Job Counselor jobs at Cigna - 25 jobs

At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Job Description In the Quantum Algorithm Developer Expert role, you will contribute to the development and evaluation of quantum computing algorithmic solutions to problems with a future potential in the insurances industry. You will also be part of bootstrapping classical-compute solutions that can provide early business value for these problems and are precursors to the later quantum solutions. The work ranges from curating the problems at the start to estimating the potential benefit of future, scaled-up versions based on small-scale experimental evidence at the end. You'll also contribute to the collaboration with external partners from industry and academia.Key Responsibilities • Collaborate within the team and with external partners from industry and academia to review results and justify selected algorithmic solutions • Contribute to quantum computing algorithm development and exploration a technical competency • Identify, research and realize key advances in the relevant areas of quantum computing • Analyze algorithm performance through and simulations on classical hardware and experiments on diverse quantum hardware • Develop classical-compute reference solutions and implement these solutions to provide early business value • Distill scaling properties of algorithm candidates and evaluate potential for quantum advantage • Curate exemplary problems with relevancy to the insurance space and potential for quantum advantage • Apply, adapt, and derive algorithms solving the curated problems Experience • 7 or more years of professional experience (Preferred) Supervisory Responsibilities • This job does not have supervisory duties. #LI-TE1 Skills Algorithms, Quantum Computing, Researching Compensation Compensation offered for this role is 141,800.00 - 219,200.00 annually and is based on experience and qualifications. The candidate(s) offered this position will be required to submit to a background investigation. Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact. Allstate generally does not sponsor individuals for employment-based visas for this position. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.

At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Job Description The Employment Counsel provides legal advice and counsel in all areas of employment including pre-litigation, pre-arbitration, agency charges, compliance, accommodations, compensation, and employee separations with oversight. The Employment Counsel proactively counsels business units on workplace legal issues and risk with oversight. In consultation with other Counsels and the Director, the Counsel collaborates with and aligns on strategy, action planning, and communication with clients, business units, other areas of Law & Regulation, and outside counsel. Together, these efforts help drive a confident, agile, and forward-thinking workplace where smart solutions take center stage.Key Responsibilities Provide advice and counsel to human resources and business units regarding a wide range of employment laws including joint employment, wage and hour, ADA, ADEA, FMLA, FLSA, OWBPA, OSHA, Title VII, and WARN, company policies and practices. Drafting and responding to cease and desist letters related to employment, non-compete, or confidentiality disputes. Manage complex pre-litigation/arbitration and provide cost oversight. Provide complex training to HR on various employment law issues, terminations, reductions in force, etc. Provide advice and counsel to human resources and business units to drive sound workplace practices and business outcomes, including consultation with outside counsel as needed to address employees globally, including employees located in Canada, India, Mexico, and Northern Ireland. Manage attorney demand letters, arbitrations, and other forms of dispute handling; participate in mediation/settlement conferences and prepare/review settlement papers as appropriate. Review and revise responses for agency complaints and requests. Review assigned matters and develop strategies. Evaluate use of outside counsel. Work Location and Travel Remote Work Location with Required Travel This role is based in a Remote work office setting and requires approximately 10% domestic travel within the United States. While candidates may work from various home locations, the preferred home office locations are: Chicago, IL; Dallas, TX; Charlotte, NC or Scottsdale, AZ. Education & Experience Juris Doctor (Required) Licensed to practice law in any U.S. jurisdiction 5 or more years of experience Supervisory Responsibilities This job does not have supervisory duties. Functional Skills Advanced computer skills, including proficiency in the full MS Office Suite. Strong budget management skills with the ability to allocate and track resources effectively. Highly developed analytical skills with the ability to interpret complex information and provide actionable insights. Effective communication skills with the ability to convey complex concepts clearly and concisely. Extensive knowledge and experience litigating and/or managing employment law matters. Strong research skills with the ability to synthesize legal, regulatory, and business information. Exceptional time management skills with the ability to prioritize competing demands and meet deadlines. Proven team collaboration skills and the ability to work effectively across functions. Strong leadership collaboration skills, partnering seamlessly with senior leaders to support strategic initiatives. The preceding description is not designed to be a complete list of all duties and responsibilities. May be required to perform other related duties as assigned. Regular, predictable attendance is an essential function of this job. #LI-PC1 Skills Analytical Thinking, Budgeting, Business Collaboration, Employment Law Counseling, Legal Research, Strategy Plan, Team Collaboration, Time Management Compensation Compensation offered for this role is 92,560.00 - 166,465.00 annually and is based on experience and qualifications. The candidate(s) offered this position will be required to submit to a background investigation. Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact. Allstate generally does not sponsor individuals for employment-based visas for this position. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.

