independence, resilience, and member empowerment, while ensuring access to appropriate services and maximizing member benefit.
This is a hybrid position that requires traveling throughout the Sacramento County area up to 5 days per week. Candidates wishing to be considered must reside within 25-miles of the assigned territory due to frequency of travel.
This is a critical role and we're looking to fill it as soon as possible.
What you'll do
Hybrid (in-person and remote) care management duties as described below:
Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports
Oversees the development of the client care plans and goal settings
Offer services where the member resides, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services
Connect clients to other social services and supports that are needed
Advocate on behalf of the client with health care professionals (e.g. PCP, etc.)
Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles
Conduct outreach and engagement activities in order to facilitate linkage to the ECM program and log activity in the Client Relationship Management (CRM) system
Evaluate client's progress and update SMART goals
Provide mental health promotion
Arrange transportation (e.g., ACCESS)
Complete all documentation, including outcome measures within the timeframes established by the individual care plans
Maintain up-to-date patient health records in the Electronic Medical Record (EMR) system and other business systems
Complete monthly reporting to ensure program compliance
Attend training as assigned
Your experience & qualifications
Active LCSW, LMFT, or LPCC license in California required
1+ year of experience as a care manager, care navigator, or community health worker supporting vulnerable populations.
2 or more years preferred.
Willing and able to work Monday-Friday 8:30am-5:00pm, both in the field and remotely, with flexibility for potential evenings and weekends.
Working knowledge of government and community resources related to social determinants of health
Excellent oral and written communication skills
Positive interpersonal skills required
Clean driving record, valid driver's license, and reliable transportation
Must have general computer skills and a working knowledge of Google Workspace, MS Office, and the internet
Bilingual (English/Spanish)
preferred
Additional Information
The hiring process for this role may consist of applying, followed by a phone screen, online assessment(s), interview(s), an offer, and background/reference checks.
Background Screening: A background check, which may include a drug test or other health screenings depending on the role, will be required prior to employment.
Scope: This job description is not exhaustive and may include additional activities, duties, and responsibilities not listed herein.
Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved.
Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire.
Equal Opportunity Employer: At Vynca Inc., we embrace diversity and are committed to fostering an inclusive workplace. We value all applicants regardless of race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law.
$39k-58k yearly est. 4d ago
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Board Certified Behavior Analyst
Aequor 3.2
Case manager job in Tracy, CA
Aequor's EDU division is working with a school district in the Tracy, CA area on a full-time BCBA position for the remainder of the 25/26 school year. The BCBA will provide behavior analytic services to students within a school setting, collaborating with educators, related service providers, and families to support positive student outcomes.
Key Responsibilities:
Conduct Functional Behavior Assessments (FBAs) and develop Behavior Intervention Plans (BIPs)
Implement and oversee evidence-based behavior support strategies
Provide direct and indirect behavioral consultation to teachers and school staff
Supervise and support RBTs, paraprofessionals, or behavior technicians as applicable
Collect, analyze, and report behavioral data to guide interventions
Participate in IEP meetings and contribute to goal development
Ensure services comply with district policies, IDEA, and ethical standards
Qualifications:
Active BCBA certification (BACB)
Master's degree in Applied Behavior Analysis, Education, Psychology, or related field
Experience working with children in school or educational settings preferred
Knowledge of special education processes and IEPs
Strong collaboration and communication skills
Benefits (if applicable):
Competitive pay
Weekly pay options
Health benefits and 401(k) eligibility
Support from dedicated Aequor education staffing team
$76k-106k yearly est. 3d ago
Inpatient Case Manager (Per Diem, Day)
Northbay Healthcare Group 4.5
Case manager job in Fairfield, CA
At NorthBay Health the Inpatient CaseManager is to assess, plan, implement, monitor and evaluate options and services to affect an appropriate, individualized plan for hospital patient care across the continuum of care. The Inpatient CaseManager will follow assigned patients working with team members and Social Services to prioritize and strategize each day's activities. Using independent judgment and discretion, the patient must be assessed and reassessed as an ongoing process to address the patient's broad spectrum of needs.
The Inpatient CaseManager utilizes clinical knowledge and competence, positive communication skills, problem solving and conflict resolution techniques, ability to effect change, strong skills in assessment, organization, and time management. The casemanagement process requires a focus on critical thinking skills, customer service skills, setting appropriate goals and measuring outcomes to effectively ensure optimal patient outcomes with consideration to financial and healthplan resources. The Inpatient CaseManager at NorthBay Health must be able to demonstrate adherence to the department and system policies, procedures, quality assurance, guidelines and goals of the department and the organization.
At NorthBay Health, our vision is to be the trusted healthcare partner of choice for the communities we serve. We are dedicated to improving the well-being of our community by providing accessible, high-quality care to all who need it. Every member of our team plays a vital role in delivering compassionate and effective healthcare solutions. We invite you to join us in our mission to ensure that every patient and family member feels valued, respected, and cared for throughout their healthcare journey.
Education:
Graduate from an accredited school of professional registered nursing, BSN is required (excludes those employees grandfathered as outlined in March 2014 letter).
Licensure/Certification:
Current California state RN license. Certified CaseManager (CCM) or Accredited CaseManager (ACM) preferred.
Experience:
Minimum of 2 years acute clinical nursing experience preferred.
CaseManagement experience strongly preferred.
Experience can be in lieu of Master's in Nursing with an emphasis in CaseManagement.
Skills:
Basic knowledge of personal computer and software for word processing and good keyboard skills required.
Ability to enter and retrieve data from relevant computer systems required.
Knowledge of MCG, Cerner, Medicare rules and regulations and Conditions of Participation.
Knowledge of Joint Commission, Department of Human Services, Patient Safety, and the Department of Health organizational standards.
Knowledge of levels of care: acute care, home care, subacute care, long-term care, hospice interventions, rehabilitation options, other community resources and requirements, medical necessity guidelines, quality assurance process and determination of positive outcomes, current standards and trends in health care, best practices, management tools, and familiarity with related resources and literature.
Interpersonal Skills:
Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence.
Work Hours:
FTE: 0
Shift Length: 8-hour shifts
Days: Saturday, Sunday, and a weekday every other week
Compensation:
Hourly Salary Range Min $78.00 - Max $94.04 (Offered hourly rate based on years of CaseManagement experience)
$78-94 hourly Auto-Apply 60d+ ago
Case Manager
Lao Family Community Development 3.7
Case manager job in Sacramento, CA
Lao Family Community Development, Inc. (LFCD) is a community development non-profit agency established in the City of Richmond in Contra Costa County in 1980. Today, Lao Family has expanded its operations and service footprint to two additional counties, including Alameda and Sacramento. LFCD's headquarters office is in Oakland, CA. It delivers programs and services from 7 locations in 35 languages. The agency provides both community development real estate facilities and a diverse array of workforce, education, and human services that directly support predominantly low-income US-born high-barrier families and individuals, refugees, immigrants, transitional age youth, seniors, and other special populations such as individuals with disabilities.
