Clinical case manager jobs in Richmond, VA

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description Job Summary The Case Management Integration Specialist will be co-located at the customer location all or part of the time and will serve as an integral part of the medical case management team as the expert on behavioural health and medical co-morbidities. The Case Management Integration Specialist (CMIS) will provide support for members who are at risk for significant behavioural events or have severe and/or chronic behavioural/or other co-morbid medical health conditions including poly-pharmacy. CMIS staff is responsible for coordinating behavioural health services to medically compromised members, as well as, education and training to the customer's medical case management team. These specialists will direct and manage medically complex members' cases based on established member selection criteria, interventions, and program policies and procedures. The CMIS ensures coordination of services for members with other programs, behavioural health providers, and primary care physicians (PCPs); contributes to overall management of healthcare costs, including behavioural health, through proper application of Medical Necessity Criteria (MNC) and minimizing unnecessary ER visits, potential medication interactions and hospitalization. Their primary goal is to ensure behavioural health support to influence behavioural changes which ultimately result in improved member wellbeing. Essential Functions In collaboration with the respective health plan case manager, the CMIS: Serves as consultant to the customer medical case management teams in identifying behavioral health conditions and treatment options for medically complex cases. Collaborates with other MHS clinical specialty services (i.e., Conditioned Care Management, Enhanced Medical, etc.) to maximize outcomes. Administers survey screenings and identifies interventions for members, family members, providers, and PCPs to improve member's ability and/or motivation to self-manage their conditions including education around coordination of medications for both behavioural and medical conditions. Educates and informs members of treatment options, as well as collaborating with PCPs, Providers, Family Members, and other managed care coordinators to articulate interventions and ensure optimal levels of functional status and wellness Establishes individualized, measurable plans of treatment in collaboration with members and health plan case managers that address issues such as quality of life, satisfaction with care, functional abilities, effectiveness of treatment and barriers to goal attainment Identifies and diagnoses medical and behavioral symptoms of members, as well as applies knowledge of potential contraindications and side effects of prescription medication in the development of member treatment plans Receives inbound and make outreach calls to members in order to ensure appropriate delivery and access to services. Assists in the coordination of medical and behavioral services in complex cases taking into account medical co-morbidities. Identifies and removes barriers to accessing services and assists members as needed Qualifications MUST have excellent customer service skills as he/she will be member focused and working with a treatment team. The manager is looking for at least 5 years of experience in, or in combination of public sector, community service boards, hospital setting and or who's familiar with the Medicaid population. One of the following licenses are required: LCSW, LCPC or LMFC Additional Information Riya Khem Life Science Recruiter Integrated Resources, Inc. IT Life Sciences Allied Healthcare CRO Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I DIRECT # - 732 -844-8721 | (W) # 732-549-2030 - Ext - 311 |(F) 732-549-5549

Job DescriptionPosition Description: GENERAL STATEMENT OF RESPONSIBILITIES: Provides case management support for adults with intellectual disabilities living in community based settings. Will provide some direct care and other risk management functions according to the need presented. Supports Program Supervisors/Directors to enhance the quality of care through individual choice in accordance with the agencys mission. Performs duties with focus on consumer-centered services, consumer choice, discretion, and attention to detail in accordance with the agencys mission. Receives supervision from Program Supervisors/Directors, who provide specific and general assignments and review work as appropriate in terms of final results. ESSENTIAL DUTIES & RESPONSIBILITIES include but are not limited to: 1.\tManages a case load of 7-10 individuals to complete quarterly reports, plan updates, falls risk plans/assessments, annual paperwork, support instructions, and assessment updates as needed. 2.\tMaintains the electronic health care record for individuals assigned to ensure that all data is uploaded into the EHR system. 3.\tProvides support at annual meetings, client care specific meetings, and supports the completion of root cause analysis for individuals on assigned caseloads. 4.\tProvides some direct care supports to individuals at assigned programs when not engaged in case management duties. This may include support for medical appointments, community activities, and/or DSP coverage in assigned programs. 5.\tWill participate in On Call responsibilities for assigned RRSI Director Team, and respond to individual care needs and or critical staffing issues as needed. 6.\tProvides oversight for assigned program health appointment and records system. 7.\tProfessionally communicates and advocates for clients in accordance with RRSI Code of Ethics and all applicable DBHDS and Human Rights regulations. 8.\tAssists assigned Program Supervisor/Director with maintaining compliance for all DBHDS Licensing standards and Human Rights compliance. 9.\tPerforms other related duties as assigned. KNOWLEDGE, SKILLS & ABILITIES: Knowledge: Strong knowledge of intellectual disability concepts, principals of normalization, and independent living needs of adults with intellectual and/or developmental disabilities. Knowledge and commitment to person-centered thinking, ability to make individual choice, and positive behavioral supports. Knowledge of current DBHDS standards for person-centered supports, risk management strategies, and behavioral management competencies as outlined by DBHDS. Skill: Excellent communication skills to communicate effectively in written and oral form. Effective organizational and time management skills. Computer skills, with a high level of proficiency in database programs and attention to detail to maintain accurate recordkeeping. Working knowledge of other primary Microsoft Office programs. Safe operation of a passenger vehicle. Ability: Demonstrated ability to maintain client records in accordance with RRSI policy, DBHDS and DMAS standards and manage time effectively to meet deadlines. Able to interpret agency policies and procedures when maintaining client records. Able to provide case management supports, understand risk mitigation strategies, and carry out emergency procedures when needed. maintain appropriate CPR/FA/AED certification; interact effectively and courteously with team members, clients, and the public. Able to be flexible in work scheduling (which includes working at least two weekends per month). Dedication to keeping up to date technically, using technology effectively, and applying new knowledge to the job. QUALIFICATIONS: \tBachelor's Degree in Human Services preferred, or a field related to community services. \tOne or more years of directly related experience or any combination of training and experience which provides the required knowledge, skills, and abilities. \tValid Virginia Driver's license and acceptable Department of Motor Vehicles Driving record and dependable transportation. \tAbility to successfully pass a background check, and other pre-employment screening. PHYSICAL REQUIREMENTS include but are not limited to: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. \tAble to sit at a desk comfortably while working on a computer, for extended periods of time. \tOccasionally required to move within and between worksites for distances of up to 20 miles. \tNear and far visual acuity to perform activities such as: completing written documentation; viewing a computer; operating a motor vehicle. \tAble to communicate with staff, individuals served, their families, guardians and collateral agencies engaged in mutual supports, and regulatory agency representatives in person, by phone and/or in writing. \tAble to move safely within the home environment, which may include stairs and multiple stories. \tAble to lift up to 50 pounds to assist individuals who have physical challenges with positioning, transferring or ambulating as needed. \tOccasionally bend, kneel, stoop and lift to assist clients with tasks such as walking, dressing, toileting and bathing.

**Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. **Position specific details:** The **Behavioral Health Case Manager I** will work with our member population with serious mental illness and substance use disorder and could be required for meeting with members in person as per contractual requirements or as requested by the member. The successful candidate will be domiciled and hold an independent licensure in Virginia. Candidates residing in counties: Hanover, Chesterfield, City of Richmond, Henrico, Amelia, Goochland, Powhatan, Colonial Heights, Petersburg, Hopewell, Prince George, Dinwiddie, New Kent, Charles City. The **Behavioral Health Case Manager I** is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. **How you will make an impact:** Primary duties may include but are not limited to: + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. + Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment. + Monitors and evaluates effectiveness of care plan and modifies plan as needed. + Supports member access to appropriate quality and cost effective care. + Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers. **Minimum Requirements** Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. Current active unrestricted license such as RN LCSW (as applicable by state law and scope of practice) LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. For Government business only LAPC LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply. For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position. **Preferred Skills, Capabilities and Experiences:** + Knowledge and working experince Medicare and Medicaid + Experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred. + Experience working with specialty populations preferred. + Prior experience working with the Community Services Board (CSB), community mental health agency and/or ARTS facility Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

$3158/Weekly Gross: $1680/Week Taxable ($42/hr), $1478/Week Tax Free Stipends, Up to $600 for Travel Reimbursement Included. 56 cents per mile up to $300 each way. Paid out 2nd pay check and last pay check. Mileage calculated based on permanent address to facility address. $15/hr for Orientation 13 weeks Days M-F 8-5 5 plus years of UM experience in moderate to large hospital organization. Must have RN license Day shift Monday thru Friday 8 am to 5pmCost Center 100466Responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. Function as a part of a multidisciplinary team, including physicians, social workers, discharge planning assistants and payers. Perform reviews of current inpatient services, and determine medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination. Conduct prospective, concurrent and retrospective utilization review for inpatient services, observations, as well as specific outpatient service requests. Position Urgency:Normal

Behavioral Health Case Manager I Preferred candidates will reside in one of the following counties: Hanover, Chesterfield, City of Richmond, Henrico, Amelia, Goochland, Powhatan, Colonial Heights, Petersburg, Hopewell, Prince George, Dinwiddie, New Kent, Charles City. Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Position specific details: The Behavioral Health Case Manager I will work with our children and adolescent member population with behavioral health needs and substance use disorder and could be required for meeting with members in person as per contractual requirements or as requested by the member. The successful candidate will be domiciled and hold an independent licensure in Virginia. The Behavioral Health Case Manager I (KIDS) - Southwest Virginia is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Primary duties may include but are not limited to: Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment. Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member access to appropriate quality and cost-effective care. Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers. Position requirements: Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. Current active unrestricted license such as RN, LCSW (as applicable by state law and scope of practice), LMHC, LICSW, LPC (as allowed by applicable state laws), LMFT, LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. Preferred qualifications, skills, and experiences: Experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred. Experience working with specialty populations preferred. Prior experience working with the Community Services Board (CSB) and/or Department of Social Services (DSS) is a plus. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed/Certified Behavioral Health Role Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Job DescriptionBenefits: Company parties Free food & snacks Training & development The Case Manager will be responsible for residents case management. The CMs primary purpose is to assist residents to move toward achieving the goal of family, self-development, and independence by providing case management, some individual counseling, and supportive services, including the maintenance of safe, secure and healthy housing for expectant and parenting single mothers and children. The CM assists in developing, monitoring, and evaluating treatment plans and progress. The CM will provide resident care by assessing treatment needs. CM will coordinate and assist with services for residents by linking residents to and advocating for appropriate social services and community resources such as Passport, SNAP, WIC, 3 Cs, etc.: CM is to monitor and evaluate treatment plans and progress. CM is responsible for new residents initial interview, intake, admission, and on-boarding. CM will document all contacts with and progress of residents. CM is responsible for producing the required and requested reports by deadlines. The CM interacts directly with the House Manager in planning for each resident individually to bring healing and wholeness to her. The CM is to maintain confidentiality to protect residents privacy. The CM position is a part-time position requiring a minimum of 20 hours per week. This position can turn into a full-time position. Day hours are and evening hours are needed. Must possess a servant spirit. This position is for a home for pregnant women.

