Clinical case manager jobs in Cayce, SC - 306 jobs

Inspire health. Serve with compassion. Be the difference. Provides supervision for department staff, coordinates work schedules, completes performance evaluations and recommends merit increases, participates in the selection of department staff, and assist in policy/procedure formation and program development, and participates in meeting department education needs. Provides social work services to patients and their families. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference Ensures the provision of quality of social services by properly oriented and trained staff. Monitors work of staff to assure compliance with standards and procedures. Communicates with staff effectively regarding work responsibilities. Provides orientation of new employees by training to the detail of the particular work area. Plans, coordinates and delegates work and tasks appropriately and effectively for assigned area. Serves as a member of an interdisciplinary discharge planning team to develop a plan for patients' continued care at discharge from the hospital. Conducts formal and informal family conferences to assure most efficient coordination of health care and related services. Introduces programs/services designed to meet the needs of the patient after discharge and makes appropriate referrals for service. Provides quality Social Work services based on age-specific assessments to patients including interviewing patients and relatives to obtain social history and assisting patients with obtaining maximum benefits from medical care. Intervenes as a crisis counselor in situations requiring immediate psychosocial intervention. Remains alert to signs/symptoms of abuse/neglect/exploitation. Participates in performance improvement activities on service unit or department. Participates in unit, department or hospital committees as appropriate. Provides consultation to health care team regarding continuing care needs. Conducts Social Work in-service education for other hospital departments. Performs other duties as assigned. Supervisory/Management Responsibilities This is a supervisor job which may have direct supervision of team members which may include hire/termination authority, disciplinary authority, and performance management responsibilities.May have budget input or responsibilities. Job is not considered a member of management staff. Minimum Requirements Education - Master's degree in Social Work Experience - Three (3) years health related experience In Lieu Of NA Required Certifications, Registrations, Licenses LSW - LIC SOCIAL WORKER - LLSW Knowledge, Skills and Abilities NA Work Shift Day (United States of America) Location 1 Medical Park Rd Richland Facility 3270 Infectious Disease 1 Med Park 410 Department 32701000 Infectious Disease 1 Med Park 410-Practice Operations Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

To effectively coordinate Community Long Term Services (CLTC) to assigned participants in accordance with SCDHHS/CLTC area offices. Provide CLTC case management services to CLTC participants face to face and over the phone during initial, monthly, quarterly and annual visits. Develop relationships and work collaboratively with providers, public and private, and division leaders within FamilyTIES and SCDHHS to provide clients with the most appropriate and effective care possible. Comply with federal, state, and third party payor regulations in the delivery of covered services ensuring these are appropriate and that documentation requirements are met as indicated by FamilyTIES and SCDHHS. Case manager duties include assessing, planning, implementing, monitoring and evaluating actions required to meet the client's health and human services needed. Responsibilities include the following: Coordinate and provide care that is safe, timely, effective, efficient, equitable, and client-centered Handle case assignments, draft service plans, review case progress and determine case closure Help clients achieve wellness and autonomy Facilitate multiple care aspects (case coordination, information sharing, etc) Help patients make informed decisions by acting as their advocate regarding their clinical status and treatment options Develop effective working relationships and cooperate with medical team throughout the entire case management process Record cases information, complete accurately all necessary forms and produce statistical reports Promote quality and cost-effective interventions and outcomes Assess and address motivational and psychosocial issues Adhere to professional standards as outlined by protocols, rules and regulations Skills Proven work experience in case management, including but not limited to, nursing, medical, mental health, care management or a related job Excellent knowledge of case management principles, healthcare management and reimbursement Previous experience with psychological aspects of care Effective communication skills Excellent organizational and time management skills Professional and technical skills Problem solving skills and ability to multi-task Compassionate with teamwork skills Preferred Qualifications: A bachelor degree from an accredited college or university in a health or human services field that promotes the physical, psychosocial and/or vocational well-being of the individual being served and documentation of at least two (2) years' experience providing case management services. A certified case manager is a plus. Job Types: Part-time Salary: $25.00-$30.00 per productivity Schedule: Monday to Friday

The work of the Housing Case Manager involves orienting all eligible Supportive Services for Veteran & Families participants to the program and providing housing search and supportive services to promote participants self-sufficiency, integration into the community, and permanency in housing; performing administrative tasks involved in the review and maintenance of a caseload of program participants. The principal duties are performed both in a general office environment and in the field and community where program participants reside. The Housing Case Manager position is funded in whole by the VA through One80 Place's SSVF Program. The Housing Case Manager will dedicate 100% of their time on Veterans and their families served by the SSVF Program. One80 Place ends and prevents homelessness throughout South Carolina with offices located in Charleston and Columbia. This position will be based in Columbia. Requirements Specific Requirements 1. Support and demonstrate One80 Place's mission, vision, and values. 2. Knowledge and belief in a housing with supportive services approach. 3. Bachelor's degree in human service field of study (social work, counseling, psychology or related field) required. 4. 2 - 5 years of case management experience. 5. Ability to provide non-judgmental and non-stigmatizing services to meet clients “where they are”. 6. Experience with crisis intervention and navigating social service systems. 7. Strong written and verbal communication skills. 8. Excellent verbal and written communication skills. 9. Excellent computer skills including basic office programs and the ability to learn and utilize the HMIS database. 10. Ability to work independently and as part of a fast-paced team. 11. Valid driver's license and the ability to successfully complete basic driver safety training. 12. Ability to travel throughout the 13-county service area of the Midlands Continuum of Care in personal vehicle and company-provided vehicle. 13. Demonstrate professionalism in all areas with clients and staff in accordance to the One80 Place employee handbook. Rapid Rehousing Activities 1. Identify and engage clients in discussions about permanent housing. 2. Facilitate the housing planning process, by completing the housing barrier assessment, housing preference worksheet, and other necessary intake forms. 3. Assist Veterans in obtaining necessary documentation for both housing and employment. 4. Assist Veterans in locating and securing housing of their choice. 5. Identify participant strengths and barriers to stability and assist participants with reducing barriers and linking to resources and services. 6. Ability to pay close attention to detail on administrative forms for the purposes of enrollment and determining eligibility for SSVF and administering financial assistance. 7. Administer temporary financial assistance by gathering the proper documentation for submission for payment in the internal finance process. Housing Stability Case Management 1. In collaboration with the Veteran household, develop a housing stability plan to address crisis housing needs, obtain and maintain permanent housing, participant goals, actions steps, case manager interventions, and referrals. 2. Assist households in understanding the importance of following through on all expectations of their lease, including on-time rental payments, caring for their unit, etc. 3. Update progress, goals, actions, and interventions as needed. Strength-Based & Housing Stability Case Management 1. Provide strengths-based case management and supportive services to Veterans households. 2. Conduct office and in-home visits with Veterans per the housing stability plan. 3. Document progress, linkages and referrals to permanent housing, mainstream, Veteran-serving, and community-based resources, including income supports. 4. Be proactive in your approach to case management and approach every housing opportunity with a sense of urgency. 5. Ability to have diversion conversations to encourage clients to use support networks they may not think are a viable option to end their homelessness. Housing Counseling 1. Assist Veterans with creating a budget and identifying safe, affordable housing considering Veteran preferences/income. 2. Assist Veterans in identifying realistic housing options. Teamwork and Collaboration: 1. Work well in collaboration with all other One80 Place staff to facilitate a team environment. 2. Participate in the coordinated entry process with the Lowcountry Continuum of Care and other partner agencies. 3. Participate in team discussions regarding client progress or lack of progress, with possible solutions to ensure the best support for success. 4. Actively participate in weekly housing team meetings and commit to group decisions. 5. Attend scheduled training programs for professional development. 6. Role model effective team behavior. 7. Demonstrate effective communication skills in building relationships with all One80 Place employees, volunteers, vendors, Board of Director's, clients and guests. 8. Report to work on time, well-groomed, appropriately dresses and ready to serve as a positive role model to all clients. 9. Substitute for other case management staff when the need arises. 10. Collaborate with landlords, VA Staff, and other community organizations to best serve clients with the necessary community supports to successfully maintain permanent housing after SSVF services end. 11. Successfully problem solve independently or in collaboration with peers. Physical, Environmental and Sensory Demands: Requires sound mental reasoning, sound judgment, and the ability to respond calmly and effectively in a crisis. Requires the ability to relate effectively to individuals experiencing homelessness. Requires corrective vision and hearing to normal range; ability to move between service locations; ability to lift 25 lbs. Possible exposure to communicable diseases, emotionally stressful working conditions, and irregular hours. IMMEDIATE SUPERVISOR: SSVF Program Manager Salary Description $50,000 - $53,750 Yearly