Job Summary: LFCD is seeking a qualified candidate for the Employment and Resettlement Programs. The purpose of the program is to provide Housing needs, social services, Training & Job Placement, and to enable employment program clients to achieve self-sufficiency by obtaining the necessary credentials, education, on-the-job training, experience, and job skills to secure employment in professional and skilled career fields. This position is responsible for interfacing with newly arrived clients, local employers, training providers, external organizations, and internal LFCD departments, especially all AJCC and Business Centers. The position's duties include providing housing assistance, family support service, outreach recruitment for eligible participants, providing orientation, intake assessment, Individual Employment Plan (IEP), Career Development Plan, casemanagement, On the Job Training, Individual Training Account/Vocational Training counseling, job placement, providing ongoing support to these individuals, follow up and retention services, monthly report. Program activities and strategies include long-term career advancement for each participant; understanding the hiring and business development needs of each employer; the compliance requirements of funders; and the many subtle factors that can influence each individual's ability to thrive and advance in the workplace. This position reports to the Employment Program Coordinator.
Roles and Responsibilities:
Outreach into the community to provide program information, attend the resource fair to recruit Sacramento residents' older youth, adults, dislocated workers, and newly arrived immigrants, and promote the program; create flyers and promotional materials.
Lead job readiness workshops, job orientation session, interview, one-on-one and small group counseling; develop a resume, cover letter, and individual employment plans, identifies participant needs to determine appropriate job interest and job match to secure job placement; provide labor market information, and job fairs, job clubs, and job referrals; maintain sign-in sheet record and input onto Cal JOBS system or tracking system. 90 days' intensive care follow-up with newly arrived immigrants,
Cultivate and maintain the business relationship with employers, provide them with On-the-Job Training (OJT) information; Maintain existing employment contracts and continue to develop new businesses in the local area to expand the employer's directory; conduct surveys with employers and participants following placement to ensure job stability.
Provide intensive services to participants, including intake assessment, certification, and obtaining supportive documents for enrollment into the program; develop an Individual Employment Plan (IEP), identify career goals, develop a Career Development Plan, prepare the assessment, and make appropriate referrals; provide 12 months of job retention services.
Counsel clients individually and in groups for addressing cultural sensitivity, any types of barriers, job search strategies, interviewing skills, and other topics to assist program participants in entering the job market, retaining employment, and/or advancing in their job or career.
Communicate with training providers and ensure ITA requests are submitted promptly; perform tracking of participants, input data, daily log, monthly case notes, monthly report, and all other activities in the Cal JOBS system or program tracking system.
Upload the eligible participants' information and documentation into the related database
Conduct monthly site visits, job retention, and supportive services; prepare program monthly activity reports to the Program Coordinator.
Consistently achieve or exceed monthly client enrollment and job placement targets in accordance with program objectives.
Stay informed about local labor market trends, employer needs, and training opportunities to better serve participants.
Collaborate with internal team members and external partners to coordinate services, share resources, and ensure effective program delivery.
Attend staff meetings, professional development trainings, and community events to maintain program knowledge and strengthen partnerships.
Assist clients with enrolling in Health Care services (CalAIM), applying for Medical, SNAP, and/or CalWORKs Benefits, and creating a Health Care Plan.
Other duties as assigned by the Program Coordinator/Supervisor.
Requirements and Qualifications:
A Bachelor's degree in Sociology or equivalent is required in a related field; must have at least 2 years of experience providing direct employment services and coaching.
Preferred Bilingual in Dari, Pashto, Ukrainian, or Russian.
Self-starter, ability to work with minimal supervision; excellent communication, community relations, networking, and public speaking skills.
Demonstrated ability to work with families, women, and children without discrimination towards people of diverse cultures, races/ethnicities, socio-economic positions, ages, religions, genders, physical/mental challenges/disabilities, and sexual orientations.
Knowledge of the human services needs of the local job market is a plus.
Understand, explain, and apply complex local, state, and federal regulations, policies, and procedures.
Able to travel to meet with service providers and participants; ability to work independently as well as part of a team; must have a flexible schedule on some evenings and weekends.
Proficient in computer skills in MS Word, Excel, PowerPoint, database management, and Internet browsers.
In Compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required eligibility verification upon hire; must pass a background check.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit and work on the computer; use hands to handle or feel and talk or hear; and move objects up to 25 pounds.
Compensation: Salary is based on experience and education, along with a comprehensive benefits package including health plan/vision, dental, paid vacations, holidays, sick leave, and employer-contributed pension/group life insurance.
To Apply: Submit your cover letter and resume. This position is open until filled and may be closed at any time.
Lao Family Community Development Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age (over 40), disability status, protected veteran status, or any other characteristic protected by law. LFCD is compliant with the Fair Chance to Compete for Jobs Act of 2019 and the Americans with Disabilities Act of 1990 (ADA).
$57k-78k yearly est. Auto-Apply 39d ago
Nurse Medical Case Manager - Workers Compensation
Travelers Insurance Company 4.4
Case manager job in Rancho Cordova, CA
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim, Nurse - Medical CaseManager
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$85,600.00 - $141,200.00
**Target Openings**
2
**What Is the Opportunity?**
Under moderate supervision, provide office based telephonic medical casemanagement with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews as applicable to claim handling laws and regulations. Responsible for helping to ensure injured parties receive appropriate treatment directly related to the compensable injury or assist claim handlers in managing medical treatment to an appropriate resolution.
**What Will You Do?**
+ Contact customer, medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appropriate medical care and return to work.
+ Develop strategies to facilitate an injured employee's return to work and achieve maximum medical improvement. Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.
+ Coordinate with medical providers to ensure the injured employee is actively participating in a viable treatment plan.
+ Evaluate medical treatment requests to ensure that they are reasonable and necessary based upon jurisdictional guidelines.
+ Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor, peer reviews, MCU).
+ Partner with Claim Professional to provide medical information and disability status necessary to create an overall strategy to achieve an optimal outcome.
+ Utilize internal Claim Platform Systems to manage all claim activities on a timely basis.
+ Utilize Preferred Provider Network per jurisdictional guidelines.
+ Partner with Claim Professional to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves.
+ Submit accurate billing documentation on all activities as outlined in established guidelines.
+ Customer Engagement.
+ Participate in Telephonic and/or onsite File Reviews.
+ Respond to inquiries - oral and written.
+ Keep injured worker apprised of claim status.
+ In-person medical casemanagement may be required to support Concierge locations, where a Nurse CaseManager meets with injured employees face to face following office visits at a provider's medical facility.
+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) and/or certifications may be required to comply with state and Travelers requirements. Generally, License(s) are required to be obtained within three months.
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Disability casemanagement experience.
+ Prior clinical experience.
+ Familiarity with URAC standards.
+ Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making.
+ Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology.
+ Ability to effectively present file resolution to internal and/or external stakeholders.
+ Negotiation: Intermediate ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise.
+ General Insurance Contract Knowledge: Ability to understand policies and contracts, as they apply to policy conditions.
+ Principles of Investigation: Intermediate investigative skills.
+ Follows a logical sequence of inquiry with a goal of securing information about the work accident, resulting injury, anticipated treatment, job duties and any material factors that may impact recovery and return to work.
+ Value Determination: Basic ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves.
+ Legal Knowledge: Basic knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.
+ Medical knowledge: Thorough knowledge of the nature and extent of injuries, periods of disability, and treatment needed.
+ WC Technical: intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to manage treatment plans and assist with claim resolution.
+ Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state.
+ Customer Service: Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes.
+ Teamwork: Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result.
+ Planning & Organizing: Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals.
+ Certified CaseManager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN).