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

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

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

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. This role supports a 24 hour/365 day crisis call center. Applicants must reside in Louisiana. Position Purpose: Work in collaboration with schools of higher education, county first responders, law enforcement, emergency departments, providers, crisis mobile teams and the Cenpatico Crisis Line provider to support the delivery of coordinated and effective crisis services. Develop relationship with all local schools of higher education and coordinate crisis prevention and disaster recovery efforts Verify crisis provider services are delivered in accordance to contract expectations Facilitate the issuing of Corrective Action letters to providers for non-compliance to contract requirements Verify follow-up occurs after crisis interventions to effectively coordinate care Educate local schools of higher education about how to identify the early warning signs of mental illness and what actions to take to safeguard students, faculty and the community Support the Crisis System Plan and the development of provider crisis programs and services within the Provider Network. Monitor the performance of the Crisis Line provider, Crisis Mobile Teams and other providers of crisis services Support the development of Crisis Response Center processes to verify effective coordination of care with other providers Establish baseline data; collect, analyze and report outcomes and progress in reaching program goals. Support the coordination of crisis system processes among system partners, including schools of higher education, crisis providers, intake agencies, emergency rooms, police and fire Conduct root causes analyses, conduct rapid cycle improvement processes Conduct cross departmental and cross system collaborative meetings to execute initiatives and resolve system issues Receive and respond to external system partner related issues in a timely manner Troubleshoot service delivery and coordination issues on behalf of system partners Educate system partners regarding policies and procedures related to referrals, website education, and problem solving Implement and monitor project plans to meet goals and timelines Request corrective action plans from providers that are non-compliant and/or fail to meet contract requirements Develop training modules and train appropriate users Support the involvement of Peer and Family Support Services, and wrap around and community based services to both stabilize and reduce crisis in the community. Provide on-call telephonic coverage 24 hours a day, in rotation as assigned, to provide consultation Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in Behavioral Health or equivalent experience. 5+ years of related experience. Master's degree in Behavioral Health or Social Science preferred. License/Certificates: Licensed Independent Substance Abuse Counselor (LISAC), Licensed Master Social Worker (LMSW), Licensed Bachelor Social Worker (LBSW), Certified Employee Assistance Professional (CEAP) or Licensed Marriage & Family Therapist (LMFT) preferred. For LA Healthcare Connections plan only: One of the following licenses is required: Licensed Professional Counselor (LPC), Licensed Clinical Social Worker (LCSW), or Licensed Addiction Counselor (LAC) Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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

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

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

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

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

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

**Become a part of our caring community and help us put health first** The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Care Manager, Telephonic Behavioral Health 2 is a **Licensed, Masters level, Social Worker** who functions as a Support Social Services associate (Support SS) in our Special Needs Plan (SNP) program and serves as part of an interdisciplinary care team member working with other disciplines, such as nurse care managers, dieticians, behavioral health, and pharmacists to help promote and support member health and well-being. This role requires the use of structured assessments along with critical thinking skills to determine appropriate interventions such as care coordination, health education, connection to community resources, full utilization of benefits and advocacy. This role requires effective and professional communication with providers, community resources, and other members of the interdisciplinary team to address member needs. The Support SSs daily job duties include making outbound call attempts to members with social determinants of health (SDOH) needs to assess and assist with coordinating care with available plan benefits and/or appropriate community resources in a telephonic, call center, work from home environment. This role does not carry a caseload but may require additional member follow-up to ensure that all needs have been assessed and addressed. The Support SS may also receive inbound calls from members needing additional assistance. This role is also responsible for assessing the member to determine if a referral to any other discipline is needed depending on member's individualized needs. Creating and updating member care plans may be required. Documentation in the member's record is required to ensure CMS compliance, and accurately reflect work with members, providers, and other members of the interdisciplinary care team. **Use your skills to make an impact** **Required Qualifications** + Master's degree in social work from an accredited university + Current, unincumbered, social work license; **LMSW, LCSW, LICSW** + Must have passed ASWB Exam (Master, Advance Generalist, or Clinical level) + Minimum 3 years of experience working as a social worker in a medical healthcare setting + Proficient in Microsoft applications including Word, Outlook, Excel + Capacity to manage multiple or competing priorities including use of multiple computer applications simultaneously + Must be willing to obtain/maintain social work licensure in multiple states, based on business need **Preferred Qualifications** + Experience working with geriatric, vulnerable, and/or low-income populations + Licensure in LA, MD, MI, MS, NV, NM, OK, VA + Bilingual English/Spanish + Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information** **Work-At-Home Requirements:** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Social Security Notification:** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **HireVue Interview Process:** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. **Benefits Day 1:** Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including: Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities **START DATE after completion of background/onboarding-** *Projected start dates for these positions will be throughout Feb 2026 with all interviews being conducted Dec/Jan **Schedule:** + Hours for this position are Monday - Friday 9:30am - 6pm EST. + Hours for the first 2 weeks of training are M-F 8:30am-5pm EST Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $59,300 - $80,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-30-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