Job Responsibilities Do you have a passion to provide meaningful contributions to your community? Would you like to be part of an organization whose central mission is helping to protect, stabilize and strengthen the lives of South Carolina's children, families, and vulnerable adults? If so, the SC Department of Social Services has the right job opportunity for you! Job Duties: * The CWS Case Manager performs case management in the Child Welfare area of Investigations in accordance with DSS Policy, Mission and GPS Practice Model. Conducting timely initial investigations of reports of child abuse and neglect and offering services to children and families who may have experienced or are at risk of experiencing child maltreatment. Performs on-call duties as assigned. * Performs case management (ie, contacts, case planning) to a caseload of families to ensure safety, permanency and well-being. * Completes, reviews and updates the Family Advocacy and Support Tool (FAST) according to time frames established by DSS Policy. Utilizes the Family Advocacy and Support Tool (FAST) to collaboratively develop Family Permanency Plans and make timely service referrals. * Authentically engages families, other professionals within the agency, and external partners with empathy and respect; to include timely responses to telephone calls, emails, and texts. Makes concerted efforts to locate and engage absent parents, relatives and fictive kin to support and join the child and family team. Participates in and facilitates child and family team meetings. * Maintains physical and electronic case record by composing clear, objective, and thorough documentation covering pertinent details of case activities per DSS policy and the GPS Practice Model. Ensures all case management activities are documented in CAPSS system according to time frames established by DSS policy. Ensures documentation meets quality standards and captures necessary elements pertinent to safety, permanency, well-being and case planning. * Maintains physical and electronic case record by composing clear, objective, and thorough documentation covering pertinent details of case activities per DSS policy and the GPS Practice Model. Ensures all case management activities are documented in CAPSS system according to time frames established by DSS policy. Ensures documentation meets quality standards and captures necessary elements pertinent to safety, permanency, well-being and case planning. * Collaborates closely with legal when safety concerns are present or when a case has been identified as needing legal action to promote timely permanency. Regularly assesses safety and permanency resources, adheres to court orders, submits court packets timely and participates in legal proceedings. * Maintains child welfare certification. Completes 20 hours of training yearly to include certifications that are required yearly. * Maintains an active routine of self-care and pursues support when necessary to minimize the threat of secondary trauma to physical and mental health. Understands the impact of trauma on families and secondary trauma on child welfare staff and applies principles to support families. * Performs Red Cross shelter duty or other emergency shelter duties/services as directed. * Other Duties as assigned Minimum and Additional Requirements A Bachelor's Degree in Social Work, Behavioral Science, or Social Science. A Bachelor's Degree in any other field and one (1) year experience in a related field. Additional Comments This application for employment with the SC Department of Social Services must be completed in its entirety. A resume may be included; but shall not be substituted in lieu of the completion of this application in part or in whole. "See Resume" is not acceptable information for the completion of any part of the requirements of this application. If such is submitted, this employment application will be considered incomplete and may not be forwarded as eligible for consideration to hiring managers. Must possess a valid driver's license, be able and willing to drive and to transport children and adults; must be able to lift children and to interact with children and adults in a positive manner. May require overtime hours to include weekends and work during natural disaster or deployment of staff in State issued emergency responses. If you certify, by completion and submission of this application, that you possess educational credentials that qualify you for the available DSS positions, you will be required to provide a certified official transcript, if you are selected for job offer. The South Carolina Department of Social Services offers an exceptional benefits package that includes: * Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children * 15 days annual (vacation) leave per year * 15 days sick leave per year * 13 paid holidays * Paid Parental Leave * State Retirement Plan and Deferred Compensation Programs DIVISION: Human services / Hampton County * Important Salary Information* With the recent implementation of the Child Welfare salary plan funded by the General Assembly beginning in July 2021, front line case managers and team leaders (supervisors) will not only earn higher starting salaries when joining DSS than in previous years, but will also enjoy supplements to their starting salaries upon completion of training and competencies, attainment of BSW/MSW degrees for front line case managers, annual increases for years of continuous service, and salary increases upon attainment of established competencies/certifications for moving into Level 2 and Level 3 salaries. New Child Welfare case managers will earn a starting salary of at least $45,721 during initial certification, depending on education level and degree type, with up-front starting salary supplements of 2.5% ($46,865) and 5% ($48,006) for candidates holding a Bachelor of Social Work (BSW) or a Master of Social Work (MSW) degree, and 10% ($50,293) for team leaders (supervisors), respectively. Following completion of training certification, assignment of caseloads with one year of completed experience, quarterly adjustments will be made to move successful trainees into the Level 1 salary bracket and will receive at least a 15% salary increase (adjusting their salary to $52,843, $54,165 or $55,400 depending on degree type), and $58,125 for team leaders (supervisors) at that time. Annual salary increases of up to 0.50% per year will be awarded on a quarterly basis for each consecutive year a Level 1 case manager remains in his/her class/position. In January of 2022, DSS rolled out additional opportunities for case managers to progress from Level 1 to Levels 2 and 3, with increases in salary averaging 2.5% for each increase in the case manager's level of expertise under the salary plan. Level 2 and 3 child welfare staff will also see accelerated annual increases of 1% to 1.5% per year awarded for each continuous year served in his/her class/position. Progression from Level 1 to Levels 2 and 3 requires completion of specified requirements in the Advancement Pathway which include additional training, skill development, and practice model aligned competencies that increase in complexity as the career path progresses. Case reviews, data compliance reviews, field observations and employee self-assessments are used by supervisors to evaluate eligible employees' demonstration of competencies and skills prior to approval to advance to the subsequent level.