**What is a Must Have?**
+ Registered Nurse; Licensed Practical Nurse or Licensed Vocational Nurse.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .
$85.6k-141.2k yearly 20d ago
Nurse Medical Case Manager - Workers Compensation - Rancho Cordova, CA
Msccn
Case manager job in Rancho Cordova, CA
ATTENTION MILITARY AFFILIATED JOB SEEKERS
- Our organization works with partner companies to source qualified talent for their open roles. The following position is available to
Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers
. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.
Who Are We?
Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$85,600.00 - $141,200.00
Target Openings
2
What Is the Opportunity?
Under moderate supervision, provide office based telephonic medical casemanagement with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews as applicable to claim handling laws and regulations. Responsible for helping to ensure injured parties receive appropriate treatment directly related to the compensable injury or assist claim handlers in managing medical treatment to an appropriate resolution.
What Will You Do?
Contact customer, medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appropriate medical care and return to work.
Develop strategies to facilitate an injured employee's return to work and achieve maximum medical improvement. Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.
Coordinate with medical providers to ensure the injured employee is actively participating in a viable treatment plan.
Evaluate medical treatment requests to ensure that they are reasonable and necessary based upon jurisdictional guidelines.
Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor, peer reviews, MCU).
Partner with Claim Professional to provide medical information and disability status necessary to create an overall strategy to achieve an optimal outcome.
Utilize internal Claim Platform Systems to manage all claim activities on a timely basis.
Utilize Preferred Provider Network per jurisdictional guidelines.
Partner with Claim Professional to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves.
Submit accurate billing documentation on all activities as outlined in established guidelines.
Customer Engagement.
Participate in Telephonic and/or onsite File Reviews.
Respond to inquiries - oral and written.
Keep injured worker apprised of claim status.
In-person medical casemanagement may be required to support Concierge locations, where a Nurse CaseManager meets with injured employees face to face following office visits at a provider's medical facility.
In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) and/or certifications may be required to comply with state and Travelers requirements. Generally, License(s) are required to be obtained within three months.
Perform other duties as assigned.
What Will Our Ideal Candidate Have?
Disability casemanagement experience.
Prior clinical experience.
Familiarity with URAC standards.
Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making.
Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology.
Ability to effectively present file resolution to internal and/or external stakeholders.
Negotiation: Intermediate ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise.
General Insurance Contract Knowledge: Ability to understand policies and contracts, as they apply to policy conditions.
Principles of Investigation: Intermediate investigative skills.
Follows a logical sequence of inquiry with a goal of securing information about the work accident, resulting injury, anticipated treatment, job duties and any material factors that may impact recovery and return to work.
Value Determination: Basic ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves.
Legal Knowledge: Basic knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.
Medical knowledge: Thorough knowledge of the nature and extent of injuries, periods of disability, and treatment needed.
WC Technical: intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to manage treatment plans and assist with claim resolution.
Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state.
Customer Service: Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes.
Teamwork: Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result.
Planning & Organizing: Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals.
Certified CaseManager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN).
What is a Must Have?
Registered Nurse; Licensed Practical Nurse or Licensed Vocational Nurse.
$85.6k-141.2k yearly 17d ago
CA Medical Case Manager II
Corvel Healthcare Corporation
Case manager job in Folsom, CA
Job Description
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical CaseManager position in Folsom, CA.
Work from home, and on the road. Monday - Friday, regular business hours.
As a Medical CaseManager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides in-person and telephonic Medical CaseManagement to individuals, involving the patient, physician, other health care providers, the employer, and the referral source
Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans
Provides assessment, planning, implementation, and evaluation of patient's progress
Evaluates patient's treatment plan for appropriateness, medical necessity, and cost effectiveness
Attends doctors, other providers, home and in some cases, attorney's visits
Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy
Conducts home visit for initial evaluation
Implements care such as negotiating the delivery of durable medical equipment and nursing services
This role requires regular travel, dependent on the injured worker's injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
This role may require overnight travel
Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”)
Additional duties as required
KNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment
Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers
A cost containment background, such as utilization review or managed care is helpful
Strong interpersonal, time management, and organizational skills
Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets
Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
Experience as an RN Medical CaseManager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred
Graduate of accredited school of nursing
Current RN Licensure in state of operation
Certification as a CCM, CIRS, or other CaseManagement certifications preferred
A valid driver's license, reliable transportation, and ability to travel to assigned locations is required
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $31.46 - $47.59 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL - Medical CaseManagers:
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical CaseManagers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary CaseManagement application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
$31.5-47.6 hourly 16d ago
Case Manager, Mental Health Diversion
Ole Health 3.5
Case manager job in Woodland, CA
CASEMANAGER, MENTAL HEALTH DIVERSION
DEPARTMENT:
BEHAVIORAL HEATH
REPORTS TO TITLE:
BH MANAGER, MENTAL HEALTH AND SUD DIVERSION PROGRAM
DLSE/FLSA STATUS: ()
____Exempt/Salaried position
__X__Nonexempt/Hourly position
SUPERVISORY RESPONSIBILITIES (does this position have direct reports):
YES
NO
SCHEDULE: Full Time: Monday-Friday; 8am-5pm
LOCATION: Woodland, CA
PAY RANGE: $30.34 to $37.09 hourly
About CommuniCare+OLE
Established in 2023, CommuniCare+OLE is the result of a union of two health centers with deep roots in their respective communities and reputations for providing high-quality primary care to all, regardless of insurance or ability to pay: OLE Health of Napa and Solano Counties and CommuniCare Health Centers of Yolo County. Building on a legacy established by both organizations in 1972, CommuniCare+OLE is a network of federally-qualified health centers with 17 sites across Napa, Solano, and Yolo Counties. It offers comprehensive care, including medical, dental, behavioral health and substance use treatment, nutrition, optometry, pharmacy, care coordination, referrals, and enrollment assistance to more than 70,000 individuals, and no one is turned away due to lack of insurance, immigration status, or ability to pay. Many services are offered outside of its sites, including mobile health, home visiting, and community and school-based programs.
BENEFITS
Medical, Dental, Vision Coverage
Employer covers 90% of employee medical, dental and vision premium and 50% of dependent premium
18 days of PTO (Vacation & Sick)
10 Paid Holidays + 1 Float Holiday
2% employer match with employee 4% Contribution 403(b) retirement plan
Tuition Reimbursement of up to $2,000 per Calendar Year for part-time and full-time employees (prorated per Full-Time Equivalent)
Life & Accidental Insurance Coverage
Employer contribution for Health Savings Account
Flexible Spending Account (FSA) and Limited FSA Options
JOB SUMMARY/OVERVIEW:
Responsible for providing on-site and community-based casemanagement, care coordination, service linkage and services for those persons seeking support.
CommuniCare+OLE provides an inclusive workplace that promotes and values diversity and life experience.
CommuniCare+OLE encourages people of all backgrounds to apply including, but not limited to, Black, Indigenous Peoples,
people of color, immigrants, refugees, women, LGBTQIA+, people with disabilities, veterans, individuals of
all ages and religions, and individuals who have been affected by the legal system.
YOU ARE WELCOME HERE.
