Case manager jobs in West Virginia - 310 jobs

Job Description HealthWays, Inc. is looking for a Full-Time Case manager in our Community Engagement Department. The candidates will be providing supportive preventative services to individuals who are at risk of psychiatric hospitalization, to allow them to reside in the community, facilitate successful transitions between psychiatric hospitals and community, and ensure that these individuals are surrounded by community resources that will strengthen their recovery and resilience. A Bachelor's degree in Human Service field with 1 year paid working experience working with persons in the target population is preferred; or an associate degree in Human Service field or Human Service Field Courses with 10 years of Volunteer/paid working experience working with persons in the target population is preferred. HS Diploma is required. Applicants must have a valid driver's license, auto insurance and reliable transportation. HealthWays offers flexible schedule, Medical, Dental, Vision Insurance, Supplemental benefits, 401-K, and vacation time. HealthWays, Inc. is an equal opportunity employer.

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. This position will combine and utilize professional skills and expertise in the area of case management of patient care in the outpatient clinic providing support for the physicians, other therapists and staff to be able to serve their patients in an efficient manner. This position will be responsible for handling crisis that arise for patients daily and interfacing between the patients, families and providers within the department. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelor's Degree in Social Work or related field. 2. State criminal background check and Federal (if applicable), as required for regulated areas. EXPERIENCE: 1. One (1) year of experience in Social Work experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Current West Virginia Social Work licensure. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Facilitates referrals of patients to providers. 2. Takes crisis calls and works outcomes for patients. 3. Sends refill requests to providers and call pharmacy per direction of MD/NP/PA as needed. 4. Maintain a working knowledge of relevant medical/legal issues that impact on patient care, e.g., advance directives, child and elder abuse. 5. Provide education to patients and families around issues related to adaptation to the patient's diagnosis, illness, treatment and/or life situation. 6. Participate in multi-disciplinary health care teams. 7. Acts as a liaison with community agencies and resources. 8. Arrange, procure, and coordinate patient/family pre and post hospital needs. 9. Document assessment, plan, interactions, and interventions according to departmental, hospital and/or health system guidelines and standards. 10. Assisting in obtaining prior authorizations from third party carriers. 11. Working with the units in securing beds for admission. 12. Preparing or assisting in the preparation of discharge letters. 13. May schedule MRI's, PET's, and other imaging procedures. 14. Works with discharge planners and consult team to secure appointments. 15. Schedules new patient visits per established protocols. 16. Meets with patients face to face as needed to resolve crisis situations. 17. Assists Residents/front desk staff with resolving scheduling problems. 18. Covers messages and work ques for providers that are out of the office. PHYSICAL REQUIREMENTS: 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping are necessary body movements utilized in performing duties through the work shift. 2. Ability to sit for extended periods of time. 3. When working on inpatient units must be able and willing to participate in physical restraint of patient if needed. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment & clinical environment. SKILLS AND ABILITIES: 1. Must be knowledgeable and able to access different outpatient and community support systems to grant patients access to different types of services, ie patient assistance programs, Medicaid, and welfare services. 2. Must have the ability to be able to work closely with patients, families, physicians, psychologists, social workers and other members of the treatment team to develop individual and departmental treatment goals. 3. Must be knowledgeable and able to access many different types of services. 4. Must have the ability to assess and treat individuals with behavioral health and mental illnesses. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: WVUH West Virginia University Hospitals Cost Center: 8020 UHA Neuro Behavioral Medicine Address: 930 Chestnut Ridge RoadMorgantownWest Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Schedule: Monday - Friday * 9:00am - 5:30pm Eastern Time * 10:00am - 6:30pm Eastern Time The Behavioral Case Manager is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. How you will make an impact: * Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. * Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment. * Monitors and evaluates effectiveness of care plan and modifies plan as needed. * Supports member access to appropriate quality and cost-effective care. * Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers. * Supports multiple markets in Georgia, Indiana, Iowa, Louisiana, Missouri, New Jersey, New York, Ohio, Virginia, Washington, West Virginia. Minimum Requirements: * Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. * Current active unrestricted license such as RN LCSW (as applicable by state law and scope of practice) LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. * For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position. Preferred Skills, Capabilities, and Experiences: * Clinical experience in behavioral health preferred. * Experience in handling complex documentation processes preferred. * Multi-state licensure HIGHLY preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care. Position specific details: The Behavioral Health Case Manager I will be required for meeting with members in person as per contractual requirements. Applicants living in the following areas of West Virginia-Morgantown, Fairmont, and Clarksburg are encouraged to apply. Location: West Virginia Work Hours: Monday -Friday 8:00AM -5:00PM The Behavioral Health Case Manager I is responsible for performing case management telephonically and/or by facility visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. How you will make an impact Primary duties may include but are not limited to: Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment. Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member access to appropriate quality and cost effective care. Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers. Minimum Requirements: Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. Current active unrestricted license such as RN LCSW (as applicable by state law and scope of practice) LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. For Government business only LAPC LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply. For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position. Preferred Skills, Capabilities and Experiences: Experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred. Experience working with substance abuse population is preferred Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed/Certified Behavioral Health Role Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Our Company StepStone Family & Youth Services Overview Our operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply today! Responsibilities Receives/responds to incoming calls from referral sources/potential clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability to meet them. Completes all viable referrals by setting up and carrying out pre-screening assessments, completion of pre-screening reports, and preparation of case proposals and other related pre-admission paperwork (i.e., obtains authorization for payment, coordinates availability of an appropriate treatment team). Oversees, directs and supervises field staff assigned in assisting with pre-screening process. Accesses national/state/company account information, including the account names and terms of contracts or other past payer agreements, as appropriate. Consults with third party representatives regarding client benefit coverage, client financial responsibility, company service authorization and specific reimbursement procedures. Presents company's services, interprets potential reimbursement options and negotiates reimbursement levels with third party payer. Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for client's case. Develops/maintains a working knowledge of all services/resources provided by the Company and services available within the community. Assists in identifying alternative community service sources when company solutions are not appropriate or available. Maintains relationships with standard referral sources and payer case managers. Contacts identified referral sources and seeks referrals as appropriate. Records outcome of calls and keeps the SAR informed. Monitors/tracks referral sources' satisfaction levels, tracks/reports on conversion ratios and provides summary reports to management at requested intervals. Implements/maintains, with the up line management, operational processes to ensure compliance with Company policies, requirements and regulatory mandates. Adheres to and participates in Company's mandatory HIPAA privacy program/practices and Business Ethics and Compliance programs. Participates in quarterly growth planning meetings/activities including discussions around staffing and recruitment needs. Participates in special projects and performs other duties as assigned. Qualifications Bachelor's degree in a human services field or nursing field. Valid driver's license. Must have two years of experience with case management or related discipline Must be able to communicate both verbally and in writing. About our Line of Business StepStone Family and Youth Services, an affiliate of BrightSpring Health Services, provides the full spectrum of support to children in need of alternative, safer, and more positive living environments with residential and family services. StepStone connects children and youth who need homes with foster families, as well as foster care training, respite care and support services. For young adults transitioning from foster care to independent living, StepStone provides personalized guidance and training on basic life skills, including money management and education. For more information, please visit *********************** Follow us on Facebook and LinkedIn. Salary Range USD $43,000.00 - $46,000.00 / Year

