Wound Care Clinician II-PCR
Clinical case manager job in Columbus, GA
Overview: Certified Clinician responsible for the assessment, evaluation, and treatment of patients, specifically those with acute and/or chronic wounds, ostomy management and education as well as management of fistulae, tubes, skin, and incontinence issues. Works in conjunction with physicians, nursing staff and ancillary staff to evaluate, propose, plan and perform patient assessment and treatments. Responsibilities: Certified Clinician responsible for the assessment, evaluation, and treatment of patients, specifically those with acute and/or chronic wounds, ostomy management and education as well as management of fistulae, tubes, skin, and incontinence issues. Works in conjunction with physicians, nursing staff and ancillary staff to evaluate, propose, plan and perform patient assessment and treatments. Qualifications: Education
Graduate of an accredited school in the field of Nursing, Physical Therapy, or Occupational Therapy Required
Bachelor's Degree Bachelor's degree Preferred
Work Experience
2 years of clinical experience unless completion of an approved Wound Care/Ostomy residency program Required
Experience working in research, analysis of data, and editing collateral Preferred
Licenses and Certifications
BLS certification Upon Hire Required and
One of the following certifications active and in good standing with their respective board Required
APTA - Physical Therapy APTA Required or
CWON - Certified Wound Ostomy Nurse CWON Required or
CWCA - Certified Wound Associate CWCA Required or
CWS - Certified Wound Specialist CWS Required or
CWCN - Certified Wound Care Nurse CWCN Required or
WCC - Wound Care Certified WCC Required or
CWOCN - Certified Wound, Ostomy, Continence Nurse CWOCN Required or
OMS Required
Current licensure in the State of Georgia as one of the following: Upon Hire Required and
PT - Physical Therapist Physical Therapist Required or
RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Registered Nurse Required or
OT - Occupational Therapist - Registered Occupational Therapist Required and
Must maintain CEU's as by the state and certification board Required
Business Unit : Company Name: Piedmont Columbus Midtown
Licensed Counselor (LPC, LCSW, LMFT) - Upatoi, GA
Clinical case manager job in Columbus, GA
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in behavioral health.
Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team!
We are actively looking to hire talented therapists in the area, who are passionate about patient care and committed to clinical excellence. Earnings of up to $115,000 plus.
Is this you?
Wanting to deliver high quality behavioral healthcare.
Seeking work life balance.
Interested in growing professionally.
What we offer Therapists:
Flexible work schedules.
Generous ‘above market' compensation with unlimited/uncapped earnings.
Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, EAP and more.
Collegial work environment.
Newly designed and modern offices.
Full administrative support.
Latest in digital technology.
Strong work/life balance.
Licensed Therapists are a critical part of our clinical team. We're seeking Licensed Therapists that are:
Fully licensed and credentialed in Georgia
Experienced in working with adult, and/or child and adolescent populations.
About LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US.
LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.
Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
If you elect to interact with us via our website, please only use ****************** or *************************** Additionally, our recruiters utilize email addresses with ******************* domain. Other websites and domains are not affiliated with LifeStance Health and may represent threats to your data security.
LifeStance Health complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact our Human Resources Team at ...@lifestance.com or by calling +1-800-###-####. Please note: This contact is intended solely for accommodation requests. Inquiries regarding applications, resumes and applicant status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official careers page.
LOA Case Manager I
Clinical case manager job in Montgomery, AL
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary:
Accountable for the delivery of outstanding Absence Management and related Colleague Services through a strong commitment to colleague experience. The Case Manager, Enterprise Absence Management will be responsible for using the CVS Health my Leave absence platform as well as other HR systems to administer FMLA, State regulations and Company leave policies from the start of a leave request through the return to work.
Job Description:
+ Support a service delivery model that reflects empathy and care for all colleagues and fosters an environment focused on the colleague experience
+ Administer leave of absence requests under FMLA, State regulations and Company leave policies in accordance with federal and state regulations
+ Utilize the my Leave system for leave of absence to ensure tasks and cases are completed according to federal and state regulations
+ Review and analyze leave of absence requests that are not eligible for FMLA, State and / or Company leave policies to determine if the ADA is applicable. If request for a leave of absence does require a review for the ADA, update and assign the case for Reasonable Accommodation review
+ Research and resolve tier 2 escalations and ensure the outcome and updates are documented and communicated timely
+ Review, calculate and submit payment of paid time off for leave requests in accordance with FMLA, State regulations and Company leave policies
+ Review, calculate and submit payment of the CVS Health Paid Parental Leave according to the policy
+ Conduct colleague outreach calls at the start of a new leave request and at key intervals throughout the leave process to ensure colleague support through the leave
+ Communicate with colleagues, leaders, and other key stakeholders to assist with questions on leave administration
+ Work collaboratively with members of the LOA Team to ensure compliance, completing goals and putting the customer first
+ All other leave of absence case management duties assigned by Case Management Lead and / or other key members of the my Leave team
+ A strong commitment to Customer Service as exemplified by behaviors and disposition
+ Ability to work independently and as part of a team environment
+ Excellent written, verbal and listening skills to reflect a friendly, positive disposition
+ Demonstrated ability to maintain work in the strictest of confidence
+ Demonstrated ability to problem solve and apply critical thinking skills, including the ability to think analytically and creatively, under pressure, to solve problems
+ Strong organizational and data entry skills with a strict attention to detail
+ Ability to plan and prioritize workloads, both independently and in a team environment with minimal supervision
+ Demonstrated ability to think strategically and creatively toward continuous improvement of operations both technically and functionally
+ Ability to consistently and efficiently follow through on problems to provide resolution that is satisfactory to the customer
+ Demonstrated ability to multi-task while consistently meeting deadlines
+ Proficiency with MS Office Products
+ Regular and predictable attendance is required
+ Minimum internet connection of 25 Mbps download speed and 3 Mbps upload speed required
Required Qualifications:
1+ year of customer service or office experience
Preferred Qualifications:
FMLA, State Leaves, Disability, or HR experience
Education:
High School Diploma or GED
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$18.50 - $42.35
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 12/24/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Long Term Disability Claims Case Manager I
Clinical case manager job in Montgomery, AL
The Long Term Disability (LTD) Claims Case Manager is responsible for making accurate decisions on assigned claims through proactive case management according to the plan provisions, state and federal guidelines, and established protocols. This position consults with other team members, as well as, the Professional Resource Team to assist claimants with return to work efforts when the capability and opportunity exist.