***The following reflects requirements and essential functions of this position but does not restrict tasks that may be assigned. Essential functions include basic job duties, core elements, or fundamental responsibilities that an employee must perform to hold the position. Employees must be able to perform these essential functions with or without reasonable accommodation (accommodation may be requested). Duties and responsibilities are not all-inclusive, and they may be assigned or reassigned to this job at any time, due to reasonable accommodation or any other reason. ***
MINIMUM POSITION REQUIREMENTS: EDUCATION, EXPERIENCE, SKILLS/TRAINING
Education:
Bachelor's Degree in related field preferred or experience in lieu of degree.
Experience/Lived Experience:
Experience working in a mental health, social service, or field-based/community setting required.
History of working with people experiencing substance use disorders and/or homelessness and chronic poverty strongly preferred.
Special Skills/Training:
Bilingual - Spanish/English strongly preferred.
Computer skills to include Microsoft Office (Word, Excel, Outlook).
BLS Certification Required.
Drivers License Required.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
1.
Actively support, encourage, and link individuals seeking to access mental health and substance use disorder treatment services, benefits, or other stabilizing supports by continual efforts to be responsive, flexible, client-centered, and non-judgmental.
2.
Serve as a primary in-person casemanager, co-creates case plans with clients, and actively consults with managers and supervisors when situations arise.
3.
Collaborate effectively with internal and external partners in order to support the goals of each client.
4.
Presents options to clients with cultural humility and respect for personal choice.
5.
Demonstrate competence with the technology required to perform job duties including Language Line, Microsoft Office, Avatar, Epic and video-based telehealth and meeting platforms utilized by the agency.
6.
Complete documentation within 48-hours of services in accordance with working hours, all documentation must comply with Medi-Cal, payor, and/or contractual guidelines.
7.
Respond to calls, emails, and other correspondence from internal and external partners in a timely and professional manner.
8.
Monitor charts to ensure the timely placement of all correspondence, completes all screening and data collection tools according to protocol and best practices. Supports with data collection and reporting.
9.
Transport clients in agency vehicles as safe to do so.
10.
Maintain confidentiality and the privacy of protected health information unless permission is provided, or a situation warrants disclosure (e.g. mandated report, safety).
11.
Comply with all legal, ethical, and safety expectations, including requirements related to annual training plans and incident reporting.
12.
Is prepared for and actively participates in staff and program meetings, tracks decisions and information, and makes positive contributions.
13.
Represents self and agency in alignment with CommuniCare+OLE mission and values during all internal and external interactions.
14.
Maintain regular working hours and maintain an accurate calendar reflective of tasks and services.
15.
Performs other duties as assigned.
$30.3-37.1 hourly Auto-Apply 14d ago
Adult Therapist / Medical Case Manager
Kenneth Young Center 3.9
Case manager job in Elk Grove, CA
Adult Therapist / Medical CaseManager Kenneth Young Center is a 501(c)(3) not-for-profit dedicated to providing comprehensive outpatient behavioral health services to individuals of all walks of life. Located in the Northwest suburbs of Chicago, we offer a wide range of services including outpatient therapeutic care, recovery-oriented support, community prevention, LGBTQ+ outreach, older adult services, and crisis intervention. Our team welcomes and celebrates unique perspectives and represents the diversity and vitality of our local communities. Join our team to grow in your career while building stronger, healthier communities. Ken neth Young Cen ter offers a robust ben e fit pack age that is high ly com pet i tive to the mar ket and offers all full-time employ ees the following:
403(b) plan with orga ni za tion al matching
Medical Insurance (Blue Cross and Blue Shield of Illi nois - BCBS)
Den tal (BCBS), and Vision Insur ance (BCBS) with low employee premiums
Long Term and Short Term Dis abil i ty (BCBS), no cost to employee
Flex i ble Spend ing Account (with annu al rollover)
Basic life insur ance (50k) paid for by the organization and option for addi tion al vol un tary cov er age for self, spouse, or depen dents (BCBS)
Incentive program with potential for quarterly bonuses
Opportunity for annual bonus and salary increase (discretionary based on annual KYC financial audit)
Eligibility to participate in the Public Service Loan Forgiveness Program (PSLF)
To fur ther pro mote an active and healthy work/ life bal ance, KYC also offers a gen er ous amount of paid time off and staff holidays.
4 weeks of Paid Time Off (With increas es based on seniority)
8 Paid Orga ni za tion-Wide Hol i days
3 Per son al Float ing Hol i days annually
Job Scope: In collaboration with agency psychiatrists and medical secretary will deliver re-assessment and treatment planning services, brief individual crisis intervention or supportive counseling, symptom management skill building groups, and casemanagement and/or community support individual to a primary population of Adult clients receiving medication treatment only services. As adult therapist, provide individual, group and family treatment that targets improvement in functional impairments.
Primary Responsibilities:
Provide initial intake screening and mental health assessments that identify service needs and recommend options for care
Share assessment findings with clients
Involve client and/or couple in the development of treatment plan goals, objectives and interventions that address their assessed behavioral health needs
Provide face-to-face mental health re-assessment as needed but at least annually for medication only clients.
Meet with medication only clients for treatment planning review and modification as needed but at least every 6 months.
Provide brief crisis intervention, stabilization services and supportive counseling to meds only clients.
Regularly consult with psychiatrists on specific client related clinical issues.
Provide individual, marital, group, or family therapy service
Provide casemanagement services to assist clients and their families with access to needed benefits and services
Provide coordinated care by initiating or participating in client centered consultation with internal and external providers involved in care or services
Reassess and review treatment progress with clients and their families at proscribed intervals
Provide back-up coverage for Medical Secretary.
Assist in establishing effective communication between the Center, other social agencies serving clients, and the Community
Performance Requirements
Work cooperatively with Adult Services team members to assure clients timely access to quality services
Meet agency quality and compliance standard by accurately completing clinical documentation and service reporting in a timely manner
Meet or exceed service productivity target
Implement evidenced based practices to ensure use of effective and efficient treatment that best address client needs
Participation in staff training and development seminars
Working cooperatively with other Center teams and programs to maintain smooth continuity of care when cases are shared across teams
Become familiar with and utilization of outside resources as needed to provide comprehensive services to clients
Participate in supervision with Adult Outpatient Services Coordinator and in regular performance appraisals as directed
Understand the different funding sources available to the population served and the requirements for billing each of the funding sources
Education and Experience
Masters degree from an accredited college or University in Social Work, Psychology or closely related discipline and be licensed or eligible for certification.
Must have supervised experience in providing counseling and/or psychotherapy services
Must demonstrate knowledge in the areas of diagnostic assessment, long and short term treatment, family systems theory and group treatment
Must have basic computer and keyboarding skills
Schedule/Timekeeping
Full Time, Exempt, 37.5 hour work week
The medical casemanager/therapist must be prepared to work a flexible schedule in response to the needs of the target population served. This schedule may include evening and Saturday hours.
Kenneth Young Center is an Equal Opportunity Employer
$44k-55k yearly est. 60d+ ago
Case Manager Substance Use Specialist $2000 Sign On Bonus - Mental Health 634
Main Template
Case manager job in Sacramento, CA
* * * Sign On Bonus: $2,000 * * *
“They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live...” - Client from Telecare
What You Will Do to Change Lives
Under direct supervision, serves as a primary support and casemanager for individuals with mental illness by assisting them to live as independently as possible in their chosen community. In addition, this position provides knowledge of a specialty area to the treatment team and program.
