BCBA
Clinical case manager job in Raleigh, NC
APPLICATIONS ARE REVIEWED DAILY. YOU CAN EXPECT A RESPONSE WITHIN 24 HOURS.
Why ABC?
1. Our Patients: An intentional focus on small caseloads with a compassionate care approach.
2. Our Culture: ABC Core Values are more than just words on a wall. It's how we strive to live everyday.
3. Our Community: We ground ourselves in our WHY and the impact we have on the lives of others.
Total Compensation Package from $84,500 to $119,000 annually. Opportunity to earn MORE based on center size, mentorship of RBT's and supervision of assigned trainees.
Your total compensation consists of a competitive base salary, performance bonuses, mentorship bonuses, and long-term ownership in the company.
*BCBA's become eligible for long-term ownership upon promotion to the Sr. BCBA role. All other roles eligible.
Monthly Performance Bonuses: Bonuses are uncapped and start at just 26 hours of treatment delivery per week, meaning you'll be rewarded for your impact without waiting months to qualify.
Sign On Bonus: Up to $10,000 based on start date and location.
Mentorship Bonuses: Provide supervision hours to an RBT pursuing their Master's in ABA and earn bonus pay for your guidance, oversight and impact!
Certification Bonuses: Get rewarded for each therapist who becomes certified under your supervision.
Relocation Packages available: To ease the expenses of your transition.
401(k) with Company Match: Boost your retirement potential and strengthen your financial future.
Remote Work Benefit: Up to 3 work from home days per month, plus up to 16 additional assessment related work from home days per year
Schedule: Monday-Friday, daytime hours.
Almost 30 days off in Year One: Including holidays, PTO, CEU days, and flex days-no guilt, just rest.
Manageable Caseloads: You'll support up to 8 children, so you're set up to succeed without burning out.
No Non-Compete Clauses: We believe great talent doesn't need restrictions
Transparent and Expedited Career Growth & Leadership Tracks:
Center Leadership: BCBA >Sr. BCBA>Assistant Clinical Director >Clinical Director>Sr. Clinical Director >Group Clinical Director>Regional Clinical Director
Training & Development: Join Dr. Greg Hanley's Compassionate Care Team, mentor and train clinicians in evidence‑based ABA practice
Research & Innovation: Collaborate with Dr. Linda LeBlanc at the Action Institute to advance treatment outcomes, transparency, equity, and clinical quality
Clinical Guidance: Our BCBAs are guided by our Clinical Advisory Board and Compassionate Care Team, featuring industry leading clinicians such as: Dr. Charna Mintz, Dr. Greg Hanley, Dr. Linda LeBlanc, Dr. Patricia Wright, Dr. Dorothea Lerman, Dr. Malika Pritchett, Dr. Mahshid Ghaemmaghami, and Dr. Anthony Cammilleri
Continuing Education: A minimum of 10+ free CEUs per year in-house, extra funds to attend additional training courses, and 2 paid days off to use for CEU events.
Health Benefits: Best-in-class Medical, Dental, Vision, Flexible Savings Account and Health Savings Account options
Family Support: Up to $3,000 in maternity/paternity financial assistance plus short-term disability options that can equate to 8 weeks of paid paternity leave.
Student Loan Repayment Assistance: Each year we contribute additional dollars to help you pay off your student loans.
Unique Perks: First Stop Virtual Health for you and up to 7 household members, CALM membership for you and your family, Door Dash Pass, MilkStork access to ship home breast milk while traveling, a SNOO smart sleeper for new parents, and more.
Your Role
Develop Treatment Plans that are clinically sound and engaging
Supervise and Mentor RBTs to support consistent, high-quality care
Collaborate with Families to set goals, track progress, and celebrate growth
Deliver Evidence-Based Therapy in a supportive, play-focused environment
ABC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity or expression, national origin, ancestry, disability, marital status, genetic information, veteran status, or any other status protected by applicable federal, state, or local laws, including the Pennsylvania Human Relations Act (PHRA). We are committed to creating an inclusive environment for all employees.
@Copyright 2025
#LI-Onsite
BCBA
Clinical case manager job in Wake Forest, NC
APPLICATIONS ARE REVIEWED DAILY. YOU CAN EXPECT A RESPONSE WITHIN 24 HOURS.
Why ABC?
1. Our Patients: An intentional focus on small caseloads with a compassionate care approach.
2. Our Culture: ABC Core Values are more than just words on a wall. It's how we strive to live everyday.
3. Our Community: We ground ourselves in our WHY and the impact we have on the lives of others.
Total Compensation Package from $84,500 to $119,000 annually. Opportunity to earn MORE based on center size, mentorship of RBT's and supervision of assigned trainees.
Your total compensation consists of a competitive base salary, performance bonuses, mentorship bonuses, and long-term ownership in the company.
*BCBA's become eligible for long-term ownership upon promotion to the Sr. BCBA role. All other roles eligible.
Monthly Performance Bonuses: Bonuses are uncapped and start at just 26 hours of treatment delivery per week, meaning you'll be rewarded for your impact without waiting months to qualify.
Sign On Bonus: Up to $10,000 based on start date and location.
Mentorship Bonuses: Provide supervision hours to an RBT pursuing their Master's in ABA and earn bonus pay for your guidance, oversight and impact!
Certification Bonuses: Get rewarded for each therapist who becomes certified under your supervision.
Relocation Packages available: To ease the expenses of your transition.
401(k) with Company Match: Boost your retirement potential and strengthen your financial future.
Remote Work Benefit: Up to 3 work from home days per month, plus up to 16 additional assessment related work from home days per year
Schedule: Monday-Friday, daytime hours.
Almost 30 days off in Year One: Including holidays, PTO, CEU days, and flex days-no guilt, just rest.
Manageable Caseloads: You'll support up to 8 children, so you're set up to succeed without burning out.
No Non-Compete Clauses: We believe great talent doesn't need restrictions
Transparent and Expedited Career Growth & Leadership Tracks:
Center Leadership: BCBA >Sr. BCBA>Assistant Clinical Director >Clinical Director>Sr. Clinical Director >Group Clinical Director>Regional Clinical Director
Training & Development: Join Dr. Greg Hanley's Compassionate Care Team, mentor and train clinicians in evidence‑based ABA practice
Research & Innovation: Collaborate with Dr. Linda LeBlanc at the Action Institute to advance treatment outcomes, transparency, equity, and clinical quality
Clinical Guidance: Our BCBAs are guided by our Clinical Advisory Board and Compassionate Care Team, featuring industry leading clinicians such as: Dr. Charna Mintz, Dr. Greg Hanley, Dr. Linda LeBlanc, Dr. Patricia Wright, Dr. Dorothea Lerman, Dr. Malika Pritchett, Dr. Mahshid Ghaemmaghami, and Dr. Anthony Cammilleri
Continuing Education: A minimum of 10+ free CEUs per year in-house, extra funds to attend additional training courses, and 2 paid days off to use for CEU events.