The Hope Unity and Freedom Center is a diverse team of professionals providing psychosocial day support to male and female adults with a primary mental health diagnosis, dual diagnosis, and/or a coexisting disorder. Our work helps to decrease psychiatric hospitalization and provide stabilization of individuals with less intervention in the community. By providing daily routine and structure in a safe environment, each individual is able to achieve their best and improve their quality of life. Position Summary As a case manager with Hope, Unity, and Freedom (H.U.F.) Center, you are provided the opportunity to make a difference in the daily functioning of adults in need. Case managers use psychosocial day support and interventions to assist adults in their care to meet the goals and outcomes designed by the individuals, the treatment teams, and you, the case manager. Case managers are the primary support system for those in their care while at the H.U.F. Center, improving the lives of those around them daily. Position Responsibilities: Provide ongoing case management services to assigned clients. Comprehensive documentation of interventions, services, and behaviors that each client exhibits in relation to the Individualized Service Plan (ISP). Facilitate psychosocial and psycho-educational interventions to individual clients Establish referral networks with other agencies to ensure comprehensive care. Attend weekly support team meetings with management. Coordinate treatment teams and complete all discharge, planning, and monthly and annual reports for full client caseload. Assist in the completion of Activities of Daily Living (ADL)/Independent Activities of Daily Living (IADL) personal care for clients Advocate for clients on caseload; recommend appropriate services or level of care as needed. Transport clients to community activities after successful completion of vehicle training. Be willing to work with a volatile community, occasionally dealing with physical confrontations, bodily functions, etc. Perform other related duties as assigned by the Executive Director or immediate supervisor. During the COVID-19 pandemic, it is required that all employees wear pre-approved masks as designated by the CDC guidelines, including surgical masks, KN95 masks, or N95 masks. Benefits and Perks Heath, Vision and Dental Benefits, Life Insurance, Paid Time Off, 401K, Pet Insurance, Training Reimbursement, and more! Reports to: Program Manager Requirements: Role Qualifications: Graduated with a bachelor's degree from an accredited college or university with a focus on Social Work, or a related field, and one year of previous documented experience with the mentally impaired or intellectually disabled population. Must currently hold a Qualified Mental Health Professional - Adult (QMHP-A) or Child (QMHP-C) certification. If applicable, can hold a Qualified Mental Health Professional - Trainee (QMHP-E) certification. Must be able to complete and pass: a CPR/First Aid certification; Handle with Care physical and/or verbal intervention training; annual tuberculosis (TB) screening test; and clear criminal background and central registry check. Must have a valid Virginia Driver's License. Strong and assertive personality Excellent verbal and written communication; required to complete documentation

We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. Job Profile Summary The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients, their primary care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital arrivals, keep patients engaged in our intensive primary care model and maximize their healthy time at home. The Intensive Community Managers (ICCMs) will serve as a clinical lead for the Complex Care Team. They will assess, evaluate, and coordinate the team's efforts to stabilize our highest risk patients, with special areas of focus including safe transitions of care from facilities back to our primary care teams, stabilization of our highest risk ambulatory patients and outreach to patients who are assigned to us but are not engaged in care. This person will perform assessments and design comprehensive plans of care, and drive the actions needed to keep the most complex patients safely at home. This professional will also provide clinical supervision to other team members in delivering the plan of care and in other tasks necessary to meet their needs and engage them in care. As a clinical leader for the team, this person will also be deeply involved in prioritizing team efforts and may also become the direct supervisor for some team members. The Intensive Community Manager works in partnership with the PCPs to draft personalized care plans that address patient's immediate needs that cause a risk for unnecessary hospital arrivals. This position adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures. Job Description ESSENTIAL JOB DUTIES/RESPONSIBILITIES: * Provides in-house, at facility, and telephonic visits to patients at high-risk for hospital admission and re-admission (as identified by CM Plan) with the main goal of preventing unnecessary hospital arrivals for patients that have consented to the program and after successfully completed full course of program. * Provides home visits to perform field nursing interventions, assess patient, and the development of care plan to identify the goals, barriers, and interventions that will be addressing during the follow up patient visits. Once a patient has completed their episode of care management the register nurse (RN) will review patient chart for discharge and conduct final discharge with patient. Discharge from program may require formal approval from Complex Care Leadership Team * Conducts supervisory visits with License Practical Nurse (LPN) and patient to provide any additional education patient may need and to oversee appropriate patient discharge from case management. * Performs clinical, fall prevention, and social determination of Heath screening (SdoH) assessments to include disease-oriented assessment and monitoring, medication monitoring, health education and self-care instructions in the outpatient in home setting. * Performs home field nursing interventions that have been agreed by PCP, Center Leadership, and Complex Care Leadership that would prevent hospital arrival. Such intervention may include taking vital signs, weighing patient, appropriate one time visits ordered by PCP and reviewed by the Manager for approval, and others as determined in Standard Operation Procedures (SOPs) Coordinate the Plan of Care: * Conducts/coordinates initial case management assessment of patients to determine outpatient needs and obtains patients consent to program. * Ensures individual plan of care reflects patient needs and services available in the community or review of their benefits. * Completes individual plan of care intervention with patients, family/care giver and care team members with a focus of incremental actions that will prevent unnecessary hospitalizations. * Assesses the environment of care, e.g., safety and security. Conduct fall risk assessment as needed. * Assesses the caregiver's capacity and willingness to provide care. * Assesses and educations patient and caregiver educational needs. * Coordinates, reports, documents and follows-up on multidisciplinary team meetings serving as host or lead for those conversations as needed. * Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks. * Coordinates the delivery of services to effectively address patient needs. * Facilitates and coaches' patients in using natural support and mainstream community resources to address supportive needs. * Maintains ongoing communication with families, community providers and others as needed to promote the health and well-being of patients. * Establishes a supportive and motivational relationship with patients that support patient self-management * Monitors the quality, frequency, and appropriateness of HHA visits and other outpatient services. * Assists patients and family with access to community/financial resources and refer cases to social worker and other programs available as appropriate. * Collaborates closely with other members of the Complex Care and Clinica Strategy Team such as Hospital Care Managers and Post Hospital Care Coordinators and Manages to ensure patients in their program receive holistic care approval. * Home visit under the direction of the patient's primary care physician to meet urgent patient needed with the aim of preventing unnecessary hospital arrivals * Performs other duties as assigned and modified at manager's discretion. KNOWLEDGE, SKILLS AND ABILITIES: * Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community * Critical thinking skills * Ability to work autonomously * Ability to monitor, assess and record patients' progress and adjust and plan accordingly * Ability to plan, implement and evaluate individual patient care plans * Knowledge of nursing and case management theory and practice * Knowledge of patient care charts and patient histories * Knowledge of clinical and social services documentation procedures and standards * Knowledge of community health services and social services support agencies and networks * Organizing and coordinating skills * Ability to communicate technical information to non-technical personnel * Proficient in Microsoft Office Suite products including Excel, Word, PowerPoint, and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software * Ability and willingness to travel locally, regionally, and nationwide up to 10% of the time * Spoken and written fluency in English. Bilingual a plus * This job requires use and exercise of independent judgment EDUCATION AND EXPERIENCE CRITERIA: * Associate degree in Nursing required * Bachelor's Degree in nursing (BSN) or RN with bachelor's degree in home in a related clinical field preferred * A valid, active Registered Nurse (RN) license in State of employment required. Compact License preferred for states where compact license is available * A minimum of 2 years' clinical work experience required * A minimum of 1 year of case management experience in community case management experience highly desired * Certified Case Manager certification is preferred. Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired * This position requires possession and maintenance of a current, valid driver's license. * Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required w/in first 90 days of employment PAY RANGE: $35.8 - $51.17 Hourly EMPLOYEE BENEFITS ****************************************************** We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current Employee apply HERE Current Contingent Worker please see job aid HERE to apply #LI-Hybrid