* * * Sign On Bonus: $2,000 * * *
Shifts Available:
Full-Time | AM | Shifts: 8:30 AM - 5:00 PM | Days: Monday - Friday
Expected starting wage range is $22.17 - $27.08. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements.
What You Bring to the Table (Must Have)
High School Graduation or G.E.D. equivalent and three (3) years of direct services in mental health or community services; OR Associate's degree and two (2) years of experience; OR Bachelor's degree in Social Services
Must possess at least 1 year of experience providing services as a Substance Use Specialist.
Valid and current driver's license, and personal vehicle insurance with your name listed as a driver.
Willingness to use your personal vehicle to drive clients to appointments and groups, etc.
Willingness to use your personal vehicle to attend meetings, etc.
What's In It for You*
Paid Time Off: For Full Time Employee it is 16.7 days in your first year
Nine Paid Holidays & Shift differentials for hourly staff (6% for PM Shift, 10% for Overnight Shift). Weekend Shift differentials for hourly staff (5% for Weekend AM Shift, 11% for Weekend PM Shift, 15% for Weekend Overnight Shift)
Free CEUs, free Supervision for BBS Associate License, coaching, and mentorship
Online University Tuition Discount and Company Scholarships
Medical, Vision, Dental Insurance, 401K, Employee Stock Ownership Plan
For more information visit: *************************************
Join Our Compassionate Team
Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems.
The goal of EMPOWER IST is to create an alternative to state hospital admission for those who are pre-trial, have behavioral health challenges, and are likely to be at risk of becoming incompetent to stand trial and/or are found to be incompetent to stand trial. This program is funded by the Department State Hospital Grant and Medi-Cal.
EOE AA M/F/V/Disability
*May vary by location and position type
Full Job Description will be provided if selected for an interview.
If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.
$22.2-27.1 hourly 60d+ ago
School Guidance Counselor
Talented School District #13
Case manager job in Folsom, CA
School Guidance Counselor
FLSA: Exempt Professional
QUALIFICATIONS:
Teaching experience preferred.
School Counseling experience preferred.
Demonstrated success in mediation & relationship building.
Qualified to administer individual IQ tests.
Knowledge of Missouri's Model Guidance Program.
REPORTS TO: Principal
OVERVIEW: The school guidance program assists students in becoming responsible adults. Career plans are developed, reviewed, and updated periodically in accordance with students' post graduation educational and occupational goals. Continuous attention is given to assisting students to develop competence in decision-making, career planning, working with others, and taking responsibility for their own behavior.
ESSENTIAL JOB FUNCTIONS:
Implement the guidance curriculum.
Guide and counsel groups of individual students through the development of educational and career plans.
Counsel small groups and individual students with problems.
Consult with teachers, staff and parents regarding the developmental needs of students.
Refer students with severe problems to appropriate community resources in consultation with their parents.
Be a part of the Special Ed team by attending team meetings and doing the IQ testing.
School test coordinator for Standardized Achievement Tests.
Participate in the CARE team (elementary counselors).
Supporting the overall district's educational program through general consultation activities and committee work.
Assist with the placement of students in appropriate career and educational settings.
OTHER JOB FUNCTIONS:
Attend all meetings and training sessions as directed.
Assist administrators with the distribution and interpretation of standardized tests scores for students and parents.
Facilitate informational evening sessions for parents regarding financial aid, Advanced Placement coursework, and college night.
Attend IEP and 504 meetings according to caseload.
Duties as assigned by building principal.
$56k-81k yearly est. 60d+ ago
Inpatient Case Manager (Part Time, Weekend)
Northbay Healthcare Group 4.5
Case manager job in Fairfield, CA
At NorthBay the Inpatient CaseManager is to assess, plan, implement, monitor and evaluate options and services to effect an appropriate, individualized plan for hospital patient care across the continuum of care.
The Inpatient CaseManager will follow assigned patients working with team members and Social Services to prioritize and strategize each day's activities. Using independent judgment and discretion, the patient must be assessed and reassessed as an ongoing process to address the patient's broad spectrum of needs. The Inpatient CaseManager utilizes clinical knowledge and competence, positive communication skills, problem solving and conflict resolution techniques, ability to effect change, strong skills in assessment, organization, and time management.
The casemanagement process requires a focus on critical thinking skills, customer service skills, setting appropriate goals and measuring outcomes to effectively ensure optimal patient outcomes with consideration to financial and healthplan resources. The Inpatient CaseManager at NorthBay Healthcare must be able to demonstrate adherence to the department and system policies, procedures, quality assurance, guidelines and goals of the department and the organization.
At NorthBay Health, our vision is to be the trusted healthcare partner of choice for the communities we serve. We are dedicated to improving the well-being of our community by providing accessible, high-quality care to all who need it. Every member of our team plays a vital role in delivering compassionate and effective healthcare solutions. We invite you to join us in our mission to ensure that every patient and family member feels valued, respected, and cared for throughout their healthcare journey.
Education:
Graduate from an accredited school of professional registered nursing, BSN is required (excludes those employees grandfathered as outlined in March 2014 letter)
Licensure:
Current California state RN license.
Certified CaseManager (CCM) or Accredited CaseManager (ACM) preferred.
Experience:
Minimum of 2 years acute clinical nursing experience preferred.
CaseManagement experience strongly preferred.
Skills:
Basic knowledge of personal computer and software for word processing and good keyboard skills required.
Ability to enter and retrieve data from relevant computer systems required.
Knowledge of MCG, MIDAS+, Cerner, Medicare rules and regulations and Conditions of Participation.
Knowledge of Joint Commission, Department of Human Services, Patient Safety, and the Department of Health organizational standards.
Knowledge of acute care, home care, subacute care, long-term care, hospice interventions, rehabilitation options, other community resources and requirements, medical necessity guidelines, quality assurance process and determination of positive outcomes, current standards and trends in health care, best practices, management tools, and familiarity with related resources and literature.
Interpersonal Skills:
Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence.
Hours of Work:
As scheduled every weekend or as otherwise assigned by IPCM Supervisor according to business needs.
Compensation:
Hourly Salary Range Min $78- Max $94.04 (Offered hourly rate based on years of experience)
$78-94 hourly Auto-Apply 60d+ ago
Case Manager
Lao Family Community Development 3.7
Case manager job in Sacramento, CA
Lao Family Community Development, Inc. (LFCD) is a community development non-profit agency established in the City of Richmond in Contra Costa County in 1980. Today Lao Family has expanded its operations and service footprint to two additional counties including Alameda and Sacramento. LFCD's headquarter office is in Oakland, CA. It delivers programs and services from 7 locations in 35 languages. The agency provides both community development real estate facilities and a diverse array of workforce, education, and human service that directly support predominantly low-income US born high barrier families and individuals, refugees, immigrants, transitional age youth, seniors and other special populations such as individuals with disabilities.
Job Summary: Under the direction of the Site Supervisor, we are seeking a passionate and solutions-oriented CaseManager to support individuals and families with housing navigation, casemanagement, health and wellness, and financial wellbeing, to promote long-term housing stability and self-sufficiency. The ideal candidate is resourceful in navigating complex systems and dedicated to empowering clients toward independence.
Roles and Responsibilities:
Conduct comprehensive intake and assessment such as evaluating clients' housing needs, income sources, barriers to stability, and available supports to develop personalized service plans.