This is a full-time position located at the 3 Mile office of MLIH in Logan, WV. This position requires frequent travel, primarily between Logan and Mingo Counties and regular in-home patient visits. Some weekend and on-call work required. Must be knowledgeable about the evidence based ACT Model for adult behavioral health populations with willingness to promote and respect the philosophy of that model. Must be able to work collaboratively as part of transdisciplinary team in meeting the integrated physical and behavioral health and wellness needs of the persons served. Must have the ability to provide culturally competent care to diverse populations. Must demonstrate a commitment to the provision of strength based consumer-centered care and be supportive of the consumer's own goals and motivation toward positive outcomes. Must be organized, able to manage competing priorities, utilize strong problem solving and conflict resolution skills, and possess the ability to work effectively independent and with a team setting. ESSENTIAL JOB FUNCTIONS: 1. Provide the basic core services of case management which include service planning, linking, assessing, advocacy, and crisis assistance. 2. Maintain up-to-date social history assessments and complete progress notes on each consumer. 3. Provide case management review services for all cases in his/her assigned area at least every three months. 4. Maintain treatment plans and comply with reviews and changes. 5. Participate with group counseling providing supportive therapy. 6. Provide transportation and drug screens when needed. 7. Complete daily SALS and update care connections regularly. 8. Complete appropriate paperwork for referrals and review with the Team Leader prior to authorization. Submit appropriate documentation for continuum of care authorizations. 9. To work collaboratively with the ACT physician and other providers in meeting the health and behavioral health needs of the ACT consumer. 10. Provides crisis intervention services in office and in the community. Provides emergency on call phone support to ACT consumers and team members as needed. 11. Participates in daily organizational meetings. 12. Participates in the development of policies and procedures related to health, medications, and psychiatric care. 13. Be a part of crisis through telephone and VTC modalities. 14. Assists in the overall team case management, counseling, and support functions. 15. To provide in-home, community, and transitional care supports/interventions to consumers as needed. 16. To maintain accurate and timely information in the electronic health record (EHR) and support the mission of meaningful use measures. 17. To serve as a consultant to team on health and safety concerns. 18. Performs other related duties and responsibilities as required. 19. Willingness to work flexible hours-morning/afternoon (early evening) shifts. Work week is 40 hours. MINIMUM QUALIFICATIONS: Graduation from an accredited college or university with a B.A. in human services field. Must have a valid West Virginia driver's license with a good driving record. Ability to function as a team member with good organizational skills. This position requires no history of ethical violations substantiated by a West Virginia licensing board.