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

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

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

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come. Excellent benefits package, including 401k, tuition, licensure and certification reimbursement. We promote healthy & wellness lifestyles and offer specialty programs here at Aetna. We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence. Together we will empower people to live healthier lives. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities. We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard. Job Description JOIN OUR GROWING TEAM Are you tired of bedside nursing? Are you looking to get away from 12-hour hospital shifts while continuing to utilize your RN expertise to impact the lives of patients in your local community? We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Workers' Compensation Field Case Management team. This opportunity offers a competitive salary, full benefits, and a performance-based bonus paid out on a monthly or quarterly basis. POSITION SUMMARY Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patients appropriate and timely return to work. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel. Fundamental Components but not limited to the following: Assesses and analyzes an injured employees medical and vocational status; develops a plan of care to facilitate the patients appropriate and timely return to work. Interviews patients in their homes, work-sites, or physicians office to provide ongoing case management services. Monitors patient progress toward desired outcomes through assessment and evaluation. Communicates both in-person and telephonically with patient, medical providers, attorneys, employers and insurance carriers; prepares all required documentation of case work activities. May arrange referrals, consultations and therapeutic services for patients; confers with specialists concerning course of care and treatment. Develops and administers educational and prevention programs. Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources. Testifies as required to substantiate any relevant case work or reports. Daily travel in the field. Qualifications BACKGROUND/EXPERIENCE: Registered Nurse (RN) with active state license in good standing in the state where job duties are performed required Minimum 2 years clinical nursing background required Bilingual Spanish Speaking Fluent preferred Prior case management and workers' compensation experience preferred Ability to multitask in a fast paced work environment Strong computer skills with experience in Microsoft Office Products Excellent communication skills EDUCATION The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience. LICENSES AND CERTIFICATIONS Nursing/Registered Nurse (RN) is required Nursing/Certified Case Manager (CCM) is desired Telework Specifications: Full time WAH with daily travel in the field. Candidates should reside in the San Fernando Valley/Los Angeles area. Additional Information We offer you: Autonomy Productivity incentive Home every night, weekend and holiday! Schedule Monday-Friday All major holidays are paid time off, vacation and sick time off is accrued. Full benefits offered including 401(k) and many corporate discounts available. Employees are reimbursed for fees to maintain licensure as well as free CEU's to maintain licensure. Continuing Education credits are available/provided for RN and a various industry certifications too. Work from home with in-state travel. In addition to annual salary, position has potential for a monthly monetary bonus. Mileage reimbursement is provided per the IRS rate. Coventry provides laptop, IPhone, fax/scanner/printer, as well as office supplies. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. All employees are expected to embody our values of Excellence, Integrity, Caring and Inspiration in all that they do as an employee. The overall responsibility of the Field Case Manager is to ensure the injured worker receives the best possible care in a timely and efficient manner towards full rehabilitation and return to work. Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come. We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence. Together we will empower people to live healthier lives. Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