Develop and implement individualized case plans. Collaborate with clients to set housing, financial, and personal goals, identifying strategies and timelines to achieve them.
Provide housing navigation services including assisting clients in locating, applying for, and securing stable housing, such as landlord engagement and lease-up support.
Support economic sustainability by guiding clients through budgeting, credit repair, and income growth strategies such as employment referrals, education, and job training programs.
Coordinate wraparound supportive services by connecting clients to community resources including behavioral health care, childcare, legal aid, transportation, and benefit enrollment.
Maintain regular client contact. Conduct home visits, phone check-ins, and in-person meetings to monitor progress, address barriers, and adjust service plans as needed.
Advocate for clients and act as a liaison with landlords, housing authorities, and other agencies to support clients' access to housing and other supportive services.
Provide crisis intervention and respond to urgent client needs and housing emergencies with empathy and a solution-focused approach.
Maintain accurate, up-to-date case files and input data into relevant casemanagement systems, in a timely manner.
Collaborate with multidisciplinary teams by participating in case conferences, team meetings, and program evaluations to ensure holistic and coordinated care.
Other assigned duties.
Requirements and Qualifications:
Bachelor's Degree highly desired; concentration in social work, psychology, sociology, or other related fields preferred.
1 year experience working with sensitive needs populations including but not limited to low income, unhoused, unemployed, youth, English as a second language, women and children, etc., highly desired.
Bi-lingual in Ukrainian or Russian highly desired.
Self-starter, ability to work with minimal supervision; excellent communication, multi-task, community relations, networking and public speaking skills.
Demonstrated ability to work with families, women, and children and without discrimination towards peoples of diverse cultures, races/ethnicities, socio-economic positions, ages, religions, genders, physical/mental challenges/disabilities and sexual orientations.
Understand, explain, and apply complex local, state, and federal regulations, policies, and procedures.
Able to travel to meet with service providers and participants; ability to work independently as well as part of a team; must have a flexible schedule on some evenings and weekends.
Proficient computer skills in MS Word, Excel, Power Point, database management and internet explorer.
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire; must pass background check.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit and work on the computer; use hands to handle or feel and talk or hear; moving objects up to 25 pounds.
Compensation: Salary is based on experience and education, along with a comprehensive benefits package including health plan/vision, dental, paid vacations, holidays, sick leave, and employer-contributed pension/group life insurance.
To Apply: Submit your cover letter and resume. This position is open until filled and may be closed at any time.
Lao Family Community Development Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age (over 40), disability status, protected veteran status or any other characteristic protected by law. LFCD is compliant with the Fair Chance to Compete for Jobs Act of 2019 and the Americans with Disabilities Act of 1990 (ADA).
$57k-78k yearly est. Auto-Apply 39d ago
Nurse Medical Case Manager - Workers Compensation
The Travelers Companies 4.4
Case manager job in Rancho Cordova, CA
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job Category
Claim, Nurse - Medical CaseManager
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$85,600.00 - $141,200.00
Target Openings
2
What Is the Opportunity?
Under moderate supervision, provide office based telephonic medical casemanagement with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews as applicable to claim handling laws and regulations. Responsible for helping to ensure injured parties receive appropriate treatment directly related to the compensable injury or assist claim handlers in managing medical treatment to an appropriate resolution.
What Will You Do?
* Contact customer, medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appropriate medical care and return to work.
* Develop strategies to facilitate an injured employee's return to work and achieve maximum medical improvement. Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.
* Coordinate with medical providers to ensure the injured employee is actively participating in a viable treatment plan.
* Evaluate medical treatment requests to ensure that they are reasonable and necessary based upon jurisdictional guidelines.
* Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor, peer reviews, MCU).
* Partner with Claim Professional to provide medical information and disability status necessary to create an overall strategy to achieve an optimal outcome.
* Utilize internal Claim Platform Systems to manage all claim activities on a timely basis.
* Utilize Preferred Provider Network per jurisdictional guidelines.
* Partner with Claim Professional to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves.
* Submit accurate billing documentation on all activities as outlined in established guidelines.
* Customer Engagement.
* Participate in Telephonic and/or onsite File Reviews.
* Respond to inquiries - oral and written.
* Keep injured worker apprised of claim status.
* In-person medical casemanagement may be required to support Concierge locations, where a Nurse CaseManager meets with injured employees face to face following office visits at a provider's medical facility.
* In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) and/or certifications may be required to comply with state and Travelers requirements. Generally, License(s) are required to be obtained within three months.
* Perform other duties as assigned.
What Will Our Ideal Candidate Have?
* Disability casemanagement experience.
* Prior clinical experience.
* Familiarity with URAC standards.
* Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making.
* Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology.
* Ability to effectively present file resolution to internal and/or external stakeholders.
* Negotiation: Intermediate ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise.
* General Insurance Contract Knowledge: Ability to understand policies and contracts, as they apply to policy conditions.
* Principles of Investigation: Intermediate investigative skills.
* Follows a logical sequence of inquiry with a goal of securing information about the work accident, resulting injury, anticipated treatment, job duties and any material factors that may impact recovery and return to work.
* Value Determination: Basic ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves.
* Legal Knowledge: Basic knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.
* Medical knowledge: Thorough knowledge of the nature and extent of injuries, periods of disability, and treatment needed.
* WC Technical: intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to manage treatment plans and assist with claim resolution.
* Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state.
* Customer Service: Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes.
* Teamwork: Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result.
* Planning & Organizing: Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals.
* Certified CaseManager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN).
What is a Must Have?
* Registered Nurse; Licensed Practical Nurse or Licensed Vocational Nurse.
What Is in It for You?
* Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
* Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
* Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
* Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
* Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
$85.6k-141.2k yearly 20d ago
CA Medical Case Manager II
Corvel Healthcare Corporation
Case manager job in Folsom, CA
Job Description
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical CaseManager position in Folsom, CA.
Work from home, and on the road. Monday - Friday, regular business hours.