Job DescriptionSalary: 16.70-21.50/hr Who we are: Integrated Health Centers of West Virginia (IHCWV) is a Federally Qualified Health Center (FQHC) based in rural West Virginia. IHCWV has provided high-quality healthcare services to the surrounding counties on a sliding fee scale since 1994. With nine locations and expanding, IHCWV is a growing healthcare organization that provides primary and acute medical care and behavioral health services to the local communities. Where we are going: At Integrated Health Centers of West Virginia, we take pride in offering affordable, compassionate, and excellent care to our patients. We are dedicated to expanding access to exceptional healthcare in our communities and strive to be the preferred healthcare provider for Ritchie, Pleasants, Doddridge, and Wood Counties residents. Providing healthcare is more than just our job; it's our passion, and we are dedicated to serving others with the highest quality care. What you'll do: Comprehensive care and coordination of services for patients. Complete intake assessments, including psychosocial and other related psychiatric templates. Obtain preauthorization and retroactive authorization from insurance companies for billing purposes. Maintain up-to-date files on all patients through electronic health records. Maintain thorough and confidential records. Attend regular organizational meetings and departmental meetings. Represents IHCWVs Behavioral Health program in approved meetings and coordinates relationships with community organizations, government groups, and social agencies, updating those entities on the activities and goals of the program. Maintains up-to-date contact information for commonly used community resources. Provides crisis assistance as needed. Maintains knowledge of, and supports, IHCWV's mission, values, polices, procedures, operating instructions, and code of ethical behavior. Is accessible to the Behavioral Health Director during clinic hours. Other duties as assigned by the Behavioral Health Director, Chief Medical/Operating Officer, or Chief Executive Officer. QUALIFICATIONS Must be able to perform each essential duty satisfactorily. Minimum of a Bachelors Degree from an accredited institution in Psychology, Human Services, Social Work, or related field. Three years of experience in the mental health field is preferred. A valid Drivers License The ability to pass a pre-employment background test and urine drug screen. KNOWLEDGE, SKILLS, AND ABILITIES Strong patient assessment skills. Knowledge of crisis intervention practices. Knowledge of medical and pharmacology terminology. Ability to effectively communicate orally, both in person and by telephone. Ability to form and maintain effective relationships with patients. Ability to maintain a consistent and dependable work schedule, adhering to IHCWV requirements. Excellent organizational skills. Excellent documentation skills. Ability to work well with diverse and challenging populations from a culturally sensitive framework. Maintain appropriate professional boundaries. All employees are responsible for maintaining an environment that is free from discrimination, intimidation, coercion, or harassment. Computer literacy is required, with experience in various online programs and software preferred. The ability to sit for long periods of time. TRAVEL REQUIREMENTS: Some travel to individual IHCWV locations is required. SALARY RANGE: Based on level of experience and educational training. WORK HOURS: Hours of operation for primary care health services (typically, 40 hours/week). What we offer: Competitive benefit packages: Health Insurance, Dental, Vision, Life Insurance, LTD, STD, and Retirement Plan with Employer Match. Excellent team culture Work-Life balance: 2 weeks paid vacation to start- accrued monthly 9 paid sick days per year 10 paid holidays 1 paid day for your birthday Evenings and weekends off IHCWV is an Equal Opportunity Employer.

NATURE OF WORK: Case Management services establish, along with the person, a life-long, person-centered, goal-oriented process for coordinating the supports (both natural and paid), range of services, instruction and assistance needed by persons with developmental disabilities. It is designed to ensure accessibility, accountability and continuity of support and services. This service also ensures that the maximum potential and productivity of a person is utilized in making meaningful choices with regard to their life and their inclusion in the community. All IDDW services purchased, however, must be within their annual individualized budget. Once the person/legal representative has chosen a Case Management provider from the available IDDW providers, the agency assigns a Case Manager to the person. The person/legal representative may request the assignment of a specific Case Manager and when possible the agency honors the request. The person/legal representative may choose to transfer to a different Case Management provider at any time and for any reason. The Case Manager must inform the person or their legal representative of all licensed IDDW agency providers who serve the region where the person resides. This is to ensure the person, or their legal representative, have a free choice of providers. MINIMUM QUALIFICATIONS: Ability to perform Essential Duties as outlined below. BA/BS in Human Service Field or a BA/BS in a non-human service field with one year experience in I/DD Six months experience with I/DD population. Ability to comply with all of Valley's Policies and procedures. Ability to comply with Client's Rights. Ability to comply with Valley's and Division departmental safety procedures. Ability to read, write, understand and speak the English language. Ability to legally transport clients. Current CPR/First Aid Certificate or ability to be trained.

CENTER'S MISSION AND VISION: Prestera Health Services is devoted to serving our communities by inspiring hope and growth to achieve wellness. The Case Manager will provide support through coordinating a variety of services for consumers. Case Managers are responsible for identifying, advocating, linking, and providing crisis services. DUTIES AND RESPONSIBILITIES Conducts interviews with consumers and their legal guardians, as indicated, to collect information need to complete a psychosocial assessment. Works with consumers and other treatment team members following assessment and identification of needs to develop a service/treatment plan within identified time frame. Provides supportive intervention services to consumers, assisting them with practicing skills learned in therapy and making effective use of resources. Schedules service/treatment plan reviews at designated timeframes to review consumer progress and amend the plan as needed. Assesses and reassesses consumer needs by utilizing various screening and assessment tools. Reviews consumer treatment goals and collaborates with other treatment team members. Provides targeted case management services to consumers who qualify, if in need. Assures that pertinent consumer information is shared with other treatment team members to promote quality care. Engages and communicates effectively with consumers and their families/legal guardians, and all team members. Collaborates and plans effectively to access the needed supports and services for each consumer and family served by working with agencies and organizations in a community. Schedules appointments and assures all parties have relevant consents and information needed. Prepares and maintains case records, letters, reports and forms, performs case follow-up and closing, and performs other administrative tasks within established guidelines/timeframes. Works with consumers to promote a positive sense of self-worth and independence. Organizes and conducts support groups for consumers as directed. Advocates for consumers and their families by attending MDT's, court hearings, IEP/SAT meetings, etc. Utilizes technology provided in order to perform job efficiently and effectively. Arranges for consumer transportation to appointments as needed. Ensures that quality customer services are provided and documented appropriately per policy; utilizes consumer satisfaction surveys with individuals in the program. Maintains a working knowledge of Prestera policies and procedures, and other regulatory bodies governing Prestera's service delivery, documents according to policies and protocols. Provides crisis assessment, intervention and develops crisis safety plans as indicated. Attends all center meetings/trainings as assigned. Adheres to confidentiality, HIPAA, and risk management policies and procedures including but not limited to completing Incident Reports. Participates in other functional work by participating in related projects, as applicable and directed by Center leadership. SUPERVISORY RESPONSIBILITIES No direct supervisory responsibilities are required. Qualifications QUALIFICATIONS AND REQUIREMENTS EXPERIENCE, KNOWLEDGE, AND SKILL REQUIREMENTS: Experience or passion to work population served. Possesses a valid driver's license. Knowledge of community resources preferred. Ability to learn, navigate, and work daily in the EHR system effectively. Must have a high level of interpersonal skills to handle sensitive and confidential situations. Possess strong written and verbal communication skills in conjunction with strong time management and organizational skills. Ability to take initiative, complete tasks with workflows and be creative in day-to-day interactions. Proficient in Microsoft Office applications, especially Microsoft Word. Must be able to lift up to 10 lbs. EDUCATION AND TRAINING REQUIREMENTS: Bachelor's degree in social service or related field.

