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Clinical case manager jobs in Las Cruces, NM

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  • Licensed Marriage and Family Therapist

    Headway 4.0company rating

    Clinical case manager job in El Paso, TX

    " "" Licensed Marriage and Family Therapist (LMFT) Wage: Between $90-$127 an hour Licensed Marriage and Family Therapist - Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It's all on one free-to-use platform, no commitment required. About you ● You're a fully-licensed Marriage and Family therapist at a Master's level or above with LMFT, LMFTS, or LCMFT licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You're ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who'd otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless - empowering you to accept insurance with ease, so you can do what you do best. So far, we've helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers - Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. - Built-in compliance: Stay compliant from day one with audit support and ongoing resources. - Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid. - Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network. - Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on. - Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. - Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license. "
    $57k-88k yearly est. 7d ago
  • ACT Case Manager (76-70)

    La Clinica de Familia 3.4company rating

    Clinical case manager job in Las Cruces, NM

    La Clinica de Familia (LCDF) is a FQHC with several locations in Southern New Mexico. For over 40 years, La Clinica as provided services to the residents of Southern New Mexico. Our mission statement definitely speaks to what La Clinica de Familia stands for, which is to empower and enrich families, individuals, and communities by providing quality medical, dental, behavioral health and educational service for people of all cultures. Non-exempt $22.22 Job Summary: Provides services to adult mental health. Assists in developing, evaluating, and coordinating treatment plans and recovery services. Core Competencies: Demonstrated competency in Managed Care systems and provider networks in the adult recovery model, in the philosophy of behavioral health programs and in case management roles and responsibilities. Demonstrated competency in case management procedures and allocation of resources and in the characteristics of behavioral health issues and levels of severity. Maintains confidentiality and discretion as a rule. Must be able to work as a team and communicate effectively with others. Familiarize with all personnel and company program policies and procedures. Model respect, understanding and appreciation for all people. Ability to multi-task, prioritize and work under pressure without losing sight of objectives. Job Requirements: Bachelor's degree in a human service related field and/or Associate's degree in a human service related field and two year work experience in behavioral health. Working unconventional hours: weekends/evening/holiday hour. Valid NM driver's license and current automobile insurance and must maintain a clean driving record. Must be willing to use personal vehicle in the course of employment when needed. Must submit to LCDF required background check, TB screen and drug testing Benefits Benefits Health Insurance - PPO Dental Insurance Vision Insurance 401(K) with employer matching Life and AD&D Insurance Short Term Disability Long Term Disability Supplement Life Insurance Paid Time Off (PTO) Holidays (9) Education Reimbursement Cafeteria Plan Employee Assistance Program Travel Reimbursement #76-70-006-02 #INDML
    $61k-82k yearly est. Auto-Apply 48d ago
  • Case Manager

    Health Talent Pro 4.0company rating

    Clinical case manager job in Las Cruces, NM

    qualifications required Master's degree or higher 1+ years of experience in ANY of the following: Case Management (CM) Case Management Care Management ANY of the following valid licenses/certifications: Licensed Clinical Social Worker (LCSW) in New Mexico (NM) Licensed Independent Clinical Social Worker (LICSW) in New Mexico (NM) Licensed Master Social Worker (LMSW) in New Mexico (NM) Key Responsibilities ● Monitor and assume responsibility for efficient use of resources ● Schedule personal time off to ensure necessary services are available ● Assist in orientation, training, and education of department members ● Use office equipment safely and appropriately ● Maintain files and documents to meet hospital needs ● Interview patients and families to obtain relevant information ● Act as liaison between hospitalized patients, families, and community health agencies ● Provide brief counseling services to patients and families ● Maintain current information on community resources and financial benefits ● Assist patients and families in post-discharge health care planning ● Assist with nursing home placement inquiries and documentation ● Develop Policies & Procedures for specific Social Work needs Schedule and Shift Details ● Monday to Friday 8am - 5pm - overtime available at time & half
    $39k-56k yearly est. 60d+ ago
  • Case Manager

    Burnett Specialists 4.2company rating

    Clinical case manager job in El Paso, TX

    Case Manager - Personal Injury The Case Manager will oversee the full life cycle of personal injury cases, from client intake through completion of medical treatment. This role requires excellent organizational skills, client communication, and coordination with medical providers to ensure clients receive timely and appropriate treatment. The Case Manager serves as the primary point of contact for clients regarding treatment progress and assists attorneys and paralegals in case development. Key Responsibilities: Client Intake Conduct detailed client intake interviews. Gather accident details, medical history, and insurance information. Open and organize new case files in the case management system. Treatment Setup Coordinate initial medical evaluations and treatment referrals Schedule and confirm client appointments. Ensure clients understand treatment plans and expectations. Treatment Management Track client progress and compliance with prescribed medical care. Maintain ongoing communication with providers to obtain records, billing, and updates. Address client concerns regarding treatment and provide status updates to attorneys. Document all treatment updates in the case management system. Case Support Assist attorneys and paralegals by summarizing treatment histories. Request, organize, and review medical records and bills. Prepare treatment timelines, summaries, and charts for demand packages and litigation. Qualifications: Prior experience in personal injury law firm required. 2 YEARS Strong knowledge of medical terminology and treatment processes common in personal injury cases. Excellent organizational and multitasking skills. Strong communication and client service skills. Bilingual (English/Spanish) mandatory Proficiency in case management software and Microsoft Office Suite. $18/hr. to $22/hr. depending on experience. Position could become full time with the firm.
    $18-22 hourly 60d+ ago
  • Case Manager - El Paso, TX