Health Benefits: Best-in-class Medical, Dental, Vision, Flexible Savings Account and Health Savings Account options
Family Support: Up to $3,000 in maternity/paternity financial assistance plus short-term disability options that can equate to 8 weeks of paid paternity leave.
Student Loan Repayment Assistance: Each year we contribute additional dollars to help you pay off your student loans.
Unique Perks: First Stop Virtual Health for you and up to 7 household members, CALM membership for you and your family, Door Dash Pass, MilkStork access to ship home breast milk while traveling, a SNOO smart sleeper for new parents, and more.
Your Role
Develop Treatment Plans that are clinically sound and engaging
Supervise and Mentor RBTs to support consistent, high-quality care
Collaborate with Families to set goals, track progress, and celebrate growth
Deliver Evidence-Based Therapy in a supportive, play-focused environment
ABC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity or expression, national origin, ancestry, disability, marital status, genetic information, veteran status, or any other status protected by applicable federal, state, or local laws, including the Pennsylvania Human Relations Act (PHRA). We are committed to creating an inclusive environment for all employees.
@Copyright 2025
#LI-Onsite
Board Certified Behavior Analyst
Clinical case manager job in Garner, NC
Board Certified Behavior Analyst (BCBA)
Why Work for JoyBridge Kids:
Competitive salary
Menu of benefit options
401(k) program
Health, Dental, Vision insurance
Supplemental Life insurance
Paid time off
Short-term and long-term disability benefits
Paid holidays
Stipends for continuing education and professional development
Opportunities to lead or participate in research, attend conferences, and publish findings
Opportunities to mentor graduate students, develop and provide team trainings, and be instrumental in growing future leaders
Collaboration with other leaders, directors, and service providers
A fun and innovative atmosphere that you won't find anywhere else!
About JoyBridge Kids
We are JoyBridge Kids Our mission at JoyBridge Kids is to joyfully create and deliver life transforming experiences for children with autism and their families. With a focus on best-in-class clinical quality, our passionate team fulfills our mission through excellent service provision and joyful, collaborative practices.
We are unique JoyBridge Kids utilizes an interdisciplinary model by integrating joyful ABA, Occupational Therapy, Speech Therapy, Feeding Therapy, and Caregiver Coaching. We offer a collaborative and coordinated therapeutic approach with our doctorate and master-level clinicians that results in highly efficient and effective developmental growth for our learners. Our team prioritizes increasing each child's quality of life through individualized goals for every child that catalyzes their ability to access more joy throughout their lifespan.
We embrace value-based teamwork Our values of passion, innovation, excellence, teamwork, growth, and integrity capture the hearts and minds of our clinicians who serve our learners and families with compassionate care. JoyBridge Kids believes investing in our team members is the best way to invest in our learners, so they can provide energetic, devoted, fun-loving therapy to our wonderful kids. Our values are not just words. They are our foundation and how our culture is defined.
We provide the best clinical quality Providing the best clinical quality starts with providing the best clinical care first and foremost to our clinicians which then translates to our kids and families. Our clinical model is built on the most contemporary, evidence-based practices in the field of ABA. With our focus on clinical opportunities to provide best-in-class therapeutic services to all our learners and families.
Summary of Essential Job Functions:
Implementing assessments, completing reports and progress summaries related to the needs for behavioral interventions (ABLLS-R, VBMAPP, FBA's, FA's, etc.)
Designing, implementing, and monitoring high-quality individualized programming and behavior intervention plans for learners
Providing mentorship and overseeing implementation of skill acquisition programs, data collection, BSP's, and procedural fidelity of RBT's and Behavior Technicians (including supervision of RBT's and those working toward that credential; supervision of graduate students seeking BCBA credentials)
Expected to provide supervised fieldwork experience hours to eligible individuals
Responsible for staying informed of the most current requirements for providing supervised fieldwork experiences
Completing supervision CEUs that meet the BACB recertification requirements
Implementation of behavioral skills training and data collection in the coaching and performance management of RBT's and Behavior Technicians
Providing caregiver training sessions through both telehealth and clinic-based sessions
Maintaining and completing session and supervision notes, programming procedures and materials, designing and creating intervention materials, and completing all necessary documentation requirements related to reimbursement from insurance companies and for review by JBK families
Working collaboratively on an interdisciplinary team with all other professionals, including SLP's and OT's
Actively participate and engage in team meetings, trainings, and mentorship sessions
Requirements to Succeed:
Minimum of a master's degree in Applied Behavior Analysis (ABA)
Board Certified Behavioral Analyst (BCBA or BCBA-D) certification
Valid State License (LBA) (if applicable)
Must be in good standing with the Behavior Analyst Certification Board (BACB)
Experience with children with autism
Desire to work in an interdisciplinary environment to provide exceptional services to our children and families
Desire to provide evidence-based, trauma-free, high-quality services to learners and families
Desire to mentor and support RBT's and aspiring BCBA's
Must be in line with JoyBridge Kids Core Values
Excellence
Integrity
Teamwork
Growth
Passion
Innovation
Must demonstrate a positive, empathetic, and professional attitude towards children and families always
A fun and compassionate disposition with an open mind focused on learning and growth
Ability to lift, bend, squat, push/pull 50 pounds as needed to assist with therapy services
We are an equal opportunity employer.
If you are committed to growing in your knowledge of Applied Behavior Analysis within a company that makes a positive difference in its children and families daily lives, join us!
Inpatient Therapist, Behavioral Health
Clinical case manager job in Raleigh, NC
Title: Inpatient Therapist
Job Type: Full-Time
Your experience matters!
At Triangle Springs Hospital, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person.
As a Inpatient Therapist joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.
How you'll contribute:
This position is responsible for supporting the needs of the department with a focus on clinical, operational, and administrative excellence.
Qualifications and requirements:
Education: Master's degree in Social Work, Counseling, or equivalent required.
License: Current clinical or social work license as required by state regulations.
Certifications: CPR and De-escalation certification required or obtain within 30 days of hire.
JOB RESPONSIBILITIES
Conducts individual and group therapy sessions to educate patients regarding psychological, emotional, or substance abuse problems.