Salary Range: $48,000 to $52,000 a year Duties and Responsibilities: • Assesses the needs of individuals and/or families. • Interviews clients, obtains family, social, and medical information. • Determines if referrals are appropriate and whether clients are eligible for sponsored programs. • Provides counseling and services in both individual and group settings. • Discusses goals, expected outcomes, and means with which to meet goals and expected outcomes. • Assists clients in the completion of required paperwork for items that may determine program eligibility, referrals, or provide job assistance, such as job applications. • Provides transportation services as required. • Manages records and documentation of services provided and participates in team case conferences. • Acts as a liaison with other staff with referrals and transitioning of clients. • Coordinates benefits and referrals to other agencies, whether internal or community-based. • Interview clients individually, in families, or in groups, assessing their situations, capabilities, and problems, to determine what services are required to meet their needs. • Maintain case history records and prepare reports. • Refer clients to community resources for services such as job placement, debt counseling, legal aid, housing, medical treatment, or financial assistance, and provide concrete information, such as where to go and how to apply. • Develop and review service plans in consultation with clients, and perform follow-ups assessing the quantity and quality of services provided. • Arrange for medical, psychiatric, and other tests that may disclose causes of difficulties and indicate remedial measures. • Serve on policymaking committees, assist in community development, and assist client groups by lobbying for solutions to problems. • Conduct social research. • Performs other related duties as required. Skills and Knowledge · Knowledge of theories and research on personality and intellectual growth and development, individual differences, human motivation, and abnormal behavior. · Knowledge of interview techniques. · Knowledge of local community resources. · Ability to establish and maintain effective working relationships with clients, community groups, department and agency staff members, and fellow staff members. · Ability to communicate effectively in both oral and written form. Schedule: Monday - Friday, Hours are flexible based on the center and organization's needs Education: · MSW from an accredited school of social work; · BSW from an accredited school of social work and one year of social work experience; OR · Bachelor's degree in a related field with 15 hours of social work/counseling courses and two years of social work experience; OR · Master's degree in a related field and one year of social work experience. · Possession of a valid Virginia Driver's License. Benefits: Medical Insurance Dental Insurance Vision Insurance Short-Term Disability Paid Time Off accrual 401k with company match (up to 3%) Employee Assistance Program