Job Description ???? Now Hiring: Case Manager / Care Coordinator- Level 2- Legends Schedule: Full-Time Location: Mercer County Are you passionate about helping others navigate life's challenges and access the support they need? Southern Highlands is seeking a Case Manager/Care Coordinator Level 2 to join our outpatient team! In this role, you will work closely with clients to ensure they receive essential behavioral, medical, social, educational, and health-related services. You'll advocate on their behalf, coordinate care across providers, and help develop and implement person-centered or family-centered treatment plans that support long-term wellness. ✨ What You'll Do: Connect clients with vital community and health services Collaborate with multidisciplinary teams Advocate for client needs and support success Develop individualized treatment or service plans Provide ongoing coordination and follow-up ???? Education & License Requirements: Candidates must meet one of the following: Bachelor's or Master's degree in a human services-related field (per WV Board of Social Work), OR Licensed Psychologist with a Master's or Doctoral degree from an accredited program, OR Licensed Registered Nurse If you're dedicated, compassionate, and ready to make a meaningful difference in the lives of others, we invite you to apply!

Seneca Health Services is a Certified Community Behavioral Health Center in wild, wonderful West Virginia. We provide responsible, accessible, and progressive behavioral health services. We have a wide range of professionals who are passionate about helping our clients through substance use or mental health treatment. With four outpatient clinics and two intensive treatment locations in Greenbrier, Nicholas, Pocahontas and Webster Counties, we serve a wide population. Our services include Crisis Services, Substance Use Disorder Assistance, Mental Health Services, and Intellectual Disabilities Support. We are committed to supporting the well-being of our team members by offering comprehensive and innovative compensation and benefits package that prioritizes work-life balance. Some of our offerings include flexible schedules, remote work options (when possible), retirement, generous paid time off, lifestyle spending account, professional development, tuition assistance and loan repayment - all designed to promote both physical and mental health. We believe that a healthy, happy workforce is key to success, and we strive to create a supportive environment that allows our staff to thrive both professionally and personally. Case Managers administer evaluations, develop and implement individualized treatment strategies and provide targeted case management to assure individuals have access to needed services and resources. They provide supportive behavioral health counseling. Essential functions may vary depending on the program/area of assignment. QUALIFICATION REQUIREMENTS: Bachelor's Degree in a Human Service field required. West Virginia Social Work License preferred. Experience in behavioral health and/or substance use disorders preferred. Valid driver's license and vehicle required. Must pass a Criminal Background Check and Employment Fitness Determination through WVCARES and a drug screen. Demonstrated knowledge of basic computer skills required. PURPOSE: Administer evaluations, develop and implement individualized treatment strategies and provide targeted case management to assure individuals have access to needed services and resources. Provide supportive behavioral health counseling. Essential functions may vary depending on the program/area of assignment. ESSENTIAL FUNCTIONS: Perform an initial or reassessment evaluation to determine the needs, strengths, functional level(s), mental status, and/or social history of assigned individuals. Ensure an ongoing formal and informal process to collect and interpret information about client strengths, needs, resources, and life goals to be used in the development of an individualized treatment plan. Assure and facilitate the development of a comprehensive, individualized treatment plan and ensure regular reviews are conducted based on client needs. Perform or facilitate linkage and referral to all internal and external services, supports and resources. Advocate on behalf of client to ensure continuity of services, system flexibility, integrated services, proper utilization of facilities and resources, and accessibility to services. Follow-up with client on a regular and consistent basis to ensure their needs and goals are being met and that circumstances or priorities have not changed. Ensure adequate and appropriate crisis response planning procedures are available to the client and assist as necessary in accessing crisis support services and interventions. Continually evaluate the appropriateness of the treatment strategy and make appropriate modifications, establish new linkages, or engage in other dispositions as necessary. Provide supportive behavioral health counseling to maintain client progress towards identified goals and to assist in day-to-day management and problem solving as needed. Coordinate warm hand-offs with other staff to ensure the client is receiving recommended and/or appropriate treatment services. Serve as liaison between area law enforcement and Seneca to help divert individuals with low-level and non-violent substance use offenses to appropriate behavioral health and substance abuse treatment. Participate in the development of treatment and pre-discharge planning for clients in state psychiatric, private hospital, or substance use treatment settings. Complete referrals for admission accurately and thoroughly, ensuring appropriate symptomology and information is gathered during the referral process, as needed in residential settings. Coordinate and participate in Interdisciplinary Team Meetings, daily staffing, physician rounds, and discharge planning, as needed in residential settings. Submit the appropriate required utilization management information to ensure all services are authorized prior to service and follow-up as needed. Assure quality service for clients by becoming knowledgeable of and adhering to rules, regulations, and legal requirements and by documenting services provided and data collection and reporting in accordance with established standards. Secure information by adhering to HIPAA and 42 CFR Part 2 regulations and Seneca privacy policies and keeping client information confidential. Represent Seneca in a positive manner including maintaining a positive attitude and performing duties in a manner in accordance with Seneca's Code of Conduct and Ethical Practices. Other duties as assigned by supervisor. Minimum Physical Requirements 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit; use of arm, hand and finger dexterity, including ability to grasp, and visual acuity to use a keyboard. The employee is occasionally required to stand; walk; reach with hands and arms; climb stairs; balance; bend or crouch; talk and hear; and drive a motor vehicle. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by the job include close vision and distance vision. This job description reflects management's assignment of essential functions; it does not restrict the tasks that may be assigned.

