Classification case manager jobs near me - 238 jobs

OverviewAt Advocate, our mission is to empower Americans to obtain the government support they've earned. Advocate aims to reduce long wait times and bureaucratic obstacles of the current government benefits application process by developing a unified intake system for the Social Security Administration, utilizing cutting-edge technologies such as artificial intelligence and machine learning, crossed with the knowledge and experience of our small team of EDPNA's and case managers. We are seeking a highly organized and dedicated Case Manager to join Advocate and oversee the progress of disability cases at the Initial Application (IA) and Reconsideration (Recon) levels. You will manage a large caseload and work directly with claimants, ensuring they receive regular updates and assistance throughout the process. Your role will include analyzing medical records, filing recon appeals, and collaborating with SSA/DDS to resolve case-related issues. If you have strong time-management skills and thrive in a fast-paced, client-focused environment, this position will allow you to make a meaningful impact on the lives of claimants.Job Responsibilities Conduct Welcome Calls, file appeals, take action on claims needing attention, respond to Claimant calls, SMS, and emails, and other claim management work streams Offer an empathetic, best-in-class experience for our claimants Proactively communicate with claimants, ensuring they are informed of the progress of their cases. Collaborate with SSA/DDS to resolve case-related issues and keep the case on track. Use our technology to support claimants through the application and adjudication process Help improve our technology and operations, providing feedback to strengthen our ability to help claimants Proactively identify challenges and offer solutions. Qualifications Minimum of one year of SSDI/SSI case management experience is required. Strong organizational and time-management skills to handle a large caseload. Thorough knowledge of Social Security's disability process and familiarity with DDS/SSA forms. Ability to work in a fast-paced environment while maintaining attention to detail and task completion. Preference for a small start-up environment with high ownership and high responsibility. Desire to transform the disability application and adjudication process. Ability to quickly pivot, change process, and adopt new ways of doing things. Familiarity with Salesforce or a similar CRM This is a remote position and Advocate is currently a fully remote team. Advocate is an equal opportunity employer and values diversity in the workplace. We are assembling a well-rounded team of people passionate about helping others and building a great company for the long term.

Since 1961, The Association for Individual Development (AID) has served individuals with developmental, intellectual, physical and/or mental health challenges, those who have suffered a trauma, and those at risk. As a non-profit organization, our mission is to empower people with physical, developmental, intellectual, and mental health challenges to enjoy lives of dignity and purpose. We are looking for a Case Manager QIDP - Home Based Services who exemplifies that mission, and who wants to make a difference in the lives of their patients. Are you the right fit? What will you be doing? Assists the individual and the Family by providing training to enable self-directed services Aids with budgeting and recruiting Personal Support Workers Assist with the implementation of the Person-Centered Service Plan. What will you bring to the table? A bachelor's degree in a human services field (required) Ability to meet qualifications as a QIDP Ability to attend and pass DHS-mandated QIDP training within six months of hire One year of experience working in the field of developmental disabilities What will we bring to the table? Tuition reimbursement Health, dental, and vision insurance Employer-paid life insurance plan Employer-paid short-term and long-term disability plan Holiday pay Paid time off Retirement plan Employer-paid critical illness plan What are the other requirements? Solicits and updates service agreements with all providers every fiscal year and as needed to reflect changes in rates and type of services Assists the family as needed with application for Medicaid benefits and providers referrals to other agencies so that the individual can receive services from a broad spectrum of areas Ensures providers are enrolled as Medicaid waiver providers and have completed necessary forms to be reimbursed The use of your personal vehicle or agency vehicles to transport clients If we seem like a good fit, consider joining our growing team of compassionate, hardworking, and caring individuals, and start your path toward a fulfilling career that you can be proud of.

Job DescriptionBenefits: PTO: Vacation, Sick, and Holiday Anthem Health Insurance Defined Benefit and Profit Sharing Pension Plans In this role, you will handle you own portfolio of complex Pre-litigation cases as well as supervise all other Case Managers, leading them in a weekly meeting to keep the department and all cases on track. The Senior Case Manager reports directly to the Senior Partner who will provide attorney support and direction as needed. Qualifications: 5+ years Pre-Litigation Personal Injury experience Fluent in Spanish and English Caring and compassionate to Clients Skilled in writing and communication Skilled with office tech (Microsoft Office Suite, CASEpeer, Adobe, Docusign, etc.) Articulate and polite Highly organized and detail oriented Experienced in supervising and directing staff Job duties include: Managing portfolio of complex Personal Injury Pre-litigation Cases Conducting intakes and client interviews Medical and Medicare reporting Resolving property damage claims Monitor, maintain, and direct client medical treatment Maintain electronic case files in firm cloud server and CASEpeer Maintain frequent and quality communication with clients Drafting demand letters Settling injury claims Lien negotiations and case accounting Supervise Case Managers (2) Supervise all Personal Injury Pre-Litigation Cases Lead Pre-Litigation Department, including weekly meetings This is a remote position.

*$500.00 hiring bonus after 90 days employment. Eligible for up to $600.00 bonus every month. Flexible schedule or work from home available after training period. The Case Manager, Non-Residential, Community Corrections, is responsible for programmatic goals, ensuring program conditions are met, and assisting in the establishment or reestablishment of community ties as required. Ensures contractual deadlines are met, and the clients' performance is monitored and documented properly. Provides exceptional customer service and complies with company and contractual policies and procedures. ESSENTIAL FUNCTIONS: Supervises caseload of clients to ensure program, court and referring agency requirements are met. Provides client with community resource assistance. Conducts client assessments, evaluates programming progress and participates in client progress meetings. Ensures accountability of clients in the community via phone calls, onsite checks, drug and alcohol screenings, observations, and verification of submitted documentation and requests Reviews and oversees clients' financial obligations. Collects supervision payments from clients and completes daily deposits. Reviews and evaluates client behavior. Notifies appropriate agency of infractions or determines if disciplinary measures are needed. Ensures client physical and electronic file is up-to-date and contains all relevant and pertinent information. Maintains sentencing case plan and tracks the client's progress through treatment and other programs, ensures client's required timelines are met and goals are accomplished as outlined by court or referring agency's requirements. Maintains and monitors the confidentiality of client records and administrative files. Complies with the requirements of applicable regulations, laws, rules, procedures, policies, standards and/or contractual requirements. Works with court and court officials to write and update client reports. Testifies in court when required. Domestic U.S. travel may be required. Other duties as assigned BASIC QUALIFICATIONS: Bachelor's Degree from accredited college or university required Proficiency with Microsoft Office (Word, Outlook and Excel) preferred. Effective verbal and written communication skills required and apply problem solving techniques to complex issues. Strong organizational and clerical skills required. Demonstrate ability to complete pre-service and other training programs as required. Valid driver's license is required. KNOWLEDGE, SKILLS, ABILITIES Plan, organize and assign the work of others Apply policies, procedures, and best practices Perform computer data entry Clearly communicate concepts and instructions Coordinate efforts with other staff and divisions Create and maintain accurate records and reports Work within a team structure Define problems, collect and analyze data, and determine valid solutions Recognize and meet needs of customer/end user Maintain focus and perform required duties while interacting with disagreeable customers/end users Bend, stoop, lift objects up to 10lbs., and maintain mobility necessary to perform minimum functions associated with the position Benefits Include: Medical Dental Vision 401K Short Term Disability Long Term Disability Basic Life