At SOAR365, we are dedicated to creating meaningful opportunities for people with disabilities. We're seeking a compassionate and skilled Case Manager, Intake & Compliance who is passionate about advocacy, access, and helping individuals thrive in the workplace. About the Role As the Case Manager for Intake & Compliance, you will be the first point of support for employees with disabilities in the AbilityOne program. You'll review eligibility documentation, assess strengths and accommodation needs, and collaborate closely with managers to ensure each employee has the tools and support necessary to succeed in their role. This position does require some evenings and weekends as needed. This is a highly collaborative position supporting both regulatory compliance and the ongoing success of the individuals we serve. What You'll Do Review and verify disability documentation to determine AbilityOne program eligibility. Conduct assessments and develop individualized accommodation plans. Monitor employee progress, provide coaching, and collaborate with supervisors to ensure successful job placements. Maintain documentation and compliance with all regulatory requirements. Partner with internal teams and external agencies to ensure employees receive the supports they need to thrive. Serve as an internal advocate and trusted resource for employees with disabilities. Knowledge/Experience Bachelor's degree in health or human services (or related field). At least 2 years supporting individuals with disabilities or medical concerns. Strong relationship building, excellent communication, and sound problem-solving abilities. Ability to analyze complex data, create reports, and complete timely submission of required documentation Understanding of disability accommodations, regulatory compliance, and the AbilityOne program (preferred). A collaborative spirit with a commitment to inclusion and empowerment. Must be able to travel to multiple locations Must be able to pass a Federal background check and obtain access to military bases Benefits and pay range: A competitive salary We offer a range of market-competitive total rewards that include paid holidays, paid time off, sick leave, and medical, dental, vision, flexible spending account, 403(b), life insurance, wellness programs, and discounted college tuition, to name a few. EO/AA Veterans/Disabled and other protected categories Drug-Free Workplace Reasonable Accommodations If you need reasonable accommodation when you apply for a position on our website, please contact us at ************** and ask for human resources. SOAR365 employees benefit from working for a rehabilitative non-profit agency that specializes in providing employment opportunities for people with disabilities.

Job DescriptionDescription: Be Part of Something Radically Different At Holon Health, we don't do “business as usual.” We're a trailblazing healthcare startup reimagining what it means to care-for our clients and our people. We provide whole-person care to justice-involved individuals living with Substance Use Disorder (SUD) and we do it with deep compassion, community wisdom, and an unshakable belief in second chances. Our approach throws out the playbook. We integrate medical, behavioral, and social care. We prioritize prevention and recovery. We treat clients like people, not checkboxes. And just as importantly, we know that our team can only care for others if they're cared for themselves. That's why we lead with flexibility, trust, and a culture built on well-being, inclusion, and respect. If you're energized by meaningful work and want to feel good about how you spend your days, read on. Position Summary Holon Health is seeking a compassionate and highly organized Case Manager to jour our collaborative care team. The Case Manager will play a crucial role in proactively monitoring client progress, ensuring adherence to treatment plans, and providing ongoing support to facilitate positive treatment outcomes. This position offers a unique opportunity to make a significant impact on the lives of individuals in recovery and contribute to a patient-centered, integrated care model. Schedule & Location This is a full remote role, but the individual must be physically located in the United States. Hours will typically be 40 per week with some flexibility around when those hours occur. What You'll Do Actively review client activity within the program, including: drug test results, system logins and lesson completion rates, and appointment attendance and adherence. Monitor client progress against their individualized treatment plan. Identify any deviations from the plan and collaborate with the clinical team to develop appropriate interventions. Identify potential barriers to client engagement and proactively address them with the client. Verify client insurance coverage and eligibility for treatment services. Coordinate client appointments with providers, including scheduling and rescheduling as needed. Provide support to the clinical team when follow-up with clients is needed. Assist clients with identifying and accessing necessary community resources and referrals (e.g., housing, transportation, employment). Coordinate referrals with external agencies and providers. Assist clients with troubleshooting technical issues related to our proprietary technology platform. Provide guidance on navigating the platform and accessing program resources. Respond promptly to client inquiries and concerns. Provide ongoing support and encouragement to clients throughout their treatment journey. Requirements: What You Bring to the Table Outstanding communication and interpersonal skills to effectively engage with individuals from diverse backgrounds in a judgment-free and culturally sensitive manner. Exceptional organizational and time management skills. Ability to conduct concise yet supportive phone conversations. An understanding of the community served, the justice system, and community connectedness. A strong understanding of the healthcare system including medical insurance. Ability and willingness to provide emotional support, encouragement, and motivation to clients. Written and oral fluency in English and Spanish is preferred. Strong computer skills; prior experience utilizing an EHR/EMR strongly preferred. Strong level of confidentiality due to the sensitivity of materials and information handled. Ability to work independently and be self-directed and flexible. Ability to perform functions with minimal supervision. Education & Experience High school graduate or equivalent required; associate degree preferred. 1-3 years of experience working in a behavioral health setting preferred. The Holon Way We're not just building a better model of care-we're building a better workplace. That means: · Unlimited PTO (we mean it) · Remote-first culture with connection baked in · Full suite of benefits, including health, dental, vision, life, and disability · 401(k) with company match · Space for self-care, because you can't pour from an empty cup · Room to grow in a high-impact, mission-driven startup · A team that celebrates wins, learns from losses, and has your back Our Commitment to DE&I Diversity, equity and inclusion aren't buzzwords here: they're the foundation. We embrace the full spectrum of human experience and are proud to be an equal opportunity employer. If you're passionate about our mission but don't meet every qualification, we still encourage you to apply. Ready to do work that matters, on a team that sees you? Apply now. Let's build something extraordinary, together.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Review treatment plans for medical necessity and effectiveness (concurrent review) Monitor and review specialized requests and treatment records Provide information to enrollees, providers, and internal staff regarding covered and non-covered benefits, community resources, agency programs, and Magellan Complete Care policies and procedures and criteria. Gathers clinical information in order to authorize services (prior auths) develop and monitor discharge plans Qualifications Experience as a LCSW or LPC or BSN, or LMFT with clear license in VA 1+ years of behavioral Health background Must be computer Savvy (outlook and typing skills) Additional Information Hours: M-F 9:00am to 6:00pm Advantages: Competitive Salary Excellent benefits package Fun and positive work environment