NATURE OF WORK: To provide support, crisis intervention, supportive counseling and referral to those in crisis. To provide support, service coordination, crisis intervention, and facilitation of the Mental Hygiene Process for Valley's catchment area. This includes providing residential duties, basic living skills support services, monitoring clients, assessment, case management, and facilitation of group and individual supportive counseling for residents on Valley's CRU. WORK ENVIRONMENT: In-Doors 95% of the time; outdoors and transportation areas 5% of the time WORK PACE: Pace is determined by the frequency of callers to the Valley Healthcare System Crisis Line, number of mental hygiene petitions, and by the need of the client(s). ESSENTIAL DUTIES: * Greets callers to Valley's 24-hour Crisis Line appropriately during an assigned shift, acting in a non-judgmental and caring manner regardless of race, sex, ethnicity, and culture, and responding to callers with empathy and respect. CIS will utilize active listening skills and the crisis intervention model during all calls. * Seeking out information and keeping up to date with new/changing information that affects the Crisis/Helpline including developing knowledge about resources in the caller's area. * Reports to the authorities and completes appropriate forms for high-risk calls. Offers and completes follow-ups as appropriate. * Facilitates the Mental Hygiene Process when an application is filed. * Work with other agencies, hospitals, providers, etc. to ensure the referral process is offered. Facilitation of admission to private, public and State Hospitals. * Promotes appropriate community interactions by handling public interactions in a professional and competent manner. Returns phone calls and requests for information in a timely manner, promotes a positive image of the agency, and maintains good rapport with agency contacts. * Provide initial screenings to perspective consumers when they are requesting services and inform of current walk in -procedures. * Completes and submits documentation as required by Valley, Medicaid, Medicare, Private Insurances and any other licensing agency. Employee ensures all documentation is submitted in a timely and accurate manner in each consumer's EMR. * Provide assessments, treatment planning, IDT Meetings, and group/individual counseling services per treatment schedule, as directed by supervisor. * Monitor clients within the Crisis Unit to ensure their needs are met per the treatment plan. * Will hold supportive counseling sessions for clients as indicated by the treatment plan. * Perform daily residential duties such doing laundry, changing bed sheets, tracking inventory and stock, etc. * Work with other members of the Crisis Team to coordinate services. * Assists with cleaning duties on the Unit as assigned by Supervisor in order to meet licensure requirements. * Assure that the safety, health and well-being of consumers are always maintained on or off site. * Implement treatment and behavioral plans in compliance with Valley's and State guidelines. * Adheres to Valley's Standards of Conduct and Compliance and follows ethical guidelines of their profession. Follows Valley policies and procedures regarding paid time off, call-offs, and other attendance issues. * Monitor, maintain and use appropriately, all equipment and supplies. * Support and help in the training of new employees. * Attends all mandated meetings and trainings related to profession and enhances knowledge and/or skills which include Learning Management System (LMS) Trainings. * OTHER DUTIES AS ASSIGNED.

Job Summary: The Corrections Counselor meet with clients on a regular basis to assess problems or needs to be addressed, review and discuss progress and to inform the client of changes in program or schedule. The counselor shall provide individual and group supportive counseling, educational groups, and plan activities, events and program development. This employee will ensure compliance with safe work practices and maintain safe environments in compliance with established agency standards, licensing regulations and generally accepted practices. Duties and Responsibilities: Meet frequently with clients to review problems, plans, and progress. Document client progress, problems. Document programs, activities, participation, etc. Write reports documenting program activities and client participation. Develop schedules for recreation and leisure activities. Facilitate educational and supportive groups. Provide individual and group supportive counseling. Participate in program development as assigned. Attend meetings and training as assigned. Provide client transportation. Provide leadership in program activities. Arrange ministerial counseling. Assist security officers as needed. Perform other duties as assigned. Qualifications Required Skills/Abilities: Knowledge of behavior management techniques and philosophies used in juvenile detention settings Knowledge of juvenile detention policies and procedures Knowledge of techniques used in crisis intervention and de-escalation Ability to communicated effectively with clients, parents, and professionals Ability to observe change in client behaviors Ability to keep accurate records Excellent verbal and written communication skills. Excellent attention to detail in completing work tasks Ability to be a team player and work with diverse populations. Education and Experience: Requires Highschool Diploma/G.E.D or 0-2 years experience within a juvenile detention center; Prefers Bachelor Degree in Social work, Sociology, Criminal Justice or related human services field or 4-6 years experience within juvenile detention centers. Prefers 2-years experience with target population. Must have valid driver's license Substitution: Experience in the area of corrections or related field may be substituted for the required training on a year-for-year basis Additional Conditions of Employment: Able to pass drug testing, fitness for duty, and background check.