    Tidal Basin Holdco

    Clinical case manager job in El Paso, TX

    THIS IS A CONTRACT BASED OPPORTUNITYThe Case Manager will support a future Program by aiding the coordination of contractual requirements across multiple lines of effort. The Case Manager is responsible for providing direct support to detainees housed in ICE detention facilities. The Case Manager will work directly with detainees so that detainees receive appropriate services, understand their legal and procedural rights, and are treated in accordance with ICE detention standards and federal regulations. Additionally, the Case Manager is responsible for fostering a culture of quality and ensuring compliance with quality control standards. The Case Manager is responsible for ensuring any services provided are documented in program tracking systems, according to standard operating procedures. The Case Manager is responsible for meeting production goals and deadlines while upholding the core values of Tidal Basin and representing the company in a professional manner. Job Duties and Responsibilities Review of intake forms and documentation, complete interviews and initial assessments of detainees Communicate directly with detainees and core management staff to ensure that all case files and documentation are accurate and remain confidential Monitor detainee progress and coordinate with legal representatives, ICE officers, and facility staff Resolve issues identified and respond to detainee inquiries and complaints Facilitate communication between detainees and their families or legal counsel Assist with discharge planning, including release, transfer, or deportation logistics Ensure compliance with ICE detention standards and policies Meet case management deadlines in a fast-paced work environment Participate in audits, inspections, and reporting activities Perform other duties as assigned Required Skills and Competencies Bachelor's degree in Social work, Criminal Justice, Psychology, or related field (Master's preferred) Minimum 3 years of experience in case management, corrections, border patrol, or immigration services DHS SSBI clearance or eligibility to obtain one Meet the requirements of the contract for all immunizations Must be at least 21 years of age Must be a US citizen or permanent resident, Resided in the US for 3 years of the past 5 years Proficient in MS Office Suite Excellent organizational skills and attention to detail and ability to work in a high-pressure, secure environment Excellent communication, reporting, and problem-solving skills Proven time management skills with ability to meet deadlines Ability to deploy within 24/48 hours' notice and work a variety of shifts during 24/7 contract operations. May require evening, weekend, holiday or on-call hours. Ability to navigate emotionally challenging situations with care and culturally sensitive approaches Preferred Experience and Skills: DHS or ICE experience Bilingual (English/Spanish) preferred CPR/First Aid certification Has undergone a federal investigation at the level of Tier 2 or higher; has been granted favorable suitability/eligibility and has not had a break in service for more than 24 months. Previous case management experience Job Description Disclaimer This position description incorporates the job's core responsibilities. It recognizes that other related duties not specifically mentioned might also be performed and that not all responsibilities may be carried out depending on operational needs. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, national origin, disability, or status as a protected veteran. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position. Upon hire, secondary employment and other employment restrictions must be disclosed and approved. Tidal Basin Holdco, LLC, and its subsidiaries and affiliated companies, are an Equal Employment Opportunity Employer.
    $30k-48k yearly est. Auto-Apply 60d+ ago
  • Case Manager Full Time

    Scionhealth

    Clinical case manager job in El Paso, TX

    At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning. Essential Functions Care Coordination * Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians. * Monitors all areas of patients' stay for effective care coordination and efficient care facilitation. * Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care. * Appropriately refers high risk patients who would benefit from additional support. * Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions. * Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. * Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs. Collaborates with clinical staff in the development and execution of the plan of care, and achievement of goals. * Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients' care throughout the care continuum. Knowledge/Skills/Abilities/Expectations * Knowledge of government and non-government payor practices, regulations, standards and reimbursement. * Knowledge of Medicare benefits and insurance processes and contracts. * Knowledge of accreditation standards and compliance requirements. * Ability to demonstrate critical thinking, appropriate prioritization and time management skills. * Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software. * Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers * Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members. * Approximate percent of time required to travel, 0% * Must read, write and speak fluent English. * Must have good and regular attendance. * Performs other related duties as assigned. Qualifications Education * Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as required by state regulations Licenses/Certification * Healthcare professional licensure required as Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations. * Certification in Case Management a plus. Experience * Two years of experience in a healthcare setting preferred. * Prefer prior experience in case management, utilization review, or discharge planning.
    $30k-48k yearly est. 34d ago
  • Case Management Assistant