At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives. We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: “What would I do if this patient were my mom?” That question drives everything we do. But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose. Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins. Position Summary The Oncology Case Manager is responsible for maintaining and growing business with existing customers within an assigned territory. This role focuses on managing customer relationships end-to-end, ensuring a high-quality experience from order initiation through delivery of the laboratory report. The ideal candidate will have at least three years of experience in the pharmaceutical, medical device, or diagnostic industry, with proven success in account management, customer retention, and organic account growth. Key Responsibilities Partner closely with internal and external stakeholders to deliver exceptional customer support and satisfaction. Execute customer retention strategies to maintain and grow existing accounts. Build and maintain value-based relationships with current customers, driving increased utilization of products and services. Maintain frequent communication with the teammates, Customer Support, and Commercial Leadership to share customer feedback, success stories, challenges, and best practices. Accurately document customer interactions, updates, and value-based activities in the CRM. Develop and maintain practical working knowledge of company products, services, technology platforms, reimbursement and billing processes, and molecular profiling solutions. Establish and maintain open communication with key stakeholders at assigned accounts and escalate issues impacting customer satisfaction. Maintain assigned company equipment and assets. Submit required reports and documentation accurately and on time. Meet or exceed assigned performance goals. Support meetings, conferences, and trade shows as needed. Assist physicians with ordering and interpretation of the CMI platform, including QC report accuracy, requiring access to PHI. Maintain a primary focus on case management. Required Qualifications Bachelor's degree required. Minimum of three years of account management or customer-facing experience. Strong problem-solving and decision-making skills. Understanding of clinic-based business practices. Ability to learn proprietary software. Excellent written and verbal communication skills. Strong organizational, interpersonal, and collaboration skills. Valid driver's license and reliable transportation. Successful completion of pre-employment requirements. Preferred Qualifications Experience in pharma, medical device, or diagnostics. Oncology experience. Physical Demands Ability to sit or stand for extended periods. Ability to lift routine office materials. Additional Information Periodic travel required, including possible evenings, weekends, or holidays. Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification. This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Type: Exempt, Full time Supervisor: Director of Youth and Alumni Services Salary Range: $60,000 - $70,000 As a Case Manager you'll work with opportunity youth (ages 16-24) from the Boston Metro North region providing wrap-around supportive services and referrals ensuring that participants attain their High School Equivalency credential and secure high quality, good paying jobs. The Case Manager is a key team member on the YouthBuild Just A Start team. Their scope of work includes but is not limited to: 1) providing trauma-informed case management services to trainees and alumni, 2) collaborating with the Director of Youth and Alumni Services (DYAS) to design Life Skills curriculum for trainees, and 3) supporting with leadership development training. The Case Manager works closely with the Director of Youth and Alumni Services to provide strength-based coaching to ensure trainees remain in good standing and successfully complete the program. This is an exciting career opportunity for an experienced equity-centered case manager with an interest in supporting young people achieve their personal and professional goals. The Case Manager will join a growing team of supportive service youth workers committed to YouthBuild trainees and our growing portfolio of young adult training programs. PROGRAM BACKGROUND: Just A Start is a community development corporation dedicated to promoting equity by creating access to stable housing and building pathways to economic opportunity. We build and preserve affordable housing, offer education and workforce training, and provide housing resources and services to low-to moderate-income people in Cambridge and nearby communities. Founded in 1968 as a teen summer jobs program, Just A Start has a long history of serving young people in Cambridge. YouthBuild Just A Start is a full-time, comprehensive youth workforce development program for ages 16-24 in the Boston Metro North region. Our program is one of 11 independently operated YouthBuild programs and members of the Massachusetts YouthBuild Coalition. As a proud affiliated member of the global YouthBuild movement, we help young people reclaim their education, gain job skills, and become community leaders. We define students by their potential, not their challenges, offering mentorship, counseling, and support. Utilizing positive youth development and trauma-informed practices, we provide wrap-around services and academic and career training to out of school youth. CASE MANAGEMENT AND SUPPORTIVE SERVICES * Manage an average student case load of 15 active students as well as alumni by providing 1:1 case management services across Youth Programs (YouthBuild and Solar Start). * Develop and administer the basic needs survey, develop Supportive Action Plans (SAPs), and Student Success Plans. * Coordinate progress reviews ensuring that trainees receive timely feedback on their progress across all program components. * Promote respect and responsibility by upholding YouthBuild policies through strength-based coaching. * Provide supportive service benefits to trainees such as the program stipend, MBTA passes, driving lessons, and other student milestone incentives. * Maintain relationships and communicate with trainees, family members, guardians, as well as other service providers ensuring continuity of supportive services. * Advocate for trainees who are court-involved through coordination and communication with lawyers, court-room advocates and accompanying youth to court appearances as necessary. * Develop supportive service strategies in collaboration with other Just A Start departments as well as with Career Pathways, Education and Construction teams ensuring that trainees meet their educational and career goals. * Support the effective placement and transition of eligible trainees in and out of Just A Start's participant-designated transitional housing apartment units and coordinate as needed with JAS' Resident Services and property management. * Complete case notes and other required case management documentation in a timely, accurate, and strengths-based manner. * Stay informed about community resources and eligibility requirements (e.g. unemployment, SNAP, housing, mental health services, food resources, etc). LIFE SKILLS AND LEADERSHIP DEVELOPMENT * Support the development and facilitation of 1-2 Life Skills classes per week focused on socio-emotional wellbeing. * Collaborate with the Director of Youth and Alumni Services to develop and co-facilitate the Youth Policy Council (YPC) and Alumni Advisory Board (AAB) design thinking social impact projects and the podcast. * Co-design and plan program-wide activities (e.g. Pre-orientation, Graduation) and other celebrations that foster a sense of community. * Work with the VISTA team to ensure that community resources and partnerships are cultivated that align with student needs and lead to successful outcomes. QUALIFICATIONS / KEYS TO SUCCESS: * Bachelor's degree preferred, or equivalent combination of experience and education. * Minimum of 3-5 years of related experience in case management/advocacy is strongly preferred. * Love, equity-centered, sense of humor, and passion for working with young people and ability to build positive relationships with young people. * Experience working with young people (ages 16-24) dealing with significant barriers or obstacles to success. * Demonstrated experience with group facilitation. * Exposure to, or awareness of, principles of Motivational Interviewing (MI), Screening, Brief Intervention and Referral to Treatment (SBIRT), and Cognitive Behavioral Therapy (CBT) is a plus. * Strong verbal and written communicator who is capable of managing up, down and across the department and organization to deliver quality and integrated services. * Growth-mindset, patience, and understanding of the evergreen nature of youth needs and goals. * Familiarity with Google Workspace, Box, Zoom, and Salesforce (or other CRM) preferred. * Willingness to work flexible in-person/remote work hours outside of Monday - Friday 8:00 AM to 4:00 PM as needed in service to young people. * Acceptable CORI/SORI is required. We know that no individual candidate will possess every skill or experience listed. Studies show that women and people of color are less likely to apply for jobs unless they meet all qualifications. We encourage you to apply even if you don't meet every requirement. If you're excited about this role and our mission, we want to hear from you! TO APPLY / WHAT TO EXPECT: Please submit a resume in order to be considered for the role. In lieu of a cover letter you will be asked to respond to a prompt question during the application process. Qualified candidates may expect the following interview process: * 45-60 minute Zoom interview with the hiring manager * 60 minute in-person interview with program directors and trainees SALARY AND BENEFITS: The starting annual salary for this role is $60,000 -$70,000. In addition to a competitive salary, Just A Start offers excellent benefits, including medical, dental, Paid Time Off, Volunteer Time Off, VTO, 13 paid holidays and a 401(k) retirement plan with a 3% employer contribution. Just A Start YouthBuild employees receive a minimum of $500 per year for professional/leadership development activities. In addition, Just A Start has implemented a "Find Your Joy Fridays" benefit that allows staff to leave early on Fridays. Just A Start is an Equal Opportunity Employer. Our staff represents a wide range of ages, races, interests, and backgrounds coming together in pursuit of common goals. We value diversity and work together to create an inclusive culture where people from all backgrounds can thrive and belong. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity or expression, genetics or any other characteristic protected by law. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Must possess mobility to work in a standard office setting and to use standard office equipment, including a computer; vision to read printed materials and a computer screen; and hearing and speech to communicate in person and over the telephone. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Normal office conditions and classrooms. The noise level in the work environment is moderate and can occasionally be loud.