**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** $67,000.00 - $110,600.00 **Target Openings** 1 **What Is the Opportunity?** This role is eligible for a sign on bonus. Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW. There are no litigated issues or minor to moderate litigated issues. The claim may involve minor sprains/ minor to moderate surgery The injured worker is working modified duty and receiving ongoing medical treatment. The injured worker as returned to work, reached Maximum Medical Improvement (MMI) and is receiving PPD benefits. File will close as soon as the PPD is paid out. With close to moderate supervision, may handle claims of greater complexity where Injured worker (IW) remains out of work and unlikely to return to position. Employer is unable to accommodate the restrictions. The claim involves moderate to complex litigation issues IW has returned to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been released to work with permanent restrictions and there has been a change in the current position. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment on more complex files. Injuries may involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving moderate to complex offsets, permanent restrictions and/or fatalities. Claims on which a settlement should be considered. Travelers offers a hybrid work location model that is designed to support flexibility. **What Will You Do?** + Conduct investigations, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical providers, and other parties in a timely manner to determine compensability + Establish and update reserves to reflect claim exposure and document rationale. Identify and set actuarial reserves. Apply knowledge to determine causal relatedness of medical conditions. + Manage files with an emphasis on file quality (including timely contact and proper documentation and proactive resolution of outstanding issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical treatment.in collaboration with internal nurse resources where appropriate. + Work in collaboration with specialty resources (i.e. medical and legal) to proactively pursue claim resolution opportunities, (i.e. return to work, structured settlement, and discontinuation of benefits through litigation). Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome. + Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services into the overall claim strategy. Prepare necessary letters and state filings within statutory limits. + Pursue all offset opportunities, including apportionment, contribution and subrogation. Evaluate claims for potential fraud.Proactively manage inventory with documented plans of action to ensure timely and appropriate file closing or reassignment. + Effectively manage litigation to drive files to an optimal outcome, including resolution of benefits. Understand and apply Medicare Set Asides and allocations. + Negotiate settlement of claims within designated authority. May use structured settlement/annuity as appropriate for the jurisdiction. + 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?** + 2 years Workers Compensation claim handling experience. + 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: Interprets policies and contracts, applies loss facts to policy conditions, and determines whether or not a loss comes within the scope of the insurance contract. + Principles of Investigation: Intermediate investigative skills including the ability to take statements. + Follows a logical sequence of inquiry with a goal of arriving at an accurate reconstruction of events related to the loss. + Value Determination: Intermediate ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves. + Settlement Techniques: Intermediate ability to assess how a claim will be settled, when and when not to make an offer, and what should be included in the settlement offer package. + Legal Knowledge: General 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: Intermediate 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 resolve claims. + Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state. + Intermediate 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. + 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. + Maintain Continuing Education requirements as required or as mandated by state regulations. **What is a Must Have?** + High School Diploma or GED. + 1 year Workers Compensation claim handling experience or successful completion of the WC trainee program. **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 ******************************************************** .

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. This position will combine and utilize professional skills and expertise in the area of case management of patient care in the outpatient clinic providing support for the physicians, other therapists and staff to be able to serve their patients in an efficient manner. This position will be responsible for handling crisis that arise for patients daily and interfacing between the patients, families and providers within the department. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelor's Degree in Social Work or related field. 2. State criminal background check and Federal (if applicable), as required for regulated areas. EXPERIENCE: 1. One (1) year of experience in Social Work experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Current West Virginia Social Work licensure. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Facilitates referrals of patients to providers. 2. Takes crisis calls and works outcomes for patients. 3. Sends refill requests to providers and call pharmacy per direction of MD/NP/PA as needed. 4. Maintain a working knowledge of relevant medical/legal issues that impact on patient care, e.g., advance directives, child and elder abuse. 5. Provide education to patients and families around issues related to adaptation to the patient's diagnosis, illness, treatment and/or life situation. 6. Participate in multi-disciplinary health care teams. 7. Acts as a liaison with community agencies and resources. 8. Arrange, procure, and coordinate patient/family pre and post hospital needs. 9. Document assessment, plan, interactions, and interventions according to departmental, hospital and/or health system guidelines and standards. 10. Assisting in obtaining prior authorizations from third party carriers. 11. Working with the units in securing beds for admission. 12. Preparing or assisting in the preparation of discharge letters. 13. May schedule MRI's, PET's, and other imaging procedures. 14. Works with discharge planners and consult team to secure appointments. 15. Schedules new patient visits per established protocols. 16. Meets with patients face to face as needed to resolve crisis situations. 17. Assists Residents/front desk staff with resolving scheduling problems. 18. Covers messages and work ques for providers that are out of the office. PHYSICAL REQUIREMENTS: 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping are necessary body movements utilized in performing duties through the work shift. 2. Ability to sit for extended periods of time. 3. When working on inpatient units must be able and willing to participate in physical restraint of patient if needed. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment & clinical environment. SKILLS AND ABILITIES: 1. Must be knowledgeable and able to access different outpatient and community support systems to grant patients access to different types of services, ie patient assistance programs, Medicaid, and welfare services. 2. Must have the ability to be able to work closely with patients, families, physicians, psychologists, social workers and other members of the treatment team to develop individual and departmental treatment goals. 3. Must be knowledgeable and able to access many different types of services. 4. Must have the ability to assess and treat individuals with behavioral health and mental illnesses. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: USC Healthy Minds Cost Center: 3038 USC Healthy Minds Harrison Address: 6 Hospital PlazaClarksburgWest Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