The LTD Claims Case Manager can be located in multiple locations including Bethlehem, PA; Plano, TX; Holmdel, NJ or remote.
**You will**
This position utilizes problem solving, analytical, written and verbal communication skills to deliver timely and appropriate disability claim decisions while providing superior customer service to all internal and external customers. This position partners with coworkers to broaden and enhance their knowledge of complex claim handling.
The LTD Claims Case Manager administers claims within a variety of group sizes ranging from small (2+ lives) to large market (1000+ lives). This position is responsible for determining integrated income to ensure appropriate financial risk and accurate payments are made. The LTD Claims Case Manager is responsible for ensuring all plan provisions are met through the duration of the claim. The LTD Claims Case Manager consults with legal, investigative resources, and financial specialists.
A selected incumbent may be assigned to the Stable and Mature block as well.
**You have**
+ 4 year college degree preferred or equivalent work/education experience
+ Regulatory and Compliance experience a plus
**Functional Skills**
+ Excellent written and verbal communication skills
+ Ability to exercise independent & sound judgment in decision making
+ Ability to analyze evidence for discrepancies
+ Ability to conduct research using multiple techniques
+ Excellent time management & organizational skills
+ Multitasking with the ability to manage continually changing priorities and ability to prioritize work based on customer service needs and departmental regulations
+ Self-motivated & able to work independently
+ Ability to work collaboratively with multiple professional disciplines and with diverse populations
+ Basic computer skills & knowledge, including Microsoft office
+ Understanding of medical terminology and medical conditions helpful
**Leadership Behaviors**
+ Continuously strives to provide superior products and customer service
+ Expresses oneself in an open and honest manner
+ Demonstrates self-awareness and embraces feedback
+ Consult with the Professional Resource Team area to assess functionality and return to work potential by utilizing available resources
+ Perform and complete timely change in definition investigations by utilizing the Professional Resource Team and outside vendor assistance
+ Partner with the Short Term Disability team on large group claims for early interventions when claims are identified as having potential to transition to Long Term Disability in order to reduce potential risk exposure
**Salary Range:**
$41,880.00 - $62,820.00
The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.
**Our Promise**
At Guardian, you'll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
**Inspire Well-Being**
As part of Guardian's Purpose - to inspire well-being - we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at *********************************************** . _Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits._
**Equal Employment Opportunity**
Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.
**Accommodations**
Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact applicant_accommodation@glic.com .
**Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.**
Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being - mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a GuardianTM. Learn more about Guardian at guardianlife.com .
Visa Sponsorship:
Guardian Life is not currently or in the foreseeable future sponsoring employment visas. In order to be a successful applicant, you must be legally authorized to work in the United States, without the need for employer sponsorship.
Case Manager - Adult, Custody to Community
Clinical case manager job in Montgomery, AL
Job Description
This is responsible, professional work as a direct services provider and an information and referral agent for targeted populations that are considered chronically mentally ill, being released from incarceration, and need assistance transitioning into the community.
DESCRIPTION OF DUTIES
Identify eligible individuals.
Visit referred persons and determine needs using the SUN Assessment by conversing with the individual.
Complete a SUN Assessment Form on each client utilizing information gained from the client or a family member.
Determine resources that would meet the needs identified in the SUN Assessment by contacting provider sources- public and private, both in and out of the catchment area.
Prepare a plan for the provision of community mental health services to the individual involved and review such plan not less that once every three months.
Assist in obtaining and coordinating social and maintenance services for the individual, including services relating to daily living activities, transportation services, habilitation and rehabilitation services, prevocational and vocational services, and housing services.
Assist the individual in obtaining income support services, including housing assistance, food stamps, and supplemental security income benefits.
Refer the individual for such other services as may be appropriate.
Transport clients to services, as well as conduct outreach visits.
Productivity requirement- 70% of time dedicated todirect services.
Participate in training activities as required by the Carastar Health to increase and enhance professional and therapeutic skills.
Provide mental health consultation to other agencies and providers assisting Carastar's consumers.
Complete reports required for client records as well as all forms and paperwork required by the Carastar.
Work closely with the clinical treatment team and the referral source to ensure that all needs are met, and that case management progress information is communicated.
Attend mental health court and serve as liaison between court and Carastar.
Provide testimony in court related to the case management services provided to the individual.
Screen individuals in the jail as needed to ensure a smooth transition upon release.
Perform other related duties as assigned by supervisor.
REQUIREMENTS
Knowledge of the special needs and behavioral characteristics of the targeted, seriously mentally ill.
Knowledge of interviewing techniques and principles.
Skills in interpersonal relationships and group dynamics.
Ability and willingness to operate a motor vehicle.
Knowledge of the use and side effects of psychotropic medication.
Knowledge of the legal and ethical issues relative to confidentiality of client records.
Knowledge of casework principles and methods related to counseling.
Ability to document activities and maintain records.
Ability and willingness to provide mental health services in non-traditional settings.
Reliable transportation and willingness to transport clients.
QUALIFICATIONS
Bachelor's Degree in Behavioral Science or related field from a recognized college or university. Some experience preferred.
Must meet requirements for Approved Medicaid Provider status.
Must be over the age of 25 andhold a valid driver's license.
Must maintain a driving record that is acceptable to Carastar's insurance carrier.
Must maintain at least liability coverage on personal vehicles.
Case Manager/Paralegal
Clinical case manager job in Montgomery, AL
An established Personal Injury law firm in Montgomery, AL is seeking to add an experienced and organized Case Manager/Paralegal to their team.
Responsibilities:
Assist attorney in developing personal injury case for settlement
Utilize Alafile and PACER electronic filing systems
Communicate via phone and email with insurance and medical professionals
Maintain contact with client for duration of case
Requirements:
College Degree and/or Paralegal certificate, preferred. High School diploma with Paralegal experience, acceptable
1-2 years of Personal Injury case management, preferred
Proficient in Needles, word processing and spreadsheet presentation
Manage multiple tasks,meet deadlines, prioritize workload and stay focused under pressure
Case Manager (Columbus)
Clinical case manager job in Columbus, GA
Job Details Columbus - Columbus, GA Fully Remote Full Time 4 Year Degree $19.23 - $21.64 Up to 50% Day Nonprofit - Social ServicesDescription
Case Manager (Columbus)
The Case Manager is a designated Developmental Disabilities Professional and provides leadership in the development and support of the service plans for individuals receiving services and ensures Support Companion compliance with Host Home regulations. The Case Manager also provides comprehensive support services to intellectually disabled individuals placed in host homes in the community and conducts visits at least monthly to monitor the health and safety of the individual while ensuring compliance with regulatory standards. Our Disability Services program is designed to integrate adults, adolescents and children with disabilities into community settings as active participants.
Position Details:
Full Time
Department-Disability Services
Reports to Assistant Director
Located in Columbus, GA
Mostly Virtual/Remote with some on-site required, Travel (0 - 50%)
Monday through Friday; 8:30AM - 5:00PM
Rotating on-call responsibilities
Annual Compensation- $19.23-$21.64 per hour
Responsibilities:
Conducts site visits monthly, or more frequently as needed, and completes the report at the time of the visit
Reviews Support Companion documentation during home visits.
Attempts to correct any issues on site during visit
Develops Corrective Action Plan for Support Companion to correct any outstanding issues
Reports any unresolved problems relating to Support Companion documentation to Assistant Director
Ensures Individual Service Plans include all information so that services can be billed
Ensures that the current Individual Service Plan goals are being tracked.
Confirms that budgets in Individual Service Plans are correct and billed based on Budgets and Documentation
Ensures that the Level of Care is current and signed by Region and participant
Ensures that Prior Authorizations are issued by the Region to allow for billing
Reviewing that functional assessments are in place to support formulation of the participant's plan for delivery of all waiver services that include:
The Health Risk Screening Tool;
The Supports Intensity Scale;
Functional Behavioral Evaluation;
Others (E.g., Nursing, OT, PT etc.) as needed or required.
Monitors the Case Management System provided by IDD Connect Portal regularly to address any issues pertaining to support coordination ratings
Provides support and training to correct all support coordination home ratings of coaching and above
Contacts Support Coordinator to request version changes to services provided to the participant
Conducts in home or office-based Support Companion trainings as needed to ensure that sound person specific supports are in place
Facilitates Participant transfers as needed and ensures that they are connected to the appropriate resources of their choice
Ensures all requirements, including rate changes and Support Companion training occurs prior to participant's engaging in alternative care services.
Maintains a working knowledge base on Comprehensive Supports Waiver Program (COMP) manual and Department of Behavioral Health and Developmental Disabilities (DBHDD) provider manuals, Department of Community Health (DCH), Policystat and Council on Accreditation standards
Ensures that all hospital discharges are reviewed by Inspiritus' Registered Nurse (RN)
Complies with the various federal, state or local laws that apply to and regulate their job responsibilities
Ensures all health and safety protocols are developed and meeting manual requirements
Assesses the satisfaction of individuals served
Ensures that current and all medications changes are properly documented on the participant's Medication Administration Record and coincides with all relevant in home prescriptions (include risk/side effect training)
Ensures that all approved Support Companions are in compliance with requirements identified in Extended Reach
Conforms with and abides by all regulations, policies, work procedures and instructions
Participates in training, fundraising events and other Inspiritus activities and initiatives such as performance and quality improvement
Conducts an initial home visit to CLS client's home for service plan development. Subsequently, supervisory visits will be made every 92 days to evaluate visits to CLS clients to ensure that the client's needs are being met and to monitor the overall satisfaction of services.
Fully Utilizes Extended Reach (ER):
Keeps all rate information up to date at all times
Completes and maintains all case and home tasks (including past due reports/activities) found on ER
Monitors and plans for the completion of upcoming tasks
Reviews and uploads monthly documentation no later than the last day of the month, completes monthly case manager reports while at the home visit utilizing electronic health record technology
Reviews and submits medical reports within 24 hours of the appointment.
Ensures that all annual documentation is completed and in the home prior to the start of the ISP
Ensures completion and uploading of all home compliance documents
Trains and assists Support Companions on using the Family Portal
Oversees Contracted/Subcontracted Providers/Professionals by the Organization:
Engages in cross training activities focused around completing and maintaining all
Home tasks (including past due reports/activities) found on ER.
Financial oversight and management of individual funds;
Support Companion competency and training; and performance through the monitoring of case and home records
Mechanisms that assure care is provided according to the plan of care for each individual served
Other duties as assigned by Supervisor.
Qualifications
Qualifications:
Required Education and Experience
A bachelor's degree in social work or at least a bachelor's degree in human services field including but not limited to: sociology, special education, rehabilitation counseling, and psychology AND has one year of experience in providing human services to individuals with I/DD.
Preferred Education and Experience
Master's degree.
Established connections within the Developmental Disabilities community, through either personal or employment-related experience.
Must possess DDP designation or be eligible to obtain.
Must be competent in training adult learners.
Must maintain all requirements for current licensure.
Must complete all assigned Relias and other trainings annually.
Participate in a minimum of 8 hours of DBHDD sponsored trainings.
Is knowledgeable of the various Region and Division units and key personnel.
Ability to forge a mutually respectful partnership with persons served and their families in which they are helped to gain the skills and confidence to address any issues and problems they face.
Ability to set limits and maintain the helping role of the practitioner and to intervene appropriately to meet the needs of the persons served or other family members
Must be skilled at working independently in a remote setting.
Must have the ability to communicate with all persons in a professional and culturally competent manner.
Must be highly skilled at working in a collaborative manner with other team members.
Must pass a comprehensive background check including work references and criminal background check.
Must be computer and internet literate with competencies in Microsoft Office Suite (Excel, Word, Outlook) and database/electronic case management system.
Must hold a valid Georgia Driver's license, possess a reliable personal, multi-passenger vehicle, and have personal auto insurance and a good driving record.
Supervisory Responsibility
Direct Service Professional (DSP) will report directly to the Case Manager.
The Case Manager role detailed in this description is not a comprehensive list of all duties that may be requested for the successful completion of this role and may garner some circumstantial duties deemed critical to meeting performance goals.
Physical Demands:
Regularly required to talk and hear. Required to stand, walk, sit, use hand to finger, handle or feel objects, tools and controls: and reach with hands and arms. Required to operate personal vehicle.
Employees frequently lift and or move up to 10 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.
Equal Employment Opportunity Statement
Inspiritus is dedicated to providing equal opportunities and equal access to all individuals regardless of race, color, religion, sex, pregnancy, childbirth or related medical conditions, national origin, genetic information, age, physical or mental disability, service in the uniformed services, genetic information, or any other category protected by applicable law. Inspiritus does not discriminate in employment on the basis of any factor stated above or prohibited under applicable law. Inspiritus complies with Section 503 of the Rehabilitation Act of 1973, the Americans with Disabilities Act (ADA) of 1990, the Vietnam Era Veteran's Readjustment Assistance Act, and applicable executive orders, federal and state regulations regarding nondiscrimination, equal opportunity and affirmative action. Inquiries regarding this policy should be directed to the Inspiritus Department of Human Resources, 731 Peachtree St NE, Suite B Atlanta, GA 30308.
Foster Care Case Manager
Clinical case manager job in Columbus, GA
**Georgia Mentor** **,** **a part of the Sevita family** **,** provides Residential and Treatment Foster Care services to youth who may be facing out-of-home placements, transitioning back into the family home or independent living alternatives, or involved in the juvenile justice system. Through our personalized programming, we help youth gain stability, comfort and confidence to overcome all challenges and live well. If you are passionate about making a difference in the lives of individuals and families, join our mission-driven team and experience a career well lived.
**Foster Care Case Manager**
Everybody needs a job but only extraordinary people work here. Our team is creative and dedicated to making a difference every day in the lives of the people we serve.
+ Coordinate the development, review, and implementation of services, case management, behavior intervention plans, and treatments provided to individuals served.
+ Oversee all services provided to individuals and their families, monitor quality of care delivered, ensure compliance with contractual terms, and monitor regulatory program compliance.
+ Assist in the development of quality services and engaging activities that meet the individual served needs.
+ Build and maintain relationships with families and external case managers.
**_Qualifications:_**
+ Bachelor's degree in human services or related field.
+ One year of work-related experience working with individuals with intellectual and developmental disabilities, brain injury, youth placed at-risk, etc. preferred.
+ An equivalent combination of education and experience.
+ Current driver's license, car registration, and auto insurance.
+ Licensure and training as required by state such as CPR, First Aid, Behavioral Intervention Techniques, etc.
+ A reliable, responsible attitude and a compassionate approach.
+ A commitment to quality in everything you do.
**_Why Join Us?_**
+ Full time
+ Full compensation/benefits package for full-time employees.
+ 401(k) with company match.
+ Paid time off and holiday pay.
+ Rewarding work, impacting the lives of those you serve, working alongside a great team of coworkers.
+ Enjoy job security with nationwide career development and advancement opportunities.
**We have meaningful work for you - come join our team -** **_Apply Today!_**
**Join Our Team**
If you are passionate about making a difference in the lives of individuals and families, we encourage you to join Georgia Mentor's mission of helping everyone live a full and happy life. Apply today and start your journey toward a rewarding career well-lived.
_As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law._
MGH-Working Leader IV
Clinical case manager job in Montgomery, AL
The Working Leader IV role is responsible for the coordination of all tasks associated with the safe production of the quality product that the work center produces. The WL IV is a direct liaison between production employees and the work center facilitator.
This position will serve our Water Heating Division, located in Montgomery, AL
* Under the direction of supervision, will assign work for individuals, group or team; while effecting improved methods and procedures for greater productivity, improved quality, safety, efficiency and cost reduction.
* Perform routine tasks/assignments; along with other work center or department workers, while setting the pace and demonstrating proper work methods.
* Monitor and report on the status and progress of work, check work in progress and review completed work to ensure supervisor's instructions and documented work instructions on work priorities; methods, deadlines, and quality have been met.
* Report to the supervisor periodically on team or individual work accomplishments, problems, progress in mastering tasks and work processes, and individual and team training needs.
* Provide proper instruction and training of department employees per ISO standards.
* Provide instruction and/or interpretation of specifications, blueprints, and engineering drawings to hourly employees assigned to department.