As a Medical CaseManager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides in-person and telephonic Medical CaseManagement to individuals, involving the patient, physician, other health care providers, the employer, and the referral source
Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans
Provides assessment, planning, implementation, and evaluation of patient's progress
Evaluates patient's treatment plan for appropriateness, medical necessity, and cost effectiveness
Attends doctors, other providers, home and in some cases, attorney's visits
Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy
Conducts home visit for initial evaluation
Implements care such as negotiating the delivery of durable medical equipment and nursing services
This role requires regular travel, dependent on the injured worker's injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
This role may require overnight travel
Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”)
Requires regular and consistent attendance
Additional duties as required
KNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment
Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers
A cost containment background, such as utilization review or managed care is helpful
Strong interpersonal, time management, and organizational skills
Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets
Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
Experience as an RN Medical CaseManager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred
Graduate of accredited school of nursing
Current RN Licensure in state of operation
Certification as a CCM, CIRS, or other CaseManagement certifications preferred
A valid driver's license, reliable transportation, and ability to travel to assigned locations is required
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $31.46 - $47.59 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL - Medical CaseManagers:
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical CaseManagers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary CaseManagement application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
$31.5-47.6 hourly 26d ago
Case Manager, Mental Health Diversion
Ole Health 3.5
Case manager job in Woodland, CA
CASEMANAGER, MENTAL HEALTH DIVERSION
DEPARTMENT:
BEHAVIORAL HEATH
REPORTS TO TITLE:
BH MANAGER, MENTAL HEALTH AND SUD DIVERSION PROGRAM
DLSE/FLSA STATUS: ()
____Exempt/Salaried position
__X__Nonexempt/Hourly position
SUPERVISORY RESPONSIBILITIES (
does this position have direct reports
):
YES
NO
SCHEDULE: Full Time: Monday-Friday; 8am-5pm
LOCATION: Woodland, CA
PAY RANGE: $30.34 to $37.09 hourly
About CommuniCare+OLE
Established in 2023, CommuniCare+OLE is the result of a union of two health centers with deep roots in their respective communities and reputations for providing high-quality primary care to all, regardless of insurance or ability to pay: OLE Health of Napa and Solano Counties and CommuniCare Health Centers of Yolo County. Building on a legacy established by both organizations in 1972, CommuniCare+OLE is a network of federally-qualified health centers with 17 sites across Napa, Solano, and Yolo Counties. It offers comprehensive care, including medical, dental, behavioral health and substance use treatment, nutrition, optometry, pharmacy, care coordination, referrals, and enrollment assistance to more than 70,000 individuals, and no one is turned away due to lack of insurance, immigration status, or ability to pay. Many services are offered outside of its sites, including mobile health, home visiting, and community and school-based programs.
BENEFITS
Medical, Dental, Vision Coverage
Employer covers 90% of employee medical, dental and vision premium and 50% of dependent premium
18 days of PTO (Vacation & Sick)
10 Paid Holidays + 1 Float Holiday
2% employer match with employee 4% Contribution 403(b) retirement plan
Tuition Reimbursement of up to $2,000 per Calendar Year for part-time and full-time employees (prorated per Full-Time Equivalent)
Life & Accidental Insurance Coverage
Employer contribution for Health Savings Account
Flexible Spending Account (FSA) and Limited FSA Options
JOB SUMMARY/OVERVIEW:
Responsible for providing on-site and community-based casemanagement, care coordination, service linkage and services for those persons seeking support.
CommuniCare+OLE provides an inclusive workplace that promotes and values diversity and life experience.
CommuniCare+OLE encourages people of all backgrounds to apply including, but not limited to, Black, Indigenous Peoples,
people of color, immigrants, refugees, women, LGBTQIA+, people with disabilities, veterans, individuals of
all ages and religions, and individuals who have been affected by the legal system.
YOU ARE WELCOME HERE.
***The following reflects requirements and essential functions of this position but does not restrict tasks that may be assigned.
Essential functions include basic job duties, core elements, or fundamental responsibilities that an employee must perform to hold the position. Employees must be able to perform these essential functions with or without reasonable accommodation (accommodation may be requested).
Duties and responsibilities are not all-inclusive, and they may be assigned or reassigned to this job at any time, due to reasonable accommodation or any other reason. ***
MINIMUM POSITION REQUIREMENTS: EDUCATION, EXPERIENCE, SKILLS/TRAINING
Education:
Bachelor's Degree in related field preferred or experience in lieu of degree.
Experience/Lived Experience:
Experience working in a mental health, social service, or field-based/community setting required.
History of working with people experiencing substance use disorders and/or homelessness and chronic poverty strongly preferred.
Special Skills/Training:
Bilingual - Spanish/English strongly preferred.
Computer skills to include Microsoft Office (Word, Excel, Outlook).
BLS Certification Required.
Drivers License Required.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
1.
Actively support, encourage, and link individuals seeking to access mental health and substance use disorder treatment services, benefits, or other stabilizing supports by continual efforts to be responsive, flexible, client-centered, and non-judgmental.
2.
Serve as a primary in-person casemanager, co-creates case plans with clients, and actively consults with managers and supervisors when situations arise.
3.
Collaborate effectively with internal and external partners in order to support the goals of each client.
4.
Presents options to clients with cultural humility and respect for personal choice.
5.
Demonstrate competence with the technology required to perform job duties including Language Line, Microsoft Office, Avatar, Epic and video-based telehealth and meeting platforms utilized by the agency.
6.
Complete documentation within 48-hours of services in accordance with working hours, all documentation must comply with Medi-Cal, payor, and/or contractual guidelines.
7.
Respond to calls, emails, and other correspondence from internal and external partners in a timely and professional manner.
8.
Monitor charts to ensure the timely placement of all correspondence, completes all screening and data collection tools according to protocol and best practices. Supports with data collection and reporting.
9.
Transport clients in agency vehicles as safe to do so.
10.
Maintain confidentiality and the privacy of protected health information unless permission is provided, or a situation warrants disclosure (e.g. mandated report, safety).
11.
Comply with all legal, ethical, and safety expectations, including requirements related to annual training plans and incident reporting.
12.
Is prepared for and actively participates in staff and program meetings, tracks decisions and information, and makes positive contributions.
13.
Represents self and agency in alignment with CommuniCare+OLE mission and values during all internal and external interactions.
14.
Maintain regular working hours and maintain an accurate calendar reflective of tasks and services.
15.
Performs other duties as assigned.
$30.3-37.1 hourly Auto-Apply 12d ago
Case Manager II $2000 Sign On Bonus - Mental Health 615
Main Template
Case manager job in Sacramento, CA
* * * Sign On Bonus: $2,000 * * *
“They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live...” - Client from Telecare
What You Will Do to Change Lives
Under direct supervision, the CaseManager II serves as a primary support and casemanager for individuals with mental illness and other co-occurring disorders by assisting them to live as independently as possible in their chosen community.
Shifts Available:
Full-Time | AM | Shifts: 8:30 AM - 5:00 PM | Days: Monday - Friday
Expected starting wage range is $21.00 - $23.24. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements.
* * * Sign On Bonus: $2,000 * * *
What You Bring to the Table (Must Have)
High School Graduation or G.E.D. equivalent and two (2) years of direct services in Mental Health or community services; or Associates degree and one (1) year of experience; or Bachelor's degree in Social Services
Valid and current driver's license, and personal vehicle insurance with your name listed as a driver.
Willingness to use your personal vehicle to drive clients to appointments and groups, etc.
Willingness to use the company vehicle to drive clients to appointments and groups, etc.
What's In It for You*
Paid Time Off and Sick Leave: For Full-Time Employees
Nine Paid Holidays & Shift differentials for hourly staff (6% for PM Shift, 10% for Overnight Shift). Weekend Shift differentials for hourly staff (5% for Weekend AM Shift, 11% for Weekend PM Shift, 15% for Weekend Overnight Shift)
Free CEUs, free Supervision for BBS Associate License, coaching, and mentorship
Online University Tuition Discount and Company Scholarships
Medical, Vision, Dental Insurance, 401K, Employee Stock Ownership Plan
For more information visit: *************************************
Join Our Compassionate Team
Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems.
Adult Full Service Partnership (FSP) and Laura's Law/Assisted Outpatient Treatment (AOT) program serving a total of 240 adults with serious mental illness and may currently be experiencing or be at risk of homelessness. Members referred may qualify for Permanent Supportive Housing through No Place Like Home (NPLH) units.
EOE AA M/F/V/Disability
*May vary by location and position type
Full Job Description will be provided if selected for an interview.