Our Company StepStone Family & Youth Services Overview Our operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply today! Responsibilities Receives/responds to incoming calls from referral sources/potential clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability to meet them. Completes all viable referrals by setting up and carrying out pre-screening assessments, completion of pre-screening reports, and preparation of case proposals and other related pre-admission paperwork (i.e., obtains authorization for payment, coordinates availability of an appropriate treatment team). Oversees, directs and supervises field staff assigned in assisting with pre-screening process. Accesses national/state/company account information, including the account names and terms of contracts or other past payer agreements, as appropriate. Consults with third party representatives regarding client benefit coverage, client financial responsibility, company service authorization and specific reimbursement procedures. Presents company's services, interprets potential reimbursement options and negotiates reimbursement levels with third party payer. Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for client's case. Develops/maintains a working knowledge of all services/resources provided by the Company and services available within the community. Assists in identifying alternative community service sources when company solutions are not appropriate or available. Maintains relationships with standard referral sources and payer case managers. Contacts identified referral sources and seeks referrals as appropriate. Records outcome of calls and keeps the SAR informed. Monitors/tracks referral sources' satisfaction levels, tracks/reports on conversion ratios and provides summary reports to management at requested intervals. Implements/maintains, with the up line management, operational processes to ensure compliance with Company policies, requirements and regulatory mandates. Adheres to and participates in Company's mandatory HIPAA privacy program/practices and Business Ethics and Compliance programs. Participates in quarterly growth planning meetings/activities including discussions around staffing and recruitment needs. Participates in special projects and performs other duties as assigned. Qualifications Bachelor's degree in a human services field or nursing field. Valid driver's license. Must have two years of experience with case management or related discipline Must be able to communicate both verbally and in writing. About our Line of Business StepStone Family and Youth Services, an affiliate of BrightSpring Health Services, provides the full spectrum of support to children in need of alternative, safer, and more positive living environments with residential and family services. StepStone connects children and youth who need homes with foster families, as well as foster care training, respite care and support services. For young adults transitioning from foster care to independent living, StepStone provides personalized guidance and training on basic life skills, including money management and education. For more information, please visit *********************** Follow us on Facebook and LinkedIn. Salary Range USD $43,000.00 - $46,000.00 / Year

CENTER'S MISSION AND VISION: Prestera Health Services is devoted to serving our communities by inspiring hope and growth to achieve wellness. The Case Manager will provide support through coordinating a variety of services for consumers. Case Managers are responsible for identifying, advocating, linking, and providing crisis services. DUTIES AND RESPONSIBILITIES Conducts interviews with consumers and their legal guardians, as indicated, to collect information need to complete a psychosocial assessment. Works with consumers and other treatment team members following assessment and identification of needs to develop a service/treatment plan within identified time frame. Provides supportive intervention services to consumers, assisting them with practicing skills learned in therapy and making effective use of resources. Schedules service/treatment plan reviews at designated timeframes to review consumer progress and amend the plan as needed. Assesses and reassesses consumer needs by utilizing various screening and assessment tools. Reviews consumer treatment goals and collaborates with other treatment team members. Provides targeted case management services to consumers who qualify, if in need. Assures that pertinent consumer information is shared with other treatment team members to promote quality care. Engages and communicates effectively with consumers and their families/legal guardians, and all team members. Collaborates and plans effectively to access the needed supports and services for each consumer and family served by working with agencies and organizations in a community. Schedules appointments and assures all parties have relevant consents and information needed. Prepares and maintains case records, letters, reports and forms, performs case follow-up and closing, and performs other administrative tasks within established guidelines/timeframes. Works with consumers to promote a positive sense of self-worth and independence. Organizes and conducts support groups for consumers as directed. Advocates for consumers and their families by attending MDT's, court hearings, IEP/SAT meetings, etc. Utilizes technology provided in order to perform job efficiently and effectively. Arranges for consumer transportation to appointments as needed. Ensures that quality customer services are provided and documented appropriately per policy; utilizes consumer satisfaction surveys with individuals in the program. Maintains a working knowledge of Prestera policies and procedures, and other regulatory bodies governing Prestera's service delivery, documents according to policies and protocols. Provides crisis assessment, intervention and develops crisis safety plans as indicated. Attends all center meetings/trainings as assigned. Adheres to confidentiality, HIPAA, and risk management policies and procedures including but not limited to completing Incident Reports. Participates in other functional work by participating in related projects, as applicable and directed by Center leadership. SUPERVISORY RESPONSIBILITIES No direct supervisory responsibilities are required. Qualifications QUALIFICATIONS AND REQUIREMENTS EXPERIENCE, KNOWLEDGE, AND SKILL REQUIREMENTS: Experience or passion to work population served. Possesses a valid driver's license. Knowledge of community resources preferred. Ability to learn, navigate, and work daily in the EHR system effectively. Must have a high level of interpersonal skills to handle sensitive and confidential situations. Possess strong written and verbal communication skills in conjunction with strong time management and organizational skills. Ability to take initiative, complete tasks with workflows and be creative in day-to-day interactions. Proficient in Microsoft Office applications, especially Microsoft Word. Must be able to lift up to 10 lbs. EDUCATION AND TRAINING REQUIREMENTS: Bachelor's degree in social service or related field.