Displays active involvement in treatment planning process
Provides family session counseling to all patients to ensure appropriate communication and involvement of family members and support groups
Actively communicates with clients, families, and outside referral sources
Demonstrates proactive communication with those involved with the patient's treatment.
Works well with the interdisciplinary team including physicians, utilization review and nursing staff members
Demonstrates active communication with team members
Effectively communicates to UR on treatment and LOS issues
Completes appropriate paperwork for clients in a timely, accurate and complete manner
Demonstrates appropriate crisis intervention and de-escalation skills
Acts as a member of team with crisis situation occurs, assisting others to ensure patient safety
Completes accurate assessments of patients utilizing clinical skills
Assists care coordination department as requested
Completes all documentation thoroughly, timely, and in accordance with hospital standards
Displays a thorough knowledge of confidentiality
Completes releases appropriately
Demonstrates knowledge of HIPAA regulations and abides by those standards
Demonstrates a working knowledge of all clinical regulations, including TJC, Medicaid, and state and federal laws
Displays active involvement in the discharge, transition, and after-care planning treatment processes Other duties as assigned
Additional Information
Reports to: Director of Clinical Services
FLSA Status: none exempt
Prior experience with psychiatric and chemical dependency patients.
About us
Triangle Springs Hospital is located in Raleigh, NC, and is part of Lifepoint Health , a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters.
EEOC Statement
" Triangle Springs Hospital is an Equal Opportunity Employer. Triangle Springs Hospital is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
Case Manager
Clinical case manager job in Durham, NC
For more than a decade, Select Source International (SSI) has been serving major corporations worldwide supporting our customers' "Talent Supply Chain". SSI has further developed technologies and acquired best-in-class companies over the years. Our leadership has expanded the technology stack to include Staffing Solutions, Professional Services, Custom Solutions, Offshore Development, Technical Support and Applications that deliver content to the cloud.
We offer many initiatives that cause us to stand out above the rest. We are composed in such a way that we can facilitate client's needs while being directly involved in each step of the placement process. We continually see positive results because we cover every avenue of the IT business crucial to success and our team is constantly growing to meet our clients' needs.
Select Source believes in building a corporation with only the strongest and most capable individuals. SSI's world-class consultants have the expertise to meet our clients' demands. We pride ourselves on the fundamental belief that our team is essential to our company's continued growth in the IT industry and assist the consultant every step of the way in reaching the ultimate position to fit their skills.
We strive for increased productivity, improved current processes and optimized product quality all while minimizing risk and hazards which maximizes profitability. SSI's success is dependent upon listening and matching the right consultant with our clients and by continually innovating and improving every aspect of our business to better serve our clients' needs.
Job Description
Position
:
Case Manager
Location
:
Durham, NC
Duration
:
5 Months + Extension
Job Summary:
RN Diploma, RN Associate's degree or Bachelors of Science in Nursing (BSN) degree.
Minimum of 3 years full time direct clinical experience in an acute medical or acute surgical setting.
Proficiency with a Microsoft Windows operating system
Must have valid license to practice nursing within the US and have started application for NC nursing license.
May be required to work weekends and holidays on a rotational basis.
Commercial Care Management: Certified Case Manager (CCM) certification is required within 2 years of employment.
FEP and Senior Segment: Certified Case Manager (CCM) certification is required within 3 years of employment.
Hiring Preferences: The incumbent must possess medical management/clinical decision-making skills and sound skills in assessing, planning and managing member care, Advanced assessment and teaching skills.
Problem solving skills: Familiarity with legal terminology and liability issues and ability to handle ethical or risk management issues. Utilization and Quality Management/Outcomes experience preferred
Previous work experience with a managed care organization or provider is also preferred.
Prior experience in case management, home health, discharge planning, or Concurrent review.
Excellent communication and interpersonal skills with all levels of internal and external customers necessary.
Individual must be self-motivated/self-directed.
Must possess the abilities to work independently, demonstrate effective time management skills, and to prioritize effectively.
The ability to deal effectively with change within the unstructured nature of case management and remain focused.
Demonstrates creativity, critical thinking, counseling, interviewing, negotiating, and research skills. Certified Case Manager (CCM) certification preferred.
Senior Segment: Prior experience in a variety of health care settings is preferred. Certified Case Manager (CCM) preferred. Experience with managing and coordinating care for patients who have multiple co-morbidities is preferred. Experience in responding to the diverse needs of the Medicare population, which includes both over 65 and under 65 aged adults.
Commercial Care Management: Multi-State Licensure preferred.
Prior experience in a variety of health care settings is preferred.
Experience with managing and coordinating care for patients who have multiple co-morbidities is preferred
Training class is targeted for 10/31, all candidates will need to start the same day.
Hours: 8am -5pm and 10am-7pm. with an hour lunch.
Qualifications
Registered Nurse or LPN
Additional Information
All your information will be kept confidential according to EEO guidelines.
Senior Case Manager, Inpatient Rehabilitation
Clinical case manager job in Apex, NC
Title: Senior Case Manager
License: RN or LMSW
Setting: Inpatient Rehabilitation
Job Type: Full-Time
Your experience matters
At Peak Rehabilitation Hospital, we are committed to providing high-quality, comprehensive inpatient rehabilitation services for patients and families. Our state-of-the-art, 52-bed acute rehabilitation facility offers personalized treatment for individuals who are recovering from a severe injury or illness so that each patient feels comfortable and supported throughout their care journey.
Peak Rehabilitation Hospital is a joint-venture partnership between Duke Health, WakeMed and Lifepoint Rehabilitation. By combining Lifepoint's rehabilitation expertise with WakeMed's leadership as a nationally recognized health care system and Duke Health's renown as a world-class academic medical center, our hospital brings together the strengths of each partner to make a profound impact on the lives of our patients.
Our programs offer customized rehabilitation tailored to the specific needs of those recovering from a stroke, brain injury, neurological conditions, trauma, spinal cord injury, amputation or orthopedic injury.
What we offer
Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:
Comprehensive Benefits: Multiple levels of medical, dental and vision coverage along with tailored benefit options for part-time and PRN employees, and more.
Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
Professional Development: Ongoing learning and career advancement opportunities.
EEOC Statement
" Peak Rehabilitation Hospital is an Equal Opportunity Employer. Peak Rehabilitation Hospital is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
Auto-ApplyAnti-Trafficking Case Manager
Clinical case manager job in Raleigh, NC
Part-Time 10-29 hours a week; Variable schedule based on number of residents each week.
GENERAL DESCRIPTION
The Anti-Trafficking Case Manager facilitates the care of our safe house residents by providing case management services and connecting them with community resources and service providers. The Case Manager works with each resident to develop, implement and monitor individual case plans with the goal of effective progress toward the next step in the continum of care. The Case Manager facilitates effective communication and collaboration with all invested parties.