Are you Richmond R.E.A.D.Y? Respect. Equity. Accountability. Diversity…YOU!!! This is an EXCITING time to Join the City of Richmond! We are committed to nurturing talent, fostering growth opportunities, and building strong connections within our workforce. As we continue to make strides to becoming the employer of choice, we are thrilled about the below employee benefit enhancements: * Virginia Retirement System (VRS) * Language Incentive * Referral Bonus * Tuition Assistance Program Description The City of Richmond Recovery Court is seeking a dedicated Case Manager to provide comprehensive support and resource coordination for court-assigned participants. The Case Manager will work within a collaborative, non-adversarial setting to ensure program compliance and connect participants to the services needed for successful recovery and community reintegration. This position is an essential part of the Recovery Court team and requires strong communication skills and a flexible approach. Supervision: Reports directly to the Richmond Recovery Court Coordinator/Director. Duties include but are not limited to Typical Class Essential Duties: The following are typical duties and responsibilities. Actual position assignments may vary. Participant Management and Coordination * Conduct initial screening and intake interviews to assess participant risks and needs. * Develop, implement, and monitor individualized case management plans in collaboration with participants. * Identify and coordinate appropriate referrals to community resources, including housing, employment, vocational skills, education, family services, and medical assistance. * Monitor participant compliance with all program requirements and court orders. * Conduct home visits as necessary to ensure participants are in a safe and secure environment. * Provide crisis intervention and support as needed. Drug Screening and Analysis * Administer and process drug and alcohol screenings, including operating the recovery court analyzer. * Maintain accurate records of all drug test results and document participant compliance. * Follow established protocols for collecting, handling, and documenting samples to ensure the integrity of the process. Reporting and Court Activities * Prepare detailed and accurate reports on participant progress for the Recovery Court team and the court. * Present case management summaries and updates to the Recovery Court Judge and team during court hearings. * Attend all Recovery Court staffing meetings and court sessions. Team Collaboration and Liaison * Work collaboratively with other members of the Recovery Court team, including the coordinator, judge, prosecution, defense, and treatment providers. * Serve as a liaison between the court, participants, and community-based service providers. * Facilitate communication and information sharing among all team members to ensure a coordinated approach to participant care. Administrative Duties * Maintain current, complete, and confidential participant records and case files. * Assist the Program Coordinator with program enhancement and development activities. * Participate in training as required. Qualifications, Special Certifications and Licenses Qualifications * A bachelor's degree in criminal justice, social work, psychology, or a related human services field. * One or more years of experience in a case management role, preferably within a specialty court or criminal justice setting. * Proficiency in conducting assessments, case planning, resource coordination, and documentation. * Ability to work effectively and collaboratively with a multidisciplinary team. * Excellent written and oral communication skills. * Knowledge of court procedures and the criminal justice system. * Ability to exercise discretion and maintain confidentiality of sensitive information. * Must possess a valid driver's license. Equal Employment Opportunity Statement The City of Richmond provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. The City of Richmond is committed to the full inclusion of all qualified individuals. As part of this commitment, the City of Richmond will ensure that persons with disabilities are provided with reasonable accommodations. If you require reasonable accommodations under the Americans with Disabilities Act (ADA) to participate in the job application and/or the interview process, please contact Jessica McKenzie, Human Resources Manager by email at ************************. This policy applies to all terms and conditions of employment, including recruitment, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation and training. The City of Richmond Values Veterans. We are an official V3 Certified Company. The City of Richmond is a proud partner with the US Army Partnership for Your Success PaYS Program.

Case Manager | The Pavilion at Williamsburg Place | Williamsburg, Virginia About the Job: PURPOSE STATEMENT: The Care Manager is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge coordination and planning according to approved clinically valid criteria and meeting the daily deadlines to obtain authorizations and complete other pertinent processes. Roles and Responsibilities: ESSENTIAL FUNCTIONS: * Analyzes client records to determine appropriateness of admission, treatment, and length of stay to comply with government and insurance company reimbursement policies. Ensures charting deficiencies are minimized and correctly timely by responsible personnel. * Analyzes insurance, governmental and accrediting agency regulatory standards/requirements to determine criteria concerning admissions, treatment, and length of stay of clients. * Reviews application for client admission and approves admission or refers case to utilization review committee for review and course of action when case fails to meet admission standards. * Appeals all denials ensuring accuracy of information and effective coordination of correspondence. * Compares client's medical records to established criteria and confers with medical, clinical, and nursing personnel and other professional staff to determine appropriateness of treatment and length of stay. Communicates and coordinates information with business office to recognize and resolve potential payment issues. * Abstracts data from records and maintains statistics. * Determines client review dates according to established diagnostic criteria. * Assists review committee in planning and holding mandated quality assurance reviews. * Ensures each assigned client has a structured and clinically appropriate post hospitalization care plan. * Liaisons to referral sources and support of continuation of care. * Meets with assigned clients to ensure an individualized discharge plan is created and implemented. * When clinically warranted, collaborates with family members and significant others for collaborative clinical information, communication, and discharge planning support. * Schedules and attends treatment team meetings. Engages the client and significant others in the care planning process. * Recommends effective treatment interventions and discusses/obtains orders from the attending psychiatrist for non-routine interventions. * Minimizes deficient medical records and when identified, corrects as soon as practical. * Maintains Utilization Review files in a neat, orderly, and confidential manner with special attention to security. * Documents all client, family, and discharge planning contacts timely and completely in the medical record. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * Master's degree in social work, mental health, or a related field, or graduation from an accredited school of nursing required. * One year's experience with communication with external review organizations or comparable entities required. Direct clinical experience in a psychiatric or mental health setting preferred. * Comprehensive understanding of the admission, concurrent, continued stay, and retrospective reviews using the established hospital criteria. * Ability to communicate professionally and effectively, orally, in person, and in writing, with multidisciplinary team members, managed care organizations and business office, providing needed information in a logical, concise manner using technical language that accurately describes client's condition and need for hospitalization. * Working knowledge of payor resources and financial planning. * Knowledgeable of a wide range of community resources: financial, housing, legal, social/recreational, occupational, spiritual and support groups. LICENSES/DESIGNATIONS/CERTIFICATIONS: * If RN or LPN, valid current RN or LPN license from the state or from a compact state, where applicable. * CPR and de-escalation and restraint certification required (training available upon hire and offered by facility). * First aid may be required based on state or facility. SUPERVISORY REQUIREMENTS: This position is an Individual Contributor. Why The Pavilion at Williamsburg Place?The Pavilion at Williamsburg Place offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. The Pavilion at Williamsburg Place is an EOE. Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.