CaseManager, CaseManagement, Tasks, Entry Level, Mental Health Worker
If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.
$21-23.2 hourly 60d+ ago
CA Medical Case Manager I
Corvel Healthcare Corporation
Case manager job in Folsom, CA
Job Description
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical CaseManager position in Folsom, CA.
Work from home, and on the road. Monday - Friday, regular business hours.
As a Medical CaseManager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides in-person and telephonic Medical CaseManagement to individuals, involving the patient, physician, other health care providers, the employer, and the referral source
Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans
Provides assessment, planning, implementation, and evaluation of patient's progress
Evaluates patient's treatment plan for appropriateness, medical necessity, and cost effectiveness
Attends doctors, other providers, home and in some cases, attorney's visits
Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy
Conducts home visit for initial evaluation
Implements care such as negotiating the delivery of durable medical equipment and nursing services
This role requires regular travel, dependent on the injured worker's injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
This role may require overnight travel
Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”)
Additional duties as required
KNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment
Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers
A cost containment background, such as utilization review or managed care is helpful
Strong interpersonal, time management, and organizational skills
Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets
Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
Experience as an RN Medical CaseManager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred
Graduate of accredited school of nursing
Current RN Licensure in state of operation
Certification as a CCM, CIRS, or other CaseManagement certifications preferred
A valid driver's license, reliable transportation, and ability to travel to assigned locations is required
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $29.95 - $44.77 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 3500 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical CaseManagers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary CaseManagement application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
$30-44.8 hourly 7d ago
Case Manager II - Mental Health 368
Main Template
Case manager job in Sacramento, CA
* * * Sign On Bonus: $2,000 * * *
“They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live...” - Client from Telecare
What You Will Do to Change Lives
Under direct supervision, the CaseManager II serves as a primary support and casemanager for individuals with mental illness and other co-occurring disorders by assisting them to live as independently as possible in their chosen community.
Shifts Available:
Full-Time | AM | Shifts: 8:30 AM - 5:00 PM; Varies as needed | Days: Monday - Friday
Expected starting wage range is $21.00 - $23.24. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements.
What You Bring to the Table (Must Have)
High School Graduation or G.E.D. equivalent and two (2) years of direct services in Mental Health or community services; or Associates degree and one (1) year of experience; or Bachelor's degree in Social Services
Valid and current driver's license, and personal vehicle insurance with your name listed as a driver.
Willingness to use your personal vehicle to drive clients to appointments and groups, etc.
Willingness to use the company vehicle to drive clients to appointments and groups, etc.
* * * Sign On Bonus: $2,000 * * *
What's In It for You*
Paid Time Off: Eligible employees (20+ hours/week) earn PTO each pay period for vacation and personal needs, with pro-rated accrual for part-time schedules and annual carryover up to set caps.
Nine Paid Holidays & Shift differentials for hourly staff (6% for PM Shift, 10% for Overnight Shift). Weekend Shift differentials for hourly staff (5% for Weekend AM Shift, 11% for Weekend PM Shift, 15% for Weekend Overnight Shift)
Free CEUs, free Supervision for BBS Associate License, coaching, and mentorship
Online University Tuition Discount and Company Scholarships
Medical, Vision, Dental Insurance, 401K, Employee Stock Ownership Plan
For more information visit: *************************************
Join Our Compassionate Team
Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems.
Telecare's ARISE (Adult Recovery in StrengthâBased Environment) program serves 200 adult member high fidelity, strengths model Full Service Partnership (FSP) who meet criteria for the most intensive level of outpatient care and focus on three key populations with serious and persistent mental illness: individuals who are homeless, justiceâinvolved, and have coâoccurring substance use issues.
EOE AA M/F/V/Disability
*May vary by location and position type
Full Job Description will be provided if selected for an interview.
CaseManager, CaseManagement, Tasks, Entry Level, Mental Health Worker
If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.
$21-23.2 hourly 44d ago
Major Case Specialist - General Liability
The Travelers Companies 4.4
Case manager job in Rancho Cordova, CA
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job Category
Claim
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$104,000.00 - $171,700.00
Target Openings
1
What Is the Opportunity?
This role is eligible for a sign-on bonus of up to $20,000.
This position is hybrid. Employees may elect to work up to 2 days per week from their primary residence.
Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Provides consulting and training and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required. This position does not manage staff.
What Will You Do?
* CLAIM HANDLING:
* Directly handle assigned severe claims of varying severity and complexity with potential exposures ranging from$500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value.
* Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
* Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.
* Interview witnesses and stakeholders; take necessary statements, as strategically appropriate.
* Complete outside investigation as needed per case specifics.
* Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts.
* Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.
* Maintain claim files and document claim file activities in accordance with established procedures.
* Develop and employ creative resolution strategies.
* Responsible for prompt and proper disposition of all claims within delegated authority.
* Negotiate disposition of claims with insureds and claimants or their legal representatives.
* Recognize and implement alternate means of resolution.
* Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure.
* Establish and maintain proper indemnity and expense reserves.
* Apply the Company's claim quality management protocols, and metrics to all claims; document the rationale for any departure from applicable protocols and metrics with or without assistance.
* Manages litigated claims.
* Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
* Apply litigation management through the selection of counsel, evaluation.
* LEADERSHIP:
* Actively and enthusiastically mentor/train less experienced cargo claim professionals.
* Conducting field office training sessions as requested.
* COMMUNICATION/INFLUENCE:
* Consult with Manager on use of Claim Coverage Counsel as needed.
* Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims.
* Recommend appropriate cases for discussion at roundtable.
* Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
* Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others.
* OTHER ACCOUNTABILITIES:
* Utilize evaluation documentation tools in accordance with department guidelines.
* Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis.
* In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements.
* Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
* Perform other duties as assigned.
What Will Our Ideal Candidate Have?
* Bachelor's Degree.
* 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims.
* Extensive working level knowledge and skill in various business line products.
* Excellent negotiation and customer service skills.
* Advanced skills in coverage, liability and damages analysis with expert understanding of the litigation process in both state and federal courts, including relevant case and statutory law and procedure; expert litigation management skills.
* Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims.
* Able to make independent decisions on most assigned cases without involvement of supervisor.
* Openness to the ideas and expertise of others and actively solicits input and shares ideas.
* Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and effective claims handling practices.
* Demonstrated strong coaching, influence and persuasion skills.
* Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise.
* Can adapt to and support cultural change.
* Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.
* Analytical Thinking - Advanced.
* Judgment/Decision Making - Advanced.
* Communication - Advanced.
* Negotiation - Advanced.
* Insurance Contract Knowledge - Advanced.
* Principles of Investigation - Advanced.
* Value Determination - Advanced.
* Settlement Techniques - Advanced.
* Legal Knowledge - Advanced.
* Medical Knowledge - Intermediate.
What is a Must Have?
* Four years bodily injury litigation claim handling experience or comparable claim litigation experience.
What Is in It for You?
* Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
* Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
* Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
* Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
* Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
How much does a case manager earn in Elk Grove, CA?
The average case manager in Elk Grove, CA earns between $33,000 and $89,000 annually. This compares to the national average case manager range of $30,000 to $61,000.
Average case manager salary in Elk Grove, CA
$55,000
What are the biggest employers of Case Managers in Elk Grove, CA?
The biggest employers of Case Managers in Elk Grove, CA are: