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Clinical case manager jobs in West Virginia - 270 jobs

  • Substance Use Counselor

    Acadia Healthcare Inc. 4.0company rating

    Clinical case manager job in Parkersburg, WV

    Outpatient MAT Opioid Treatment Program * Sign On Bonus Available* Seeking: Substance Use Counselor Full-Time Hours: * Monday - Friday 5:30 AM - 2 PM Our Benefits: Semi-Annual Bonus Program Medical, Dental, and Vision insurance Competitive 401(k) plan Paid vacation and sick time Employer-paid clinical supervision (free to employees) Free and unlimited access to 500+ accredited Continuing Education Units (CEUs) Employee Assistance Program (EAP) offering continued support to employee lifestyle and well-being Early morning hours offering a great work/life balance Opportunity for growth that is second to none in the industry Our Team: Parkersburg Comprehensive Treatment Center (CTC), located in Parkersburg, WV, is part of Acadia Healthcare's Comprehensive Treatment Centers, the leading provider of medication-assisted treatment in the nation. Our mission is to provide full-circle care that includes a blend of therapies and the use of safe and effective medications. Our team is the front line of our fight against the opiate epidemic. Your Job as a Substance Use Counselor: The Substance Use Counselor is instrumental in our patient's treatment and recovery from opioid use disorder. Substance Use Counselors provide high quality, compassionate care through various mediums which include both individual and group counseling sessions. Job Responsibilities: Provide high quality, compassionate guidance in both individual and group counseling sessions. Plan, oversee, facilitate and document patient's recovery. Co-facilitate assigned group or family sessions as needed. Ensure all documentation regarding patient care, treatment, and incidents is completed timely and in a clear, concise manner. Prepare individual treatment plans for each assigned patient. Initial assessments as well as follow up assessments. Evaluate patient needs and determine if referrals to other programs or facilities are needed. May plan for aftercare for assigned patients. Provide crisis intervention to patients, as needed. Provide case management duties for patients, ensuring individualized quality care as needed. Act as a liaison between referral sources and patients, as needed. Eligible positions may qualify for student loan forgiveness through HRSA, depending on clinic site eligibility. Check your eligibility here: HRSA Eligibility Education, Skills and Qualifications: Bachelor's or Master's degree in social or health services field required Degree must be from an accredited college or university. Previous experience in addiction recovery or behavioral health settings, such as outpatient, residential, or correctional facilities. * Familiarity with Medication-Assisted Treatment (MAT), including methadone, buprenorphine, and naltrexone. * Experience conducting individual and group counseling sessions focused on substance use recovery. * Knowledge of evidence-based practices, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and relapse prevention techniques. * Documentation experience, including maintaining clinical notes, treatment plans, and progress updates in accordance with state and federal guidelines. * Familiarity with state regulatory standards (e.g., 42 CFR Part 2, HIPAA, Joint Commission standards). * Experience collaborating in a multidisciplinary team with medical staff, case managers, and peer support specialists. Licenses/Certifications: * Not required, position applicable to the following: ADC, AADC, PLC, LPC, BSW, MSW We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. #LI-CTC AHCTC
    $35k-60k yearly est. 2d ago
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  • Return To Work Case Mgr I

    Travelers Insurance Company 4.4company rating

    Clinical case manager job in Charleston, WV

    **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $67,000.00 - $110,600.00 **Target Openings** 1 **What Is the Opportunity?** This role is eligible for a sign on bonus. Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW. There are no litigated issues or minor to moderate litigated issues. The claim may involve minor sprains/ minor to moderate surgery The injured worker is working modified duty and receiving ongoing medical treatment. The injured worker as returned to work, reached Maximum Medical Improvement (MMI) and is receiving PPD benefits. File will close as soon as the PPD is paid out. With close to moderate supervision, may handle claims of greater complexity where Injured worker (IW) remains out of work and unlikely to return to position. Employer is unable to accommodate the restrictions. The claim involves moderate to complex litigation issues IW has returned to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been released to work with permanent restrictions and there has been a change in the current position. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment on more complex files. Injuries may involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving moderate to complex offsets, permanent restrictions and/or fatalities. Claims on which a settlement should be considered. Travelers offers a hybrid work location model that is designed to support flexibility. **What Will You Do?** + Conduct investigations, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical providers, and other parties in a timely manner to determine compensability + Establish and update reserves to reflect claim exposure and document rationale. Identify and set actuarial reserves. Apply knowledge to determine causal relatedness of medical conditions. + Manage files with an emphasis on file quality (including timely contact and proper documentation and proactive resolution of outstanding issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical treatment.in collaboration with internal nurse resources where appropriate. + Work in collaboration with specialty resources (i.e. medical and legal) to proactively pursue claim resolution opportunities, (i.e. return to work, structured settlement, and discontinuation of benefits through litigation). Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome. + Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services into the overall claim strategy. Prepare necessary letters and state filings within statutory limits. + Pursue all offset opportunities, including apportionment, contribution and subrogation. Evaluate claims for potential fraud.Proactively manage inventory with documented plans of action to ensure timely and appropriate file closing or reassignment. + Effectively manage litigation to drive files to an optimal outcome, including resolution of benefits. Understand and apply Medicare Set Asides and allocations. + Negotiate settlement of claims within designated authority. May use structured settlement/annuity as appropriate for the jurisdiction. + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + 2 years Workers Compensation claim handling experience. + Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making. + Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology. + Ability to effectively present file resolution to internal and/or external stakeholders. + Negotiation: Intermediate ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise. + General Insurance Contract Knowledge: Interprets policies and contracts, applies loss facts to policy conditions, and determines whether or not a loss comes within the scope of the insurance contract. + Principles of Investigation: Intermediate investigative skills including the ability to take statements. + Follows a logical sequence of inquiry with a goal of arriving at an accurate reconstruction of events related to the loss. + Value Determination: Intermediate ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves. + Settlement Techniques: Intermediate ability to assess how a claim will be settled, when and when not to make an offer, and what should be included in the settlement offer package. + Legal Knowledge: General knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. + Medical knowledge: Intermediate knowledge of the nature and extent of injuries, periods of disability, and treatment needed. + WC Technical: + Intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to resolve claims. + Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state. + Intermediate knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. + Customer Service: + Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes. + Teamwork: + Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result. + Planning & Organizing: + Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals. + Maintain Continuing Education requirements as required or as mandated by state regulations. **What is a Must Have?** + High School Diploma or GED. + 1 year Workers Compensation claim handling experience or successful completion of the WC trainee program. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .
    $67k-110.6k yearly 7d ago
  • Case Manager

    WVU Medicine 4.1company rating

    Clinical case manager job in Clarksburg, WV

    Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. This position will combine and utilize professional skills and expertise in the area of case management of patient care in the outpatient clinic providing support for the physicians, other therapists and staff to be able to serve their patients in an efficient manner. This position will be responsible for handling crisis that arise for patients daily and interfacing between the patients, families and providers within the department. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelor's Degree in Social Work or related field. 2. State criminal background check and Federal (if applicable), as required for regulated areas. EXPERIENCE: 1. One (1) year of experience in Social Work experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Current West Virginia Social Work licensure. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Facilitates referrals of patients to providers. 2. Takes crisis calls and works outcomes for patients. 3. Sends refill requests to providers and call pharmacy per direction of MD/NP/PA as needed. 4. Maintain a working knowledge of relevant medical/legal issues that impact on patient care, e.g., advance directives, child and elder abuse. 5. Provide education to patients and families around issues related to adaptation to the patient's diagnosis, illness, treatment and/or life situation. 6. Participate in multi-disciplinary health care teams. 7. Acts as a liaison with community agencies and resources. 8. Arrange, procure, and coordinate patient/family pre and post hospital needs. 9. Document assessment, plan, interactions, and interventions according to departmental, hospital and/or health system guidelines and standards. 10. Assisting in obtaining prior authorizations from third party carriers. 11. Working with the units in securing beds for admission. 12. Preparing or assisting in the preparation of discharge letters. 13. May schedule MRI's, PET's, and other imaging procedures. 14. Works with discharge planners and consult team to secure appointments. 15. Schedules new patient visits per established protocols. 16. Meets with patients face to face as needed to resolve crisis situations. 17. Assists Residents/front desk staff with resolving scheduling problems. 18. Covers messages and work ques for providers that are out of the office. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping are necessary body movements utilized in performing duties through the work shift. 2. Ability to sit for extended periods of time. 3. When working on inpatient units must be able and willing to participate in physical restraint of patient if needed. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment & clinical environment. SKILLS AND ABILITIES: 1. Must be knowledgeable and able to access different outpatient and community support systems to grant patients access to different types of services, ie patient assistance programs, Medicaid, and welfare services. 2. Must have the ability to be able to work closely with patients, families, physicians, psychologists, social workers and other members of the treatment team to develop individual and departmental treatment goals. 3. Must be knowledgeable and able to access many different types of services. 4. Must have the ability to assess and treat individuals with behavioral health and mental illnesses. Additional Job Description: Case Management will cover Healing House and Harrison House Scheduled Weekly Hours: 40 Shift: Day (United States of America) Exempt/Non-Exempt: United States of America (Non-Exempt) Company: USC Healthy Minds Cost Center: 3152 USC Healing House Address: 6 Hospital PlazaClarksburgWest Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
    $38k-58k yearly est. Auto-Apply 1d ago
  • Case Manager

    Healthways 4.4company rating

    Clinical case manager job in Weirton, WV

    Job Description HealthWays, Inc. is looking for a Full-Time Case manager in our Community Engagement Department. The candidates will be providing supportive preventative services to individuals who are at risk of psychiatric hospitalization, to allow them to reside in the community, facilitate successful transitions between psychiatric hospitals and community, and ensure that these individuals are surrounded by community resources that will strengthen their recovery and resilience. A Bachelor's degree in Human Service field with 1 year paid working experience working with persons in the target population is preferred; or an associate degree in Human Service field or Human Service Field Courses with 10 years of Volunteer/paid working experience working with persons in the target population is preferred. HS Diploma is required. Applicants must have a valid driver's license, auto insurance and reliable transportation. HealthWays offers flexible schedule, Medical, Dental, Vision Insurance, Supplemental benefits, 401-K, and vacation time. HealthWays, Inc. is an equal opportunity employer.
    $46k-55k yearly est. 4d ago
  • CASE MGR/CARE COORD 02 - MC

    Southern Highlands Community Mental Health C

    Clinical case manager job in Princeton, WV

    Job DescriptionCase Manager - Mobile Crisis Team Southern Highlands Community Mental Health Center Full-Time Southern Highlands Community Mental Health Center (SHCMHC) is seeking a Case Manager to join our Mobile Crisis Team. This position plays a vital role in responding to individuals and families experiencing behavioral health crises by providing immediate support, care coordination, and connection to essential services in community-based settings. Position Summary The Mobile Crisis Case Manager assists individuals in accessing behavioral health, medical, social, educational, and other critical services during and following crisis situations. This role involves rapid assessment, care coordination, advocacy, and collaboration with internal clinicians and external community partners to stabilize crises and reduce the need for higher levels of care whenever possible. The ideal candidate is compassionate, organized, adaptable, and comfortable working in fast-paced and unpredictable situations. Key Responsibilities Respond to behavioral health crises in community settings as part of the Mobile Crisis Team Assist with crisis assessments and person- or family-centered service planning under the supervision of a licensed clinician Coordinate immediate services and referrals to reduce or prevent hospitalization or further crisis escalation Advocate for individuals and families to ensure access to appropriate behavioral health, medical, social, and community resources Collaborate with licensed clinicians, hospitals, law enforcement, schools, and community providers Provide follow-up care coordination and monitor ongoing needs after crisis intervention Conduct intakes, screenings, and biopsychosocial assessments as needed Document all services, contacts, and interventions accurately and timely Participate in after-hours or on-call crisis rotation as required by location Perform other duties as assigned Qualifications Candidates must meet one of the following: Licensed Social Worker Licensed Registered Nurse Psychologist with a Master's or Doctoral degree from an accredited program Bachelor's or Master's degree in a human services-related field, including but not limited to: Social Work Psychology Counseling Sociology Criminal Justice Behavioral Health Nursing Education Other degrees approved by the WV Board of Social Work Additional Requirements Ability to work traditional and non-traditional hours Valid driver's license with a satisfactory driving record WV CARES clearance, drug screening, and background check required Strong communication, coordination, and crisis-response skills Experience working with behavioral health populations preferred
    $32k-50k yearly est. 8d ago
  • Case Manager

    Skinner Accident and Injury Lawyers

    Clinical case manager job in Charles Town, WV

    Job Description We are looking for a compassionate, organized, and detail-oriented Case Manager to guide clients through the pre-litigation phase of their personal injury claims. The Case Manager is the main point of contact for clients, helping them access treatment, track damages, and prepare their case for settlement. If this sounds like something you can really excel at, please submit your resume and cover letter today. Compensation: $20 hourly to start Responsibilities: Serve as the main contact for clients throughout their treatment Track medical providers, records, bills, liens, and lost wages Assist clients with medical financing and insurance coordination Keep Filevine up to date with treatment, damages, and lien info Prepare and edit demand packages Collaborate with our legal team to move cases forward efficiently Qualifications: Excellent communication and organization skills Empathetic and supportive with injured clients Strong attention to detail, especially with medical and billing records Experience in personal injury, medical, or legal settings preferred Familiarity with Filevine is a plus If you're motivated by helping others and thrive in a fast-paced, team-oriented environment, we'd love to talk! About Company Skinner Accident and Injury Lawyers is an established and growing law firm that has earned the trust and respect of the community it has served for nearly 50 years. Our attorneys are currently licensed in DC, IL, MD, NY, VA & WV, and we represent individuals for Auto Accidents, Consumer Protection, Bad Faith Insurance, Personal Injury, Products Liability, and Wrongful Death cases. What We Offer Competitive compensation commensurate with experience and case results Comprehensive benefits package including health insurance, dental insurance, vision insurance, and 401(k) Professional development and continuing legal education opportunities Opportunity to build and grow your practice within an established, expanding firm
    $20 hourly 7d ago
  • Case Manager

    Home Base 3.8company rating

    Clinical case manager job in Wheeling, WV

    Case Manager/Wraparound Facilitator Home Base, Inc. Do you enjoy working with families? Are you interested in Psychology, Social Work, Sociology, Criminal Justice, or looking to make a career change? Are you just starting out in Social Services, and want hands-on experience? Make a difference in the lives of families as a Home Base Inc. Case Manager/Wraparound Facilitator! Home Base Inc. is seeking an ambitious, driven and enthusiastic applicant for the role of Case Manager/Wraparound Facilitator in our Behavioral Health Program! We offer a competitive salary option and benefits package for eligible full-time employees. We offer health insurance, dental and vision, after becoming full-time. 401k after 1 year of full-time services, tuition reimbursement, paid maternity leave, flexible scheduling, and hands-on experience. A full-time Case Manager/Wraparound Facilitator could expect a starting yearly salary of around $47,500. If you want to gain hands-on social work experience, while working for a reputable and professionally established company, APPLY TODAY! Case Manager/Wraparound Facilitator will possess the following qualifications: Bachelor's Degree in a human service field required. 2-4 years of experience in Case Management and/or Outpatient/ Inpatient behavioral health setting preferred. 1-2 years of experience in leading teams preferred. Must be able to communicate and demonstrate experience. Computer skills are essential; must be comfortable with Outlook, Word, Excel, and PDF. Must have a valid driver's license. Must be able to pass a NCIC/CIB background check and an APS/CPS Background Check Must be able to provide three professional references. Experience with virtual platforms. Professionalism and customer service skills are essential. Written communication skills are essential. Must be able to work independently and without supervision at times. Must be able to work evenings and weekends Time management skills are a must Must have your own reliable transportation Responsibilities for the Case Manager/Wrap Facilitator include but not limited to: Provide wraparound services to families with a limit of up to 15 members/families. Coordinate a comprehensive set of supports, resources, and strategies for each member and family. Utilizing a strengths-based approach, plan, coordinate, collaborate and facilitate team meetings with the youth, family, and team members. Ensure services and clinical treatment modalities augment each other for optimal outcomes. Work with the MCO care manager and family to identify natural supports, and other community resources to meet the family's needs. Lead the planning team through engagement and team preparation, initial plan development, plan implementation and implementation of a transition plan. Administer the Child and Adolescent Needs and Strengths assessment tool. Monitor the implementation of the plan, making sure the family is receiving services identified in the plan. Initiate and coordinates discharge and after-care planning. Provide linkage and referral to services and supports as identified in the plan. Conduct home visits with youth and / or family in accordance with the needs determined in the individualized plan. Identify and develop formal and informal services / resources available to youth, family, and community. Identify service gaps and collaborate with community stakeholders and existing services providers for resolution. Facilitate the development and implementation of an individualized transition plan for members who will reach the waiver's maximum age limit. Ensure documentation is thorough, accurate and timely. Ensure that pertinent data is collected and compiled as required. Participate in weekly/monthly supervision and coaching sessions. Maintain client records in compliance with organizational goals and objective as well as regulatory guidelines. Physical Requirements: Must be able to walk up and down stairs Must be able to operate a motor vehicle and follow all motor vehicle laws that apply to West Virginia and the state of which you are a resident Must be able to lift 5-50 pounds Must be able to kneel, bend, squat, and stand Home Base is an EOE.
    $47.5k yearly 60d+ ago
  • Behavioral Health Case Manager I

    Carebridge 3.8company rating

    Clinical case manager job in West Virginia

    A proud member of the Elevance Health family of companies, Carelon Behavioral Health, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care. Behavioral Health Case Manager I * Must Have An Active, Current Clinical Licensure. Location: Virtual - This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work Shift Hours: Monday through Friday, 8:00 am to 5:00 pm 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: * 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 either a RN (must have experience in behavioral health), 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 is required. Preferred Skills, Capabilities 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 in health coaching and motivational interviewing techniques. * Experience working on multiple computer platforms simultaneously. * Excellent typing skills. * Experience in navigation with whole health, including physical health is strongly preferred. * Bilingual communication skills a plus. 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.
    $31k-42k yearly est. Auto-Apply 60d+ ago
  • Case Manager

    Valley Health Care 3.6company rating

    Clinical case manager job in Morgantown, WV

    NATURE OF WORK: Case Management services establish, along with the person, a life-long, person-centered, goal-oriented process for coordinating the supports (both natural and paid), range of services, instruction and assistance needed by persons with developmental disabilities. It is designed to ensure accessibility, accountability and continuity of support and services. This service also ensures that the maximum potential and productivity of a person is utilized in making meaningful choices with regard to their life and their inclusion in the community. All IDDW services purchased, however, must be within their annual individualized budget. Once the person/legal representative has chosen a Case Management provider from the available IDDW providers, the agency assigns a Case Manager to the person. The person/legal representative may request the assignment of a specific Case Manager and when possible the agency honors the request. The person/legal representative may choose to transfer to a different Case Management provider at any time and for any reason. The Case Manager must inform the person or their legal representative of all licensed IDDW agency providers who serve the region where the person resides. This is to ensure the person, or their legal representative, have a free choice of providers. MINIMUM QUALIFICATIONS: Ability to perform Essential Duties as outlined below. BA/BS in Human Service Field or a BA/BS in a non-human service field with one year experience in I/DD Six months experience with I/DD population. Ability to comply with all of Valley's Policies and procedures. Ability to comply with Client's Rights. Ability to comply with Valley's and Division departmental safety procedures. Ability to read, write, understand and speak the English language. Ability to legally transport clients. Current CPR/First Aid Certificate or ability to be trained.
    $37k-52k yearly est. Auto-Apply 60d+ ago
  • Behavorial Health Case Manager

    Integrated Health Centers of West Virginia 4.5company rating

    Clinical case manager job in Harrisville, WV

    Job DescriptionSalary: 16.70-21.50/hr Who we are: Integrated Health Centers of West Virginia (IHCWV) is a Federally Qualified Health Center (FQHC) based in rural West Virginia. IHCWV has provided high-quality healthcare services to the surrounding counties on a sliding fee scale since 1994. With nine locations and expanding, IHCWV is a growing healthcare organization that provides primary and acute medical care and behavioral health services to the local communities. Where we are going: At Integrated Health Centers of West Virginia, we take pride in offering affordable, compassionate, and excellent care to our patients. We are dedicated to expanding access to exceptional healthcare in our communities and strive to be the preferred healthcare provider for Ritchie, Pleasants, Doddridge, and Wood Counties residents. Providing healthcare is more than just our job; it's our passion, and we are dedicated to serving others with the highest quality care. What you'll do: Comprehensive care and coordination of services for patients. Complete intake assessments, including psychosocial and other related psychiatric templates. Obtain preauthorization and retroactive authorization from insurance companies for billing purposes. Maintain up-to-date files on all patients through electronic health records. Maintain thorough and confidential records. Attend regular organizational meetings and departmental meetings. Represents IHCWVs Behavioral Health program in approved meetings and coordinates relationships with community organizations, government groups, and social agencies, updating those entities on the activities and goals of the program. Maintains up-to-date contact information for commonly used community resources. Provides crisis assistance as needed. Maintains knowledge of, and supports, IHCWV's mission, values, polices, procedures, operating instructions, and code of ethical behavior. Is accessible to the Behavioral Health Director during clinic hours. Other duties as assigned by the Behavioral Health Director, Chief Medical/Operating Officer, or Chief Executive Officer. QUALIFICATIONS Must be able to perform each essential duty satisfactorily. Minimum of a Bachelors Degree from an accredited institution in Psychology, Human Services, Social Work, or related field. Three years of experience in the mental health field is preferred. A valid Drivers License The ability to pass a pre-employment background test and urine drug screen. KNOWLEDGE, SKILLS, AND ABILITIES Strong patient assessment skills. Knowledge of crisis intervention practices. Knowledge of medical and pharmacology terminology. Ability to effectively communicate orally, both in person and by telephone. Ability to form and maintain effective relationships with patients. Ability to maintain a consistent and dependable work schedule, adhering to IHCWV requirements. Excellent organizational skills. Excellent documentation skills. Ability to work well with diverse and challenging populations from a culturally sensitive framework. Maintain appropriate professional boundaries. All employees are responsible for maintaining an environment that is free from discrimination, intimidation, coercion, or harassment. Computer literacy is required, with experience in various online programs and software preferred. The ability to sit for long periods of time. TRAVEL REQUIREMENTS: Some travel to individual IHCWV locations is required. SALARY RANGE: Based on level of experience and educational training. WORK HOURS: Hours of operation for primary care health services (typically, 40 hours/week). What we offer: Competitive benefit packages: Health Insurance, Dental, Vision, Life Insurance, LTD, STD, and Retirement Plan with Employer Match. Excellent team culture Work-Life balance: 2 weeks paid vacation to start- accrued monthly 9 paid sick days per year 10 paid holidays 1 paid day for your birthday Evenings and weekends off IHCWV is an Equal Opportunity Employer.
    $30k-43k yearly est. 6d ago
  • Case Manager-Substance Use Disorder (Bridgeport)

    Community Care of West Virginia 3.6company rating

    Clinical case manager job in Bridgeport, WV

    Job Objective: The case manager is responsible for managing an assigned caseload of clients with substance use or other addiction-related illnesses. The case manager is responsible for assessing needs, developing, implementing, reviewing treatment plans, and coordinating services for individuals and families served. The case manager provides services and assists the treatment professionals in developing and delivering services to individuals challenged by addiction-related disorders. Responsibilities and Essential Duties: • Accepts newly assigned cases in which the diagnostic intake has been completed by a licensed provider. • Completes case management assessment on all patients entering caseload. • Develops appropriate treatment/service plans with patients to implement appropriate services and develop effective alliances with patients. • Provides ongoing support and/or case management functions according to the problems, needs, and strategies identified within the treatment plan to help the patient achieve the stated goals and objectives. • Provides face-to-face reviews with patients and/or relevant staff on a regular basis, the progress made in achieving treatment goals so that the treatment plan can be modified as necessary to ensure that the goals and objectives have been achieved. The treating provider and treatment plan will determine the frequency of reviews. • Documents all contacts on a timely basis, including face-to-face interviews, meetings with treatment providers, maintains case records in accordance with regulatory standards and requirements. • Assists the patients in obtaining appointments with external providers and facilitating patient use of community services. o Refers patients to community resources as needed. o Establishes and maintains relationships with identified service providers. o Ensures that referrals are completed promptly. • Maintains ongoing tracking and appropriate documentation on referral tracking. o Communicates with the treatment team any issues or any need for further follow-up. o Contacts the patient and/or family member regarding any pending referrals and/or diagnostic testing. o Sends appropriate notifications, reminders, and letters to patients communicating referral status. o Reviews details and expectations about the referral with patients. o Ensures the patient's electronic health record is up to date with information on specialist consults, including documentation of scheduled appointments, results from specialists, and treatment recommendations. • Meets regularly with immediate supervisor to enhance professional growth, review case management activities, and address administrative issues. • Maintains close communication with the treatment team and support staff regarding medication compliance, side effects of medication, and medication changes and alerts these staff members to any changes in the patient which may suggest the need for intervention. • Participates in regular interdisciplinary staff meetings held at position location. • Other projects and duties as assigned. • Supports the Mission, Values, and Vision of Community Care of West Virginia (CCWV) and the facility. Patient Satisfaction: • Assist patients, family members, or other clients with concern and empathy. • Respects client confidentiality and privacy and communicate with them in a courteous and respectful manner. • Answers and refers telephone calls or other inquires to the appropriate team member to ensure accurate and timely communications are facilitated. • Identifies self in a pleasant and positive manner. • Takes responsibility for helping the patient. Teamwork: • Assists in the orientation/training of new members of the care team. • Consistently works in a positive and cooperative manner with fellow members of the care team. • Assists others in the performance of their assignments. • Seeks out opportunities to help rather than waiting to be asked. • Considers the impact of their actions on peers throughout CCWV. • Takes direction and initiates actions (cross/additional training) that will allow the assumption of cross-functional duties to ensure seamless patient care. • Demonstrates flexibility to perform duties wherever volume deems it necessary within CCWV. Problem Solving: • Demonstrates sound judgment by taking appropriate actions regarding questionable findings or concerns. • Investigates and follows through on unusual orders or requests for service or information. • Follows proper reporting procedures for actual or potential accidents and/or incidents so follow-up and/or prevention can occur. • Consistently evaluate work and determine if further steps are needed to meet patient expectations. • Ensures compliance with regulatory standards. Productivity/ Efficiency: • Consistently demonstrates the ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary. • Minimizes non-productive time and fills slow periods with activities that facilitate preparation for the department's future needs. • Organizes job functions and work areas to facilitate effective completion of varied assignments within established time frames. • Consistently demonstrates the ability to take the initiative in making decisions/choices without direct supervision. Adherence to Departmental Policies: • Demonstrates knowledge and understanding of all policies and procedures and the ability to reference them from appropriate books and manuals. • Complies with the CCWV's infection control policies and procedures, including the Bloodborne Pathogens Standard, to ensure a safe working environment for self and others. Great Benefits Paid Time Off (PTO) Paid Holidays Extended Sick Pay (ESP) Medical Health Insurance and Prescription Coverage Basic Life Insurance for Employee and Family Short-Term Disability Long-Term Disability 401(k) Voluntary Contribution Plan Health Reimbursement Account Employee Elected Voluntary Coverage for Employee and Family Life Insurance, Dental, Vision, Flexible Spending Account, Dependent Spending Account Discounted undergraduate & graduate rates at West Virginia Wesleyan College for employee and family Qualifications Physical Demands/Working Environment: • Work is performed in a professional medical office setting, business casual dress environment. • Extended periods of sitting and/or standing, telephone, and computer work. • Ability to see information in print and/or electronically. • The job requires standing, walking, hearing, reaching, talking, and occasional lifting up to 25 pounds. • Incumbents will be exposed to viruses, disease, and infection from patients and specimens in the working environment. • The incumbent will be required to work at any facility and be responsible for their own transportation. • Incumbents may experience traumatic situations, including psychiatric, dismembered, and deceased patients. Qualifications/Requirements/Skills: • License & Certifications - None required. • Working knowledge of the nature of serious mental illness and addiction and related treatment modalities. • Knowledge of interventions and techniques and different types of assessments and their uses in treatment planning. • Knowledge of clients' rights, local community resources, patient record documentation requirements, and patient treatment plan development and implementation. • Demonstrated ability to interview and assess patients, using appropriate assessment tools, and observe, record, and report on an individual's functioning. • Ability to read and understand assessments, evaluations, observations, and use in developing treatment plans. • Ability to establish effective working relationships with staff and relevant community organizations and interact positively with patients and their families. • Ability to work independently, as well as collaborate with multi-disciplinary teams and health care providers. • Must demonstrate excellent interpersonal communication skills and the ability to engage with varying patient populations. • Must be flexible and adaptable to change. • Must have strong analytical, organizational, and time management skills. • Must be able to work with little supervision while handling numerous projects at once. • Must be able to effectively use electronic health records (EHR) to document patient interactions, progress, and other relevant information. Education/Qualifications/Experience: • Possesses a combination of behavioral health work experience or relevant education and training, which indicates possession of knowledge, skills, and abilities to perform essential job duties. • Bachelor's degree in social work, psychology, or human services-related field is preferred. • Two (2) years of experience in a healthcare setting, preferably behavioral health or substance abuse. • Experience working directly with individuals who have substance use disorders is highly preferred. • Experience with Medicare and Medicaid population, insurance providers, and telephonic engagement. • Experience in working with an underserved population preferred.
    $34k-44k yearly est. 12d ago
  • Case Manager