The Company : Pulmonary Associates of Richmond (PAR) has been around since 1974. That's 50 years of serving the greater Richmond community. We specialize in pulmonary medicine, sleep disorders and research. Our staff cares about our patients and delivers the utmost excellence in quality care and customer service. The Position: PAR is seeking a motivated Nurse Practitioner or Physician Assistant to join our medical clinic on a full-time basis. In this role, you'll work collaboratively with our clinic physician, following weight-loss protocols to deliver exceptional patient care. This is an exempt position responsible for providing weight loss services, including assessing, diagnosing, treating and educating patients. This position works closely with physicians and other clinicians in a team approach to patient care. The selected candidate must be willing to travel to different PAR locations. Job Responsibilities for Advanced Practice Clinician: Weight loss Patient Care Excellence: Preform comprehensive physical exams, review medical and psychosocial histories, and order diagnostic tests such as EKGs, phlebotomy and metabolic breathing analysis. Medical Management: Prescribe and dispense FDA approved appetite suppressants in compliance with state and federal guidelines. Holistic Support: Provide weekly counseling on nutrition, exercise and lifestyle changes to support patients' weight loss and maintenance goals. Progress Monitoring: Track and document patient progress using our EMR system, ensuring personalized care and follow-up. Team Collaboration: Train clinical and nonclinical staff, conduct patient consultations and engage with referral physicians to promote clinic success Patient Engagement: Conduct follow-up calls to support patients and address concerns, fostering long term success and clinic profitability. Qualifications for the Advanced Practice Clinician: Weight loss Experience: A minimum of two years of clinical experience is preferred. APRN or DEA certification is preferred. Master of Nursing Degree as a APRN Nurse Practitioner. Must maintain NP licensure and NP Board Certification. Physician Assistant: Must maintain PA licensure. Benefits 401(k) Dental insurance Employee assistance program Employee discount Flexible spending accounts Employee referral program Health insurance Critical Illness Life insurance Paid time off Retirement plan Vision insurance WEEKLY PAY and more! ENVIRONMENTAL/WORKING CONDITIONS: Medical office/exam room settings. Frequent exposure to communicable diseases, toxic substances, medical preparations, and other conditions common to clinic environments. Frequent contact with a variety of people. PHYSICAL/MENTAL DEMANDS : Standing, sitting, walking, bending, stooping, twisting, some lifting. Requires ability to help transfer patients. Occasional stress from dealing with multiple tasks and tense patients. Requires full range of motion, manual dexterity, eye-hand coordination. Requires corrected vision and hearing to normal range. Requires working under stress in emergency situations and irregular hours. Pulmonary Associates of Richmond is an Equal Opportunity Employer.

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description Job Summary The Case Management Integration Specialist will be co-located at the customer location all or part of the time and will serve as an integral part of the medical case management team as the expert on behavioural health and medical co-morbidities. The Case Management Integration Specialist (CMIS) will provide support for members who are at risk for significant behavioural events or have severe and/or chronic behavioural/or other co-morbid medical health conditions including poly-pharmacy. CMIS staff is responsible for coordinating behavioural health services to medically compromised members, as well as, education and training to the customer's medical case management team. These specialists will direct and manage medically complex members' cases based on established member selection criteria, interventions, and program policies and procedures. The CMIS ensures coordination of services for members with other programs, behavioural health providers, and primary care physicians (PCPs); contributes to overall management of healthcare costs, including behavioural health, through proper application of Medical Necessity Criteria (MNC) and minimizing unnecessary ER visits, potential medication interactions and hospitalization. Their primary goal is to ensure behavioural health support to influence behavioural changes which ultimately result in improved member wellbeing. Essential Functions In collaboration with the respective health plan case manager, the CMIS: Serves as consultant to the customer medical case management teams in identifying behavioral health conditions and treatment options for medically complex cases. Collaborates with other MHS clinical specialty services (i.e., Conditioned Care Management, Enhanced Medical, etc.) to maximize outcomes. Administers survey screenings and identifies interventions for members, family members, providers, and PCPs to improve member's ability and/or motivation to self-manage their conditions including education around coordination of medications for both behavioural and medical conditions. Educates and informs members of treatment options, as well as collaborating with PCPs, Providers, Family Members, and other managed care coordinators to articulate interventions and ensure optimal levels of functional status and wellness Establishes individualized, measurable plans of treatment in collaboration with members and health plan case managers that address issues such as quality of life, satisfaction with care, functional abilities, effectiveness of treatment and barriers to goal attainment Identifies and diagnoses medical and behavioral symptoms of members, as well as applies knowledge of potential contraindications and side effects of prescription medication in the development of member treatment plans Receives inbound and make outreach calls to members in order to ensure appropriate delivery and access to services. Assists in the coordination of medical and behavioral services in complex cases taking into account medical co-morbidities. Identifies and removes barriers to accessing services and assists members as needed Qualifications MUST have excellent customer service skills as he/she will be member focused and working with a treatment team. The manager is looking for at least 5 years of experience in, or in combination of public sector, community service boards, hospital setting and or who's familiar with the Medicaid population. One of the following licenses are required: LCSW, LCPC or LMFC Additional Information Riya Khem Life Science Recruiter Integrated Resources, Inc. IT Life Sciences Allied Healthcare CRO Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I DIRECT # - 732 -844-8721 | (W) # 732-549-2030 - Ext - 311 |(F) 732-549-5549

