Clinical case manager jobs in Arkansas - 418 jobs

Substance Abuse Technicians are mental health service extenders. Substance Abuse Technicians work closely with the Mental Health Professionals (MI-IP) in client monitoring and coordination of mental health services. This position reports to the Onsite Supervisor and/or Clinical Director. Qualifications: Bachelor's degree is preferred in related field, preferably Social Work, Psychology, or Education but a minimum of a High School Diploma or GED may be accepted. Must have and maintain a valid Driver's License, maintain automobile insurance coverage and have access to an automobile. Must have essential computer skills and the ability to navigate and use the company EHR. Must be able to pass drug and nicotine test Hold/Receive required certifications within the predetermined time limits established by the State of Arkansas and Adult & Teen Challenge of Arkansas. Complete the specifically designed trainings and pass written examination required for certification. Competencies: Work effectively with culturally diverse population and be sensitive to the needs of each population. Communicate compassionately and effectively with clients, health care professionals, and the general public. Understanding of medical terminology as it relates to mental health care and basic family practice care. Effective documentation skills Able to lift up to 30 pounds. Physically able to walk, stand, and stoop for several hours each day. Employee travels by automobile and is exposed to changing weather conditions. Responsibilities: Complete the specifically designed trainings and pass the written examination required for certification. Work closely with professional staff for client monitoring and coordination of mental health and functional services. Uses the Master Treatment Plan to develop activities to use with clients approved for QBHP services. May provide on-site and off-site intervention to clients under the supervision of the LC. Identify and provide crisis services as necessary. Makes immediate assessment and responds according to accepted intervention methods and techniques and coordinates other services as appropriate. Participates in staffing, as appropriate, to keep abreast of therapy goals and progress. Ensures that all progress notes relating to client intervention reflect Treatment Plan goals and objectives and current diagnosis are in EMR. Participates in Agency-wide training programs/in-services. Is familiar with the company's policies, procedures, and guidelines including all safety protocols and rules for facility. Reports to work dressed appropriately and complies with established company policies regarding dress code. Ensures confidentiality of client and employee information and responds to internal and external information according to company policy. Assists in overcoming barriers to treatment of clients. Completes tasks necessary to maintain the course of treatment, such as obtaining parent signatures, scheduling, and participating in independent assessments, other assigned tasks. Serves as part of the client's treatment team. Provides professionally appropriate transportation as necessary to accomplish treatment goals. Makes necessary referrals and serves as liaison with other agencies. Provides timely documentation to support services rendered and provides written reports as required by other agencies (i.e. DCFS, legal systems, etc.). Ensures client's attendance to initial medication evaluation and subsequent medication appointments. Supports medical records' staff in securing PCP referral in a timely manner. Schedules supervision and observations as outlined by company policy. Documents all supervision and observations to be reviewed and signed by MHP. Models stability for clients and family with regular sessions. Empower clients to improve day to day functionality, reducing stressors and increasing ability to focus on treatment goals. Encourages client compliance with the established treatment plan. Monitors/reports client behavior in all environments. Attends all required clinic meetings. This position will also use the treatment plan to address and assist with functional needs through the client's treatment. Conduct psychoeducation groups daily and chart for billable services following state and facility guidelines. Responsible for completing drug and nicotine testing for clients as dictated in the client's treatment plan. Communicates with other Team Members to ensure clients are checked in. Other duties as assigned. Benefits: We value our team and offer a competitive benefits package, including: 21 working days of Paid Time Off (PTO) annually for full-time employees 3-4 day work week Overtime opportunities and on-call pay Annual performance-based bonus Employee recognition programs Access to marketplace health care options Discounts at our thrift store

PURPOSE STATEMENT: Manage the client's/patient's/resident's cases with a solid background of clinical knowledge and expertise and may be responsible for providing some therapeutic services to clients/patients/residents. ESSENTIAL FUNCTIONS: * Provide case management and care coordination services for clients/patients/residents in the facility. * Responsible for coordinating continuum of care activities for assigned clients and ensuring optimum utilization of resources, service delivery, and compliance with external agencies and referral sources requirements. * Responsible for psychosocial assessment and for conducting individual, family and group sessions. * Conduct various duties related to coordinating treatment and discharge activities, as needed. * Provide quality care through developing, implementing, managing and evaluating client/patient care plans. * Collect, correlate and provide clinical data to the treatment team. * Convey medical criteria and clinical information between the insurance provider and treatment team as warranted. * May also correlate clinical data for business office as required. * Coordinate in a timely manner, issues or activities relevant to the treatment team. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * Bachelor's degree in Social Work, Counseling or related human service field required. * One or more years' experience working in a behavioral health setting preferred. * Previous experience with the patient population served by the facility preferred. * Previous experience in case management and/or utilization review preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: * Current license required within the state the facility is operating in if required. * CPR and de-escalation/restraint certification required (training available upon hire and offered by facility). * First aid may be required based on state or facility. We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. LITCRK