    Cottonwood Springs

    Clinical case manager job in Las Cruces, NM

    Your experience matters Memorial Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Case Management Assistant 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 A Case Management Assistant who excels in this role completes various duties to enhance the efficiency of the Case Management Department and supports the daily functions of the case managers. This role assists in securing arrangements for the discharge transition and post-acute services and monitors the revenue cycle process related to insurance certifications, insurance verification, peer-to-peer completion, and denial/appeal tracking. This position also serves as a liaison between the Case Management Department, payers, and additional entities. Specific duties include: Aids the case management staff, including but not limited to, creating and sending referral packets, organizing admission and discharge patient records, making phone calls, obtaining signatures, or any other assistance needed determined by the CM team. Schedules family conferences and by makes necessary arrangements for post-discharge follow up care. Functions as the point of contact and liaison for the hospital Case Management Department staff regarding clinical insurance review completion and/or issues. Forwards the necessary patient clinical information for all admission, concurrent, and retrospective insurance reviews to payers for the completion of medical necessity reviews. Monitors, follows up on, documents, and tracks payer responses/requests of completed clinical reviews, including approvals, appeals, and denials, and communicates these to the appropriate personnel (hospital staff, physician, Case Manager, clinical denial management, and Centralized Business Office). Monitors and tracks the total hospital certified days of the patient for payers (commercial, managed care, and Medicaid) and communicates missing certifications to the Case Manager. Organizes and prepares the necessary clerical elements for the weekly interdisciplinary team meeting to function timely and efficiently. Enters DME needs per order sheet specifications, prepares Discharge IMM for delivery, delivers Advance Directive packets and assists with Rehabtracker sign-ups. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. 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. What we're looking for Applicants should have a minimum of one year of hospital or post-acute healthcare experience with preference in case management or a clinical department. Additional requirements include: Education: College degree in a healthcare related field preferred. LPN or social work degree preferred but not required. Connect with a Recruiter Not ready to complete an application, or have questions? Please contact Tara by emailing *******************. More about Memorial Medical Center Memorial Medical Center is a 199-bed acute medical/surgical teaching hospital located in Las Cruces, NM, 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 Memorial Medical Center is an Equal Opportunity Employer. Memorial Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
    $38k-56k yearly est. Auto-Apply 8d ago
  • Mental Health Case Manager II (Degree Required)

    Atlantis Health Services 3.3company rating

    Clinical case manager job in El Paso, TX

    Job DescriptionSalary: $18.50 hourly Do you have experience working in the mental health field of Social Work or Psychology as a Mental Health Case Manager? Do you desire to work with children and/or adults with mental health illness and be able to use your experience to help others? Do you have prior experience as QMHP-CS? Under the direct supervision of the Chief of Psychosocial Rehabilitation Program, provides ongoing case management services for children/adolescents and adults with mental illness. Responsible for direct care to consumers in the clinic, community or in the home. Responsible for coordination, planning, and implementation of treatment plans. Must attend team meetings and training as directed by supervisor. This position requires flexible work hours and must respond to a crisis with patients during assigned hours and consult after hours by phone. Must work independently and use good judgment. Must be fluent in computer software and tech savvy. Must have the ability to set priorities and organize week for success! Essential functions and responsibilities: Ensures all patients have current assessments and treatment plans per regulatory requirements and that services are in line and authorized by assessment and treatment plan. Monitors assigned caseload. Ensures compliance per State rules and standards. Promotes awareness of the Organizations operating practices and upholds Atlantis policies. Meets with the team as designated by Chief of PSR. Staffs with Chief Medical Officer or Chief of PSR when clinical issues are identified. Ensures that minimum hours are met for all patients assigned. Complies with 24-hour lag time on all documentation. Specific Equipment and Materials to be used: Personal vehicles may be used for consumer visits; use of company vehicles when possible. Personal laptops and phone may be used as well. Gas stipend provided. Education:Bachelor's degree from an accredited college or university in Behavioral Health field, which includes human services/or behavioral sciences related (psychology, sociology, social work) field from an accredited college or university. Experience and Training: 1 year of successful part-time or full-time case management experience in Behavioral Health Services Prefer bilingual English/Spanish. Requires a valid driver license with a safe driving record along with proof of a current and valid auto insurance card. Physical activities/Physical demands:Sitting 2/3 of time. Stand, walk, bend, stoop, and kneel, reach with hands and arms, twist at the waist, push and/or pull less than 1/3 of time. Lift and carry maximum of 35 pounds Work environment:The work environment/physical demands characteristics described here represent those and employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
    $18.5 hourly 21d ago
  • Clinician (Mobile Crisis Team) - Las Cruces, NM

    Families and Youth Inc. 3.5company rating

    Clinical case manager job in Las Cruces, NM

    Job Description As a cornerstone of Las Cruces and Southern New Mexico for over four decades, Families and Youth Innovation Plus has empowered countless youth and families through life-changing resources and opportunities. Our mission is to create a safer and healthier community by focusing on children and families. Join our passionate team and be part of our continuing legacy of positive change! Clinician (Mobile Crisis Team) Positions available: Part-Time, Full-Time and PRN Make a Difference in Youth & Family Services! Families and Youth Innovation Plus is looking for a Clinician to join our Mobile Crisis Team. The Clinician will work alongside a mobile crisis provider as a two-person mobile crisis team. The team will respond to dispatches for behavioral health crises in Doña Ana County, to deliver timely support at the location of the crisis. The clinician will provide immediate, on-site mental health assessment, intervention, and regulatory services to individuals experiencing psychological distress. The intention of the mobile crisis team is to provide appropriate care for the nature of the crisis, provide transportation to definitive care, if needed, and connect individuals to follow-up services. What You'll Do: Respond promptly to crisis calls and conduct on-site risk assessments Provide trauma-informed service, de-escalation, and crisis intervention Develop safety plans and coordinate appropriate level of care Facilitate warm hand-offs to higher level of care or ongoing care navigation Document all clinical interventions according to program standards Collaborate with emergency services, mental health facilities, and community providers What You Need: Master's degree in Social Work, Counseling, Psychology, or related behavioral health field Current professional license or license-eligible status in state of practice 2+ years experience in crisis services, emergency psychiatry, or similar settings Experience conducting risk assessments and crisis intervention Knowledge of psychiatric conditions and crisis modalities Strong interpersonal and communication abilities Training in suicide prevention and trauma-informed care Familiarity with community resources and referral networks Experience working with both adults and youth in crisis Bilingual preferred We Offer: Competitive salary Compensation and Benefits Compensation is commensurate with experience. Benefits include health, dental, life insurance, short term and long term disability, supplement plans 403(b), PTO, and 14 paid holidays Opportunity to make real community impact Physical and Mental Requirements: Willingness to work non-traditional hours, to potentially include weekends Strong emotional resilience and stress management skills Capacity to make rapid, sound, clinical judgments Considerable physical activity; possible heavy lifting, pushing, or pulling required of objects up to 20-30 pounds Ability to sit in a vehicle for extended periods of time, often up to 2 hours Equal Opportunity Employer - Reasonable accommodations available
    $57k-96k yearly est. 7d ago
  • Care Review Clinician (RN) (Must work PST hours)

    Molina Healthcare 4.4company rating

    Clinical case manager job in Las Cruces, NM

    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.
    $26.4-61.8 hourly 36d ago
  • EAP On-site Clinician - Full-time (El Paso, Texas)

    Acentra Health

    Clinical case manager job in El Paso, TX

    Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra seeks an Employee Assistance Program (EAP) On-site Clinician - Full-time (El Paso, Texas) to join our growing team. Job Summary: As an Employee Assistance Program (EAP) Clinician at Acentra Health, the licensed clinician will provide a full range of EAP services for employees, managers, and the employer organization for a large government agency. Work schedule: 40 hours/week. Must be willing to occasionally travel to make site visits throughout the region. Any approved Transportation or Lodging will be coordinated and reimbursed by Acentra Health; this will be discussed during the interviewing process. Job Responsibilities: * Consistently provide exceptional and proactive services as a licensed clinician, ensuring smooth integration with Acentra Health operations and accounts. * Provide direct counseling, critical incident response services, training or psychoeducational presentations, and outreach services that create awareness of EAP services. * Make referrals to treatment services where appropriate, ensuring a satisfactory client experience transitioning from EAP services to treatment services. * Refer to community resources to support clients' well-being and mental health. * Comply with all Clinical and Professional protocols, processes, and Acentra Health policies. * Understand the scope of EAP services and as needed, communicate that scope to external parties, including clients, managers, and other support staff. * Consult with Acentra Health supervisors concerning clinical case staffing and high-risk cases. * Maintain and manage a caseload of direct service counseling clients, maintaining case records in accordance with Acentra Health policies and practices. * Create and manage productive and positive working relationships with local points of contact. * Display excellent teamwork, communication, and collaboration with the account manager and other Acentra Health staff. * Work in collaboration with other internal and external stakeholders, always displaying professionalism. * Using a consultative approach, establish effective relationships with our clients and proactively collaborate on opportunities for product enhancement and optimization services to meet the client's specific needs. * Exhibit excellent interpersonal and problem-solving skills to retain and service our clients and the organization. * Maintains the security of areas, materials, and private information. This includes physical and virtual storage and filing. * Maintain a professional demeanor with customers and co-workers to represent Acentra Health's values and standards. * Perform daily duties and undertake and complete related projects in the area of expertise with minimal supervision. * Additional related projects/tasks/duties as assigned by the position's manager. * Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. Qualifications Required Qualifications/Experience: * An active, unrestricted Independent License in the behavioral health field issued by the corresponding Board in the State of Texas: * LPC - Texas State Board of Examiners for Professional Counselors * LMFT - Texas State Board of Examiners of Marriage and Family Therapists * LCSW - Texas Board of Social Work Examiners. * Master's or Doctoral degree in Social Work, Counseling, Marriage and Family Therapy, or a related field. * 2+ years of professional experience in the EAP/mental health/substance abuse/behavioral health field. * Ability to pass a federal security clearance for a non-sensitive/high-risk public trust position. * Includes fingerprinting and a background investigation covering a seven-year investigative scope, and a drug screening. Preferred Qualifications/Experience: * Experience in facilitating training with Managers, Leaders, and employees. * Experience working with law enforcement, the military, or the veteran population. * Experience in facilitating critical incident responses. #LI-SD1 Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at Acentra Health EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Compensation The pay range for this position is listed below. "Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level." Pay Range USD $82,600.00 - USD $95,000.00 /Yr.
    $82.6k-95k yearly 16d ago
  • School Counselor (Part-Time)

    Burnham Wood Charter School District

    Clinical case manager job in El Paso, TX

    POSITION: School Counselor (Part-Time) REPORTS TO: Campus Principal and Lead Counselor TERMS OF EMPLOYMENT: 205 days with benefits provided. Salaried and exempt. QUALIFICATIONS: Master's degree in counseling from an accredited college or university 1+ years of credible experience as a school counselor and/or classroom teacher Valid Texas school counselor certificate Knowledge of counseling procedures, student appraisal, and career development Excellent organizational, communication, and interpersonal skills Ability to instruct students and manage their behavior Ability to present information in one-on-one, small group, and large group situations to students, parents or guardians, and district staff ESSENTIAL JOB FUNCTIONS: GUIDANCE CURRICULUM Plan, organize, implement, and deliver structured group lessons according to the district's guidance curriculum to improve students' interpersonal and intrapersonal effectiveness, personal health and safety, post-secondary planning and readiness, and other developmental needs. Teach the school guidance curriculum components through the use of effective instructional strategies and planned structured groups considering diverse student populations and needs for differentiated instruction. Work with students, staff, parents or guardians, and the community to identify priorities where students will be served through the guidance curriculum component. Collaborate across curricular areas to integrate guidance lessons into content area curriculum. Create a balanced curriculum by using well-planned and intentional activities and materials, incorporating guest speakers, and offering engaging delivery techniques, including technology tools. RESPONSIVE SERVICES Use accepted theories and effective techniques of developmental guidance to respond to problematic or critical incidents to support students and offer services in time of need. Use preventive activities to remove barriers that interfere with a student's educational, career, personal, and social development. Implement remediation practices to assist students in coping with problem situations or unwise choices. Identify precipitating and antecedent factors, effective and ineffective approaches to dealing with the circumstances, and provide feedback to guide future decisions. Use specialized skills to support students in crisis situations requiring immediate response. Maintain a healthy and safe school environment by collaborating with district staff, parents or guardians, and local officials. Provide continued support to students in need through individual counseling, small group counseling, consultation, or referral to services outside the school or district. Serve as an impartial, non-reporting resource for interpersonal conflicts and discourse involving two or more students, including accusations of bullying. INDIVIDUAL PLANNING Create school counseling services that are developmental and age appropriate and provide information or literature that highlights related topics to students, teachers, and administrators. Assist individual students and their parents or guardians in monitoring their academic, career, personal, and social development as they progress in school. Act as a student advocate, leader, collaborator, and systems change agent. Advocate for a school environment that acknowledges and respects diversity and ensures equitable access and placement in courses and programs for minority, disenfranchised, homeless, and other special populations. Interpret standardized test results, offer career development activities, provide strategies for grade level transitions, and guide students in individual goal setting and planning including creating and reviewing personal graduation plans and providing information about post-secondary opportunities. SYSTEM SUPPORT Collect, summarize, and interpret testing data to plan, create interventions, guide students, and address specific student needs. Conduct an annual program audit to inform accountability, action plans, time management, and systemic change. Participate in campus-based school improvement planning and goal setting. Provide parent or guardian and staff training and consultation to foster student educational, career, personal, and social development. Clearly articulate and communicate the counseling program's management system and related program action plans to campus and district staff, parents or guardians, and the community. Participate in staff development and continuing education opportunities to improve job-related skills and research to identify best practices in implementing a comprehensive school counseling program. OTHER Compile, maintain, and file all reports, records, and other documents. Comply with polices established by federal and state law, State Board of Education rule, and board policy. Comply with all district and campuses routines and regulations. Take all necessary and reasonable precautions to protect students, equipment, materials, and facilities. Maintain accurate, complete, and correct records as required by law, district policy and administrative regulation. Serve on committees as assigned. Stay abreast of current research and best practices in student counseling and development in educational and non-education-related settings, and adjust plans, policies, and procedures accordingly. Follow district safety protocols and emergency procedures.
    $45k-63k yearly est. 60d+ ago
  • Sex Offender Counselor

    Management and Training Corporation 4.2company rating

    Clinical case manager job in Chaparral, NM

    Pay Rate: $ 25 per hour Schedule: Full-time, Monday - Friday, 7am-3pm, no weekends Benefits Include: * Health, dental, vision, prescription drug and life insurance * 401(k) retirement account * Long and short-term disability * PTO and 11 paid holidays * Employee assistance program Lead with Compassion in a Unique Setting - Take on a rewarding role at the Otero County Prison Facility in Chaparral, New Mexico. We are seeking professionals who thrive in diverse environments and are committed to delivering high-quality care to underserved populations. If you're ready to make a meaningful impact in correctional counseling, we want you on our team! What you'll do: You'll report to the Program Director / Lead Therapist. Responsible for conducting assessments and providing treatment, i.e., classroom work, assigning homework, group therapy and individual therapy to sex offenders in compliance with MTC and customer directives. Essential Functions: * Conduct initial and ongoing comprehensive assessments using the approved assessment tool to include psychological tests, clinical interviews and other techniques designed to define treatment goals and strategies for inmates. * Design a specific treatment plan for inmates, based on their specific needs, risk factors and current assessment, incorporating learning objectives and objective standards from the sex offender treatment curriculum. * Conduct group counseling and individual counseling as appropriate based on treatment goals outlined during the initial assessment. * Demonstrate to others the rationale for interventions provided and key decisions made throughout the course of treatment. * Regularly evaluate inmates' progress and complete a monthly progress report. * Provide recommendations for successful completion of the program. * Design a post-treatment plan with inmates to prepare for release and reintegration into the community. * Complete a Treatment Summary prior to the inmates' release. * Promote the development of positive social skills through modeling appropriate behaviors and intervening when inappropriate behaviors are observed. * Maintain accountability of staff, inmates, and property; adhere to safety practices. Education and Experience Requirements: Master's degree in counseling or related field and, at minimum, a New Mexico Licensed Mental Health Counselor (LMHC - active or temporary), Licensed Master Social Worker (LMSW), or Licensed Associate Marriage and Family Therapist (LAMFT) licensure required. License-eligible and new graduate candidates considered. Valid driver's license in the state of New Mexico or the state of Texas with an acceptable driving record required, unless waived by management. Management & Training Corporation (MTC) is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, disabled status, veteran status, genetic information, national origin, or any other category protected by federal law. MTC participates in E-Verify. We strive to provide reasonable accommodation for qualified individuals with disabilities, including disabled veterans, in our job application and hiring process. If you are interested in employment opportunities with Management & Training Corporation and need assistance, please contact our staffing department through ***************************** or ************.
    $25 hourly 23d ago
  • Mental Health Case Manager I (QMHP-CS)

    Atlantis Health Services 3.3company rating

    Clinical case manager job in El Paso, TX

    Job Title: Case Manager I (QMHP-CS) Supervisor: Chief of Psychosocial Rehabilitative Program Starting annual Salary: $34,320 annual/$16.50 hourly Job Type: Full-Time (40 Hours) General Description of Position:Under the direct supervision of the Chief of Psychosocial Rehabilitative Program, you will play a crucial role in the lives of children/adolescents and adults with mental illness. Your direct care in the clinic and in vivo, as required by policy and contracts, will make a significant difference. Following the recovery model, you will work towards the successful discharge of each customer served. Your coordination, planning, and implementation of treatment plans will be pivotal in their journey. This role demands flexible work hours, as you will need to respond to crises with customers during assigned hours and be available for consultation after hours by phone. You will work independently and use good judgment. Fluency in computer software applications for spreadsheet and presentation development is a must. You will follow oral and written instructions and can set prioritiesthe ability to communicate effectively verbally and in writing. Essential functions and responsibilities: Assists in charge to Chief of PSR for MH Clinic Operations to meet Net and Growth Targets as assigned (Full-Time minimum target of 26 hours of face-to-face services equivalent to 104 units). During the 90-day probationary period, upon being hired initially for the Case Manager I position, targets are as follows: o Week 1: Training Week o Week 2: (15 hours of face-to-face services/60 units) o Week 3: (22 hours of face-to-face services/88 units) o Week 4: (26 hours of face-to-face services/104 units). Ensures all customers have current assessments and treatment plans per regulatory requirements and that services are in line with and authorized by the assessments and treatment plans. You will monitor your assigned caseload to ensure that all required paperwork is completed and of satisfactory quality according to the Performance Contract. This ensures you have the necessary resources and support, including regular supervision and training, to excel in your role. Ensures compliance with Medicaid, Medicare, and Third-Party payer regulations. Promotes awareness of the Organizations operating practices and upholds Atlantis policies. Meets with the team designated by the Chief of PSR and is available for emergency meetings and management as needed. Staff with the Clinical Director when clinical issues are identified. Ensures that minimum hours are met for all consumers assigned. Complies with 12-hour lag time on all documentation. Completes monthly and weekly reports detailing a summary of monthly services provided, telephone call logs, and visit verification forms. Specific Equipment and Materials to be Used: A personal vehicle is used for consumer visits, and a gas stipend is provided. Personal computers can be used for documentation, but all offices have desktop computers. Education: Bachelors degree from an accredited college or university in Behavioral Health, which includes human services/or behavioral sciences (psychology, sociology, social work) from an accredited college or university. Experience and Training: 0-1 year of successful part-time case management experience in Behavioral Health Services. Prefer bilingual English/Spanish. Requires a valid driver's license, a safe driving record, and proof of a current and valid auto insurance card. Promotion to Case Manager II is possible within 60 days of successfully completing Case Manager I face-to-face and unit goals. Physical activities/Physical demands: Sitting 2/3 of the time. Stand, walk, bend, stoop, kneel, reach with hands and arms, twist at the waist, and pull less than 1/3 of the time. Lift and carry a maximum of 35 pounds. Work environment: The work environment/physical demands characteristics described here are representative of those that employees encounter while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform basic functions.
    $34.3k yearly 1d ago
  • Clinician (Mobile Crisis Team) - Las Cruces, NM

    Families and Youth 3.5company rating

    Clinical case manager job in Las Cruces, NM

    As a cornerstone of Las Cruces and Southern New Mexico for over four decades, Families and Youth Innovation Plus has empowered countless youth and families through life-changing resources and opportunities. Our mission is to create a safer and healthier community by focusing on children and families. Join our passionate team and be part of our continuing legacy of positive change! Clinician (Mobile Crisis Team) Positions available: Part-Time, Full-Time and PRN Make a Difference in Youth & Family Services! Families and Youth Innovation Plus is looking for a Clinician to join our Mobile Crisis Team. The Clinician will work alongside a mobile crisis provider as a two-person mobile crisis team. The team will respond to dispatches for behavioral health crises in Doña Ana County, to deliver timely support at the location of the crisis. The clinician will provide immediate, on-site mental health assessment, intervention, and regulatory services to individuals experiencing psychological distress. The intention of the mobile crisis team is to provide appropriate care for the nature of the crisis, provide transportation to definitive care, if needed, and connect individuals to follow-up services. What You'll Do: Respond promptly to crisis calls and conduct on-site risk assessments Provide trauma-informed service, de-escalation, and crisis intervention Develop safety plans and coordinate appropriate level of care Facilitate warm hand-offs to higher level of care or ongoing care navigation Document all clinical interventions according to program standards Collaborate with emergency services, mental health facilities, and community providers What You Need: Master's degree in Social Work, Counseling, Psychology, or related behavioral health field Current professional license or license-eligible status in state of practice 2+ years experience in crisis services, emergency psychiatry, or similar settings Experience conducting risk assessments and crisis intervention Knowledge of psychiatric conditions and crisis modalities Strong interpersonal and communication abilities Training in suicide prevention and trauma-informed care Familiarity with community resources and referral networks Experience working with both adults and youth in crisis Bilingual preferred We Offer: Competitive salary Compensation and Benefits Compensation is commensurate with experience. Benefits include health, dental, life insurance, short term and long term disability, supplement plans 403(b), PTO, and 14 paid holidays Opportunity to make real community impact Physical and Mental Requirements: Willingness to work non-traditional hours, to potentially include weekends Strong emotional resilience and stress management skills Capacity to make rapid, sound, clinical judgments Considerable physical activity; possible heavy lifting, pushing, or pulling required of objects up to 20-30 pounds Ability to sit in a vehicle for extended periods of time, often up to 2 hours Equal Opportunity Employer - Reasonable accommodations available
    $57k-96k yearly est. 60d+ ago
  • Care Review Clinician (RN)

    Molina Healthcare Inc. 4.4company rating

    Clinical case manager job in Las Cruces, NM

    Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. * Analyzes clinical service requests from members or providers against evidence based clinical guidelines. * Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. * Requests additional information from members or providers as needed. * Makes appropriate referrals to other clinical programs. * Collaborates with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice. * Ability to prioritize and manage multiple deadlines. * Excellent organizational, problem-solving and critical-thinking skills. * Strong written and verbal communication skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Professional in Healthcare Management (CPHM). * Recent hospital experience in an intensive care unit (ICU) or emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. MULTI STATE / COMPACT LICENSURE REQUIRED Individual state licensures which are not part of the compact states are required for: CA, NV, IL, NY and MI WORK SCHEDULE: PACIFIC OR MOUNTAIN Business Hours: Mon - Fri / Sun - Thurs / Tues - Sat shift will rotate with some weekends and holidays. Training will be held Mon - Fri Candidates who do not live in Pacific or Mountain Time Zone must be willing to work Pacific or Mountain hours. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $61.79 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $26.4-61.8 hourly 6d ago
  • Wound Care Clinician PRN

    Scionhealth

    Clinical case manager job in El Paso, TX

    Education Graduate of an accredited nursing program leading to licensure as an LPN/LVN or RN. Licenses/Certifications Current state RN or LPN/LVN license. BLS certification. Experience Three (3) years nursing experience with experience as an acute care nurse. At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Implements policies and procedures, along with standards of care and practice related to patient care needs involving various types of wounds. Provides direct patient care assistance to staff nurses and acts as consultative service regarding wound care to clinical staff. Performs wound care functions under the oversight of a Wound Care Coordinator. Essential Functions Provides care for patients whose primary needs involve wounds. Evaluates all wounds upon admission and ongoing to determine treatment plan and provide early problem identification. Reviews initial treatment plan with the supervising Registered Nurse and Wound Care Coordinator. Reports to the supervising Registered Nurse and Wound Care Coordinator any change of wound status. Assists in planning patient's care for treatment of wounds and prevention of wounds. Evaluates products and cost effectiveness for use in hospital and makes recommendation. Reviews and participates in developing discharge plans. Educates staff on products available for use in hospital. Evaluates culture results, wound progression, and collaborates with physician and Wound Care Coordinator on treatment plan. Assists as needed with completion of root cause analysis and CMS quality data reporting. Knowledge/Skills/Abilities/Expectations Ability to adapt to new situations, set priorities, and utilize problem-solving techniques. Knowledge of wound care. Knowledge in wound debridement as indicated within level and scope of practice. Ability to serve as resources to nursing staff in complex wound management. Ability to lead, motivate, and develop others individually and as a team. Ability to work cooperatively as a member of a team. Approximate percent of time required to travel\: 0% Must read, write and speak fluent English. Must have good and regular attendance. Performs other related duties as assigned.
    $43k-74k yearly est. Auto-Apply 60d+ ago
  • Children's Outpatient Therapist (111-70)

    La Clinica de Familia 3.4company rating

    Clinical case manager job in Las Cruces, NM

    La Clinica de Familia (LCDF) is a FQHC with several locations in Southern New Mexico. For over 40 years, La Clinica has provided services to the residents of Southern New Mexico. Our mission statement definitely speaks to what La Clinica de Familia stands for, which is to empower and enrich families, individuals, and communities by providing quality medical, dental, behavioral health and educational service for people of all cultures.Children's Outpatient team serves children and adolescents ages 4-18 who are in need of mental and behavioral health services. We collaborate with internal specialized programs, as well as community resources, to meet the complex needs of our patients. Come join a team of compassionate providers who invest into the lives of children, youth, and their families. Exempt Up to $74,813 Job Summary: Performs assessment, diagnostic evaluation, crisis intervention, case management, and therapeutic services for individuals, families, and groups; provides community consultation and education and staff orientation and training; assists in team supervision and participates in the planning, development, and implementation of services as part of the Child Family Team or Adult Recovery Team. Core Competencies: Considerable knowledge of various modes of psychotherapy, especially crisis intervention and short-term models using individual, group, and familial approaches. Considerable skill in assessment procedures, diagnostic evaluation, therapeutic treatment, and case management practices including follow-up and closure. Considerable knowledge of the principles and practices of community mental health, alcohol, and/or substance abuse services. Knowledge of psychopathology and psychotherapeutic techniques. Knowledge of program planning, development, and implementation of services for special populations. Ability to provide in-service training as necessary. Some knowledge of administrative, management and supervisory practices. Skill in planning, organizing, and providing professional guidance and leadership. Ability to assess and evaluate treatment and service programs. Demonstrated ability to establish and maintain an effective and caring relationship with clients and their families. Demonstrated ability to work effectively on a multi-disciplinary team and with the public. Knowledge of the cultural characteristics of various minority groups. Ability to communicate effectively both orally and in writing. Job Requirements: Master's degree in social work, psychology, counseling, or a behavioral health related field. Current New Mexico license in the field of counseling, social work, psychology or marriage and family therapy. Must maintain a clean driving record, valid driver's license, and current car insurance. Must submit to LCDF required background check, TB screen and drug testing. Benefits: Health Insurance - PPO Dental Insurance Vision Insurance 401(K) with employer matching Life and AD&D Insurance Short Term Disability Long Term Disability Supplement Life Insurance Paid Time Off (PTO) Holidays (9) Education Reimbursement Cafeteria Plan Employee Assistance Program Travel Reimbursement 111-70-116-01;111-70-159-02 #INDBHS
    $74.8k yearly Auto-Apply 15d ago
  • Mental Health Case Manager I (QMHP-CS)