This position will be responsible for screening youth (and their families) who are at-risk of becoming juvenile justice involved. After screening, this position will provide youth and their families with linkage to needed community resources and/or crisis management services, and also case oversight during the service linkage.Bachelor's Degree in Sociology, Criminal Justice, Counseling, Psychology, Education, or a related field is required, along with related training and/or four (4) years of experience working with at-risk youth. Must have a valid Ohio driver's license. Must assume a flexible work schedule and be available outside normal business hours. * Attends intake triage meetings and screens all incoming referrals to determine appropriate course of action to be taken in an attempt to take the least restrictive measure needed to address the referral; * Provides crisis intervention, case management, and family linkage to other community and social service providers in an effort to divert youth from formal court involvement and detention; * Develops a plan with client and family members to address needs of the youth and family; * Maintains positive working relationship with juveniles and families of diverse cultural, racial, religious, and socioeconomic backgrounds; * Works with parents to establish positive parenting skills and with youth to promote positive behavior change; * Provides crisis intervention for clients by assessing their situation and directing the family to suitable solutions or providing appropriate referrals; * Monitors and follows up on assigned cases; * Prepares various data, reports outcomes, documents ongoing program statistics and produces related reports; * Serves on various planning and development committees as directed; * Participates in groups, positive activities, and programs as needed; * Collects and delivers resources such as food, clothing, books, etc. to families as needed; * Participates in community events relevant to the promotion of the C.A.R.E Center program; * Builds and maintains positive relationship with juveniles, families, community partners and law enforcement; * Complies with all documentation, supervision, and training requirements designed for the program; * Receives and responds to calls from law enforcement personnel/agencies, including calls outside normal business hours and on weekends and participates in the on-call rotation; and * Documents and maintains accurate and updated records using appropriate case management systems and databases.

DEPARTMENT: Vocational Services SUPERVISOR: Manager, Vocational Services Gesher Human Services is a bridge to hope and opportunity for people at work, at home, and in the community. Gesher's workforce development, behavioral health, and inclusion programming serves all Metro Detroiters while meeting the needs of the Jewish community. GENERAL The Case Manager plays a key role in assisting individuals with disabilities in developing, implementing and maintaining a vocational and/or non-vocational plan. The Case Manager helps individuals identify their interests, skills and goals needed to reach their goals. The Case Managers also assist the Job Coach Supervisor in training Job Coaches in developing training strategies to assist participants in reaching their goals. QUALIFICATIONS Education: Bachelor's degree in psychology, social work, special education or related field required. Other: Two years related work experience serving individuals with disabilities required. American Sign Language skills is a plus. Interpersonal skills sufficient to communicate with participants, public and staff. Composition skills sufficient to prepare required reports both in writing and on a computer. Driving record must meet safe driving standards as established by Agency insurance carrier. Reliable automobile and valid Michigan driver's license, proof of registration and insurance are required. DUTIES AND RESPONSIBILITIES * In conjunction with the participants and staff, develop and implement specific programs to assist participants with learning and maintaining skills that maximize and promote a healthy, active and socially integrated lifestyle. * Using a person-centered approach, provide case coordination, follow-along supports, linkages and advocacy services to participants * Manage day-to-day operations of assigned employment, volunteer/and or recreations locations, including developing, implementing, and maintaining quality procedures so that service and safety requirements are met * Develop, monitor, and periodically review support plans for designated participants. * Secure and maintain required authorizations for service. * Prepare and submit necessary documentation in computerized databases for funding source in a timely manner. * Generate reports and other documents to ensure that the case record is in accordance with all applicable regulations for governing accreditation and funding bodies. * Carry cell phone and be available to provide coverage to ensure proper staffing at sites, as well as to provide direction to staff. * Establish and maintain positive and outcome-oriented relationships with participants and their involved others, community partners, other team members, and funding sources. * Transport participants using own vehicle or agency van, as needed. * Perform job-coaching, and/or Lead Job Coach job duties, as needed. * Serve on Agency committee(s) as appointed. WORKING CONDITIONS Environmental conditions: * Moderate noise (i.e., business office with computers, phone, and printers, light traffic). * Ability to work both inside or outside of buildings; in a confined area or settings where there may be exposure to heat, cold, humidity; dust and cleaning solutions. * Ability to sit at a computer terminal for an extended period. Physical requirements: * While performing the duties of this job, the employee is regularly required to, stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone keyboard, reach, stoop, kneel to install computer equipment. * Specific vision abilities required by this job include close vision requirements due to computer work. * Light to moderate lifting in required. Other: * Ability to work flexible hours in the community and facility settings as well as travel to local sites in less than a day's notice. Accommodation(s): As appropriate and fiscally reasonable. EXEMPT This position is exempt from the overtime pay provisions of the Federal Fair Labor Standards Act. The above is for general informational purposes only and is not intended to be all inclusive or limiting as to specific duties. The Agency reserves the right to modify, interpret, or apply this in any way the Agency desires and in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying the position. The described job requirements are subject to change to reasonably accommodate qualified individuals with a disability. This job description is not an employment contract, implied or otherwise and any employment relationship remains "at-will." Gesher is proud to be an equal employment opportunity and affirmative action employer. We celebrate diversity and do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran or disability status, or any other applicable characteristics protected by law.