Become a part of our caring community and help us put health first The Senior Health Equity Strategy Professional support the development of the organization's strategic direction and coordination of health care equity to reduce or eliminate health disparities. The Senior Health Equity Strategy Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Identify policies and practices adversely affecting groups of people with social or economic obstacles to health. Ensure the delivery of services in a culturally appropriate and effective manner. Obtain and incorporate input from members who have disparate outcomes as directed by population health leadership. Evaluates members outward facing communications for understanding and cultural appropriateness. Partner with community-based organizations to address social determinants of health-related needs. Support the development of a pipeline for diverse health and social service providers. Partner with our population health enterprise team on integration of enterprise data with community partners for analysis. Use your skills to make an impact Required Qualifications Must reside in Michigan or within 40 miles of the border in Indiana or Ohio. Bachelor's degree. Two (2) or more years of experience in health equity, service coordination, ambulatory care, community public health, care management, or care coordination across multiple settings and with multiple providers. Experience working in a health care or social service setting. Experience with program planning, implementation, and evaluation. Experience in analyzing data and making data-driven recommendations for quality improvement. Proficiency in Microsoft applications including Word, Advanced Excel, and PowerPoint. Excellent interpersonal skills; ability to develop effective relationships with a broad array of people internally and externally, including community partners. Ability to take personal initiative and work independently, as well as part of a team. Preferred Qualifications Bachelor's or master's degree in nursing, Public Health, Social Work, Health Services Research, Health Policy, Information Technology, or another relevant field. Previous Medicaid or Managed Care experience. Bilingual or multilingual in Spanish, Arabic, Chaldean Neo-Aramaic, or other languages. Must be able to speak, read, and write fluently in both English and the specified language without assistance. Refer to the 'Additional Information' section for details on language proficiency assessments. Additional Information Workstyle: This is a remote position with travel. Typical Workdays and Hours: Monday - Friday; 8:00am - 5:00pm Eastern Standard Time (EST). Travel: Up to 25% travel across Michigan to meet community partners, and various care teams. Occasional travel to Humana's Detroit office is also expected for team engagement meetings. Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. WAH Internet Statement To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $78,400 - $107,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

**Become a part of our caring community and help us put health first** The Senior Health Equity Strategy Professional support the development of the organization's strategic direction and coordination of health care equity to reduce or eliminate health disparities. The Senior Health Equity Strategy Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. + Identify policies and practices adversely affecting groups of people with social or economic obstacles to health. + Ensure the delivery of services in a culturally appropriate and effective manner. + Obtain and incorporate input from members who have disparate outcomes as directed by population health leadership. + Evaluates members outward facing communications for understanding and cultural appropriateness. + Partner with community-based organizations to address social determinants of health-related needs. + Support the development ofa pipeline for diverse health and social service providers. + Partner with our population health enterprise team on integration of enterprise data with community partners for analysis. **Use your skills to make an impact** **Required Qualifications** + **Must reside in Michigan or within 40 miles of the border in Indiana or Ohio.** + Bachelor's degree. + Two (2) or more years of experience in health equity, service coordination, ambulatory care, community public health, care management, or care coordination across multiple settings and with multiple providers. + Experience working in a health care or social service setting. + Experience with program planning, implementation, and evaluation. + Experience in analyzing data and making data-driven recommendations for quality improvement. + Proficiency in Microsoft applications including Word, Advanced Excel, and PowerPoint. + Excellent interpersonal skills; ability to develop effective relationships with a broad array of people internally and externally, including community partners. + Ability to take personal initiative and work independently, as well as part of a team. **Preferred Qualifications** + Bachelor's or master's degree in nursing, Public Health, Social Work, Health Services Research, Health Policy, Information Technology, or another relevant field. + Previous Medicaid or Managed Care experience. + Bilingual or multilingual in Spanish, Arabic, Chaldean Neo-Aramaic, or other languages. Must be able to speak, read, and write fluently in both English and the specified language without assistance. Refer to the 'Additional Information' section for details on language proficiency assessments. **Additional Information** + **Workstyle:** This is a remote position with travel. + **Typical Workdays and Hours** : Monday - Friday; 8:00am - 5:00pm Eastern Standard Time (EST). + **Travel:** Up to 25% travel across Michigan to meet community partners, and various care teams. Occasional travel to Humana's Detroit office is also expected for team engagement meetings. + **Language Assessment Statement:** Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. **WAH Internet Statement** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $78,400 - $107,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************