Behavioral Health Case Manager I Preferred candidates will reside in one of the following counties: Hanover, Chesterfield, City of Richmond, Henrico, Amelia, Goochland, Powhatan, Colonial Heights, Petersburg, Hopewell, Prince George, Dinwiddie, New Kent, Charles City. Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Position specific details: The Behavioral Health Case Manager I will work with our children and adolescent member population with behavioral health needs and substance use disorder and could be required for meeting with members in person as per contractual requirements or as requested by the member. The successful candidate will be domiciled and hold an independent licensure in Virginia. The Behavioral Health Case Manager I (KIDS) - Southwest Virginia is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Primary duties may include but are not limited to: * Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. * Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment. * Monitors and evaluates effectiveness of care plan and modifies plan as needed. * Supports member access to appropriate quality and cost-effective care. * Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers. Position requirements: * Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. * Current active unrestricted license such as RN, LCSW (as applicable by state law and scope of practice), LMHC, LICSW, LPC (as allowed by applicable state laws), LMFT, LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. Preferred qualifications, skills, and experiences: * Experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred. * Experience working with specialty populations preferred. * Prior experience working with the Community Services Board (CSB) and/or Department of Social Services (DSS) is a plus. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed/Certified Behavioral Health Role Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Position specific details: The Behavioral Health Case Manager I will work with our member population with serious mental illness and substance use disorder and could be required for meeting with members in person as per contractual requirements or as requested by the member. The successful candidate will be domiciled and hold an independent licensure in Virginia. Candidates residing in counties: Hanover, Chesterfield, City of Richmond, Henrico, Amelia, Goochland, Powhatan, Colonial Heights, Petersburg, Hopewell, Prince George, Dinwiddie, New Kent, Charles City. The Behavioral Health Case Manager I is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. How you will make an impact: Primary duties may include but are not limited to: Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment. Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member access to appropriate quality and cost effective care. Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers. Minimum Requirements Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. Current active unrestricted license such as RN LCSW (as applicable by state law and scope of practice) LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. For Government business only LAPC LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply. For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position. Preferred Skills, Capabilities and Experiences: Knowledge and working experince Medicare and Medicaid Experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred. Experience working with specialty populations preferred. Prior experience working with the Community Services Board (CSB), community mental health agency and/or ARTS facility Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed/Certified Behavioral Health Role Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

The Hope Unity and Freedom Center is a diverse team of professionals providing psychosocial day support to male and female adults with a primary mental health diagnosis, dual diagnosis, and/or a coexisting disorder. Our work helps to decrease psychiatric hospitalization and provide stabilization of individuals with less intervention in the community. By providing daily routine and structure in a safe environment, each individual is able to achieve their best and improve their quality of life. Position Summary As a case manager with Hope, Unity, and Freedom (H.U.F.) Center, you are provided the opportunity to make a difference in the daily functioning of adults in need. Case managers use psychosocial day support and interventions to assist adults in their care to meet the goals and outcomes designed by the individuals, the treatment teams, and you, the case manager. Case managers are the primary support system for those in their care while at the H.U.F. Center, improving the lives of those around them daily. Position Responsibilities: Provide ongoing case management services to assigned clients. Comprehensive documentation of interventions, services, and behaviors that each client exhibits in relation to the Individualized Service Plan (ISP). Facilitate psychosocial and psycho-educational interventions to individual clients Establish referral networks with other agencies to ensure comprehensive care. Attend weekly support team meetings with management. Coordinate treatment teams and complete all discharge, planning, and monthly and annual reports for full client caseload. Assist in the completion of Activities of Daily Living (ADL)/Independent Activities of Daily Living (IADL) personal care for clients Advocate for clients on caseload; recommend appropriate services or level of care as needed. Transport clients to community activities after successful completion of vehicle training. Be willing to work with a volatile community, occasionally dealing with physical confrontations, bodily functions, etc. Perform other related duties as assigned by the Executive Director or immediate supervisor. During the COVID-19 pandemic, it is required that all employees wear pre-approved masks as designated by the CDC guidelines, including surgical masks, KN95 masks, or N95 masks. Benefits and Perks Heath, Vision and Dental Benefits, Life Insurance, Paid Time Off, 401K, Pet Insurance, Training Reimbursement, and more! Reports to: Program Manager Requirements: Role Qualifications: Graduated with a bachelor's degree from an accredited college or university with a focus on Social Work, or a related field, and one year of previous documented experience with the mentally impaired or intellectually disabled population. Must currently hold a Qualified Mental Health Professional - Adult (QMHP-A) or Child (QMHP-C) certification. If applicable, can hold a Qualified Mental Health Professional - Trainee (QMHP-E) certification. Must be able to complete and pass: a CPR/First Aid certification; Handle with Care physical and/or verbal intervention training; annual tuberculosis (TB) screening test; and clear criminal background and central registry check. Must have a valid Virginia Driver's License. Strong and assertive personality Excellent verbal and written communication; required to complete documentation