The Case Manager will play a central role in implementing the Integrated Patient Care Program by overseeing frontline care coordination activities. Reporting to the Program Manager, the Case Manager will directly supervise Social Workers and Community Health Workers and work closely with partner agencies to ensure patients receive coordinated medical, dental, vision, and social support services. In addition to supervising Social Workers and Community Health Workers, the Case Manager maintains an active case management portfolio to support direct service delivery and model best practices in integrated care coordination. This role focuses on execution, care coordination, team supervision, and partner engagement, ensuring program strategies translate into measurable patient outcomes. Key Responsibilities Care Coordination & Supervision * Supervise Social Workers and Community Health Workers, providing guidance, training, and performance support. * Coordinate patient referrals, follow-up, and care navigation across partner clinics and service providers. * Ensure consistent use of common intake, referral, and documentation processes. Program Implementation * Work with the Program Manager to implement program strategies related to social determinants of health, patient education, and telemedicine. * Support integration of community health workers and student interns into program operations. * Monitor patient progress and service utilization to support outcome measurement. Partner Collaboration * Serve as a day-to-day operational contact for partner agencies related to case management and referrals. * Participate in partner meetings and continuous improvement discussions. * Help identify gaps in services and opportunities to strengthen referral pathways. Data, Reporting & Quality Improvement * Track case management activities, referrals, and patient outcomes. * Contribute to quarterly reviews of individual- and system-level outcomes. * Support documentation of best practices and program learnings for replication. Qualifications * Bachelor's degree required; Master's degree in Social Work, Public Health, or related field preferred. * Minimum 3-5 years of experience in case management, care coordination, or community-based health services. * Experience supervising staff or leading frontline teams preferred. * Familiarity with social determinants of health, community resources, and patient navigation. * Strong interpersonal, organizational, and documentation skills. * Ability to work collaboratively across multiple organizations and disciplines.

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

Improving Lives. Improving Communities. LRADAC offers a wide array of prevention, intervention and treatment programs in both Lexington and Richland counties. We tailor our programs to meet the ever-changing needs of the communities we serve. Our prevention, intervention and treatment programs spread the message that there is hope and that substance misuse and addiction are preventable and treatable. In alignment with our strategic objective to provide support and services to our community members within and outside our buildings, we are excited to hire Case Managers serving Lexington County. These SCORF (South Carolina Opioid Recovery Fund) grant-funded positions provide partnership with Lexington County behavioral health agencies and other community partners to create access points in the community, assist patients navigate and overcome traditional barriers to treatment, and support patients during and following treatment through intensive case management services. POSITION LOGISTICS Full-time 37.5 hours a week Schedule may be dictated by assigned community partner, and may include weekend and evening hours. Flex schedule available as approved by supervisor. Primary office location is the LRADAC Lexington county office, with alternative locations to include the assigned community partner office. Must be comfortable engaging in non-traditional work environments which may include ride alongs with law enforcement/EMS or medical provider facilities. Grant-funded position with a June 30, 2026 end date. Position continuance contingent upon grant renewal. EDUCATIONAL AND EXPERIENCE REQUIREMENTS Bachelor's degree in a human service field is required One (1) year in the field performing the essential duties of the position. Must have reliable transportation and valid SC driver's license. Familiarity with Lexington County and experience with designated community partners preferred. Addiction Counselor (ADC), or ability to gain ADC certification within three (3) years, is required. ESSENTIAL DUTIES AND RESPONSIBILITIES Provide 24/7 access to intensive case management services by responding to calls for assistance from patients in a timely manner. Attend community events in and around Lexington County to raise awareness and build relationships with prospective patients and community partners. Partner with emergency services to engage patients identified as frequent users of emergency services. Assist patients through referrals to resources to overcome barriers that prevent successful engagement in treatment (transportation, vocational/educational, housing, legal, etc.). Utilizes crisis intervention/de-escalation techniques as necessary. Develops, maintains, monitors and updates, as necessary, case management plans for assigned patients. Collaborates with Treatment Team to monitor patient progress, identify patient needs, and maintain clinical documentation in compliance with all applicable regulatory standards. Participates in regularly scheduled staff meetings and case management team meetings. Assists with Point of Entry (POE) duties to ensure timely access to assessments. Schedule and attend appointments with patients as needed to ensure warm handoffs to community providers. Please complete the online application to include all current and previous employment history and education. A resume cannot be substituted for completing the employment history and educational fields of the employment application. Incomplete applications will not be considered. **LRADAC maintains a tobacco-free environment. No smoking or use of any tobacco product is permitted in any of its facilities or on any of its properties. **

The Transitional Foster Care Case Manager will provide intensive, short term case management and reunification services to Unaccompanied Alien Children primarily from Central America ages 0-17. Essential Functions: 1. Coordinate short term case management services for client's educational, therapeutic, medical and legal needs. 2. Meet weekly with supervisor to consult on cases, to review case plan and direction and to evaluate client participation and progress. 3. Meet regularly with therapist to discuss client's assessment and treatment. 4. Provide intake assessment and write Individual Service plans as needed. 5. Review youth's case during weekly team meetings. 6. Assessment of sponsors and work closely with sponsors in order to provide timely reunification process. 7. Review and apply DHS and UC/ORR policy and procedure in terms of intake procedures, reporting procedures and reunification procedures. 8. Conduct weekly (or more) with the youth to ensure safety of youth and progress towards goals. 9. Transport youth if needed to identified sponsors, as needed 10. Interpret for clientele from Spanish into English as needed. 11. Maintain accurate, up-to-date information on foster children in care while meeting Department of Homeland Security (DHS), Office of Refugee Resettlement (ORR), and LSC documentation and reporting requirements. 12. Perform other duties as assigned. Qualifications Education: BSW or B.A. or B.S. in a human service, behavioral sciences, human services, or social services field Experience: Minimum one year of case management experience Specific skills/abilities: Bi-lingual in Spanish/English. Demonstrate excellent clinical, therapeutic and crisis intervention skills. Demonstrated verbal and written communications skills. Computer skills sufficient to perform essential functions. Maintain a reliable automobile with adequate insurance coverage. Specialized knowledge, licenses, etc: Valid Drivers License. Prior work experience with refugee, immigrant or minority families and demonstrates cross-cultural sensitivity. Knowledge of state, community and agency resources. Working Conditions/Physical Requirements: (. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions). 1. Required to provide transportation to minor in personal/company vehicle or accompany minor on travel for family reunification purposes. 2. Ambulatory throughout all facilities/locations. 3. Ability to bend, stoop (to floor), reach overhead.

The Case Manager serves as the primary contact for a dedicated population of program applicants who require financial assistance to reconstruct, repair, or rehabilitate their homes. This role will maintain a complete understanding of all applicable program policies, requirements, and procedures and review all cases within the guidelines established. The Case Manager may assist with or lead day-to-day case management activities, which may include processing, monitoring, tracking, and reporting applications within a functional area with little or no direct supervision. This role may specialize in specific subjects within the functional area. This position is required to be in office, and you will be required to travel to several intake centers in order to collaborate directly with clients, case management and leadership regarding program applications. Local travel may be required at times. Job Duties Provides excellent and consistent customer service and support to applicants, the client, constituents, and program team members Assists applicants with the completion and submission of their program applications, as needed Reviews submitted applications for completeness and ensures that the program has received all documentation and information needed to perform an eligibility review Reviews applicant vulnerability factors and assign appropriate priority status to their application Conducts an orientation and introductory call to assigned applicants and request any application documentation or information needed to make the application complete Ensures program applicants are continuously updated regarding the status of their program application Provides frequent, diligent, and professional communication Obtains a working knowledge of applicant needs and program eligibility criteria Understands program requirements and other key objectives Understands program processes from start to finish and communicates those processes clearly to applicants Gathers applicant documentation and uploads to program system of record Records all communications in the program system of record Other duties as required Supervisory Responsibilities: N/A Qualifications, Knowledge, Skills and Abilities Education: High School Diploma or GED, required Associate degree, preferred Experience: Two or more years' experience providing customer service and or clerical work, required Knowledge of creating tables and graphs in Microsoft Excel, required Experience relevant to the functional area and/or experience providing specialized advisory service, which may include construction, financial, housing, and/or related industry knowledge, preferred Experience with CDBG housing and/or FEMA hazard mitigation and similar programs/projects, preferred License/Certifications: Valid driver's license and good driving record, required Software: Proficient in the use of Microsoft Word, Excel, Outlook, required Proficient in the use of the internet, required Language: N/A Other Knowledge, Skills & Abilities: Ability to manage effectively with or without subordinates Knowledge, skills, and abilities necessary to perform the job function with little to no supervision, while remaining acutely aware of timelines, meeting deadlines, and performance measures Ability to acquire a working knowledge of applicable rules and regulations and the ability to provide technical assistance Excellent written and verbal communication skills, strong analytical skills, ability to work independently, and effective interpersonal skills Ability to quickly learn new software applications Detail-oriented with close attention to program compliance requirements, record keeping guidelines, and file closeout expectations Strong customer service skills and knowledge of customer service best practices Ability to maintain the confidentiality of program information

We are seeking a Licensed Nurse to fill our Track Case Manager (Clinical Scheduler) position to assist with all clinical scheduling needs for our Aiken patients. The Track Case Manager is responsible for overseeing and managing patient scheduling, care coordination, and follow-up for high-risk, acute, and transitional care patients within their assigned region. This role requires close monitoring of scheduling buckets, addressing urgent patient needs, and ensuring seamless communication between the care team, patients, and referral sources. The Track Case Manager will work a seven-day track schedule, provide comprehensive case management coverage and ensure that patient care is aligned with Your Health s care model. This position will be working in the Aiken office daily. This is a full-time, salary-based 12-hr position Monday-Sunday (7:00AM-7:00PM) 7days on, 7 days off schedule. About We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care. Why Choose a Career at Your Health? Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees. Competitive Compensation Package with Bonus Opportunities Employer Matched 401K Free Visit & Prescriptive Services with HDHP Insurance Plan Employer Matched HSA Generous PTO Package Career Development & Growth Opportunities What Are We Looking For? Your Health is currently looking for a Track Case Manager to join our growing Primary Care family. A successful Track Case Manager will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions The following is a list of essential functions, which may be subject to change at any time and without notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s) Areas of Responsibility: New Patient Triage: Evaluate and prioritize new patient referrals to determine appropriate service needs based on medical history, presenting conditions, and provide availability. Work closely with the care team to ensure patients are placed in the correct care pathway. High-Risk Patient Management: Review and manage care for high-risk patients, including scheduling appointments and follow-ups. Scheduling Buckets: Closely monitor and manage appropriate scheduling buckets, including region and transitional care management scheduling buckets Acute/Urgent Case Management: Address all new patient cases, acute/urgent requests, TCM patient cases, and other high-risk scenarios promptly. Track Partner Collaboration: Monitor and address tasks in the track partners bucket, ensuring no delays in patient care. New Patient Intake & Scheduling: Conduct initial screenings for new patients to assess care needs, verify eligibility, and coordinate timely scheduling. Ensure appropriate documentation and communication with providers regarding patient history, concerns, and special care requirements. Evaluate the patient to determine the most appropriate place of service for care, such as in-home services or clinic-based care, based on medical necessity, provider recommendations, and patient preference. Appointment Scheduling: Schedule patients promptly according to the Care Model, including TCM visits, acute cases, and follow-ups per frequency guidelines. Patient and Family Communication: Maintain strong communication, follow-up, and follow through with patients, families, and referral sources. Phone and Voicemail Management: Monitor incoming new patient calls during shift and promptly address voicemails by returning calls and ensuring the patient needs are promptly addressed. Assign follow-up calls to appropriate regional case management team members and monitor for timely completion. Insurance Verification: Prompt insurance verification when scheduling patients to ensure coverage and eligibility. Team Coordination: Collaborate with care teams, review care group chats, and attend required monthly meetings to ensure seamless operations. Qualifications A licensed nurse is required. Nursing license must be in good standing. A minimum of two (2) years of clinical experience is required. Previous experience in a medical or healthcare setting, preferably a scheduling or administrative role. Familiar with medical terminology, procedures, and insurance verification processes. Strong organizational and time management skills, with the ability to multitask and prioritize responsibilities effectively. Ability to read and communicate effectively. Strong written and verbal skills. Basic computer knowledge. Ability to manage and demonstrate effective leadership skills. Should demonstrate good interpersonal and communication skills under all conditions and circumstances. Ability to foster a cooperative work environment. Team player with ability to manage multiple responsibilities and demonstrate sound judgment. Must be able to work flexible hours and travel between offices, facilities, etc. Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order.

Full-time Description Want to make an impact on someone's life? At PCSC, you will be a part of a ministry, dedicated to enriching the quality of life for seniors of all faiths while growing your own career. The Columbia Presbyterian Community is looking for a Case Manager to join our team - someone who will lead census development and serve as the key liaison between hospitals, referral partners, families, and our care teams. In this dual-impact role, you'll combine your outreach skills and clinical understanding to ensure successful admissions and quality outcomes for our residents. What You'll Do: Lead and participate in census development efforts alongside the marketing team Build and maintain strong referral relationships with hospitals, physicians, discharge planners, health plans, and community partners Monitor residents' progress and adjust care plans as needed Communicate regularly with residents and their families to provide updates on care plans and address any concerns Represent the facility at community events, hospital visits, and outreach meetings to promote our services and capabilities Conduct professional tours for prospective residents and their families, showcasing our programs and care standards Collaborate with the interdisciplinary team to evaluate referrals, screen for clinical appropriateness, and coordinate smooth, timely admissions Work closely with the Business Office to verify insurance coverage and obtain authorizations Maintain accurate and up-to-date documentation of all case management activities What We're Looking For: Bachelor's degree in social work, nursing, or related field Minimum of 2 years of experience in case management, preferably within a SNF, rehab center, or assisted living community Excellent communication, relationship-building, and problem-solving skills Ability to work independently and as part of a team Knowledge of CMS and DPH regulations Proficient in Microsoft Office and electronic medical records systems What We Offer: Medical, Dental, Vision, Life and Disability insurance Generous 403B employer matching with additional 2% employer contributions Education Assistance Program Additional perks are - Free on-site flu shots, Meals at reduced price, Employee Assistance Program, Referral bonus, PTO donations and sellback PCSC believes in Relationships, Teamwork, Service, Excellence and Stewardship and use these values daily as we serve our residents. If you are looking forward to make a meaningful impact, we invite you to apply for this exciting opportunity! PCSC is an Equal Opportunity Employer.

Responsibilities Case Management(RN) - Fulltime Aiken Regional Medical Centers, located in Aiken, South Carolina, is a 273-bed acute care facility providing top quality and safe healthcare to the residents of Aiken and surrounding communities since 1917. Aiken Regional Medical Centers has been ranked a top hospital in South Carolina by the American Heart Association for its treatment of heart attack, heart failure and Stroke, and most recently, coronary artery disease. Additionally, Aiken Regional provides comprehensive healthcare services such as behavioral health (Aurora Pavilion Behavioral Health), emergency medical care (main hospital and ER at Sweetwater), orthopedic surgeries, maternity, rehabilitation services(Hitchcock Rehabilitation Services), imaging, and wound care. Visit us online at: ***************************** The Case Manager is responsible for admission, concurrent and retrospective medical review of all patient populations for documentation of appropriateness of admission and continued stay. This position requires close collaboration and communication with payers to reduce risk of denials by continued management of all assigned cases from admission to discharge. Responsible for managing assigned patient population for progression of medical management and readiness for discharge. This includes the initiation of interventions to reduce and eliminate avoidable days, opportunity days and delays in care; works in collaboration with interdisciplinary team members internal and external to the organization; participates in process improvement and evaluation process related to the management of patient care and resource utilization. Responsible for working in close collaboration with the assigned SW/DCP on the floor to ensure a safe and timely transition of care, with the goal of management of LOS and utilization of resources on their assigned units. Performs discharge planning as needed to ensure timely transition of care of all patients on the assigned unit. Duties: * Performs chart reviews (admission, concurrent and retrospective, as necessary) for all payor sources in order to certify appropriateness of admission, accurate status, continued stay and reduce denial risks. * Follows department processes for management of denied cases, refers these cases for Peer to Peer or for VH appeal. Sends updated clinical to request reconsideration when appropriate. * Follows department process for referrals to VERSALUS HEALTH for all OBS cases and follows up after review to facilitate order status changes as appropriate. * Monitors all patients on their assigned floor for progression of care and clinical readiness for discharge and works with their SW/DCP partner to limit delays in transition of care by performing discharge planning as needed in the assigned unit. * Works in collaboration with partner, nursing, and other members of the Interdisciplinary team to anticipate discharges for the next day and provides this information to clinical staff at the end of each day. * Maintain strong relationship with insurance companies to share clinical information for payment authorization and limit risk of denials. Follows and continues to work denied cases in an effort to overturn denials while patients are still in house. * Collaborates with members of the healthcare team to ensure documentation supports admission or continued stay when documentation is not clear to ensure appropriateness of acute hospital stay. * Identifies and documents, and manages avoidable hospital days according to defined criteria and initiates appropriate intervention as necessary to minimize discharge delays. * Educates medical staff, nursing and other members of the healthcare team regarding utilization of hospital days and resources. * Identifies and makes referrals to other departments such as Infection Control, Wound Care, Nutrition/Dietary, and Peer Review as appropriate. * Collaborates with Medical staff and other departments as appropriate to facilitate development of clinical practice guidelines for designated patient groups. Benefit Highlights * Sign On Bonuses for select positions * Unlimited Employee Referral Bonus Program * Competitive Compensation & Generous Paid Time Off * Excellent Medical, Dental, Vision and Prescription Drug Plans * Tuition/Certification Reimbursement after 6 months * Culture of Excellence - Employee Recognition program * Challenging and rewarding work environment * Clinical Nursing Ladder opportunities * SoFi Student Loan Refinancing program * 401(K) with company match and discounted stock plan * Career development opportunities within UHS and its 300+ Subsidiaries! * More information is available on our Benefits Guest Website: uhsguest.com About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Qualifications Requirements: Education requirements: Diploma or associates degree from an accredited Registered Nursing program. BSN preferred. Work experience requirements: Minimum of 3 years experience in acute-care hospital or related setting; previous utilization review or case management experience. Required licenses/ certifications/courses SC RN license or compact state license. Required skills, knowledge and abilities: Knowledge of private insurance, Medicare criteria for hospitalization, understanding of healthcare financial systems, benchmarking practices; Experience in facilitating change through interdisciplinary collaboration; computer skills. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Description: Job Title: Behavioral Health Specialist - PART TIME (Sumter School District) FLSA Status: Part Time/Hourly Reports To: Behavioral Health Manager Position Summary The Behavioral Health Specialist plays a vital role in supporting children and youth with behavioral health challenges by delivering rehabilitative, home- and community-based services. This position focuses on equipping youth and their families with the tools and strategies they need to succeed whether that means improving daily functioning, building healthier relationships, or strengthening coping skills. As a Behavioral Health Specialist, you will work directly with children and families to develop individualized service plans, provide evidence-based interventions, and support progress toward personal goals. Services may include behavior modification (BMod), family support (FS), and psychosocial rehabilitative services (PRS), all tailored to meet the unique needs of each child and family. This role offers the opportunity to make a lasting impact by helping youth increase their ability to thrive at home, in school, and within their community. You will collaborate closely with the Behavioral Health Manager for guidance and supervision, while maintaining the highest standards of confidentiality and professionalism. Why This Role Matters Children and families facing behavioral health challenges often need someone who believes in their ability to grow, heal, and succeed. As a Behavioral Health Specialist, you are that person. Your work not only helps stabilize immediate needs but also creates long-term change empowering children to build resilience, supporting families in navigating challenges, and strengthening communities as a whole. This is a role where your dedication directly transforms lives. Key Responsibilities: Provide ongoing case consultation to support youth in meeting their emotional, behavioral, social, cultural, and educational needs. Assist youth and families with accessing and coordinating community resources. Participate in monthly individual case supervision, consultations, required trainings, and team meetings. Collaborate with team members to assess and recommend appropriate resources for youth and families. Organize, facilitate, and document treatment plan meetings with all involved parties. Ensure youth and family treatment planning is thorough and that financial responsibilities for placement are coordinated with the referral worker. Conduct quarterly reviews of treatment plans in collaboration with the treatment team. Complete and submit all required documentation within stated timelines, including treatment plans, updates, reviews, progress notes, medication logs, and other client records required by state and federal guidelines. Accurately document services provided, including Behavior Modification (BMod), Psychosocial Rehabilitative Services (PRS), and Family Support (FS). Engage in internal and external communication, public relations, and collaboration with referral sources and community stakeholders. Represent the program in agency workgroups or initiatives designed to enhance treatment services. Participate actively in staff and regional team meetings while demonstrating support for colleagues and promoting a collaborative team culture. Maintain the required number of annual training hours as directed by federal, state, and agency regulations. Licensed staff must also meet the requirements of their respective licensing boards. Manage a caseload of clients, providing 25-30 hours of direct service per week for full-time staff and 15-20 hours for part-time staff. Deliver authorized RBHS services across a variety of settings (home, school, community), always aligning interventions with the client's treatment plan, Growing Hope expectations, referring agency guidelines, and Medicaid standards. Maintain service hours in accordance with the Medicaid authorization, the client treatment plan, and Growing Hope expectations. Assist the Behavioral Health Specialist Manager and Intake Coordinator with gathering documents and information required for initial and ongoing service authorizations, treatment plans (IPOCs), and behavior modification plans (BMPs), as applicable. Perform all other duties as assigned to support the mission and success of the program. Minimum Qualifications Bachelor's degree or higher in human services or a related field (required). Master's degree in social work or a related field (preferred, not required). At least 3 years of social work or related experience serving youth and families. Preference given to experience in foster care, child welfare, or family systems. Knowledge & Skills Strong understanding of: Developmental and attachment theory Child psychopathology Behavior management practices Family systems dynamics Ecological approaches to intervention Skills in group facilitation, family intervention, and linking families with community resources. Ability to work cross-culturally with sensitivity and respect. Strong organizational, time management, and independent work skills. Effective oral and written communication abilities. Additional Requirements Ability to work effectively under stress while maintaining professional self-care and wellness. Commitment to Growing Hope's mission, vision, values, and core principles. Ability to foster respectful partnerships and maintain the practitioner's helping role with families. Valid driver's license and reliable transportation. Must pass DMV check and hold minimum auto insurance per Growing Hope policy. Willingness to work irregular hours when needed. Location and Work Environment Growing Hope delivers behavioral health services across South Carolina, connecting with youth and families in their homes, schools, and communities. This position is remote within Sumter County, with travel around Sumter County. This role offers a dynamic and flexible work environment. It requires availability during evenings and weekends to ensure families receive timely and effective support. While this is not a traditional 9-to-5 position, it provides the opportunity to make a meaningful, hands-on impact in the lives of children, youth, and families throughout the community. Equal Employment Opportunity Statement Growing Hope is an Equal Opportunity Employer. We are committed to building a diverse team and strongly encourage applications from all backgrounds to apple. We do not discriminate based on race, religion, gender, age, national origin, disability, veteran status, or any other protected status. Physical Demands and Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodation may be made to individuals with disabilities to perform these functions. Note: Neither this nor any other policy of the Agency creates a contractual commitment. This job description in no way states or implies that these are the only duties to be performed by the employee(s) of this position. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an at will relationship. The company is a drug-free workplace and complies with ADA regulations as applicable. Requirements:

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

For this position we are seeking a RN with a current active license for state of KY and or compact licensure The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and inpatient services for the KY Medicaid behavioral health population. Strong post-acute level of care experience (Nursing Facilities, Acute Inpatient, Rehabilitation, Long Term Acute care hospital, Behavioral Health Facility. Excellent computer multi-tasking skills and good productivity is essential for this fast-paced role. Good analytical thought process is important to be successful in this role. Prefer candidates that have experience doing prior authorizations for outpatient services preferrable within Behavioral Health Population. WORK SCHEDULE: Monday thru Friday 8:00 AM to 5:00 PM EST - Training Schedule (30 to 60 days) Permanent schedule will require you to work 4 to 5 days a week - with one weekend day required (Saturday, Sunday (either one or both)) This is a Remote position, home office with internet connectivity of high speed required. Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. - Analyzes clinical service requests from members or providers against evidence based clinical guidelines. - Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. - Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. - Processes requests within required timelines. - Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. - Requests additional information from members or providers as needed. - Makes appropriate referrals to other clinical programs. - Collaborates with multidisciplinary teams to promote the Molina care model. - Adheres to utilization management (UM) policies and procedures. Required Qualifications - At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. - Registered Nurse (RN). License must be active and unrestricted in state of practice. - Ability to prioritize and manage multiple deadlines. - Excellent organizational, problem-solving and critical-thinking skills. - Strong written and verbal communication skills. - Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications - Certified Professional in Healthcare Management (CPHM). - Recent hospital experience in an intensive care unit (ICU) or emergency room. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Description For more than 126 years, Epworth Children's Home has grown and adapted to the individual needs of children and families by providing a safe and nurturing environment, evidence-based practices, and programs across the continuum of care. Epworth Children's Home is a nonprofit agency, with over 150 staff members with a diverse array of programming and opportunities for employment statewide. If you love working with children and families and you want a position that is not just a paycheck but a calling to transform lives, apply today! JOB SUMMARY: The Family Care Center Overnight Awake Staff's primary duty is to monitor the Family Care Center clients to ensure they are sleeping and, in their rooms, to maintain a safe environment. To remain awake and attentive throughout sleep hours to ensure clients are in their rooms sleeping/resting and the environment is secure. Monitor client progress, identify client needs and maintain all required documentation according to established guidelines. Learn and apply the C.A.R.E. practice model, Epworth policies and procedures, and state regulations to childcare, cottage life, activities, and interactions with residents, other staff, supervisors, and the public at large. PartTime Hours every: Saturday and Sunday 10:30 pm-6:30 am QUALIFICATIONS: Bachelor's degree in human service field, or Two (2) years Associate Degree in Human Service field and two (2) years' experience in working with children or adolescents, or Significant life experience in working with children and adolescents (i.e. group residential counselor, church/youth experience, camp counselor, etc.) Demonstrated ability to use sound discretion and judgment in developing and implementing decisions REQUIRED SKILLS: Excellent interpersonal skills Welcoming demeanor that is non-threatening to children Demonstrates the ability to learn and to practice teamwork; patient and compassionate Understands and respects the necessity for confidentiality Positive and calm presence in all situations Demonstrated ability to use sound discretion and good judgment in developing and implementing decisions. Must be able to pass standard background checking, including drug screen, employment physical, SLED, DSS Central Registry, and Sex Offenders Registry. Has a belief system and engages in faith practices that are compatible with those of the United Methodist Church. The mission of Epworth Children's Home is to serve children, youth and families through caring, safe, Christian communities, where hurts are healed, hope is nurtured, and faith in God, self, and others is developed. Due to the nature of this position, we are only able to accept applications from females. If you are a male interested in the role, please consider the Residential Care Specialist.

Job Description ITAC serves Process & Industrial clients with integrated engineering and construction services for complex capital projects. We also offer specialty services including power systems services and products, custom machine fabrication, and fall protection services and equipment. Founded in 1988 on a dream and a $5K loan, ITAC is a true success story. From humble beginnings to an ENR-Ranked Top Design Firm with a nationwide footprint and over 450 employees operating from 6 offices in Virginia, North Carolina and South Carolina, we provide Fortune 500 companies with innovative design-build solutions. We specialize in power generation & utilities, chemicals, food & beverage, forest products, advanced manufacturing, and minerals & metals. ITAC's purpose is to make life better. For our employees, this means providing them with the resources and flexibility they need to have both a rewarding career and a fulfilling family life. ITAC is 100% employee-owned. Through our Employee Stock Ownership Plan (ESOP) and Direct Stock Ownership, every team member has the unique opportunity to be an owner who shares in the company's growth and earnings. We offer our team a comprehensive benefits package and numerous employee incentives. Rooted in love, we serve and care for our employees like family. We hire passionate and motivated people with an innovative mindset and the desire to grow. If the thought of challenging, fast-paced projects excites you, then you've come to the right place. At ITAC, you'll be part of a collaborative team that works hard to make life better. For more information, visit itac.us.com . Essential Duties and Responsibilities Embrace ITAC's Core Values in all aspects of the job. Support the success of the project with effective EHS related services. Help create, improve, and comply with Site-Specific EHS Plans. Be a team player and integrate into the project team as an equal and valuable member mentor and leader. Assist EHS Coordinators, the project team and project leadership with incident investigations, corrective actions, EHS related program improvements, and final reports. Be self-directed and conduct independently all required safety and health tasks required by the customer and the project environment. Provide safety and health technical support and training to project managers and field employees. Evaluate all field safety and health practices, including emergency response procedures, for improvement in effectiveness and compliance. Conduct documented audits and inspections o assigned projects, areas, and work tasks. Communicate with other EHS Managers and Project Managers the conditions and concerns about their project. Perform air sampling and monitoring, data logging, and basic IH tasks. Additional Duties and Responsibilities of EHS Manager Determine an effective work schedule and be self-directed and conduct independently all required safety and health tasks required by ITAC's EHS Policy, the customer's project requirements and any project Site-Specific EHS Plan. Perform detailed incident investigation and produce high-quality incident reports. Provide EHS related technical support and training to EHS Coordinators, project managers and field employees. Evaluate all field safety and health practices, including emergency response procedures, for improvement in effectiveness and compliance as well identify any impending weaknesses or potential gaps. Know how to perform detailed equipment, location, and tool inspections and ensure inspection completion as needed. Report any trends and reoccurring deficiencies as noted from leading indicators to the EHS Director. Recommend air monitoring devices and specialty devices, perform air sampling and monitoring, data logging and basic Industrial Hygiene related tasks. Develop training materials and effectively deliver training and instruction at a variety of meeting types. Consistently evaluate ITAC's EHS Program in their assigned areas and ensure effective implementation. Strong computer aptitude, including fluency with MS Office; PowerPoint, Excel, and Word. Work Environment The job is primarily performed at client industrial locations and outdoors at construction sites with periods of indoor office assignments. The following environmental/atmospheric working conditions are commonly, but not always, associated with the performance of this position. The actual working conditions will vary. Job Site environment, including, but not limited to, machines, tools, heavy equipment, chemicals, solvents, dust and fumes. Occasional exposure to extreme weather conditions. Requirements Experience/Education Bachelor's degree in Occupational Health & Safety, Construction Management, or a related field Minimum of 3 years of experience in safety coordination or related roles within the construction industry Strong knowledge of OSHA regulations and industry-specific safety standards Experience conducting safety inspections and implementing corrective actions Excellent communication and interpersonal skills, with the ability to effectively train and communicate safety protocols to employees and contractors Proven ability to analyze incidents and develop preventive measures Detail-oriented mindset with exceptional organizational and record-keeping skills Lift, carry and push/pull at up to 50 pounds without difficulty Climb in and out of equipment, up ladders and stairs. Walk across uneven terrain and surfaces Valid Driver's License and ability to drive to project sites with company vehicles. Additional requirements for EHS Manager Minimum 7 years of experience managing EHS programs in industrial, construction, maintenance, electrical, mechanical, or similar general construction companies. At least one year of management and oversight experience for direct reports and/or management training. Certifications and Training Qualifications - Preferred / Desired OSHA 500 Certification - Outreach trainer OSHA level courses related to construction and industrial subjects EM385-1-1 related courses MSHA related courses CHST - Certified Safety & Health Technician CSP - Certified Safety Professional Other EHS related Management Certifications Benefits From internships to seasoned professionals, our growing company provides career opportunities for all levels of experience. We offer our team a comprehensive benefits package and numerous employee incentives. For life's challenges, we also provide our employees and their immediate families with certified chaplains for around-the-clock encouragement and support. Rooted in love, we serve and care for our employees like family. ITAC provides benefits such as Health, Vision, and Dental Insurance 401k & ESOP Life Insurance Short & Long-Term Disability Sick Time Off Paid Time Off Paid Holidays Employee Assistance Program Tuition Reimbursement Professional Development Wellness Program Mentorship Program Safety Incentive Program 24/7 Chaplain Care