, NOT TO EXCEED TWO YEARS. SUPERVISION RECEIVED: Reports to and works under the general supervision of Operations Manager who assigns duties and reviews work for effectiveness according to established work standards. SUPERVISION EXERCISED: This is a non-supervisory position. Lead work/coordination of the work of others is not a typical function assigned to this position. Incumbents in this position may provide training and orientation to newly assigned personnel. POSITION SUMMARY: Work with clients to develop individualized action plans with goals of self-sufficiency and/or increased stability. ESSENTIAL FUNCTIONS/ DUTIES & RESPONSIBILITIES The duties listed are intended only as illustrative examples of the various types of work that may be performed by individuals in this classification. Any of the following duties may be performed. These examples are not necessarily performed by all incumbents and do not include all specific essential functions and responsibilities the incumbent may be expected to perform. Performs intake and assessment with potential clients to determine need for services. Identifies barriers preventing client from achieving self-sufficiency. Works with client to develop an individual assistance plan, while integrating and coordinating multiple services. Provides vocational, personal and family counseling to program participants. Maintains comprehensive, detailed case files and other required paperwork on each client as necessary. Manages client case load. Serves as client advocate and refers clients to other services as appropriate. Monitors and evaluates client's progress toward completion of assistance plan; amending and revising plan as necessary. Data entry into web-based management information system. Conducts home visits and assists individuals in achieving stability. Regular attendance and punctuality is a requirement of this position. Maintain a professional and courteous manner and an ability to work harmoniously with other employees, clients and the general public. Drive defensively to CSC office locations, client's residence and community partner locations as necessary. Follow agency personnel and safety procedures. Accepts and performs other work as assigned. QUALIFICATIONS & REQUIREMENTS EDUCATION AND EXPERIENCE: Baccalaureate degree from a four-year college or university in Social Science or related field and one year of experience in vocational or family counseling, or any equivalent combination of experience and training which provides the required knowledge, skills and abilities. MINIMUM REQUIRED QUALIFICATIONS: KNOWLEDGE, SKILL AND ABILITY: Thorough knowledge of counseling practices with emphasis on family counseling. Comprehensive knowledge of available social services. Ability to meet and develop professional working relationships with community partners. Communicate effectively, both orally and in writing. Behavior positively reflects on agency and workplace. Maintains confidentiality of client and agency information. Meet and develop good working relationships with community resources. Requires effective in-group and individual interpersonal skills. Read, analyze, and interpret general business reports, governmental regulations and other procedures or correspondence. Accurate data entry skills at a pace to keep up with work load. Proficient in the use of Microsoft Office Suite products. Clients receive services using a variety of methods; both remote and direct service with appropriate distancing measures. Therefore, should possess the flexibility and technical capabilities to function in a remote work environment as needed. SPECIAL REQUIREMENTS: Must pass a criminal history background investigation; however a conviction of a crime may not necessarily disqualify an individual from this classification. Valid Oregon Driver License with insurable driving record for business travel as required. WORK ENVIRONMENT/ WORKING CONDITIONS/ PHYSICAL DEMANDS The work environment and working conditions described here are representative of those that are typical of the job and must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Normal office working conditions. Typically exposed to office noises and interruptions such as printers, telephones, clients. In the performance of job duties, the employee is frequently required to sit; talk, see or hear; walk; use hands to; handle, or feel objects, or controls; and reach with hands and arms. Regularly required to stand and walk; and occasionally required to stoop, kneel, crouch, or crawl; climb or balance. On business travel you may encounter varying weather conditions. Exposure to client's homes that may be dusty, dirty, cluttered and have pets.

Job Address: 920 Thurber Dr W Columbus, OH 43215 CDCA Case Manager $1,000 Sign On Bonus Shift: Monday - Friday Hours: 9:00am - 5:00pm Perks at Work: Healthcare: Medical Packages with Rx - 3 Choices Flexible Spending Accounts (FSA) Dependent Day Care Spending Accounts Health Spending Accounts (HSA) with a company match Dental Care Program - 2 choices Vision Plan Life Insurance Options Accidental Insurances Paid Time Off + Paid Holidays Employee Assistance Programs 401k with a Company Match Paid Mileage Monthly cell phone allowance Education + Leadership Development Up to $15,000 in Tuition Reimbursements Student Loan Forgiveness Programs HRSA / STAR PROGRAM The Role Itself Conducts bio-psychosocial assessments under supervision. Provides group counseling and teaches coping mechanisms. Identifies issues, creates goals, and develops treatment plans. Leads group/individual sessions as necessary and attends treatment teams when required. Prepares written reports and case summaries in accordance with program standards and professional ethics. Ensures timely documentation meeting facility and regulatory standards. Facilitates safe discharge plans, coordinates care with referral sources and community partners. Possesses organizational skills, attention to detail, and maintains confidentiality. Performs additional duties as necessary to accomplish objectives. Assists with tele-health visits Complete all documentation in EMR in a timely manner Complete and submit daily reports Education and other requirements: High School Diploma, CDCA certification, and 40 hours of education in chemical dependency counseling/clinical methods required. Must be 21yrs or older. Must have a valid drivers license Ohio Medicaid billing Number NPI Number License: CDCA Certification. Who we are Stepping Stone was designed to help clients inside of skilled nursing facilities with medical comorbidities due to their substance use. We take a unique approach to client care and work along side the facility staff to ensure clients get the best possible outcomes. The mission is to inspire hope and deliver holistic care to those in need of behavioral health and Substance Use Disorder services in a safe and healing environment - one that is conducive to providing the life skills needed to regain stability and independence. With a blend of group therapy, clinical treatment and unique surroundings, we provide a environment that promotes rehabilitative and emotional health, and are devoted to promoting greater peace of mind on the journey of hope and healing.