    Atlantis Health Services 3.3company rating

    Clinical case manager job in El Paso, TX

    Job DescriptionSalary: $16.50 hourly Job Title: Case Manager I (QMHP-CS) Supervisor: Chief of Psychosocial Rehabilitative Program Starting annual Salary: $34,320 annual/$16.50 hourly Job Type: Full-Time (40 Hours) General Description of Position:Under the direct supervision of the Chief of Psychosocial Rehabilitative Program, you will play a crucial role in the lives of children/adolescents and adults with mental illness. Your direct care in the clinic and in vivo, as required by policy and contracts, will make a significant difference. Following the recovery model, you will work towards the successful discharge of each customer served. Your coordination, planning, and implementation of treatment plans will be pivotal in their journey. This role demands flexible work hours, as you will need to respond to crises with customers during assigned hours and be available for consultation after hours by phone. You will work independently and use good judgment. Fluency in computer software applications for spreadsheet and presentation development is a must. You will follow oral and written instructions and can set prioritiesthe ability to communicate effectively verbally and in writing. Essential functions and responsibilities: Assists in charge to Chief of PSR for MH Clinic Operations to meet Net and Growth Targets as assigned (Full-Time minimum target of 26 hours of face-to-face services equivalent to 104 units). During the 90-day probationary period, upon being hired initially for the Case Manager I position, targets are as follows: o Week 1: Training Week o Week 2: (15 hours of face-to-face services/60 units) o Week 3: (22 hours of face-to-face services/88 units) o Week 4: (26 hours of face-to-face services/104 units). Ensures all customers have current assessments and treatment plans per regulatory requirements and that services are in line with and authorized by the assessments and treatment plans. You will monitor your assigned caseload to ensure that all required paperwork is completed and of satisfactory quality according to the Performance Contract. This ensures you have the necessary resources and support, including regular supervision and training, to excel in your role. Ensures compliance with Medicaid, Medicare, and Third-Party payer regulations. Promotes awareness of the Organizations operating practices and upholds Atlantis policies. Meets with the team designated by the Chief of PSR and is available for emergency meetings and management as needed. Staff with the Clinical Director when clinical issues are identified. Ensures that minimum hours are met for all consumers assigned. Complies with 12-hour lag time on all documentation. Completes monthly and weekly reports detailing a summary of monthly services provided, telephone call logs, and visit verification forms. Specific Equipment and Materials to be Used: A personal vehicle is used for consumer visits, and a gas stipend is provided. Personal computers can be used for documentation, but all offices have desktop computers. Education: Bachelors degree from an accredited college or university in Behavioral Health, which includes human services/or behavioral sciences (psychology, sociology, social work) from an accredited college or university. Experience and Training: 0-1 year of successful part-time case management experience in Behavioral Health Services. Prefer bilingual English/Spanish. Requires a valid driver's license, a safe driving record, and proof of a current and valid auto insurance card. Promotion to Case Manager II is possible within 60 days of successfully completing Case Manager I face-to-face and unit goals. Physical activities/Physical demands: Sitting 2/3 of the time. Stand, walk, bend, stoop, kneel, reach with hands and arms, twist at the waist, and pull less than 1/3 of the time. Lift and carry a maximum of 35 pounds. Work environment: The work environment/physical demands characteristics described here are representative of those that employees encounter while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform basic functions. Location El Paso, TX (Hybrid) Department Psychosocial Rehabilitative Program Employment Type Full-Time Minimum Experience Entry-level Compensation $34,320 annual/$16.50 hourly Cancel
    $34.3k yearly 7d ago
  • Care Review Clinician (LVN/ LPN)

    Molina Healthcare 4.4company rating

    Clinical case manager job in Las Cruces, NM

    JOB DESCRIPTION Job SummaryProvides 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 cases 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 health care experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. - Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, 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 a medical unit or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. LVN / LPN MULTI STATE / COMPACT LICENSURE required Individual state licensures which are not part of the compact states are required for: CA, NV, IL, and MI **WORK SCHEDULE: Sun - Thurs / Tues - Sat shift will rotate with some weekends and holidays.** **Training will be held Mon - Fri** 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: $24 - $46.81 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $24-46.8 hourly 29d ago

Learn more about clinical case manager jobs

How much does a clinical case manager earn in Las Cruces, NM?

The average clinical case manager in Las Cruces, NM earns between $42,000 and $78,000 annually. This compares to the national average clinical case manager range of $38,000 to $68,000.

Average clinical case manager salary in Las Cruces, NM

$58,000
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