Valley HealthCare System is a Comprehensive Community Mental Health Center that offers services in the north central West Virginia region for mental health, substance use, and intellectual and developmental disabilities. We are currently seeking a Crisis Intervention Specialist/Crisis Stabilization Specialist (CIS/CSS) to work in our Crisis Residential Unit-a facility for adults with mental health and substance use disorders experiencing acute crisis and severe psychiatric symptoms. To meet the minimum qualifications for this position one must have a Bachelor's degree in a human service field. The CIS/CSS position is a dual role assisting on Valley's Crisis Residential Unit, as well as operating multiple functions of the Crisis Hotline, including mental health hygiene petitions. This position includes advocating for clients, processing referrals for continued treatment, and collaborating with our treatment team to provide quality care for our clients. The ideal applicant for this position is one who is compassionate, attentive, and goal-oriented. This individual must be flexible as they work in a fast-paced, high-intensity environment. This is an exciting opportunity as we prepare for the grand opening of our 16-bed Crisis Unit in Fairmont. Both full-time and part-time positions are available for the CIS/CSS position, with a sign-on bonus of up to $1500 being offered for part-time and $2500 offered for full-time. Both full-time and part-time CIS/CSS positions come with competitive benefits for those who qualify.

Seneca Health Services is a Certified Community Behavioral Health Center in wild, wonderful West Virginia. We provide responsible, accessible, and progressive behavioral health services. We have a wide range of professionals who are passionate about helping our clients through substance use or mental health treatment. With four outpatient clinics and two intensive treatment locations in Greenbrier, Nicholas, Pocahontas and Webster Counties, we serve a wide population. Our services include Crisis Services, Substance Use Disorder Assistance, Mental Health Services, and Intellectual Disabilities Support. We are committed to supporting the well-being of our team members by offering comprehensive and innovative compensation and benefits package that prioritizes work-life balance. Some of our offerings include flexible schedules, remote work options (when possible), retirement, generous paid time off, lifestyle spending account, professional development, tuition assistance and loan repayment - all designed to promote both physical and mental health. We believe that a healthy, happy workforce is key to success, and we strive to create a supportive environment that allows our staff to thrive both professionally and personally. Crisis Responder serves as a member of the crisis response team to provide crisis services to individuals in the community and linkage to Seneca services and programs. Provide intensive crisis services for clients at risk of involuntary commitment to a state psychiatric hospital or to a diversion psychiatric hospital. Provide or arrange for community-based outpatient and residential treatment in addition to supports prior to, during, and following the mental hygiene process in order to avoid unnecessary hospital admissions. QUALIFICATION REQUIREMENTS: Bachelor's Degree in a Human Service field required; West Virginia Social Work License preferred. One year experience in behavioral health required; Valid driver's license and vehicle required; Must pass a Criminal Background Check and Employment Fitness Determination through WVCARES & a drug screen. Able to represent Seneca in a positive manner i.e. maintaining a positive attitude/performing duties in a manner in accordance with Seneca's Mission & Code of Conduct/Ethical Practices. Demonstrated knowledge of basic computer skills required ESSENTIAL FUNCTIONS: Provide assessment and warm hand-off to other service providers. Provide follow-up on compliance with recommended treatment to increase length of stay in treatment. Link clients with needed community supports. Assure quality service for clients by becoming knowledgeable of & adhering to rules, regulations & legal requirements and by documenting services provided in accordance with established standards; secure information by adhering to HIPAA and 42 CFR Part 2 regulations and Seneca privacy policies. Share and discuss common experiences; answer questions and provide referrals for the services/supports necessary to promote mental health for individuals served. Help individuals discover, access, and utilize methods to maintain mental health or reduce the harm associated with behaviors negatively affecting mental health. Coordinate community outreach. Link and refer individuals to resources for treatment, family support, education, housing and local or online support groups. Establish and maintain peer-led groups or classes to support improved health outcomes. Complete assessments and track progress to maintain client engagement in treatment. Obtain authorization and document services provided, as required. Provide possible client diagnosis in Avatar. Provide coping techniques and supportive counseling. Collaborate with hospital emergency room staff and Seneca crisis workers to directly engage high risk, high need clients and families in order to identify early signs of treatment non-compliance or at-risk behaviors which could result in a probable cause hearing. The goal is to avoid the probable cause hearing. Provide timely coordination with local providers, including hospital ERs, DHHR protective service workers, mental hygiene commissioners, magistrates, law enforcement, crisis stabilization units, and other non-hospital diversion resources. Assist in increasing utilization of alternatives to commitment by assessing the feasibility of Voluntary Treatment Agreements, use of crisis units, and the provision of crisis intervention services. Participate in team meetings. Work closely with other members of the IDT. Maintain frequent contact with high-risk clients by closely monitoring medication compliance and treatment compliance in the community and homes, especially for those clients with a high rate of recidivism through at-risk tracking and/or other tracking methods. Ensure linkage with community housing options, other community supports as provided by other agencies, and other non-institutional living options by making referrals to Case Managers, when appropriate. Provide support and assistance for community integration by providing or arranging transportation, shopping opportunities, gaining access to medication and other health services, and money management by making referrals to Case Managers, when appropriate. Represent Seneca in a positive manner including maintaining a positive attitude and performing duties in a manner in accordance with Seneca's Core Values and Code of Conduct & Ethical Practices. Other duties as assigned by supervisor. Minimum Physical Requirements 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit; use of arm, hand and finger dexterity, including ability to grasp, and visual acuity to use a keyboard. The employee is occasionally required to stand; walk; reach with hands and arms; climb stairs; balance; bend or crouch; talk and hear; and drive a motor vehicle. The employee must occasionally lift and/or move up to 20 pounds and rarely up to 50 pounds. Specific vision abilities required by the job include close vision and distance vision. Local travel required. This job description reflects management's assignment of essential functions; it does not restrict the tasks that may be assigned.