An ECM Coordinator supports department staff with administrative tasks related to a member's medical condition(s), department case work, communication with internal and external stakeholders, and manage audits. This role will engage with members to offer support and resources related to their medical condition(s) through Allied Care. ESSENTIAL FUNCTIONS Facilitate reviews, referrals, and outreach for referral-based proprietary strategies as well as engaging with members across Medical Management products Document all engagement accurately and concisely within the Microsoft Customer Relationship Management (CRM) system Manage escalated and time sensitive case management questions received from members, broker relationships, and internal and external Allied stakeholders Collaborate with strategic vendor partners to provide supportive services and support to members Lead and facilitate claims auditing in conjunction with ECM Coordinators. Complete department auditing related to daily tasks to ensure accuracy and identify escalations Identify impactful scenarios through appropriate closing summaries in timely fashion. Share impactful scenarios with the department's leadership team to deliver to internal departments, such as Sales, Operations, and Executive leadership Identifying escalations for department leadership team, as appropriate Other duties as assigned EDUCATION Bachelor's Degree or equivalent work experience, required EXPERIENCE AND SKILLS At least 3-5 years of administrative support experience required. Focus on patient-provider engagement, needs assessments, coordination of care, and or patient treatment adherence within the healthcare or social service industry preferred Understanding of intermittent medical terminology such as CPT, HCPC, and diagnostic codes Understanding of basic benefit plan design terminology such as deductible, out-of-pocket, prescription drugs, physical medicine services, etc. Strong verbal and written communication skills Strong analytical and problem-solving skills COMPETENCIES Communication Customer Focus Accountability Functional/Technical Job Skills PHYSICAL DEMANDS This is a standard desk role - long periods of sitting and working on a computer are required. WORK ENVIROMENT Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role. Protect Yourself from Hiring Scams Important Notice About Our Hiring Process To keep your experience safe and transparent, please note: All interviews are conducted via video. No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager. If someone contacts you claiming to represent us and offers a position without a video interview, it is not legitimate. We never ask for payment or personal financial information during the hiring process. For your security, please verify all job opportunities through our official careers page: Current Career Opportunities at Allied Benefit Systems Your security matters to us-thank you for helping us maintain a fair and trustworthy process!

SAFY is seeking a full time Case Manager I for our Columbus division in Ohio. As a Case Manager I, you will be responsible for the case management functions of a caseload of foster youth and homes. Works closely with youth, family, foster parents and community partners by equipping the youth and foster parents with the support and resources needed. Who We Are At SAFY, our mission is Preserving Families & Securing Futures. For 40 years, our work has rested on a single, radical idea - children belong in families. We believe that every child and family deserve the opportunity to reach their full potential. We are a team of 500 employees across seven states providing services such as Family Preservation & Reunification, Behavioral Health, Therapeutic Foster Care, Adoption Services and Older Youth Services so the families and children we serve can build resilience and thrive. What You'll Do * Travel daily to provide in-home, community-based services to families and youth in caseload. * Complete referral reviews and intake assignments. Communicate service availability to all assigned clients. * Provide instruction, intervention, and assistance as deemed necessary through the exercise of independent judgment and knowledge or as part of the treatment team to preserve the family unit. * Coordinate with county agency as appropriate and attend family sessions to promote successful clinical interventions with foster youth. * Build and maintain relationships with families and external case managers. * Coordinate and monitor service provisions for youth and family in the community and with school officials, courts and other appropriate parties involved with the client. This may include but is not limited to mental health, medical, educational, psychological, vocational and social services. * Develop and ensure completion of appropriate assessments including but not limited to Individualized Treatment Plans, Psychosocial Diagnostic Assessments (PSDs), and Mental Health Services Plans according to established time frames involving all appropriate parties as required by policy and regulations of the state and/or contract. * Timely document outcome of home visits, support sessions, safety assessments, interaction with parties involved in the youth's care and incident reports as required by policy, regulations, and contract requirements. * Ensure foster parents, youth and case manager needs are met during periods of staff transition. * May require rotating on-call schedule. * Participate in performance quality improvement process and execute any assigned tasks. * Successful completion of all required training pertaining to job. * Establish and maintain a positive working relationship, sensitive and responsive to the cultural differences with all levels of SAFY staff, clients, families and vendors. * Ability to work nontraditional hours daily/weekly to fulfill position duties; may include nights and/or weekends. * Ability to maintain confidential and sensitive information. * Complete Quarterly Environmental Audits (F-63) for all assigned Foster Homes. * Will conduct annual Foster Parent evaluations for Homes without youth. * Complete Home Studies or Amendments as required and collect all paperwork needed for foster home moves and/or the addition of new household members. o Amendments are required for all moves into or out of the foster home; when new Household members enter the home, etc.) All Home Study Amendments are approved and signed off by the Lead Licensing Specialist. * May complete Rules Investigations of all foster homes assigned by Lead LS or TD. * Completion of the Large Family Assessment (the state required assessment if a Foster to Adopt home has 5 or more youth). * Collect all documentation pertaining to licensing of applicants & Foster Parents. * Other duties or special projects as assigned. What You Bring We are looking for people from diverse backgrounds and experiences who are inspired by our noble mission to make a difference in the lives of the children and families in our care. You'll be right at home if you are willing to learn from successes as well as setbacks, persevere in challenges and adversity, cultivate collaborative relationships, understand and leverage diversity, advocate for equity, aspire to work inclusively, and partner to drive your work and that of your team to the next level. Qualifications * Bachelor's degree in the field of social work, counseling, psychology, sociology, child and family studies, or other approved related field of human services. * LSW, LPC or License Eligible preferred. * Two years of relevant experience with above listed degrees, experience in child welfare preferred, OR relevant experience in working with children in general. * Must have a valid driver's license, acceptable driving record and auto insurance coverage to meet travel requirements; may require transporting youth if needed. What We Offer * Targeted hiring range: $44,000.00 to $53,000.00 * Compensation is commensurate with transferrable experience, education and licensure of candidate, location of the position, along with internal equity and budgeted amount for the role. * Comprehensive benefit plan options including Medical, Dental, Vision, Disability, Life Insurance, Flexible Spending and Health Savings account options to meet your needs * 401(k) Retirement plan with company match * 12 paid holidays per year, generous sick & vacation time and an additional day off for your birthday * All regular full and part time staff are eligible for quarterly and/or annual bonuses * Tuition Reimbursement up to $5,000 each year * CEU Reimbursement up to $1,000 each year * On demand access to earned wages through Zayzoon * Gain leadership skills, develop your clinical expertise, or earn CEUs with access to over 1,000 courses on our learning platform or through our talented in-house training department * Clinical Supervision Reimbursement up to $300 per month * Employee Assistance Program with 6 free visits per year * Free Financial Advisor Services * Support Services for alternative Health Insurance and benefit credit reimbursement options * Employee and Foster Parent Referral bonus program * Leave donation program * Adoption Assistance * Mileage reimbursement * Your choice of company paid cell phone or phone stipend SAFY is proud to be an equal employment opportunity employer and is committed to maintaining a non-discriminatory work environment. SAFY does not discriminate against any employee or applicant for employment on the basis of race, color, religion, sex, gender, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity, gender expression, arrest record, conviction record, or any other personal characteristic protected by applicable law. This policy covers all programs, services, policies, and procedures of SAFY, including recruiting, hiring, training, promotion, and administering all personnel actions, such as compensation, benefits, transfers, layoffs or terminations.