DUTIES AND RESPONSIBILITIES
Case Management
Assist in intake of new residents by reviewing referral records and applications
Meet with each new intake to identify her case management needs and begin to set expectations for the services she will receive, which may include obtaining identification and benefit documentation, medical/mental health assessments and appointments, legal services coordination, etc.
Develop individual service plans by assessing treatment needs; develop and evaluate treatments plans progress; facilitate interdisciplinary approaches, monitor resident progress in weekly meetings on the status of case management actions
Implement treatment programs by recommending daily schedules and routines; coordinating services being provided, arranging resources, including transportation and escort as needed
Participate in organizational care team meetings to assess each resident's progress and plan for her needs
Empower residents to progressively meet their needs independently
Assist in residents' discharge by reviewing and documenting discharge plans; coordinating discharge and post-discharge requirements; providing resources
Reporting
Maintain residents' records by reviewing case notes; logging service plans, service provision, incidents and progress
Maintain reporting relationships with parole/probation or other legal providers
Prepare a comprehensive package of the residents' personal papers that will be given to her upon her departure from the program
Collaboration
Draft MOUs with preferred providers and present draft to Executive Team for approval prior to implementation
Develop NCMS database system to support a wide range of clients' needs and community resources
Continually assess the efficacy and value of external providers and make appropriate recommendations if change is needed
Interact with residents and staff through activities and class instruction
Engage with Care Team in a supportive and respectful manner
Serve as a credible and courteous ambassador of the Raleigh Dream Center particularly to external service providers, residents and team members
Qualifications
Bachelor's degree in human services, psychology, social work, counseling or related field
Two years of case management experience coordinating and documenting client service provision with knowledge of current case management practices
Knowledge of/experience with trauma informed therapeutic approaches and environment
Familiarity with the needs of individuals who have experienced commercial sexual exploitation
Experience working in a residential facility preferred
Experience with conflict resolution and crisis management
Proficient in computer use and case management software
Excellent time-management skills
Excellent oral and written communication skills
Requisites
Must have a current, valid driver's license
Successfully pass background checks and random drug testing
CPR and First-Aid certification preferred or be willing to obtain training after hire
Must be willing to complete job specific training pertaining to Human Trafficking, including Trauma Informed Care, Case Management and the Triune Care Model after hire
Population Health Case Manager
Clinical case manager job in Durham, NC
Lincoln Community Health Center, Inc., a federally qualified community health center located in Durham, NC is recruiting for a Population Health Case Manager. Durham is known as the Bull City, the City of Medicine, the Tastiest Town in the South, and the Startup Capital of the South. It's a two-hour drive from the beach, a three-hour drive from the Blue Ridge Mountains, and is North Carolina's fourth largest city by population. Along the East Coast, Durham is located conveniently along I-85. For those outside of driving distance, travel to and from is made easy as the City and County of Durham co-own the top-ranked Raleigh-Durham International Airport that services more than 45 nonstop destinations.
Position Description:
Assess, plans, implements, coordinates, monitors, and evaluates services to improve patient health outcomes. Focuses on improving the health status and connection to resources, preventive care, hospital follow-up, and ongoing healthcare for individuals with chronic health conditions as well as addressing frequent hospital and emergency department utilization, and medical, behavioral health, and psychosocial needs by performing case management and care coordination functions in the clinic and community.
Knowledge, Skills, and Abilities:
Ability to communicate clearly in writing and verbally in a professional manner and style, and the ability to communicate effectively with people of diverse backgrounds and educational levels. Ability to maintain an effective working relationship with patients, staff, community partners, and the general public. Strong positive Customer Service Skills, processing abilities, and problem-solving skills. Ability to adapt engagement and an educational approach based on patient goals, learning preferences and abilities, educational attainment, socioeconomic status, culture, language proficiency, and age of clients. Knowledge of or ability to obtain knowledge of community resources. Strongly prefer the ability to communicate in English and Spanish.
Education:
Bachelor's degree in Human Service areas such as Social Work, Counseling, Psychology, or community health-related fields.
Previous Experience:
Two years of documented experience in the medical field or case management in a medical or public health/social service agency. Adult Medicine experience preferred.
Lincoln Community Health Center, Inc. (LCHC), mission is to provide primary and preventive health care in a courteous, professional, and personalized manner.
Key requirements for any position are our "Core Values":
* Courtesy
* Respect
* Quality
* Accessibility
* Teamwork
* Continuous Improvement
* Accountability
LCHC provides comprehensive, high-quality primary health care to our patients regardless of ability to pay. As a Federally Qualified Health Center (FQHC), we provide health care to all members of our community, including low income, uninsured patients and diverse communities. We screen potential employees to first ensure alignment with our key requirements followed by the requisite position skills set. In doing so staff must be committed to the mission who do their best to live and work the characteristics of our core values as we strive to care for ever increasing members of the communities we serve. Understanding that each individual is unique and recognizing our individual differences.
Case Manager
Clinical case manager job in Chapel Hill, NC
UNC Horizons provides comprehensive, gender-specific outpatient and residential treatment for pregnant women and women with children up to 11 years old. The primary purpose of this position is to provide case management services for women and their children in a residential setting in conjunction with the therapist and Treatment Team. Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options of an individual's service needs. Some of these duties include treatment planning, job readiness, budgeting, maintaining and updating client's records, documenting services, providing transportation, being on an on-call rotation, handling crises with the support of senior clinicians, meeting and engaging in weekly treatment team meetings, providing resources and referrals for housing, and legal issues, coordinating and consulting with other agencies and professionals as well as leading and co-facilitates groups in an outpatient setting.
Required Qualifications, Competencies, And Experience
Must have one of the following: QP (Qualified Professional), CDAC (Certified Drug and Alcohol Counselor) CDAC -I (Certified Drug and Alcohol Counselor - Intern) CSAC (Certified Substance Abuse Counselor) licensure and/or provisional licensed LCAS -A (Licensed Clinical Addiction Specialist) LCSW -A (Licensed Clinical Social Worker Associate)
Preferred Qualifications, Competencies, And Experience
Social work or counseling experience Experience with the substance abuse population, gender-specific treatment, child and family counseling, and in a perinatal setting preferred
Work Schedule
Monday - Friday, 8:00 am - 5:00 pm
Behavioral Health Case Manager I - North Carolina
Clinical case manager job in Durham, NC
A proud member of the Elevance Health family of companies, Carelon Behavioral Health, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
*Candidates Must live in the state of North Carolina And be clinically licensed in North Carolina.
Virtual - This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Work Shift Hours: Monday through Friday, 8:00 am (EST) to 5:00 pm (EST)
The Behavioral Case Manager I is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs.
How you will make an impact:
Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment.
Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member access to appropriate quality and cost effective care.
Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.
Minimum Requirements:
Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.
Current active unrestricted license such as RN LCSW (as applicable by state law and scope of practice) LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of North Carolina required.
Preferred Skills, Capabilities and Experiences:
Experience in telephonic case management with members with a broad range of complex substance abuse/psychiatric and/or medical disorders preferred.
Job Level:
Non-Management Exempt
Workshift:
Job Family:
MED > Licensed/Certified Behavioral Health Role
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Auto-ApplyDeviation Management Specialist - III
Clinical case manager job in Durham, NC
Energy. It defines LanceSoft. Consider our unique ‘keep apace' operational culture, the spirited lot of hand-picked professionals, our ‘up-to-the-minute' knowledge base, together they form a dynamic mix of value-generating characteristics that help us delve into the heart of a problem to deliver precise services and solutions - repeatedly.
In business since 2000, LanceSoft is a reputed and credible Contingent Workforce Management Services firm that has established itself as a pioneer in providing highly scalable workforce solutions and exceptionally competent global IT services to a diverse set of customers across various industries around the globe. LanceSoft is headquartered out of the Washington DC Metropolitan (Herndon, VA) and operates out of various locations in the US, Canada and India
Job DescriptionResponsibilities:
• Perform deviation associated activities for Deviation Management group writers for VBF and VMF
• Make copies, perform document scans and other administrative tasks required to facilitate Deviation Management data compilation and submission Schedule meetings between DM personnel, functional area personnel and reviewers for deviation investigation interviews
• Perform data entry tasks as required for Vaccine Manufacturing Facility and Varicella Bulk Facility
• Conduct research in support of deviation management personnel
• Secure extensions for DM personnel as needed
• Other tasks as required by Deviation Management personnel
QualificationsQualifications:
• B.S./M.S. degree in appropriate engineering/scientific field
• Previous experience in writing investigations for atypical events in a manufacturing environment
• Familiar with Lean Six Sigma Methodologies and proven analytical/ problem solving capabilities
• Demonstrated ability to work both independently and as a part of a cross-functional team
• Excellent written and verbal communication skills
Additional Information
All your information will be kept confidential according to EEO guidelines.
Long Term Disability Claims Case Manager I
Clinical case manager job in Raleigh, NC
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.
Behavioral Health Case Manager I - North Carolina
Clinical case manager job in Durham, NC
A proud member of the Elevance Health family of companies, Carelon Behavioral Health, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
* Candidates Must live in the state of North Carolina And be clinically licensed in North Carolina.
Virtual - This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Work Shift Hours: Monday through Friday, 8:00 am (EST) to 5:00 pm (EST)
The Behavioral Case Manager I is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs.
How you will make an impact:
* Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
* Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment.
* Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member access to appropriate quality and cost effective care.
* Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.
Minimum Requirements:
* Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.
* Current active unrestricted license such as RN LCSW (as applicable by state law and scope of practice) LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of North Carolina required.
Preferred Skills, Capabilities and Experiences:
* Experience in telephonic case management with members with a broad range of complex substance abuse/psychiatric and/or medical disorders preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Auto-ApplySSVF Carolinas Case Manager II - Durham
Clinical case manager job in Durham, NC
Job Details SSVF Carolinas - Durham - Durham, NC Full Time - 40 Plus Benefits Bachelor's Degree Obtained $50000.00 - $50000.00 Salary None Any Veteran ServicesDescription
Provide day-to-day support and services for participating veteran households. Has relevant experience in homelessness prevention, rapid re-housing and transitional supportive services. Provide key linkages for clients beginning at their intake and assessment following through to their attainment or maintenance of permanent housing in their home community. The position will promote accessibility, outreach to targeted populations, and provide case management, advocacy and wraparound supports and services with the VA and in the community.
PRINCIPAL ACTIVITIES:
Case Manager
Coordinate outreach efforts for the SSVF Program including but not limited to: establish an outreach plan to target the three categories of participants as outlined in the SSVF program guidelines, develop a set schedule to visit the VA, shelters, and other places that homeless and low-income veteran families are likely to congregate, and develop communication/ updates with the VA and other key housing and community providers.
Screen potential program participants for program eligibility using VA-approved forms and follow up with applicable agencies to verify information including veteran and income status.
Conduct housing and comprehensive supportive services assessments for program participants and develop a comprehensive Family Services Plan.
Provide service coordination between the program and community partners, for persons served and their families/supporters.
Work with persons served, family members, collaborating housing agencies and professionals to revise service plans and to develop placement, stabilization and follow-up plans.
Provide or arrange for housing support and wraparound services including connections to all eligible VA and mainstream resources to support transition to or maintenance of permanent housing.
Travel to housing sites to support persons served, monitor progress and address any health, behavioral or life skills issues.
Communicate effectively (under confidentiality rules) with clients service team to rapidly address and correct issues with services or supports - especially living skills, employment, education, family and socialization.
Ensure appropriate use of and documentation of any temporary financial assistance.
Ensure that veterans and their families receive services that support rapid re-housing; addressing assessed needs, promoting healthy decision-making, securing financial independence and promoting relationships at home in the community.
Ensure participant category reassessments are completed according to specific SSVF requirements.
Participate in program and professional supervision, attend required staff and Project Management Team meetings and trainings, and contribute to team-based collaborative planning.
Complete all appropriate reporting in HMIS and other systems as required.
Complete other duties as needed and requested.
Assists homeless veterans and families in identifying and transitioning into a full range of permanent housing and will act as a liaison between the client, Housing Authority, landlords, and property managers.
In addition to the primary function of a Case Manager, in the Housing Specialist Role -
Assist low-income Veteran households with identifying and obtaining or retaining safe, stable and affordable permanent housing.
Outreach to rental-property owners and other resources in the community.
Establish a pool of rental properties in our service areas to then rapidly rehouse homeless Veterans as well as their families.
Work with landlords to negotiate rent or move-in deposits on behalf of the Veteran household.
Also responsible for conducting SSVF intake and eligibility assessments, working with the Veteran household to develop a Housing Stability Plan, and identifying and resolving issues as they relate to housing stability.
PHYSICAL REQUIREMENTS:
The physical requirements described below are representative of those that must be met by an employee to successfully perform the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
The ability to safely operate a motor vehicle to transport oneself, consumers, and program supplies as necessary.