NACA COUNSELOR COMPENSATION RANGE: $65,000 to $100,000+ FLSA: Non-Exempt CONTACT: ************* BENEFITS: Comprehensive package: single/family health, vision, dental and 401(k) WEBSITE: ************ Dear NACA Job Applicant, Thank you for your interest in working at NACA. Please follow the below steps. YOU HAVE ACCESSED THIS SITE THROUGH THE NACA WEBSITE: Complete the below application. The application process involves a series of questions which will require some time and thought to complete. Also, please submit your resume. Due to the high demand from applicants please allow a week to review your application and to receive a response. If you pass the initial evaluation, a member of the HR team will contact you to schedule an interview and a pre-employment assessment online. YOU HAVE ACCESSED THIS SITE DIRECTLY: Visit our website at https://************/careers/ to view the job description. Please also use this opportunity to read more about NACA's extraordinary accomplishments over 40 years, and our Best in America homeownership programs. GENERAL INFORMATION: To gain an insight into NACA's homebuying process, job requirements and NACA's mission, you can register to attend a homebuyer's workshop which are held virtually and also face-to-face every two weeks. Also, to learn about NACA's outstanding homeownership programs you can access the attached Homebuyer Workbook. Working at NACA requires strong customer service skills, significant time commitment, and ability to work in a fast-paced work environment. We are looking for dedicated and talented hard-working individuals who are willing to further NACA's mission of fighting for economic justice and affordable homeownership particularly for those subjected to systemic racism. Working at NACA provides unprecedented opportunities for someone to do well by doing good. If you are excited about becoming part of our fast-growing organization that sets the national standard in providing affordable homeownership and advocacy, we invite you to apply by accessing the link below. We look forward to reviewing your application. In the meantime if you have any questions, please contact us at *************. Sincerely, Bruce Marks NACA's CEO & Founder

Program Manager - Rehab Program Manager - Outpatient You do not managage staff, but you are the "Lead" for the rehab team. Great Work/life Balance and Flexibility of hours Part-time & Consistent PRN Opportunities Available Setting: Assisted Living, Independent Living, Outpatient, Lovely Community - Work with higher functioning residents Schedule: Monday to Friday, No Weekends, No Evenings If you're customer focused, great at developing relationships, and brimming with ambition, this position is right for you! With a Program Manager Outpatient career, you get the best of both worlds: the chance to improve the lives of seniors while developing your leadership skills as the “go to person” on the team for the customer, resident, and staff. Aegis Therapies, one of the nation's leading providers of contract rehabilitation and wellness services, is hiring a Program Manager to join our supportive team and reap the benefits of some of the best career advantages in the industry. Why Aegis Therapies: Career Growth & Development: We invest in your future with specialized, ongoing training, career advancement opportunities and the strongest clinical support in the industry. Flexibility - Redefining Work-life Balance: We offer you the opportunity to maintain flexibility and a healthy work-life balance, so you never have to choose between your career and the things that make life worth living. Impactful Work: Make a meaningful difference in the lives of our patients. Supportive Environment: Collaborate with teams that value your expertise and dedication. Benefits: Support, local clinical mentorship, clinical education and unlimited CEUs Create your own career path: clinically, management, etc. Flexible schedule, paid time off, plus one paid CEU day Licensure and professional membership reimbursement Interdisciplinary collaboration for providing the best patient care Medical, dental, vision within 30 days or less National opportunity to transfer while maintaining employment status Multiple settings nationwide: CCRC, SNF, Assisted Living, Outpatient Clinics, Home Health New Grads Welcomed! And much more Qualifications: Current license or ability to obtain as a Therapist/Assistant in the state of practice Must meet Clinical Competency requirements Current CPR certification, preferred As a lead in the building, the Program Manager will treat patients while getting leadership experience with administrative tasks, such as scheduling and serving as a liaison for Area Manager. If you love to make a difference in people's lives and have big goals for yourself, apply today. EEO Statement: Aegis Therapies and its Family of Companies is committed to a diverse workforce and is an Equal Opportunity Employer. For detailed information on your rights, Click Here OR ***************************************************************************************