Thompson Law's vision is to be the law firm of choice for every person injured or killed due to preventable tragedy while providing our clients world-class service and record-setting results. We have built a spectacular team that delivers on those ideals, driving incredible growth and opportunity. Thompson Law, a nationally growing personal injury firm based in the Oak Lawn area of Dallas, seeks a Case Manager to join the new Columbus team! The Position: This role will be crucial in managing and coordinating medical treatment for our clients who have suffered personal injuries, ensuring they receive timely and appropriate medical care throughout their cases. Responsibilities: Independently manage treatment in personal injury cases. Collaborate with attorneys, clients, and insurance adjusters. Communicate with clients, medical providers, insurance companies, and other parties to obtain necessary medical information. Monitor and track clients' medical treatment progress and appointments, coordinating and scheduling as necessary. Review and organize medical records, bills, and other relevant documentation. Maintain detailed case management records and conduct legal research as needed. Stay updated on changes in medical treatment protocols, healthcare regulations, and industry best practices. Provide excellent customer service to all clients and partners. Qualifications: 3+ years of experience in a law firm with personal injury experience or an injury-related field (e.g., emergency medical technician (EMT), nurse practitioner, insurance adjuster). Bilingual in English and Spanish (preferred). In-depth knowledge of medical terminology, procedures, and billing practices. Proficient in administrative skills and ability to use legal case management software and other relevant tools. Excellent attention to detail, strong organizational skills, and the ability to manage multiple tasks effectively. Strong verbal and written communication skills and the ability to interact effectively with various parties. Demonstrated ability to work independently and collaboratively in a fast-paced environment. Ethical and professional conduct with a commitment to maintaining client confidentiality. Total Compensation Package: Salary + Bonus Employee Health Insurance premium 100% paid by the firm Dental & Vision FSA/HSA Generous paid time off and paid holidays 401(k) with employer matching Basic life insurance 100% paid by the firm Monday to Friday work schedule with no weekends If you're ready to contribute your talents as part of one of the fastest-growing personal injury firms while enhancing your skills within a dynamic environment-apply today!

For over 50 years, New Horizons Mental Health Services has worked to improve the health and wellbeing of individuals, families, and the community through our services. We are currently seeking a full-time Case Managers for multiple departments in Lancaster, Ohio. What do we offer you? A competitive salary, and the opportunity to work with a talented team of mental health professionals. Robust benefits, including: · Medical · Company paid Dental and Vision Insurance · Company paid Life Insurance policy · Over 3 weeks of PTO in first year · 10 paid holidays, including your birthday · 5 days of professional leave per year · 403b Retirement Plan · Generous Employer Match for Retirement Plan · Employee Assistance Plan · CEU/CME Reimbursement · Eligibility for Federal Student Loan Forgiveness (PSLF) · Paid Liability Insurance Coverage POSITION DESCRIPTION: DIRECT CLINICAL SERVICE: Provides on-going primary and secondary community services to Adult SMD's, serves as an advocate, liaison, mediator, broker for SMD's, provides transport for clients to services, promotes a client/driven, strength-oriented service, adheres to the agency's mission statement, policy and procedures, follows guidelines to ensure quality assurance, maintains productivity and documentation standards, keeps current licensing credentials. Develops and implements initial and revised Individual Service Plan. Communicates with other service providers to improve quality of care to client. Manifest a commitment to and Recovery Model philosophy and standards, and foster an environment that supports recovery for persons served. Possess a working knowledge of community resources. Be sensitive to the cultural needs of the individual and/or family served. DOCUMENTATION: Completes all appropriate case documentation and case planning information; completes all necessary reports per agency policy and protocol; appropriate documentation of collateral contacts; participates in clinical supervision. Performs related administrative duties; attends staff meetings, supervisions, trainings, assists in program planning and evaluation. Non-billable outreach to clients not engaging. Other duties as assigned. Requirements QUALIFICATIONS: Ohio driver's license, proof of automobile liability insurance (minimum $100,000), Bachelor's degree preferred. Preference given to holders of Ohio Counselors and Social/Work Board licensure. Experience in working with adults with SMD, exhibits respect, compassion, warmth, caring and friendliness, non-judgmental of varying cultural beliefs, ability to assess, teach and model skill development techniques in home maintenance, interpersonal-social and pre-vocational interests, ability to set limits, confront behaviors and redirect. Salary Description Starting at $16.50