* Assist supervision in the control of costs and proper maintenance and/or inspection of tools, machines and other working equipment and/or materials within the assigned group.
* Ensure environmental, health & safety and housekeeping (6S) rules are followed.
* Serve as coach in coordinating team/lean initiatives and in consensus building activities among team members.
* Accurately prepares reports and maintains records of work accomplishments and administrative information, as required, and coordinates the preparation, presentation, and communication of work-related information to the supervisor.
* Performs other duties as assigned.
* Candidate must have a High School Diploma/GED.
* Candidate must have worked in a manufacturing environment/warehousing setting for a minimum of 1 year.
* Candidate must have held their current job for a minimum of 6 months prior to bidding on this role (excluding realignment or creation of a new position).
* Candidate must not currently be on any probationary period/performance improvement plan or have had a Final Written Warning or higher for 1 year.
* Candidate must be able to perform continuous lifting of 25-60 lbs; Occasional lifting of 60+ lbs.
* Candidate must be able to stand, walk and/or lift repetitively during shift.
* Candidate must be able to lift in unsupported positions as well as bend, twist/turn, reach, push/pull.
* Candidate must have vision skills acceptable for a lift truck license as well as the ability to board and unboard the vehicle.
* Candidate may be exposed to high noise levels, heat, dust and airborne particles.
* Candidate will be required to wear all applicable Personal Protective Equipment appropriate for the work area.
* Valid lift truck license required.
At Rheem, we engineer products for life. For home life. For work life. For the life of the planet we all share. Backed by over 100 years of expertise, we're passionate about product innovation and boldly committed to sustainability. Our full line of global air and water solutions deliver reliable performance, comfort and energy savings for residential and commercial applications worldwide. From engineers to accountants, sales professionals to support experts, Rheem depends on people to power our innovations. Join Rheem and help shape the future of products that impact lives-every day.
Our Behavior Based Values set us apart:
* Listening to Understand - Open mind, learning from others, accepting feedback, embracing the objective
* Contributing Respectfully - Sharing opinions, valuing ideas, sharing opposing perspectives with respect
* Thinking Creatively - Applying creativity, seeking improvements, understanding from the customers' lens
* Acting with Responsibility - Owning decisions and actions, acting with integrity, embracing accountability
Rheem is an Equal Opportunity Employer. Rheem encourages all qualified candidates to apply, including those of any race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. The job description above has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. Equivalent combination of education, experience, and skills may supplement above minimum job requirements.
For U.S. Based jobs, please note that Rheem is unable to hire candidates to be employed in the following states: Alaska, District of Columbia, Hawaii, Idaho, Mississippi, Montana, New Mexico, North Dakota, or Vermont.
Rheem and its subsidiaries do not accept unsolicited resumes from recruiters or employment agencies. In the absence of an executed Recruitment Services Agreement, there will be no obligation to any referral compensation or recruiter fee.
Auto-ApplyPayment Integrity Clinician
Clinical case manager job in Montgomery, AL
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
Care Review Clinician (RN)
Clinical case manager job in Columbus, GA
Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
* Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
* Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
* Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
* Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
* Processes requests within required timelines.
* Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
* Requests additional information from members or providers as needed.
* Makes appropriate referrals to other clinical programs.
* Collaborates with multidisciplinary teams to promote the Molina care model.
* Adheres to utilization management (UM) policies and procedures.
Required Qualifications
* At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
* Registered Nurse (RN). License must be active and unrestricted in state of practice.
* Ability to prioritize and manage multiple deadlines.
* Excellent organizational, problem-solving and critical-thinking skills.
* Strong written and verbal communication skills.
* Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
* Certified Professional in Healthcare Management (CPHM).
* Recent hospital experience in an intensive care unit (ICU) or emergency room.
Preferred Experience
Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines.
MULTI STATE / COMPACT LICENSURE REQUIRED
Individual state licensures which are not part of the compact states are required for: CA, NV, IL, NY and MI
WORK SCHEDULE: PACIFIC OR MOUNTAIN Business Hours: Mon - Fri / Sun - Thurs / Tues - Sat shift will rotate with some weekends and holidays.
Training will be held Mon - Fri
Candidates who do not live in Pacific or Mountain Time Zone must be willing to work Pacific or Mountain hours.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $26.41 - $61.79 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Psych Assessment Clinician - Psych
Clinical case manager job in Opelika, AL
EAMC MISSION
At East Alabama Medical Center, our mission is high quality, compassionate health care, and that statement guides everything we do. We set high standards for customer service, quality, and keeping costs under control.
POSITION SUMMARY
Staff in this position will, upon request by the ED Physician, complete psychiatric assessments on patients in the ED, and then staff each case with the on call Psychiatrist and formulate appropriate dispositions. The PAC will interface as necessary with families, DHR, outpatient service providers and local Probate Courts. The PAC will coordinate referrals from outside health care facilities, clinic and community mental health agencies and then staff with appropriate RN and Psychiatrist.
POSITION QUALIFICATIONS
Minimum Education
Master's Degree in counseling, social work, or psychology
Minimum Experience
N/A
Required Registration/License/Certification
N/A
Preferred Education
A Clinical Masters degree in a field of human services
Preferred Experience
Experience interviewing patients.
Experience in communicating with outside agencies to include DHR.
Preferred Registration/License/Certification
N/A
Other Requirements
N/A
Case Manager
Clinical case manager job in Ashland, AL
Responsibilities
Case Managers assist with monitoring consumer's well-being including needs in the areas of mental health, physical health, living, learning, working, and social environments. Case managers travel to wherever consumers reside, whether that is at home, boarding homes, or other community based living to provide monitoring, when working with children they would be going to the schools as well. The primary role of the case manager is to increase psychological adjustment for the consumer by empowering the consumers and sometimes family members with information, education and support in order to follow through once case management ends.
Primary Job Functions:
Clinical Responsibilities:
Demonstrates the ability to assess the consumer's needs utilizing the SUN-R
Identifies goals and plans for appropriate services documented in ISP
Provides appropriate linkage to community resources
Monitors consumers to secure placement in the least restrictive environment
Provides ongoing monitoring of consumers' progress and needs as assessed in the SUN-R
Advocates on behalf of the consumer to secure community resources
Effectively collaborates with the treatment team members and outside sources in the delivery of case management services
Works closely with treatment team and ensures that the team is aware of any issues that may arise with the consumer
Assists in de-escalating crisis situations with consumers and/or their families
Effectively demonstrates the application of adult specific competencies
Provides outreach services to consumers and families
Provides training of basic living skills to improve consumers quality of life and to help enable them to be able to maintain in the least restrictive setting
Assists consumers with transportation needs to psychiatric appointments
Makes multiple contact per week with consumers
Provides training of basic living skills to improve consumers quality of life and to help enable them to be able to maintain in the least restrictive setting
Supervision and Consultation:
Seeks clinical supervision and consultation as needed
Accepts and employs suggestions for improvement
Actively works to enhance case management skills
Clinical Record Keeping:
Documents in a timely manner per AltaPointe standards
Documents appropriate, complete, and comprehensive SUN-R assessments
Documents measurable and specific goals in the individualized service plan
Documents in a clear and concise manner, types of consumer problems, ISP goals addressed and services provided
Includes problem, ISP/Treatment plan goal, intervention provided, consumer responses, and plans for continued services in each progress note
Documents case disposition, case closings, and follow-up
Documents legibly
Documents using Avatar appropriately.
Case Load Management:
Effectively manages caseload based on consumer needs
Meets AltaPointe productivity standards
Courteous and respectful towards consumers, visitors and co-workers:
Treats consumers with care, dignity and compassion
Respects consumer's privacy and confidentiality
Is pleasant and cooperative with others
Assists consumers and visitors as needed
Personal values do not inhibit ability to relate and care for others
Is sensitive to the consumer's needs, expectations and individual differences
Is gentle and calm to consumers and families
Administrative and Other Related Duties as Assigned:
Actively participates in Performance Improvement activities
Actively participates in AltaPointe committees as required
Completes assigned tasks in a timely manner
Complies with AltaPointe policies and procedures
Attends to required in-service training and other workshops
Physical Requirements:
Frequent standing, sitting, and walking which are in bursts of 5 to 10 minutes.
There are times when this can be extended to pacing with the consumer (time
could be undetermined) and at times sitting and standing can be extended with the
employee having the ability to change positions as permitted by the observance
and behavior of the consumer at that time.
Occasional forward bending from the hips while kneeling to reach to the side.
Occasional need to be able to assume a full squat/lunge from a standing position.
Occasional need to maintain back extension while being on stomach with one's
own body weight on hips and legs. This position is maintained for several
minutes.
Occasionally, be able to put one's own body weight on one knee and one elbow
on the same side of one's body.
Occasionally, be able to kneel and reach to same side toward the floor.
Lift up to 10 pounds occasionally during shift.
Strong grasp is needed to use keys to open doors throughout the facility, and to
maintain constant contact with a consumer during a take down procedure or with
other hold techniques.
Pushing/pulling force up to 25 pounds occasionally during a shift.
Qualifications
Minimum Qualifications:
Bachelor's degree in a behavioral health or social services related discipline preferred. Must meet all driving requirements.
Knowledge in adult specialty, outlined below, to be attained within (6) six months of employment:
Knowledge of psychiatric disorders in the adult population and/or knowledge of addiction as a primary/secondary illness
Knowledge of cultural diversity
Knowledge of behavior management, crisis intervention and interventions common to acute psychotic consumers, and/or consumers with substance abuse issues as well as, to non-violent crisis intervention practice
Knowledge of Psychiatric Rehabilitation principles and /or Substance abuse treatment principles
Knowledge of available community resources
Knowledge of educational methods appropriate to adults with severe and persistent psychiatric disorders
Knowledge of rules and regulations regarding appropriate benefit entitlements such as social security, Medicaid, and Medicare
Auto-ApplyMG COUNSELOR
Clinical case manager job in Montgomery, AL
Job Description
A bachelor's degree with 15 semester hours of instruction in social services-related instruction and one year experience in counseling or related field.
Knowledge, Skills, and Abilities:
Strong working knowledge computers for documentation and CIS access and documentation requirements
Effective verbal and written communication skills
Effective organizational skills
Effective interpersonal skills
Ability to interpret data and analyze its use within educational programs
Licenses or
Certificates A valid Driver's License is required.
Military and Family Life Counselor - Adults or Children
Clinical case manager job in Columbus, GA
These positions are in support of Fort Benning either working on base with military members and their families or in local schools with high populations of military children attending. Candidates must be local or be willing to become local and licensed at the independent level as a Social Worker (LCSW), Therapist (LMFT), or Mental Health Counselor (LPC).
Provides the full breadth of MFLC consultation and counseling services to the command structure and military service members and their families at military installations. Responsible for providing MFLC services including non-medical, short-term, walk-around counseling, training/health and wellness presentations, and consultation to installation command regarding behavioral health issues with an understanding of the military unit, cultural and mission. Works closely with the Regional Supervisor/Regional Director, installation, and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation.
* Provides non-medical, short-term, solution focused, walk-around counseling directly to eligible service and family members at assigned primary and secondary locations. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated.
* Delivers training and health and wellness presentations, participates in health fairs and other base/installation activities as requested/directed.
* Enters counselor activity data daily through smart phone, or web application, to assure that reporting is accurate from assigned installation, while maintaining client/service member confidentiality.
* Consistently visible within the brigade/regiment which allows MFLC services to be accessible. Establishes and maintains working relationships with community resources and provides appropriate linkages for service members and their families. Partners with POC to provide MFLC services in a manner that addresses the needs of the installation. Develops an effective and professional working relationship with the installation POC.
* Provides MFLC response to critical incidents, surge and on demand events, and special requests as directed by the POC and approved by the Office of Secretary of Defense (OSD) program manager. Counselor will flex schedule to respond to urgent requests as needed or at the request of the Regional Supervisor/Regional Director.
* Manages duty to warn and restricted reporting situations according to Department of Defense (DoD) protocol and staffs the cases with Regional Supervisor/Regional Director.
* Communicates with Regional Supervisors and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations to which the counselor is assigned.
* Participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned/appropriate.
* Participates in initiatives, studies, and pilot programs as directed by the customer and/or Magellan. This includes participation in pilot program certification and training processes, completion of activity documentation, integration of pilot activities in non-medical counseling work, and the utilization of applicable technology to complete required activities.
* All other duties as assigned.
The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.
Other Job Requirements
Responsibilities
Master's degree from an accredited graduate program in a relevant field of study to include, but not limited to, a mental health related field such as social work, psychology, marriage/family therapy, or counseling.
Valid unrestricted independent counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner.
A minimum 2 years of post-licensure clinical experience.
Demonstrate intermediate-level competencies in technology and software (i.e., Microsoft Suite, Internet navigation, Smartphone/Tablet and application navigation, video-conferencing platform navigation).
Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions. May require travel to locations outside of a military base installation in a variety of physical environments. Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain immunizations or vaccinations and provide record of receipt.
Ability to prove US Citizenship and must be fluent in English.
Understanding, sensitivity and empathy for service members and their families. Ability to develop trusting, helping relationships. Ability to work with individuals and families from diverse racial, ethnic, and socioeconomic backgrounds.
Pass a National Agency Check and Inquiries (NACI) Clearance, an Installation Records Check (IRC), Criminal Background Check, and FBI Fingerprints Check.
Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.
General Job Information
Title
Military and Family Life Counselor - Adults or Children
Grade
MFLC Tier 2
Work Experience - Required
Clinical
Work Experience - Preferred
Education - Required
Master's - Behavioral Health
Education - Preferred
License and Certifications - Required
Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care MgmtCare Mgmt, DL - Driver License, Valid In State - OtherOther, Must be an independently licensed behavioral health clinician - Care MgmtCare Mgmt
License and Certifications - Preferred
This position is included in a bargaining unit. Pay rates are specified in the applicable Collective Bargaining Agreement.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Auto-ApplyLicensed Counselor (LPC, LCSW, LMFT) - Phenix City, AL
Clinical case manager job in Phenix City, AL
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in behavioral health.
Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team!
We are actively looking to hire talented therapists in the area, who are passionate about patient care and committed to clinical excellence. Earnings of up to $115,000 plus.
Is this you?
Wanting to deliver high quality behavioral healthcare.
Seeking work life balance.
Interested in growing professionally.
What we offer Therapists:
Flexible work schedules.
Generous ‘above market' compensation with unlimited/uncapped earnings.
Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, EAP and more.
Collegial work environment.
Newly designed and modern offices.
Full administrative support.
Latest in digital technology.
Strong work/life balance.
Licensed Therapists are a critical part of our clinical team. We're seeking Licensed Therapists that are:
Fully licensed and credentialed in Georgia
Experienced in working with adult, and/or child and adolescent populations.
About LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US.
LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.
Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
If you elect to interact with us via our website, please only use ****************** or *************************** Additionally, our recruiters utilize email addresses with ******************* domain. Other websites and domains are not affiliated with LifeStance Health and may represent threats to your data security.
LifeStance Health complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact our Human Resources Team at ...@lifestance.com or by calling +1-800-###-####. Please note: This contact is intended solely for accommodation requests. Inquiries regarding applications, resumes and applicant status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official careers page.
ACT Team Case Manager
Clinical case manager job in Montgomery, AL
Job Description
This is responsible professional work providing case management services to adults who are on an ACT team (Assertive Community Treatment). ACT is an intensive, community-based service that provides comprehensive, coordinated and personalized treatment to adults with serious mental illness. The case manager is a member of an interdisciplinary team that includes nursing, therapy, case management, and psychiatric services. This is a full-time position. Carastar has two ACT teams, one with a case load up to 48 that covers four counties, and a second with up to 36 for individuals in Montgomery County. This second team is for individuals who are under an outpatient civil commitment who are participating in Assisted Outpatient Treatment (AOT).
DESCRIPTION OF DUTIES:
Participate in staffing of all assigned cases at least twice weekly with other treatment team members.
Provide assertive community treatment services to clients assigned to the team.
Identify eligible individuals for case management services.
Complete referral information including name and a problem statement.
Visit referred persons and determine needs using the SUN Assessment by conversing with the individual.
Complete a SUN Assessment Form on each client utilizing information gained from the client or a significant other.
Determine resources that would meet the needs identified in the SUN Assessment by contacting provider sources, public and private, both in and out of the catchment area.
Prepare a plan for the provision of community mental health services to the targeted individual involved and review such plan not less that once every three months.
Aid in obtaining and coordinating social and maintenance services for the individual, including services relating to daily living activities, transportation services, habilitation and rehabilitation services, prevocational and vocational services, and housing services.
Assist the individual in obtaining income support services, including housing assistance, food stamps, and supplemental security income benefits.
Refer the individual for such other services as may be appropriate.
Transport clients to services, as well as conduct outreach visits.
Participate in training activities as required by the Authority to increase and enhance professional and therapeutic skills.
Complete reports required for client records as well as all forms and paperwork required by the Agency including Daily Service Reports and other forms as needed.
Document all services provided and any other significant interactions in the Electronic Health Record.
Monitor errors in the Electronic Health Record by reviewing alerts and correcting errors a timely manner.
Perform other related duties as assigned by supervisor.
REQUIREMENTS:
Knowledge of the special needs and behavioral characteristics of the target population.
Knowledge of interviewing techniques and principles.
Skills in interpersonal relationships and group dynamics.
Ability to operate a motor vehicle, with a valid Driver's License and a good driving record.
Knowledge of the use and side effects of psychotropic medication.
Knowledge of the legal and ethical issues relative to confidentiality of client records.
Knowledge of casework principles and methods related to counseling.
Ability and willingness to document activities and maintain records.
Ability to establish and maintain good working relationships with consumers, families, hospital staff and community mental health center staff.
Ability to work in a proactive, assertive and energetic manner in fulfilling the duties of this position.
Ability to work effectively as a treatment team member.
Willing to work in non-traditional and in-home settings.
Ability to work a flexible schedule including evenings and/or weekends if necessary.
Reliable transportation and willingness to transport clients.
QUALIFICATIONS:
Bachelor's Degree in Behavioral Science or related field from a recognized college or university. Some experience preferred. Must meet requirements of Medicaid for approved Medicaid Provider Status.
Must hold a valid Alabama Driver's License and maintain a driving record that is acceptable to the Authority's insurance carrier. Must maintain liability coverage on personal vehicles.
Revised November 2020
September 2025
Care Review Clinician (RN) (Must work PST hours)
Clinical case manager job in Columbus, GA
Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
* Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
* Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
* Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
* Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
* Processes requests within required timelines.
* Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
* Requests additional information from members or providers as needed.
* Makes appropriate referrals to other clinical programs.
* Collaborates with multidisciplinary teams to promote the Molina care model.
* Adheres to utilization management (UM) policies and procedures.
Required Qualifications
* At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
* Registered Nurse (RN). License must be active and unrestricted in state of practice.
* Ability to prioritize and manage multiple deadlines.
* Excellent organizational, problem-solving and critical-thinking skills.
* Strong written and verbal communication skills.
* Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
* Certified Professional in Healthcare Management (CPHM).
* Recent hospital experience in an intensive care unit (ICU) or emergency room.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $26.41 - $61.79 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Wound Care Clinician II-PCR
Clinical case manager job in Columbus, GA
Overview Certified Clinician responsible for the assessment, evaluation, and treatment of patients, specifically those with acute and/or chronic wounds, ostomy management and education as well as management of fistulae, tubes, skin, and incontinence issues. Works in conjunction with physicians, nursing staff and ancillary staff to evaluate, propose, plan and perform patient assessment and treatments. Responsibilities Certified Clinician responsible for the assessment, evaluation, and treatment of patients, specifically those with acute and/or chronic wounds, ostomy management and education as well as management of fistulae, tubes, skin, and incontinence issues. Works in conjunction with physicians, nursing staff and ancillary staff to evaluate, propose, plan and perform patient assessment and treatments. Qualifications Education
Graduate of an accredited school in the field of Nursing, Physical Therapy, or Occupational Therapy Required
Bachelor's Degree Bachelor's degree Preferred
Work Experience
2 years of clinical experience unless completion of an approved Wound Care/Ostomy residency program Required
Experience working in research, analysis of data, and editing collateral Preferred
Licenses and Certifications
BLS certification Upon Hire Required and
One of the following certifications active and in good standing with their respective board Required
APTA - Physical Therapy APTA Required or
CWON - Certified Wound Ostomy Nurse CWON Required or
CWCA - Certified Wound Associate CWCA Required or
CWS - Certified Wound Specialist CWS Required or
CWCN - Certified Wound Care Nurse CWCN Required or
WCC - Wound Care Certified WCC Required or
CWOCN - Certified Wound, Ostomy, Continence Nurse CWOCN Required or
OMS Required
Current licensure in the State of Georgia as one of the following: Upon Hire Required and
PT - Physical Therapist Physical Therapist Required or
RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Registered Nurse Required or
OT - Occupational Therapist - Registered Occupational Therapist Required and
Must maintain CEU's as by the state and certification board Required
Business Unit : Company Name Piedmont Columbus Midtown
Auto-ApplyLicensed Counselor (LPC, LCSW, LMFT) - Waverly Hall, GA
Clinical case manager job in Waverly Hall, GA
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in behavioral health.
Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team!
We are actively looking to hire talented therapists in the area, who are passionate about patient care and committed to clinical excellence. Earnings of up to $115,000 plus.
Is this you?
Wanting to deliver high quality behavioral healthcare.
Seeking work life balance.
Interested in growing professionally.
What we offer Therapists:
Flexible work schedules.
Generous ‘above market' compensation with unlimited/uncapped earnings.
Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, EAP and more.
Collegial work environment.
Newly designed and modern offices.
Full administrative support.
Latest in digital technology.
Strong work/life balance.
Licensed Therapists are a critical part of our clinical team. We're seeking Licensed Therapists that are:
Fully licensed and credentialed in Georgia
Experienced in working with adult, and/or child and adolescent populations.
About LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US.
LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.
Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
If you elect to interact with us via our website, please only use ****************** or *************************** Additionally, our recruiters utilize email addresses with ******************* domain. Other websites and domains are not affiliated with LifeStance Health and may represent threats to your data security.
LifeStance Health complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact our Human Resources Team at ...@lifestance.com or by calling +1-800-###-####. Please note: This contact is intended solely for accommodation requests. Inquiries regarding applications, resumes and applicant status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official careers page.