The physical ability to travel to assigned locations, stand, stoop, bend, reach, pull, push, lift, grasp, climb, talk, see, hear and perform basic and light home maintenance activities, and operate office equipment.
Move and lift light objects up to 30 pounds such as mail, supplies, files, and equipment.
Operating office equipment requiring continuous or repetitive hand/arm movements.
The ability to remain in a sitting position for extended periods of time.
EFFECTS ON END RESULTS:
Veteran housing, employment, family, social support and life-skill issues are rapidly addressed and supports and services are amended or adjusted as required to ensure maintaining housing, economic stability or attainment of benefits, and socialization of veteran and family in their home community. Veterans receive appropriate transition and service plans and supports. Client file documentation is complete and timely. Statistical information is documented and reported.
OTHER DUTIES:
Please note this is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Qualifications
REQUIREMENTS:
A bachelor's degree in counseling psychology, rehabilitative counseling, or related human service field is required.
A minimum of two years' experience working with homeless individuals and families including veterans is preferred. Veteran or member of a veteran family is a plus.
OTHER:
This position requires driving your personal vehicle for company business. Must be privileged to drive according to the criteria set forth by Agency MVR guidelines.
Valid driver's license in jurisdiction of residence
Vehicle liability coverage if driving personal vehicle (on occasion, may be required to transport clients in personal vehicle)
May be required to drive a van
Acceptable Criminal background check, OIG Exclusion check
Negative Drug and TB Screening
CPR/First Aid Certification must be acquired and maintained once employed
PHYSICAL REQUIREMENTS:
The physical requirements described below are representative of those that must be met by an employee to successfully perform the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
The ability to safely operate a motor vehicle to transport oneself, consumers, and program supplies as necessary.
The physical ability to travel to assigned locations, stand, stoop, bend, reach, pull, push, lift, grasp, climb, talk, see, hear and perform basic and light home maintenance activities, and operate office equipment.
Move and lift light objects up to 30 pounds such as mail, supplies, files, and equipment.
Operating office equipment requiring continuous or repetitive hand/arm movements.
The ability to remain in a sitting position for extended periods of time.
EFFECTS ON END RESULTS:
Veteran housing, employment, family, social support and life-skill issues are rapidly addressed and supports and services are amended or adjusted as required to ensure maintaining housing, economic stability or attainment of benefits, and socialization of veteran and family in their home community. Veterans receive appropriate transition and service plans and supports. Client file documentation is complete and timely. Statistical information is documented and reported.
OTHER DUTIES:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
LUNDBECK Reimbursement Case Manager
Clinical case manager job in Morrisville, NC
Reimbursement Case Manager - Onsite Training, Remote After Contract Length: 3 months Pay Rate: $20/hr Schedule: 8:00 AM - 5:00 PM or 9:00 AM - 6:00 PM (Mon-Fri) Worksite Location (for training): 2250 Perimeter Park Dr, Ste 300 Morrisville, NC 27560-8893, United States
Work Arrangement: Onsite for training, remoteafter
Role Overview
The Reimbursement Case Manager (RCM) will act as a subject matter expert on reimbursement issues and manage day-to-day activities within reimbursement services, including benefits investigation, prior authorizations, and appeals support. This role ensures patients have access to prescribed therapies by coordinating coverage and financial aspects of healthcare services.
Key Responsibilities
+ Complete medical and pharmacy benefit investigations.
+ Facilitate submission of documentation for prior authorizations, step edits, and appeals per SOPs.
+ Determine coverage availability and coordinate financial aspects of therapy access.
+ Maintain accurate records in compliance with standards and regulations.
+ Escalate complex cases per program guidelines.
+ Communicate therapy access restrictions, policy changes, and reimbursement updates to program leadership.
+ Understand health and disease states relevant to program patients.
+ Uphold confidentiality and ethical standards.
Required Skills & Experience
+ Expert-level knowledge of reimbursement processes.
+ Strong understanding of major payers (private/commercial and government: Medicare, Medicaid, VA, DoD).
+ Proficiency in insurance verification, prior authorization, benefits investigation, provider claims.
+ Familiarity with Salesforce CRM.
+ Ability to handle outbound calls to payers, providers, and patients; inbound claims calls for copay submissions and reimbursement overflow.
+ Experience with pharmacy and medical benefits (heavier pharmacy focus).
Top Skills
Reimbursement, insurance verification, prior authorization, benefits verification, provider claims, benefits investigation.
Job Type & Location
This is a Contract position based out of Morrisville, NC.
Pay and Benefits
The pay range for this position is $20.00 - $21.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a hybrid position in Morrisville,NC.
Application Deadline
This position is anticipated to close on Dec 16, 2025.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Advanced Practice Clinician (NP/PA) Must be able to conduct home visits in Wake County, North Carolina.
Clinical case manager job in Raleigh, NC
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
The Advanced Practice Clinician in the Jump Start Assessment (JSA) program is a physician-led and advanced practice clinician-driven program that is intended to care for and support Alignment Healthcare patients with complex and chronic care needs. Works within an interdisciplinary team environment that includes physicians, nurse practitioners, physician assistants, case managers, and other health care team members to ensure proper delivery of clinical and home-based patient care. Assess', develops, and coordinates options and services promoting quality care in order to achieve optimal health care outcomes while also ensuring cost-effective care complying with Alignment policy and all state and federal regulations. Our members are typically aged 65 and over and home and virtual visits will be between 45 and 60 minutes depending on whether it is an annual or initial visit.
Responsibilities:
1. Conduct in-home assessments (with some outpatient clinical work) on health plan members.
2. In-Home Assessments will include obtaining comprehensive history, physical exam, medication review, and appropriate cognitive/depression/safety screenings.
3. Comfort with End-of-life care discussions imperative.
4. Laboratory specimen collection in the home setting when appropriate.
5. Identify diagnoses to be used in active medical management and care management of patients with focus on chronic disease management.
6. Communicate findings of the patient assessment to inform the PCP of potential gaps in care.
7. Provide patient/family/caretaker education, with an emphasis on close monitoring and follow up of patient needs.
8. Emphasis on knowledge of appropriate community resources for referral.
9. Comply with all HIPAA regulations and maintain security of protected health information (PHI).
Job Requirements:
Experience:
• Required: None
• Preferred: One (1) year of prior clinical or home care experience. Previous EMR experience preferred. Experience in care of older adult (geriatric) patients preferred
Education:
• Required: Master's degree from an accredited NP Program or PA program
Specialized Skills:
• Required:
Ability to communicate positively, professionally and effectively with others.
Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
Licensure:
• Required: Active California state Nurse Practitioner or Physician Assistant license
Active RN License and Furnishing number (Must, upon hire) NP only
Active Nurse Practitioner Board Certification/Physician Assistant Certification
NPI Number, DEA, Valid BLS
Valid California driver license and current automobile insurance
• Preferred:
Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
2. The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Pay Range: $109,932.00 - $164,899.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.
Auto-ApplyBCBA
Clinical case manager job in Apex, NC
APPLICATIONS ARE REVIEWED DAILY. YOU CAN EXPECT A RESPONSE WITHIN 24 HOURS.
Why ABC?
1. Our Patients: An intentional focus on small caseloads with a compassionate care approach.
2. Our Culture: ABC Core Values are more than just words on a wall. It's how we strive to live everyday.
3. Our Community: We ground ourselves in our WHY and the impact we have on the lives of others.
Total Compensation Package from $84,500 to $119,000 annually. Opportunity to earn MORE based on center size, mentorship of RBT's and supervision of assigned trainees.
Your total compensation consists of a competitive base salary, performance bonuses, mentorship bonuses, and long-term ownership in the company.
*BCBA's become eligible for long-term ownership upon promotion to the Sr. BCBA role. All other roles eligible.
Monthly Performance Bonuses: Bonuses are uncapped and start at just 26 hours of treatment delivery per week, meaning you'll be rewarded for your impact without waiting months to qualify.
Sign On Bonus: Up to $10,000 based on start date and location.
Mentorship Bonuses: Provide supervision hours to an RBT pursuing their Master's in ABA and earn bonus pay for your guidance, oversight and impact!
Certification Bonuses: Get rewarded for each therapist who becomes certified under your supervision.
Relocation Packages available: To ease the expenses of your transition.
401(k) with Company Match: Boost your retirement potential and strengthen your financial future.
Remote Work Benefit: Up to 3 work from home days per month, plus up to 16 additional assessment related work from home days per year
Schedule: Monday-Friday, daytime hours.
Almost 30 days off in Year One: Including holidays, PTO, CEU days, and flex days-no guilt, just rest.
Manageable Caseloads: You'll support up to 8 children, so you're set up to succeed without burning out.
No Non-Compete Clauses: We believe great talent doesn't need restrictions
Transparent and Expedited Career Growth & Leadership Tracks:
Center Leadership: BCBA >Sr. BCBA>Assistant Clinical Director >Clinical Director>Sr. Clinical Director >Group Clinical Director>Regional Clinical Director
Training & Development: Join Dr. Greg Hanley's Compassionate Care Team, mentor and train clinicians in evidence‑based ABA practice
Research & Innovation: Collaborate with Dr. Linda LeBlanc at the Action Institute to advance treatment outcomes, transparency, equity, and clinical quality
Clinical Guidance: Our BCBAs are guided by our Clinical Advisory Board and Compassionate Care Team, featuring industry leading clinicians such as: Dr. Charna Mintz, Dr. Greg Hanley, Dr. Linda LeBlanc, Dr. Patricia Wright, Dr. Dorothea Lerman, Dr. Malika Pritchett, Dr. Mahshid Ghaemmaghami, and Dr. Anthony Cammilleri
Continuing Education: A minimum of 10+ free CEUs per year in-house, extra funds to attend additional training courses, and 2 paid days off to use for CEU events.
Health Benefits: Best-in-class Medical, Dental, Vision, Flexible Savings Account and Health Savings Account options
Family Support: Up to $3,000 in maternity/paternity financial assistance plus short-term disability options that can equate to 8 weeks of paid paternity leave.
Student Loan Repayment Assistance: Each year we contribute additional dollars to help you pay off your student loans.
Unique Perks: First Stop Virtual Health for you and up to 7 household members, CALM membership for you and your family, Door Dash Pass, MilkStork access to ship home breast milk while traveling, a SNOO smart sleeper for new parents, and more.
Your Role
Develop Treatment Plans that are clinically sound and engaging
Supervise and Mentor RBTs to support consistent, high-quality care
Collaborate with Families to set goals, track progress, and celebrate growth
Deliver Evidence-Based Therapy in a supportive, play-focused environment
ABC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity or expression, national origin, ancestry, disability, marital status, genetic information, veteran status, or any other status protected by applicable federal, state, or local laws, including the Pennsylvania Human Relations Act (PHRA). We are committed to creating an inclusive environment for all employees.
@Copyright 2025
#LI-Onsite
Case Manager
Clinical case manager job in Chapel Hill, NC
UNC Horizons provides comprehensive, gender-specific outpatient and residential treatment for pregnant women and women with children up to 11 years old. The primary purpose of this case management position is to provide case management services for women and their children in a residential setting in conjunction with the therapist and Treatment Team. Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options of an individual's service needs. Some of these duties include treatment planning, job readiness, budgeting, maintaining and updating client's records, documenting services, providing transportation, being on an on-call rotation, handling crises with the support of senior clinicians, meeting and engaging in weekly treatment team meetings, providing resources and referrals for housing, and legal issues, coordinating and consulting with other agencies and professionals as well as leading and co-facilitates groups in an outpatient setting.
Required Qualifications, Competencies, And Experience
Must have one of the following: QP (Qualified Professional), CDAC (Certified Drug and Alcohol Counselor), CDAC -I (Certified Drug and Alcohol Counselor - Intern), CSAC (Certified Substance Abuse Counselor) licensure, Provisional licensed LCAS -A (Licensed Clinical Addiction Specialist), or LCSW -A (Licensed Clinical Social Worker Associate).
Preferred Qualifications, Competencies, And Experience
Previous social work or counseling experience; or experience with the substance abuse population, gender-specific treatment, child and family counseling, and a perinatal setting preferred.
Work Schedule
Monday - Friday, 8:00 am - 5:00 pm
SSVF Carolinas Case Manager - Durham
Clinical case manager job in Durham, NC
Job Details SSVF Carolinas - Durham - Durham, NC Full Time - 40 Plus Benefits Bachelor's Degree Obtained $47000.00 - $47500.00 Salary/year Negotiable Day Veteran ServicesDescription
Job Title: Case Manager
Group: Programs
Department: Supportive Services for Veteran Families (SSVF)
Region: NC
Location: NC regional offices (Durham, Fayetteville, Rocky Mount, or Salisbury)
Classification: Non-Exempt
Status: Full Time
Reports to: Team Lead
Supervises: N/A
Travel Requirement: Telework Capacity and travel in the areas of MD, VA, DC and the Carolinas as needed.