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As Datavant's PEND Management Coordinator, you will be responsible for managing PEND inventory, coordinating closely with Client, Provider, and Datavant Operations Teams to coordinate the release of medical records requests. You will: Participate in outbound and inbound calling campaigns Retrieves charts from electronic medical record systems and compile medical records to send to other parties for coding Log all call transactions into the designated computer software system(s) Requests medical records by making outbound phone calls to provider groups and resolve schedule issues as required Completes supplemental medical records requests using Excel files Assist with providing updated member and provider information to operations teams as required, including researching bad data as necessary Directs medical record requests to the responsible party Resolves outstanding vendor pending request within a timely manner Assist with resolving technical issues related to data reporting issues Assist with ad hoc requests Responsible to meet company set performance goals (KPIs) Adhere to the Company's code of Conduct and policies and maintain HIPPA compliance What you will bring to the table: High school diploma or equivalent 2+ year of experience in medical records, medical record coding or a related field, preferred Prior outbound/sales/collections/call center experience preferred Understanding of medical terminology and HIPAA medical privacy regulations, preferred Proficient time management, problem solving and analytical skills Self-motivated and dependable - must excel in a minimally supervised role Schedule flexibility; schedule may include hours outside of normal shift and weekends Ability to receive coaching from Supervisor in a constructive/positive manner Exceptional attention to detail with high level of accuracy Experience meeting changing requirements/priorities, and meeting deadlines Ability to deal with personnel at all levels, exercise discretion of all confidential health information, and ensure compliance with HIPAA standards Ability to multi-task with high degree of organization and time management skills Proficient in entire MS Suite with heavy emphasis on Excel skills and Email Appreciation and understanding of the medical record retrieval industry Clear and concise verbal and written communication skills Ability to work autonomously in a fast-paced environment Track, report and prioritize scheduled retrieval locations Make independent decisions regarding the hoc documentation to Provider Group that contains Protected Healthcare Information (PHI) and Personally Identifiable Information (PII) Ability to work on multiple long-term projects concurrently to include balancing resources and priorities to different projects along their life cycle Excellent Time Management skills Must be extremely detail oriented Ability to Research and ungroup orgs, detailed understanding and competency in the use of Chart Finder Exceptional Verbal and Written Communication skills Assist with additional work duties or responsibilities as evident or required Understand and analyze project data to identify trends related to project goals and act accordingly within the organization Work within client project management to create frameworks to ensure projects are completed on time Comprehensive understanding of Datavant and Client processes to include intake methods/processes; the workflows between Outreach and Onsite/Remote teams; Onsite/Remote workflows; Offsite Scheduling We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks and industry best practices. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your responses will be anonymous and used to help us identify areas of improvement in our recruitment process. ( We can only see aggregate responses, not individual responses. In fact, we aren't even able to see if you've responded or not .) Responding is your choice and it will not be used in any way in our hiring process . Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$16.29-$19.69 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Description & Requirements Maximus is currently hiring for Enrollment Case Managers to support the Pennsylvania Independent Enrollment Broker (PA IEB) program. This role is a hybrid remote opportunity servicing homes across Indiana, Armstrong, Dauphin, Bucks and Philadelphia counties and requires daily travel. The Enrollment Case Manager is responsible for being in the community supporting applicants as they complete documents as well as providing education & connecting applicants to resources related to the Pennsylvania Waiver program. In addition, they support in other capacities to meet the contractual obligations of the PA IEB program. We are seeking dedicated and detail-oriented individuals to join our team in supporting individuals applying for waiver programs. This role involves conducting in-home intake assessments, processing applications, and facilitating eligibility determinations to ensure timely enrollment and access to services. Why Maximus? * Competitive Compensation - Quarterly bonuses based on performance included! * ️ Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. * Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. * ️ Paid Time Off Package - Enjoy PTO, Holidays, and sick leave, along with Short and Long Term Disability coverage. * Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). * Recognition Platform - Acknowledge and appreciate outstanding employee contributions. * Tuition Reimbursement - Invest in your ongoing education and development. * Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. * Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. * Professional Development Opportunities- Participate in training programs, workshops, and conferences. Essential Duties and Responsibilities: * Travels throughout assigned counties, working primarily in applicants' places of residence * Conducts intake visits for program applicants and acts as a facilitator for the eligibility determination process, providing assistance from the time individuals are identified as potential participants in specified program to the time they are enrolled as participants or are terminated from the intake process * Presents and discusses the concept of the programs, and advises applicants of their rights and responsibilities * Assists applicants with selecting options that best meet their needs, ensuring consumer control is maintained throughout the application process * Assists with developing relationships with community-based organizations, advocates and stakeholders to gather feedback on improving the application process and removing barriers to enrolling in waiver programs * Fosters and maintains relationships with parties serving our mutual consumers, including physicians, County Assistance Offices, providers, nursing homes and rehabilitation facilities * Attends regularly scheduled meetings 10. Reports on schedule availability at regular intervals * Assists with application submission, including data entry of the Compass Application * Facilitates the efficiency of the application process, ensuring any stalled cases receive extra attention and support * Attends regularly scheduled meetings Reports on schedule availability at regular intervals * Perform other duties as assigned. * Conduct 3-4 in-person intake visits daily in applicants' homes. * Process applications through COMPASS and coordinate with eligibility teams to ensure timely and accurate determinations. * Provide comprehensive case management support from initial referral through program enrollment or case closure. * Maintain accurate records and track applicant data using Microsoft Excel. * Utilize Microsoft Word for documentation and Microsoft Teams for internal communication and collaboration. Minimum Requirements * High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years' experience. * May have additional training or education in area of specialization required by specific project. * Bachelor's Degree in social services or related field highly preferred. * Residency in one of the following Pennsylvania counties is required: Indiana, Armstrong, Elk, McKean, Clearfield, Cameron, Mifflin, Juanita, Bucks, Beaver. * Strong communication skills desired. * Government systems experience desired. * Ability to handle high level of client home visits. * Ability to work in various home environments and in a fast-paced setting. * Comfortable adapting to frequently changing processes due to contractual requirements. * Reliable, independent transportation required for daily home visits. * Strong problem-solving skills, with the ability to work independently while knowing when to escalate issues to a supervisor. * Ability to pivot between tasks and projects while maintaining focus and meeting deadlines. * Strong time management skills and flexibility to meet evolving program needs. * Availability required between 8:30 AM - 5:00 PM, Monday through Friday. * Experience in case management, social services, or a related field highly preferred. * Proficiency in Microsoft Excel, Word, and Teams. * Familiarity with COMPASS or similar eligibility systems preferred. * Strong organizational and documentation skills. Home Office Requirements: * Internet speed of 20mbps or higher required (you can test this by going to ******************* * Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router. * Must currently and permanently reside in the Continental US. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.