22111790 County: Statewide Anticipated Starting Salary: $83,969.00 DCO Hiring Official: Robert Williams Minimum Qualifications: At least five years of experience in human services, social services, public administration, or a related field, including two years in a leadership capacity. Job Summary The Department of Human Services (DHS)/Division of County Operations (DCO) Social Services Area Manager is responsible for the implementation and delivery of public assistance programs in a multi-county area. This position is governed by state and federal laws and agency policy. The Department of Human Services is a place for people passionate about serving others and changing lives for the better. We care for Arkansans of all ages and ensure places like child care centers and nursing homes are safe. We are the safety net for the most vulnerable Arkansans. Whether you answer the phones, take applications, protect children, or help care for residents or patients at one of our facilities, you make a difference by working at DHS. Plus, working for the State has great perks, including a pension, maternity leave, paid state holidays, and much more. At DHS, we take care of our employees so you can help care for others. Position Information Job Series: Social Services Programs - Competitive Classification: Social Services Area Manager Class Code: SSP09C Pay Grade: SGS11 Salary Range: $83,969 - $124,274 Job Summary The Social Services Area Manager serves as the highest regional-level administrator responsible for the management and delivery of comprehensive social service programs within a designated multi-county area. This position provides strategic leadership, oversight of regional operations, program implementation, compliance monitoring, and staff supervision to ensure the consistent delivery of services such as child welfare, adult protective services, public assistance, and other community-based programs. Primary Responsibilities Direct the planning, development, and implementation of all regional social service programs across counties within the assigned area. Supervise large staff; ensure effective coaching, performance evaluation, and professional development. Monitor program performance metrics, service outcomes, and client satisfaction to ensure program quality, equity, and effectiveness. Ensure compliance with all applicable state and federal laws, regulations, agency standards, and accreditation requirements. Develop area-specific goals and strategies to meet client needs and support vulnerable populations. Manage the area budget, approve expenditures, allocate resources, and ensure cost-effective operations. Represent the department in community meetings, stakeholder engagements, and interagency collaborations. Serve as the primary liaison between regional operations and central office leadership for policy implementation, feedback, and operational planning. Oversee incident response, audits, investigations, and corrective action plans as needed. Ensure equitable access to services and support for marginalized and underserved populations. Knowledge and Skills Knowledge of state and federal laws related to social services, public assistance, protective services, and eligibility programs. Knowledge of budget development, resource allocation, data analysis, and personnel management. Ability to develop partnerships, lead large and diverse teams, interpret legal documentation. Ability to communicate effectively with diverse communities, remain ethical and uphold confidentiality, and analyze programming. Skilled in time management, organization, and problem solving. Skilled in crisis management, conflict resolution, public speaking, and budget analysis. Minimum Qualifications At least five years of experience in human services, social services, public administration, or a related field, including two years in a leadership capacity. Licensure/Certifications N/A OTHER JOB RELATED EDUCATION AND/OR EXPERIENCE MAY BE SUBSTITUTED FOR ALL OR PART OF THESE BASIC REQUIREMENTS, EXCEPT FOR CERTIFICATION OR LICENSURE REQUIREMENTS, UPON APPROVAL OF THE QUALIFICATIONS REVIEW COMMITTEE. The State of Arkansas is committed to providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, pregnancy, age, disability, citizenship, national origin, genetic information, military or veteran status, or any other status or characteristic protected by law. Nearest Major Market: Little Rock

Manages monetary aspects of assigned claims by establishing appropriate reserves and authorizing payment or facilitating denial of the claim; engaging in negotiations with minimal supervision. Provides service to customers by sharing information; discussing resolution strategies with counsel; developing relationships with support areas; and providing guidance or suggestions to customers on alternate strategies, reserve assessment, and how to handle complex situations. Manages moderately complex workers' compensation claims by investigating facts of the case; determining compensability; evaluating medical records and physician recommendations; utilizing medical and legal resources; communicating with physicians to seek clarification or to question medical treatment; obtaining independent medical examinations; identifying pre-existing injury or possibility of fraud; utilizing appropriate business writing techniques in reviewing, documenting, and indexing information and mail within the claim management system; reviewing potential settlements; determining probable exposure if any; and establishing appropriate reserves. Monitors associate disability management to ensure costs are appropriate by tracking serious injuries and recovery; analyzing exposure; compiling and reviewing documents and evidence; evaluating back-to-work issues; developing back-to-work action plans with physicians and store staff; negotiating with injured associates and legal or state board representatives; requesting medical records and billing documents; determining if payment is warranted to medical providers and/or injured associates; and ensuring payment is made. Participates in moderately complex case reviews by reviewing files; summarizing facts; completing standardized forms; identifying legal issues; presenting claim information and possible exposure to senior management; offering recommendations to address issues, settlements, and reserve changes; and occasionally participating in depositions and arbitrations. Provides and supports the implementation of business solutions by building relationships and partnerships with key stakeholders; identifying business needs; determining and carrying out necessary processes and practices; monitoring progress and results; recognizing and capitalizing on improvement opportunities; and adapting to competing demands, organizational changes, and new responsibilities. Models compliance with company policies and procedures and supports company standards of ethics and integrity by incorporating these into the development and implementation of business plans; using the Open Door Policy; and demonstrating and assisting others with how to apply these in executing business processes and practices. Demonstrates up-to-date expertise and applies this to the development, execution, and improvement of action plans by providing expert advice and guidance to others in the application of information and best practices; supporting and aligning efforts to meet customer and business needs; and building commitment for perspectives and rationales. Live our Values Culture Champion • Models the Walmart values to foster our culture; holds oneself and others accountable; and supports Walmart's commitment to communities, social justice, corporate social responsibility, and sustainability; maintains and promotes the highest standards of integrity, ethics and compliance. Servant Leadership • Acts as an altruistic servant leader and is consistently humble, self-aware, honest, and transparent. Embrace Change Curiosity & Courage • Demonstrates curiosity and a growth mindset; fosters an environment that supports learning, innovation, and intelligent risk-taking; and exhibits resilience in the face of setbacks. Digital Transformation & Change • Seeks and implements continuous improvements and encourages the team to leverage new digital tools and ways of working. Deliver for the Customer Customer Focus • Delivers expected business results while putting the customer first and consistently applying an omni-merchant mindset and the EDLP and EDLC business models to all plans. Strategic Thinking • Adopts a holistic perspective that considers data, analytics, customer insights, and different parts of the business when making plans and shaping the team's strategy. Focus on our Associates Diversity, Equity & Inclusion • Identifies, attracts, and retains diverse and inclusive team members; builds a high-performing team; embraces diversity in all its forms; and actively supports diversity goal programs. Collaboration & Influence • Builds strong and trusting relationships with team members and business partners; works collaboratively and cross-functionally to achieve objectives; and communicates with energy and positivity to motivate, influence, and inspire commitment and action. Talent Management • Creates a discipline and focus around developing talent, promotes an environment allowing everyone to bring their best selves to work, empowers associates and partners to act in the best interest of the customer and company, and regularly recognizes others' contributions and accomplishments. Additional Information All your information will be kept confidential according to EEO guidelines.

Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing. Starting Perks and Benefits At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to: * Affordable medical, dental, and vision plans for both full-time and part-time employees and their families. * Generous paid time off that accrues over time. * Opportunities for tuition reimbursement and continuous education. * Company-matching 401(k) and employee stock purchase plans. * Flexible spending and health savings accounts. * A vibrant community of individuals passionate about the work they do! Become the Case Manager you always wanted to be * Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences. * Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans * Participate in planning for and the execution of patient discharge experience. * Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations. * Facilitate team conferences weekly and coordinate all treatment plan modifications. * Complete case management addendums and all required documentation. * Maintain knowledge of regulations/standards, company policies/procedures, and department operations. * Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs. * Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs. * Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission. * Perform assessment of goals and complete case management addendum within 48 hours of admission. * Educate patient/family on rehabilitation and Case Manager role; establish communication plan. * Schedule and facilitate family conferences as needed. * Assist patient with timely procuring/planning of resources to avoid discharge delays or issues. * Monitor compliance with regulations for orthotics and prosthetics ordering and payment. * Make appropriate/timely referrals, including documentation to post discharge providers/physicians. * Ensure accuracy of discharge and payor-related information in the patient record. * Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or Certification: * Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling). * If licensure is required for one's discipline within the state, individual must hold an active license. * Must meet eligibility requirements for CCM or ACM certification upon entry into this position OR within two years of entry into the position. * CCM or ACM certification required OR must be obtained within two years of being placed in the Case Manager II position. * Minimum Qualifications: * For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an associate degree. * For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred. * 2 years of rehabilitation experience preferred. The Encompass Health Way

✨Join a group of passionate advocates on our mission to improve the lives of youth! Rite of Passage Team is hiring for a Part-Time Case Manager at The Lewisville Juvenile Treatment Center (L.J.T.C) in Lewisville, Arkansas✨ The Lewisville Juvenile Treatment Center (L.J.T.C.), nestled in the serene setting of rural Lafayette County, is dedicated to transforming the lives of at-risk young males. Our structured environment promotes self-discipline, self-respect, and motivation. We are looking for passionate individuals who value education, personal growth, and the power of second chances. At L.J.T.C., you'll join a committed team making a profound difference, inspiring and guiding youth toward success. This isn't just a job-it's your chance to impact lives in a collaborative and supportive atmosphere. Pay: $20.19 - $21.63 per hour, depending on level of education and experience What you will do: The Case Manager is a key member of the site's Clinical team implementing the Rite of Passage program. This position is responsible for administering, developing, and facilitating the completion of case plans and treatment programs in accordance with the requests of the placing agency and the needs of each student on your case load. The Case Manager is considered the primary program liaison between student, parents/legal guardians, other staff members, and the placing agency officials. This position will provide progress notes, as well as organize and facilitate court hearings, Probation Officer visits, students visit, and home passes. To be considered you should: Possess a Bachelor's Degree in a relevant field ~ Be at least 21 years of age ~ have a minimum of 3 years prior case management experience with Juveniles~ Be able to pass a criminal background check, drug, physical, and TB test ~ Be able to pass a search of the child and adult abuse central registry ~ Must meet the requirements to become an ROP eligible driver, including having a valid Driver's License Apply today and Make a Difference in the Lives of Youth! After 40 years of improving the lives of youth, we are looking for passionate advocates to continue the legacy of helping young people become successful adults. As a Case Manager, you will have the unique opportunity to create a positive, safe and supportive environment for the youth we serve while building a career rich in growth opportunities and self-fulfillment. Follow us on Social! Instagram / Facebook / Linkedin / Tik Tok / YouTube

Be a Steady Light in Someone's Darkest Moments - Join Us as an Advocate! Are you passionate about helping others, standing beside them in their hardest moments, and guiding them toward a brighter future? At the Children & Family Advocacy Center, we are looking for a compassionate, driven Advocate to provide unwavering support to our residential clients-women and children who have faced unimaginable challenges and deserve a safe place to heal and grow. As an Advocate, you won't just have a job-you'll have a purpose. You'll be the steady presence in these women's lives, offering emotional support, helping with daily routines, and ensuring they receive the care and resources they need. You'll work alongside a team of dedicated professionals in a trauma-informed setting, making a real impact every single day. What You'll Do: ✅ Build trusting relationships with residential clients, offering encouragement and advocacy. ✅ Help manage daily schedules and provide transportation to appointments. ✅ Work collaboratively with a team to connect clients with essential resources and services. ✅ Document client progress and create individualized success plans. ✅ Provide crisis intervention when needed, ensuring a safe and supportive environment. What We're Looking For: 💙 A heart for advocacy and a passion for empowering others. 🎓 A degree in Social Work, Psychology, or a related field (preferred). 🗣️ Bilingual (Spanish) skills? That's a big plus! 💡 Experience in residential or supportive settings is preferred but not required-we care more about your commitment to making a difference. 💪 Strong interpersonal skills and an understanding of trauma-informed care. Why Join Us? 🌟 Monday-Friday, 8-hour shifts, with on-call. 🌟 Be part of a mission-driven team that truly cares. 🌟 See the tangible impact of your work every single day. 🌟 A workplace that values compassion, growth, and teamwork. Your work here won't just be a job-it will be life-changing. If you're ready to step into a role where every action, every word, and every moment matters, we'd love to meet you. 🔹 Apply today and be the advocate our clients need! 🔹 Experience in residential or supportive settings preferred. Why CFAC? The Heart: You will be directly impacting the lives of women, and their children, affected by trauma Staff have the opportunity to attend many enrichment activities with residents. Due to the collaborative nature of our programming you will often be working with other teams to offer a wide range of services The How: Competitive non-profit salary and comprehensive benefits package : choose from a traditional (medical) or alternative (spa services, meal prep partners, and a gym membership) benefits, plus receive access to a 401K with 2% company match and paid time off. Opportunities for professional development including trainings, workshops, and ongoing mentorship opportunities. The CFAC is an Equal Opportunity Employer. We celebrate diversity both in our clients and in the workplace and remain committed to creating an inclusive environment for all employees.

Job Description Safety Sensitive The UR nurse will review physician orders, documentation, and test results, while utilizing evidence-based tools, critical thinking skills, and nursing expertise to ensure providers have the most up to date recommendations. The recommendations and guidance provided will allow providers to develop a plan of care for the patient in the appropriate status, based on medical necessity, and guide applicable and accurate documentation to support the care provided. Job Duties: The ED UR nurse will help identify opportunities for performance improvement. The ED UR nurse will perform admission reviews using MCG/Indicia Care Guidelines to facilitate medical necessity. The ED UR nurse will identify actual and potential delays in service request or treatment and communicates them to health care team so steps can be taken to eliminate or minimize delays. The ED UR nurse will utilize condition code 44 guidelines when appropriate The ED UR nurse will send clinical information to payers as requested/required. The ED UR nurse will monitor all patients for medical necessity, taking necessary action to include issuing ABN's or HINN's and appropriately document. Assist in discharge planning resources and plans from the ED as needed. Performs other duties as assigned by supervision. Qualifications: Education: ● RN licensure required. (Bachelor's preferred). ● BLS required. Training and Experience: ● 3-5 years clinical experience required. Job Knowledge: ● Knowledge of Conditions of Participation for Utilization Review ● Demonstration of effective problem-solving techniques including conflict management skills ● Demonstration of excellent oral and written communication skills ● Excellent organizational and record-keeping skills, as well as the ability to manage multiple cases ● Completes responsibilities in a timely manner through effective organization, setting priorities, delegation, and time management skills ● Maintains integrity, confidentiality, and ensures compliance with WRMC's policies and procedures, regulatory and legal requirements and current health care standards. Essentials: Must be able to report to work fit for duty and free of any adverse effects of illegal drugs, medical marijuana, prescription medication, and/or alcohol. Must be able to effectively communicate both orally and in writing with other individuals. Must be able to work independently, anticipate and organize workflow, prioritize, and follow through on responsibilities. Must be able to skillfully manage a high-volume caseload and to respond effectively to rapidly changing priorities Physical Demands: Sitting, standing, walking, and lifting will occur for the majority of the shift. Must be able to lift 20 pounds. Must be able to sit/stand for extended periods of time. Fine motor skills. Visual acuity. Depth perception. Tues-Friday 2pm-midnight 80hrs/pay period

About the Role:

Responsibilities Provide for coordination of treatment, care, services, and payment for patients to ensure appropriate continuity from the time of admission through assessment, planning, treatment, and discharge. Facilitate and coordinate the provision of psychological and social support services to his or her assigned individuals. Provides regular assessment of the need for continuing treatment and psychoeducation for MFH patients. Contact previous providers regarding status of patient care, treatment, and services. Responsible for youth intake, assessment of youth, development, and completion of intake documentation (biopsychosocial), provides crisis intervention as needed. Responsible to complete SDOH assessment, if there hasn't been one documented in the EMR within the last three (3) months. To be completed within 48hrs of admission (to coincide with the biopsychosocial). Based on the results of the assessment, MBH Case Manager will utilize Find Help to make applicable referrals and document those referrals in the EMR. MBH Case Manager will make note of these appointments and will verify if these appointments kept, then will reflect that in the EMR in a Referral Update form. As required by insurance, SDOH Assessment, Adverse Childhood Experiences, SDOH Referrals and SDOH Referral Follow Up information may need to be transcribed into another portal for reporting, documentation, and payment. MBH Case Managers are responsible to ensure documentation is entered into this portal in a timely fashion. Provides client/family follow-up care as needed. Make referrals, as appropriate, as indicated by individual case needs. Assists in the scheduling of passes, appointments, and other outside transportation issues as needed. Assists in providing support for MFH patients and families, as needed, including financial assistance for payment of care. Assists in developing treatment-planning goals/objectives with patients, families and treatment team members. Disseminates agency and program information to social service agencies, churches, childcare institutions, etc., as needed. Responsible for ensuring that all documentation on patients is current and complete (i.e., biopsychosocial, treatment plans, updates, discharge documents, & other documents as designated). Serves as a liaison for patients with other social service agencies including Department of Human Services (DHS) and Arkansas Division of Medical Services (Medicaid). Assists patients with appropriate discharge planning. Returns phone calls, contacts, and other communications from family members, guardians, outside agencies and referral sources in a timely manner. Assists with pre-service and/or in-service training in areas of expertise as needed. Assists in preparation for and helps maintain compliance with all outside regulatory agencies standards and laws, including Medicaid, TJC, Department of Health, and CMS. Keeps detailed and accurate documentation of all pertinent client information. Attends regular treatment team staff meetings and provides pertinent input regarding client concerns, progress, etc. At times, this position may be required to assume the tasks of the case managers and/or therapists as assigned in their absence. Participate in weekend coverage rotation, as needed. Perform other related duties as assigned by the Director of Clinical Services or other applicable personnel. Responsibility is assumed for continuing educational and professional development, as needed, and contributions are made to the professional growth of others. Documentation of continuing education, etc., will be provided to the personnel department and copies kept in the employee's record. Qualifications At least twenty-one (21) years of age and preferably has a bachelor's degree in social work or a related human service field. Student interns who are currently pursuing a master's degree in human services and/or paraprofessionals may also be used under direct and close supervision of a Mental Health Professional. The LIP must be of the same discipline as the intern as outlined in the guidelines established by institution where the student is receiving training. Possesses computer skills, preferably in Microsoft Word and Excel applications and able to document accurately and professionally. Experience working with “at-risk” youth or other populations with special needs preferred. Ability as a self-motivator and the aptitude to work in a high stress fast paced position with a minimal amount of supervision. Perform other reasonable assignments, which may be necessary, for efficient operation of assigned programs as there is time and opportunity. Must be physically capable to receive verbal and written directions. Must be physically capable of sitting and standing for several hours at a time. Must have good auditory, visual, and olfactory ability. Ability to use hands and fingers to handle or feel objects, tools, or controls. Must be able to maintain effective audio, visual discrimination and perception needed for making observations, communicating with others, reading and writing, and operating office equipment and other treatment equipment. Must be able to use a telephone to communicate verbally and a computer to communicate through written means, to review information and enter/retrieve data, to see and read characters on a computer screen, chart, or other treatment items. Must be willing and able to work with all patients of Methodist Family Health. Flu vaccination is mandatory and required for all positions (subject only to qualified exemptions). s are not intended, nor should be construed, to be all-inclusive lists of all responsibilities, skills, efforts or working conditions associated with a job. While this is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from particular jobs and to assign other duties as necessary. When an employee performs two or more different jobs, for which different straight time hourly rates are established, the employee will be paid during overtime hours at a rate not less than one and one-half time the hourly rate established for the type of work he or she is performing during the overtime hours. Pursuant to the Arkansas Medical Marijuana Act 593, this position is a designated safety-sensitive position according to MFH/MCH/MBH standards and processes. Level One - Full Access: Ongoing regular access to PHI of all forms while the employee is on duty and performing within the scope of his or her job as defined by the employee's job description, and Policy and Procedure. "Such access must be for cause, consistent with job responsibilities and related to patients, claims, audits, reviews and other legitimate business purposes." (e.g., Physicians, nurses, and other clinicians)

The Legal Case Manager will be primary responsible for responding to inquiries from external customers, internal team members and attorneys as well as making calls and reviewing documentation for important information using the company's internal database. Provide preliminary legal and administrative support to attorneys and staff Prepare and assist in legal documents Handle on average 80 out bound and inbound calls Outbound dialing will consist of follow up to customers' accounts, account verification, completion of necessary paperwork and detailed research Inbound calls will mostly consist of answering questions from customers related to their transfer Speak with customers and vendors on the phone while entering in notes Oversee a list of clients to contact daily regarding the documentation that needs to be completed Process documents, emails and any messages that require immediate attention Various other duties as assigned Job Requirements: High School Diploma Motor vehicle or general personal injury experience required Proficient with computers, email and Google Drive Must have the ability to work with patience and courtesy in customer relations Excellent verbal and written communication skills Quick thinker with the ability to multi-task Detail oriented with the ability to easily track documentation Location Little Rock, AR - downtown area Salary: $38,000-40,000 Perks: 100% medical insurance is paid for by firm + a nice PTO package.

✨Join a group of passionate advocates on our mission to improve the lives of youth! Rite of Passage Team is hiring for a Part-Time Case Manager at The Lewisville Juvenile Treatment Center (L.J.T.C) in Lewisville, Arkansas✨ The Lewisville Juvenile Treatment Center (L.J.T.C.), nestled in the serene setting of rural Lafayette County, is dedicated to transforming the lives of at-risk young males. Our structured environment promotes self-discipline, self-respect, and motivation. We are looking for passionate individuals who value education, personal growth, and the power of second chances. At L.J.T.C., you'll join a committed team making a profound difference, inspiring and guiding youth toward success. This isn't just a job-it's your chance to impact lives in a collaborative and supportive atmosphere. Pay: $20.19 - $21.63 per hour, depending on level of education and experience What you will do: The Case Manager is a key member of the site's Clinical team implementing the Rite of Passage program. This position is responsible for administering, developing, and facilitating the completion of case plans and treatment programs in accordance with the requests of the placing agency and the needs of each student on your case load. The Case Manager is considered the primary program liaison between student, parents/legal guardians, other staff members, and the placing agency officials. This position will provide progress notes, as well as organize and facilitate court hearings, Probation Officer visits, students visit, and home passes. To be considered you should: Possess a Bachelor's Degree in a relevant field ~ Be at least 21 years of age ~ have a minimum of 3 years prior case management experience with Juveniles~ Be able to pass a criminal background check, drug, physical, and TB test ~ Be able to pass a search of the child and adult abuse central registry ~ Must meet the requirements to become an ROP eligible driver, including having a valid Driver's License Apply today and Make a Difference in the Lives of Youth! After 40 years of improving the lives of youth, we are looking for passionate advocates to continue the legacy of helping young people become successful adults. As a Case Manager, you will have the unique opportunity to create a positive, safe and supportive environment for the youth we serve while building a career rich in growth opportunities and self-fulfillment. Follow us on Social! Instagram / Facebook / Linkedin / Tik Tok / YouTube

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Field Case Manager-Sign-On Bonus Eligible **We are growing all across the US and are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5 years of prior Workers Compensation experience in order to be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. + Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. + Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. + Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. + Enable our Caring counts mission supporting injured employees from some of the world's best brands and organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. + Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. + Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or bachelor's degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver's license required. High speed internet required. **TAKING CARE OF YOU BY** + Offering a blended work environment. + Supporting meaningful work that promotes critical thinking and problem solving. + Providing on-going learning and professional growth opportunities. + Promoting a strong team environment and a culture of support. + Recognizing your successes and celebrating your achievements. + We offer a diverse and comprehensive benefits package including: + Three Medical, and two dental plans to choose from. + Tuition reimbursement eligible. + 401K plan that matches 50% on every $ you put in up to the first 6% you save. + 4 weeks PTO your first full year. **NEXT STEPS** If your application is selected to advance to the next round, a recruiter will be in touch. \#nurse #fieldcasemanager As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000-$95,000/quarterly bonus eligibility and Sign on Bonus Eligible. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. _"Always accepting applications."_ Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

We are seeking a compassionate, engaging, and organized individual to join our Arkansas CARES team in Little Rock. The Case Manager/QBHP provides mental health and substance abuse skills-based interventions and supports to pregnant and parenting women admitted to the Arkansas CARES program. The person who accepts this position needs to be an excellent communicator, self-motivated, flexible, and demonstrate patience with others. Interventions are provided 1:1 or in groups with women and their children, as well as assist in coordinating community support services for the women and children. Under the supervision and direction of the Program Coordinator or designee, the Case Manager/ Qualified Behavioral Health Provider (QBHP) will provide case management services and mental health and substance abuse interventions to the clients in the Arkansas CARES program. The interventions provided may occur in the residential program, clinic or community environments. Primary Responsibilities: · Work directly with pregnant and parenting women with identified substance abuse and mental health issues one-to-one and in small groups. · Actively participate as a member of the client's treatment team providing pertinent input regarding client concerns, progress, etc. · Lead skills-based intervention groups using curriculums that focus on life skills development (ex. coping, goal setting, accountability, budgeting, parenting, employment seeking, etc.) to support their substance abuse and mental health treatment goals. · Coordinate and assist clients with scheduling and transportation for appointments with community support services/organizations to obtained needed resources (ex. food stamps, TEA, WIC, social security, foodbanks, diaper drives, local school or daycare enrollment, etc.) to assist clients in independent living. · Work collaboratively with client's network of supports and other types of providers involved with the client to improve clients' chances of positive outcomes in treatment (ex. family members, probation/parole officers, DHS case workers, ministers, care coordinators and other community agencies and organizations) · Provide clinical and behavioral interventions as outlined in a client's treatment plan and guided and supervised by the treating therapist, to assist the client in resolving or improving symptoms of substance abuse and mental health disorders, that are disrupting the client's ability to function daily physically, emotionally, socially, and/or employment/work. Interventions must be individualized, can take place one-on-one, in a group setting with peers or with the family or with the parents/caregivers of the client. · Respond to phone calls, contacts, and other communications from client, family members, guardians, outside agencies and referral sources in an appropriate, professional and timely manner. · Provide transportation to clients for appointments in the community using company vehicles. Must have good driving record. · Attend regular staff meetings · Accurately document interventions and services provided in detail (both billable and nonbillable) in an Electronic Health Record (EHR) in the format and timeframes outlined in the organization and department policies and procedures. · Check Alerts daily in the Electronical Health Record to review and electronically sign necessary treatment documents sent to you. · Check emails a minimum of twice a day (morning and afternoon) and respond timely. · The ability to consistently perform these duties and represent Methodist Family Health in the most professional, ethical manner consistent with our mission to provide the best possible care to those who may need our help and to treat the whole person: behaviorally, emotionally and spiritually. Qualifications: · Must be at least twenty-one (21) years of age · Must have a minimum of 60 hours of college education, but a bachelor's degree in a Human Service field is preferred (Social Work, Psychology, Sociology, Child and Youth Development, Criminal Justice, etc.) · Must possess excellent communication and strong customer services skills · Possess good computer skills, some experience with Microsoft Word and Excel applications preferred, but not required. · Ability to document accurately and professionally. · Ability as a self-motivator and the aptitude to work in a fast-paced environment with limited supervision. · The Case Manager must meet the definition of a Qualified Behavioral Health Provider, as outlined by Arkansas Medicaid standards and regulations, which requires the completion of a minimum of 40 hours of paraprofessional training and successful completion of all written exams and competency-based skills demonstrations. This training will be provided during your first two weeks of employment. · The Case Manager/QBHP must also participate in the supervision requirements outlined by the Arkansas Medicaid standards and regulations to maintain certification as a Qualified Behavioral Health Professional including weekly face-to-face supervision, monthly observations, annual continuing education and completion of exam(s). Additional Mandatory Requirements: · Must be physically capable to receive verbal and written directions · Remains current in Crisis Prevention Intervention Training, CPR & First Aid · Must be willing and able to work with all patients of Methodist Family Health, regardless of gender · Must have good auditory, visual and olfactory ability · Use hands and fingers to handle or feel objects, tools or controls · Must be able to maintain effective audio, visual discrimination and perception needed for making observations, communicating with others, reading and writing, and operating office equipment and other treatment equipment. · Must be able to use a telephone to communicate verbally and a computer to communicate through written means, to review information and enter/retrieve data, to see and read characters on a computer screen, chart or other treatment items · Requires the ability to sit for long periods of time and intermittently walk, stand, stoop, kneel, crouch and reach with hands and arms. · Flu vaccination is mandatory and required for all positions (subject to qualified exemptions). Other: The individual employed in this position may accept other reasonable assignments, which may be necessary, for efficient operation of assigned programs as there is time and opportunity. s are not intended, nor should be construed, to be all-inclusive lists of all responsibilities, skills, efforts or working conditions associated with a job. While this is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from particular jobs and to assign other duties as necessary. Level One - Full Access: Ongoing regular access to PHI of all forms while the employee is on duty and performing within the scope of his or her job as defined by the employee's job description, and Policy and Procedure. "Such access must be for cause, consistent with job responsibilities and related to patients, claims, audits, reviews and other legitimate business purposes." (e.g. Physicians, nurses and other clinicians).

Responsibilities Provide for coordination of treatment, care, services, and payment for patients to ensure appropriate continuity from the time of admission through assessment, planning, treatment, and discharge. Facilitate and coordinate the provision of psychological and social support services to his or her assigned individuals. Provides regular assessment of the need for continuing treatment and psychoeducation for MFH patients. Contact previous providers regarding status of patient care, treatment, and services. Responsible for youth intake, assessment of youth, development, and completion of intake documentation (biopsychosocial), provides crisis intervention as needed. Responsible to complete SDOH assessment, if there hasn't been one documented in the EMR within the last three (3) months. To be completed within 48hrs of admission (to coincide with the biopsychosocial). Based on the results of the assessment, MBH Case Manager will utilize Find Help to make applicable referrals and document those referrals in the EMR. MBH Case Manager will make note of these appointments and will verify if these appointments kept, then will reflect that in the EMR in a Referral Update form. As required by insurance, SDOH Assessment, Adverse Childhood Experiences, SDOH Referrals and SDOH Referral Follow Up information may need to be transcribed into another portal for reporting, documentation, and payment. MBH Case Managers are responsible to ensure documentation is entered into this portal in a timely fashion. Provides client/family follow-up care as needed. Make referrals, as appropriate, as indicated by individual case needs. Assists in the scheduling of passes, appointments, and other outside transportation issues as needed. Assists in providing support for MFH patients and families, as needed, including financial assistance for payment of care. Assists in developing treatment-planning goals/objectives with patients, families and treatment team members. Disseminates agency and program information to social service agencies, churches, childcare institutions, etc., as needed. Responsible for ensuring that all documentation on patients is current and complete (i.e., biopsychosocial, treatment plans, updates, discharge documents, & other documents as designated). Serves as a liaison for patients with other social service agencies including Department of Human Services (DHS) and Arkansas Division of Medical Services (Medicaid). Assists patients with appropriate discharge planning. Returns phone calls, contacts, and other communications from family members, guardians, outside agencies and referral sources in a timely manner. Assists with pre-service and/or in-service training in areas of expertise as needed. Assists in preparation for and helps maintain compliance with all outside regulatory agencies standards and laws, including Medicaid, TJC, Department of Health, and CMS. Keeps detailed and accurate documentation of all pertinent client information. Attends regular treatment team staff meetings and provides pertinent input regarding client concerns, progress, etc. At times, this position may be required to assume the tasks of the case managers and/or therapists as assigned in their absence. Participate in weekend coverage rotation, as needed. Perform other related duties as assigned by the Director of Clinical Services or other applicable personnel. Responsibility is assumed for continuing educational and professional development, as needed, and contributions are made to the professional growth of others. Documentation of continuing education, etc., will be provided to the personnel department and copies kept in the employee's record. Qualifications At least twenty-one (21) years of age and preferably has a bachelor's degree in social work or a related human service field. Student interns who are currently pursuing a master's degree in human services and/or paraprofessionals may also be used under direct and close supervision of a Mental Health Professional. The LIP must be of the same discipline as the intern as outlined in the guidelines established by institution where the student is receiving training. Possesses computer skills, preferably in Microsoft Word and Excel applications and able to document accurately and professionally. Experience working with “at-risk” youth or other populations with special needs preferred. Ability as a self-motivator and the aptitude to work in a high stress fast paced position with a minimal amount of supervision. Perform other reasonable assignments, which may be necessary, for efficient operation of assigned programs as there is time and opportunity. Must be physically capable to receive verbal and written directions. Must be physically capable of sitting and standing for several hours at a time. Must have good auditory, visual, and olfactory ability. Ability to use hands and fingers to handle or feel objects, tools, or controls. Must be able to maintain effective audio, visual discrimination and perception needed for making observations, communicating with others, reading and writing, and operating office equipment and other treatment equipment. Must be able to use a telephone to communicate verbally and a computer to communicate through written means, to review information and enter/retrieve data, to see and read characters on a computer screen, chart, or other treatment items. Must be willing and able to work with all patients of Methodist Family Health. Flu vaccination is mandatory and required for all positions (subject only to qualified exemptions). s are not intended, nor should be construed, to be all-inclusive lists of all responsibilities, skills, efforts or working conditions associated with a job. While this is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from particular jobs and to assign other duties as necessary. When an employee performs two or more different jobs, for which different straight time hourly rates are established, the employee will be paid during overtime hours at a rate not less than one and one-half time the hourly rate established for the type of work he or she is performing during the overtime hours. Pursuant to the Arkansas Medical Marijuana Act 593, this position is a designated safety-sensitive position according to MFH/MCH/MBH standards and processes. Level One - Full Access: Ongoing regular access to PHI of all forms while the employee is on duty and performing within the scope of his or her job as defined by the employee's job description, and Policy and Procedure. "Such access must be for cause, consistent with job responsibilities and related to patients, claims, audits, reviews and other legitimate business purposes." (e.g., Physicians, nurses, and other clinicians)

Responsibilities Provide for coordination of treatment, care, services, and payment for patients to ensure appropriate continuity from the time of admission through assessment, planning, treatment, and discharge. Facilitate and coordinate the provision of psychological and social support services to his or her assigned individuals. Provides regular assessment of the need for continuing treatment and psychoeducation for MFH patients. Contact previous providers regarding status of patient care, treatment, and services. Responsible for youth intake, assessment of youth, development, and completion of intake documentation (biopsychosocial), provides crisis intervention as needed. Responsible to complete SDOH assessment, if there hasn't been one documented in the EMR within the last three (3) months. To be completed within 48hrs of admission (to coincide with the biopsychosocial). Based on the results of the assessment, MBH Case Manager will utilize Find Help to make applicable referrals and document those referrals in the EMR. MBH Case Manager will make note of these appointments and will verify if these appointments kept, then will reflect that in the EMR in a Referral Update form. As required by insurance, SDOH Assessment, Adverse Childhood Experiences, SDOH Referrals and SDOH Referral Follow Up information may need to be transcribed into another portal for reporting, documentation, and payment. MBH Case Managers are responsible to ensure documentation is entered into this portal in a timely fashion. Provides client/family follow-up care as needed. Make referrals, as appropriate, as indicated by individual case needs. Assists in the scheduling of passes, appointments, and other outside transportation issues as needed. Assists in providing support for MFH patients and families, as needed, including financial assistance for payment of care. Assists in developing treatment-planning goals/objectives with patients, families and treatment team members. Disseminates agency and program information to social service agencies, churches, childcare institutions, etc., as needed. Responsible for ensuring that all documentation on patients is current and complete (i.e., biopsychosocial, treatment plans, updates, discharge documents, & other documents as designated). Serves as a liaison for patients with other social service agencies including Department of Human Services (DHS) and Arkansas Division of Medical Services (Medicaid). Assists patients with appropriate discharge planning. Returns phone calls, contacts, and other communications from family members, guardians, outside agencies and referral sources in a timely manner. Assists with pre-service and/or in-service training in areas of expertise as needed. Assists in preparation for and helps maintain compliance with all outside regulatory agencies standards and laws, including Medicaid, TJC, Department of Health, and CMS. Keeps detailed and accurate documentation of all pertinent client information. Attends regular treatment team staff meetings and provides pertinent input regarding client concerns, progress, etc. At times, this position may be required to assume the tasks of the case managers and/or therapists as assigned in their absence. Participate in weekend coverage rotation, as needed. Perform other related duties as assigned by the Director of Clinical Services or other applicable personnel. Responsibility is assumed for continuing educational and professional development, as needed, and contributions are made to the professional growth of others. Documentation of continuing education, etc., will be provided to the personnel department and copies kept in the employee's record. Qualifications At least twenty-one (21) years of age and preferably has a bachelor's degree in social work or a related human service field. Student interns who are currently pursuing a master's degree in human services and/or paraprofessionals may also be used under direct and close supervision of a Mental Health Professional. The LIP must be of the same discipline as the intern as outlined in the guidelines established by institution where the student is receiving training. Possesses computer skills, preferably in Microsoft Word and Excel applications and able to document accurately and professionally. Experience working with “at-risk” youth or other populations with special needs preferred. Ability as a self-motivator and the aptitude to work in a high stress fast paced position with a minimal amount of supervision. Perform other reasonable assignments, which may be necessary, for efficient operation of assigned programs as there is time and opportunity. Must be physically capable to receive verbal and written directions. Must be physically capable of sitting and standing for several hours at a time. Must have good auditory, visual, and olfactory ability. Ability to use hands and fingers to handle or feel objects, tools, or controls. Must be able to maintain effective audio, visual discrimination and perception needed for making observations, communicating with others, reading and writing, and operating office equipment and other treatment equipment. Must be able to use a telephone to communicate verbally and a computer to communicate through written means, to review information and enter/retrieve data, to see and read characters on a computer screen, chart, or other treatment items. Must be willing and able to work with all patients of Methodist Family Health. Flu vaccination is mandatory and required for all positions (subject only to qualified exemptions). s are not intended, nor should be construed, to be all-inclusive lists of all responsibilities, skills, efforts or working conditions associated with a job. While this is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from particular jobs and to assign other duties as necessary. When an employee performs two or more different jobs, for which different straight time hourly rates are established, the employee will be paid during overtime hours at a rate not less than one and one-half time the hourly rate established for the type of work he or she is performing during the overtime hours. Pursuant to the Arkansas Medical Marijuana Act 593, this position is a designated safety-sensitive position according to MFH/MCH/MBH standards and processes. Level One - Full Access: Ongoing regular access to PHI of all forms while the employee is on duty and performing within the scope of his or her job as defined by the employee's job description, and Policy and Procedure. "Such access must be for cause, consistent with job responsibilities and related to patients, claims, audits, reviews and other legitimate business purposes." (e.g., Physicians, nurses, and other clinicians)

* Conducts groups as assigned under the supervision and direction of a licensed professional * Assists with referral and admission procedures * Secures intake information, e.g., social medical, educational history and completes required forms * Develops and writes service plans for clients under supervision and direction of professional * Coordinates activities and makes referrals to assure appropriate and needed services are provided * Serves as client advocate with court, school, DCFS and other agencies or services * Documents all activities and maintains progress reports, All documentation is completed and submitted within required timeline * Participates in regular staffings to review case and revise service plan as needed * Serves as liaison between Centers and community resources * Assists in the development and implementation of behavior management programs - Documents and assigns new referrals as they are admitted from outside referral sources * Develops a schedule for weekly or monthly staffing and staffing aftercare/discharge plan as required * Confers with outside agency staff concerning aftercare plan * Maintains an active caseload of clients and monitors clients * Assists care management staff as needed with field evaluations, aftercare plans and networking with other agencies * Valid Arkansas driver's license with record acceptable to insurance carrier * Bachelors degree preferred in specialized area supervised or related field or experience in lieu of degree. * Experience should be focused in mental health and related field, for at least 2 years.

This job requires the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member satisfaction. The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level of payment and resource utilization. It is also used to identify issues which can be used for education of network providers, identification and resolution of quality issues and inappropriate claim submission. The incumbent is expected to utilize specialized skills and knowledge to achieve successful and measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes qualitative and quantitative data in developing strategies to improve provider performance and member satisfaction. Will be expected to identify potential discrepancies in provider billing practices and intervene for resolution and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment and retrospective review processes that are consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in accordance with applicable state, federal laws and regulatory compliance. Implements all reviews according to accepted and established coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the delivery of review services. + Respect the member's right to privacy, sharing only information relevant to the member's care and within the framework of applicable laws. Practice within the scope of ethical principles. + Identify issues which can be used to educate professional and facility providers and vendors for the purpose of streamlining and improving processes.Develop and sustain positive working relationships with internal and external customers. + Act as a resource and subject matter expert to colleagues with less experience on a frequent basis to problem solve through Payment Integrity Review issues that would be considered of medium to high degree of complexity. + Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim scenarios. + Other duties as assigned. Including, but not limited to additional project related responsibilities on a frequent basis that are considered small to medium in nature. Expectation is to drive the assigned project to completion which would include educating the Payment Integrity team. Project assignment is in addition to performing daily Payment Integrity job responsibilities. **EDUCATION** **Required** + Associate's Degree in Nursing **Substitutions** + None **Preferred** + Bachelor's Degree in Nursing **EXPERIENCE** **Required** + 3 - 5 years of related, progressive experience in a clinical setting **Preferred** + 1-3 years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability to solve issues that are complex in nature with minimal direction and latitude to proceed on some actions or decisions **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Does Not Apply Lifting: up to 10 pounds Continuously Lifting: 10 to 25 pounds Never Lifting: 25 to 50 pounds Never **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $57,700.00 **Pay Range Maximum:** $107,800.00 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J272539

Travel: Moderate travel required Travel Expenses: Reimbursed within specified guidelines The Arkansas Division of Elementary and Secondary Education (DESE) - Office of Special Education (OSE) is seeking a highly qualified Family Engagement Specialist to support the implementation of the Arkansas State Personnel Development Grant (SPDG), funded by the U.S. Department of Education, Office of Special Education Programs (OSEP). The Family Engagement Specialist will oversee the development and implementation of strategies to strengthen school-family partnerships, with a focus on trust-building, shared understanding, and collaboration to support student learning. This role plays a critical role in advancing statewide priorities, including the Meaningful Access and Participation (MAP) project, by helping schools intentionally engage families as collaborative partners in continuous improvement efforts. This position involves capacity-building, training, and coaching of administrators, educators, and families to create accessible environments and co-develop practices that elevate family voice and strengthen student outcomes. Key Responsibilities: ● Provide on-site and virtual coaching, professional development, and technical assistance to administrators, educators, and family liaisons to support the implementation of evidence-based and high-leverage practices. ● Collaborate with grant partners to develop, adapt, and disseminate family-friendly tools, communication resources, and training materials to increase family engagement and support student learning. ● Support the implementation of statewide family engagement strategies and participate in workgroups aligned with grant priorities and the State Improvement Plan. ● Co-create protocols and processes for collaborative discussions with district and school leadership teams, grade-level teams, and special education teams to promote shared understanding and alignment of supports. ● Assist schools and districts in developing and refining systems that promote family engagement and align with tiered systems of support (MTSS) and the Meaningful Access and Participation Project. ● Collaborate with the grant personnel to monitor implementation fidelity, document activities, and report outcomes.