COMPANY OVERVIEW
Volunteers of America Chesapeake & Carolinas empowers self-reliance and inspires hope. As a church without walls, we do this through personalized housing, ministry, health, and human services that benefit vulnerable individuals, their families and the community. Founded in 1896 in Baltimore, MD by social reformers, Ballington and Maud Booth, we were one of the first of over 30 affiliates of Volunteers of America one of the nations largest and most comprehensive human services organizations.
Our founders envisioned a movement dedicated to reaching and uplifting the American people. On behalf of the organization, the Booths pledged to go wherever we are needed, and do whatever comes to hand. Their declaration continues to guide Volunteers of America's impact on Helping Americas most vulnerable.
Through a dedicated and committed team of more than 850 employees and thousands of volunteers, we provide critical care, support services and hope to thousands of people each year throughout Virginia, Maryland, the District of Columbia and the Carolinas. We firmly believe our employees drive the success of the organization.
JOB SUMMARY
Provide day-to-day support and services for participating veteran households. Has relevant experience in homelessness prevention, rapid re-housing and transitional supportive services. Provide key linkages for clients beginning at their intake and assessment following through to their attainment or maintenance of permanent housing in their home community. The position will promote accessibility, outreach to targeted populations, and provide case management, advocacy and wraparound supports and services with the VA and in the community.
RESPONSIBILITIES:
Coordinate outreach efforts for the SSVF Program including but not limited to: establish an outreach plan to target the three categories of participants as outlined in the SSVF program guidelines, develop a set schedule to visit the VA, shelters, and other places that homeless and low-income veteran families are likely to congregate, and develop communication/ updates with the VA and other key housing and community providers.
Screen potential program participants for program eligibility using VA-approved forms and follow up with applicable agencies to verify information including veteran and income status.
Conduct housing and comprehensive supportive services assessments for program participants and develop a comprehensive Family Services Plan.
Provide service coordination between the program and community partners, for persons served and their families/supporters.
Work with persons served, family members, collaborating housing agencies and professionals to revise service plans and to develop placement, stabilization and follow-up plans.
Provide or arrange for housing support and wraparound services including connections to all eligible VA and mainstream resources to support transition to or maintenance of permanent housing.
Travel to housing sites to support persons served, monitor progress and address any health, behavioral or life skills issues.
Communicate effectively (under confidentiality rules) with clients service team to rapidly address and correct issues with services or supports - especially living skills, employment, education, family and socialization.
Ensure appropriate use of and documentation of any temporary financial assistance.
Ensure that veterans and their families receive services that support rapid re-housing; addressing assessed needs, promoting healthy decision-making, securing financial independence and promoting relationships at home in the community.
Ensure participant category reassessments are completed according to specific SSVF requirements.
Participate in program and professional supervision, attend required staff and Project Management Team meetings and trainings, and contribute to team-based collaborative planning.
Complete all appropriate reporting in HMIS and other systems as required.
Complete other duties as needed and requested.
EFFECT ON END RESULT:
Veteran housing, employment, family, social support and life-skill issues are rapidly addressed and supports and services are amended or adjusted as required to ensure maintaining housing, economic stability or attainment of benefits, and socialization of veteran and family in their home community.
Veterans receive appropriate transition and service plans and supports.
Client file documentation is complete and timely. Statistical information is documented and reported.
Qualifications
A bachelors degree in counseling psychology, rehabilitative counseling, or related human service field is preferred (or comparable experience).
Experience working with homeless individuals and families including veterans is a plus.
OTHER:
This position requires driving your personal vehicle for company business. Must be privileged to drive according to the criteria set forth by Agency MVR guidelines.
Valid drivers license in jurisdiction of residence
Vehicle liability coverage if driving personal vehicle (on occasion, may be required to transport clients in personal vehicle)
May be required to drive a van
Acceptable Criminal background check, OIG Exclusion check
Negative Drug Screening
CPR/First Aid Certification must be acquired and maintained once employed
PHYSICAL REQUIREMENTS:
The physical requirements described below are representative of those that must be met by an employee to successfully perform the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
The ability to safely operate a motor vehicle to transport oneself, consumers, and program supplies as necessary.
The physical ability to travel to assigned locations, stand, stoop, bend, reach, pull, push, lift, grasp, climb, talk, see, hear and perform basic and light home maintenance activities, and operate office equipment.
Operating office equipment requiring continuous or repetitive hand/arm movements.
The ability to remain in a sitting position for extended periods of time
OTHER DUTIES:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
LUNDBECK Reimbursement Case Manager
Clinical case manager job in Morrisville, NC
Reimbursement Case Manager - Onsite Training, Remote After Contract Length: 3 months Pay Rate: $20/hr Schedule: 8:00 AM - 5:00 PM or 9:00 AM - 6:00 PM (Mon-Fri) Worksite Location (for training): 2250 Perimeter Park Dr, Ste 300 Morrisville, NC 27560-8893, United States
Work Arrangement: Onsite for training, remote after
Role Overview
The Reimbursement Case Manager (RCM) will act as a subject matter expert on reimbursement issues and manage day-to-day activities within reimbursement services, including benefits investigation, prior authorizations, and appeals support. This role ensures patients have access to prescribed therapies by coordinating coverage and financial aspects of healthcare services.
Key Responsibilities
+ Complete medical and pharmacy benefit investigations .
+ Facilitate submission of documentation for prior authorizations, step edits, and appeals per SOPs.
+ Determine coverage availability and coordinate financial aspects of therapy access.
+ Maintain accurate records in compliance with standards and regulations.
+ Escalate complex cases per program guidelines.
+ Communicate therapy access restrictions, policy changes, and reimbursement updates to program leadership.
+ Understand health and disease states relevant to program patients.
+ Uphold confidentiality and ethical standards.
Required Skills & Experience
+ Expert-level knowledge of reimbursement processes.
+ Strong understanding of major payers (private/commercial and government: Medicare, Medicaid, VA, DoD).
+ Proficiency in insurance verification, prior authorization, benefits investigation, provider claims .
+ Familiarity with Salesforce CRM .
+ Ability to handle outbound calls to payers, providers, and patients; inbound claims calls for copay submissions and reimbursement overflow.
+ Experience with pharmacy and medical benefits (heavier pharmacy focus).
Top Skills
Reimbursement, insurance verification, prior authorization, benefits verification, provider claims, benefits investigation.
Job Type & Location
This is a Contract position based out of Morrisville, NC.
Pay and Benefits
The pay range for this position is $20.00 - $21.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a hybrid position in Morrisville,NC.
Application Deadline
This position is anticipated to close on Dec 17, 2025.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.