We are currently hiring for a Behavioral Health Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as a Behavioral Health Case Management Coordinator, care management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience, especially when multiple health care providers and different care settings are involved. Taken collectively, care management interventions are intended to enhance client safety, well-being, and quality of life. These interventions carefully consider health care costs through the professional care manager's recommendations of cost-effective and efficient alternatives for care. Thus, effective care management directly and positively impacts the health care delivery system, especially in realizing the goals of the "Triple Aim," which include improving the health outcomes of individuals and populations, enhancing the experience of health care, and reducing the cost of care. The professional care manager performs the primary functions of assessment, planning, facilitation, coordination, monitoring, evaluation, and advocacy. Integral to these functions is collaboration and ongoing communication with the client, client's family or family caregiver, and other health care professionals involved in the client's care. Description Location This position is full-time (40 hours/week) Monday-Friday from 8:30am- 5:00pm and will be fully remote. The candidate will be required to report on-site occasionally for trainings, meetings, or other business needs. What You'll Do: Provides active care management, assesses service needs, develops and coordinates action plans in cooperation with members, monitors services and implements plans, to include member goals. Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high-risk pregnancy or other at-risk conditions that consist of: intensive assessment/evaluation of condition, at-risk education based on members' identified needs, provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement. Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify, initiate, and participate in on-site reviews. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management programs. Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal). Maintains current knowledge of contracts and network status of all service providers and applies appropriately. Assists with claims information, discussion, and/or resolution and refers to appropriate internal support areas to ensure proper processing of authorized or unauthorized services. To Qualify for This Position, You'll Need the Following: Required Education: Associates in a job-related field. Degree Equivalency: Graduate of Accredited School of Nursing or 2 years job related work experience. Required Experience: 4 years recent clinical in defined specialty area. Specialty areas include: oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedics, general medicine/surgery. Or, 4 years utilization review/case management/clinical/or combination; 2 of the 4 years must be clinical. Required Skills and Abilities: Working knowledge of word processing software. Knowledge of quality improvement processes and demonstrated ability with these activities. Knowledge of contract language and application. Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service, organizational, and presentation skills. Demonstrated proficiency in spelling, punctuation, and grammar skills. Demonstrated oral and written communication skills. Ability to persuade, negotiate, or influence others. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion. Required Software and Tools: Microsoft Office. Required License/Certificate: An active, unrestricted RN license from the United States and in the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) OR, active, unrestricted licensure as counselor, or psychologist from the United States and in the state of hire (in Div. 75 only). For Div. 75 and Div. 6B, except for CC 426: URAC recognized Case Management Certification must be obtained within 4 years of hire as a Case Manager. We Prefer That You Have the Following: Preferred Education: Bachelor's degree- Nursing Preferred Work Experience: 7 years-healthcare program management. Preferred Skills and Abilities: Working knowledge of spreadsheet, database software. Thorough knowledge/understanding of claims/coding analysis, requirements, and processes. Preferred Licenses and Certificates: Case Manager certification, clinical certification in specialty area. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Why Ability Matters is Different: Are you outgoing and looking to be involved in the community? Are you dedicated, timely and focused on the success of others? Ability Matters is a mission driven, high-end agency founded to support people with autism and other neurological disabilities through education, housing, intervention and day services support. · Over 160 families served · A team of over 330 professionals · 191% growth over the last 5 years · Twice recognized by the Better Business Bureau for Ethics · Awarded the Diversity in Business Award · Awarded the SMART 50 for Innovation Why You'll Love Working Here Best-in-Class Pay & Benefits Work-Life Balance Career Growth & Training Supportive & Inclusive Culture Purpose-Driven Work Position Details Position Type: Administrative / Coordination Total Hours: 40 hours weekly Pay Rate: $20.00 per hour Shift Differential: Additional $1.00 per hour for weekend shifts worked with individuals Position Summary The Attendance Management Coordinator (AMC) plays a critical role in supporting services for individuals with developmental disabilities by managing staff attendance, responding to call-offs, and coordinating coverage to maintain continuity of care. This position works closely with schedulers and leadership to ensure staffing needs are met while following established attendance and coverage protocols. Scheduled Work Hours On-Site Shift Coverage (24 hours): Friday: 3:00 PM - 11:00 PM Saturday: 7:00 AM - 3:00 PM 3:00 PM - 11:00 PM Sunday: 7:00 AM - 3:00 PM 3:00 PM - 11:00 PM Remote Administrative Hours (16 hours): Remote administrative and on-call support hours are completed over the weekend and aligned with assigned shift coverage. Ability Matters is an EEO Employer - M/F/Disability/Protected Veteran Status View all jobs at this company

Job Description TITLE: Case Manager, Behavioral Health RESPONSIBLE TO: Regional Leadership WORK AREA: Outpatient sites and Community SUMMARY: The Case Managers primary role, under the direction of Regional Leadership and the Case Manager Supervisor, is to provide support and coordinating services based on client needs and treatment plans. The case manager will actively engage in a professional, collaborative process to support our clients' mental and physical health needs. As a Case Manager, you will assess, plan, implement, coordinate, monitor, advocate, and evaluate the options and services required to promote health, quality, and cost-effective outcomes for our clients, ensuring patient safety and adherence to quality care standards. In this role, you will work closely with other care team members to plan, link, advocate, coordinate, and monitor client care. This collaboration will help clients access a wide range of resources, including but not limited to health services, financial assistance, housing, employment, education, and social services. The Case Manager is also responsible for successfully managing their caseload and communicating with the treatment team as it relates to Case Management across various disciplines. BLOODBORNE PATHOGEN CATEGORY I: Tasks with actual blood/body fluid exposure are not included in this position's duties as the job requires therapeutic counseling only. DUTIES AND RESPONSIBILITIESDay-To-Day Responsibilities Act as a liaison between the therapist, other care team members, client, and client's family to coordinate the best care. Arrange family visits, coordinate transportation, and ensure clients' needs are met. Maintain clear and ongoing communication between the family, referral source, and Path Behavioral Healthcare. Attend court hearings as appropriate. Ensure documentation and billing adhere to policy, Path Behavioral Healthcare standards of practice, and all applicable compliance standards within the EHR system. Maintain compliance with chart/documentation audit criteria, billing reviews, and Phase System of Care requirements. Attend supervisory and team meetings; present accurate case management reports reflecting services provided and clients' responses to treatment. Facilitate individual and group meetings as assigned. Serve on agency quality assurance or other committees as assigned. Facilitate the further development of daily living skills if identified by the client and/or parent or guardian. Page Break Address and resolve client/guardian concerns in a timely manner. Oversee the implementation of the individual plan of service, supporting the client's aspirations, goals, and desires for optimizing independence, promoting recovery, and developing and maintaining natural support systems. Ensure ongoing client participation in discussions of their plans, goals, and status. Identify and address gaps in service, as well as monitor under and over-utilization of authorized services. Identify and assist in business development/referral source communication and collaboration efforts. Coordinate and assist the client in crisis intervention and discharge planning, including community support systems following hospitalization. Maintain an organized practice and schedule, be at work on time and ready to work, and leave work at the completion of client care responsibilities. Reduce client rescheduling by informing the appropriate person of time off work. Maintain strict compliance with HIPAA guidelines, confidentiality agreements, billing and coding guidelines, and company policy. Maintain a demeanor of positive professionalism and serve as a model for others to exemplify the mission and vision of Path Behavioral Healthcare. Coordination of the Individual Support Plan (ISP) Services identified in the ISP. Assistance with accessing natural support systems in the community. Coordination with formal community services and systems. System monitoring. Coordination and assistance in crisis management and stabilization. Client advocacy and outreach. Seek education and training specific to client care; provide client education. Mental health interventions addressing symptoms, behaviors, thought processes, etc., to help clients eliminate barriers to seeking or maintaining education and employment. Activities that increase the client's capacity to positively impact their environment. Assume additional duties as assigned by the Case Manager Supervisor or Regional Leadership. Page BreakQUALIFICATIONS Education: Candidate must have a High School Diploma or GED. Bachelor's degree is preferred. Experience: Candidates must have a minimum of 3 years of case management experience. Physical Effort: This position requires the ability to work under stressful conditions and to work irregular hours. Communication Skills: Candidates must possess excellent verbal and written communication skills in order to communicate professionally via telephone and in writing. Strong grammar and writing skills are crucial for clear and concise communication with clients, colleagues, and other healthcare professionals. Interpersonal Skills: The successful candidate must demonstrate the ability to interact and assist in a friendly, compassionate, and professional manner with colleagues, providers, clients, and their families, as they represent both themselves and Path Behavioral Healthcare. Essential Technical/Motor Skills: Candidates must achieve competency in the Electronic Health Record (EHR) program, telemedicine services, and any additional software programs utilized by the company, ensuring efficient access and updating of client information. The role requires fine dexterity, adept handling, and proficient gripping abilities to perform various tasks. Background: The candidate must pass all federal and state background checks, including a clean Motor Vehicle Record. Educational and work history will be confirmed in compliance with company policies.