    Seneca Health Services, Inc. 4.4company rating

    Clinical case manager job in Marlinton, WV

    Seneca Health Services is a Certified Community Behavioral Health Center in wild, wonderful West Virginia. We provide responsible, accessible, and progressive behavioral health services. We have a wide range of professionals who are passionate about helping our clients through substance use or mental health treatment. With four outpatient clinics and two intensive treatment locations in Greenbrier, Nicholas, Pocahontas and Webster Counties, we serve a wide population. Our services include Crisis Services, Substance Use Disorder Assistance, Mental Health Services, and Intellectual Disabilities Support. We are committed to supporting the well-being of our team members by offering comprehensive and innovative compensation and benefits package that prioritizes work-life balance. Some of our offerings include flexible schedules, remote work options (when possible), retirement, generous paid time off, lifestyle spending account, professional development, tuition assistance and loan repayment - all designed to promote both physical and mental health. We believe that a healthy, happy workforce is key to success, and we strive to create a supportive environment that allows our staff to thrive both professionally and personally. Case Managers administer evaluations, develop and implement individualized treatment strategies and provide targeted case management to assure individuals have access to needed services and resources. They provide supportive behavioral health counseling. Essential functions may vary depending on the program/area of assignment. QUALIFICATION REQUIREMENTS: Bachelor's Degree in a Human Service field required. West Virginia Social Work License preferred. Experience in behavioral health and/or substance use disorders preferred. Valid driver's license and vehicle required. Must pass a Criminal Background Check and Employment Fitness Determination through WVCARES and a drug screen. Demonstrated knowledge of basic computer skills required. PURPOSE: Administer evaluations, develop and implement individualized treatment strategies and provide targeted case management to assure individuals have access to needed services and resources. Provide supportive behavioral health counseling. Essential functions may vary depending on the program/area of assignment. ESSENTIAL FUNCTIONS: Perform an initial or reassessment evaluation to determine the needs, strengths, functional level(s), mental status, and/or social history of assigned individuals. Ensure an ongoing formal and informal process to collect and interpret information about client strengths, needs, resources, and life goals to be used in the development of an individualized treatment plan. Assure and facilitate the development of a comprehensive, individualized treatment plan and ensure regular reviews are conducted based on client needs. Perform or facilitate linkage and referral to all internal and external services, supports and resources. Advocate on behalf of client to ensure continuity of services, system flexibility, integrated services, proper utilization of facilities and resources, and accessibility to services. Follow-up with client on a regular and consistent basis to ensure their needs and goals are being met and that circumstances or priorities have not changed. Ensure adequate and appropriate crisis response planning procedures are available to the client and assist as necessary in accessing crisis support services and interventions. Continually evaluate the appropriateness of the treatment strategy and make appropriate modifications, establish new linkages, or engage in other dispositions as necessary. Provide supportive behavioral health counseling to maintain client progress towards identified goals and to assist in day-to-day management and problem solving as needed. Coordinate warm hand-offs with other staff to ensure the client is receiving recommended and/or appropriate treatment services. Serve as liaison between area law enforcement and Seneca to help divert individuals with low-level and non-violent substance use offenses to appropriate behavioral health and substance abuse treatment. Participate in the development of treatment and pre-discharge planning for clients in state psychiatric, private hospital, or substance use treatment settings. Complete referrals for admission accurately and thoroughly, ensuring appropriate symptomology and information is gathered during the referral process, as needed in residential settings. Coordinate and participate in Interdisciplinary Team Meetings, daily staffing, physician rounds, and discharge planning, as needed in residential settings. Submit the appropriate required utilization management information to ensure all services are authorized prior to service and follow-up as needed. Assure quality service for clients by becoming knowledgeable of and adhering to rules, regulations, and legal requirements and by documenting services provided and data collection and reporting in accordance with established standards. Secure information by adhering to HIPAA and 42 CFR Part 2 regulations and Seneca privacy policies and keeping client information confidential. Represent Seneca in a positive manner including maintaining a positive attitude and performing duties in a manner in accordance with Seneca's Code of Conduct and Ethical Practices. Other duties as assigned by supervisor. Minimum Physical Requirements 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. While performing the duties of this job, the employee is frequently required to sit; use of arm, hand and finger dexterity, including ability to grasp, and visual acuity to use a keyboard. The employee is occasionally required tostand; walk; reach with hands and arms; climb stairs; balance; bend or crouch; talk and hear; and drive a motor vehicle. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by the job include close vision and distance vision. This job description reflects management's assignment of essential functions; it does not restrict the tasks that may be assigned.
    $40k-49k yearly est. Auto-Apply 16d ago
  • CASE MANAGER

    Minnie Hamilton Health Care Center Inc. 3.5company rating

    Clinical case manager job in Glenville, WV

    Job Description About Company: Minnie Hamilton Health System is a Federally Qualified Health Center (FQHC) providing comprehensive, vertically integrated healthcare services to rural communities across West Virginia. With locations in Grantsville, Glenville, Arnoldsburg, and Coplin Health in Elizabeth, and as an affiliate of Vandalia Health, our system includes a critical access hospital, community health center, school-based health center sites, a nursing home unit, a swing bed unit, oral health care, rural health clinics, and 340B pharmacy services. We continue to evolve to meet the needs of our region, offering high-quality care in a setting surrounded by nature, outdoor recreation, and Dark Skies stargazing. At Minnie Hamilton, we're proud to be a trusted healthcare partner, committed to improving lives and strengthening our community. Come join our team and see for yourself! About the Role: The Case Manager plays a pivotal role in coordinating and delivering comprehensive support services to individuals and families in need, ensuring their well-being and stability. This position involves assessing client needs, developing personalized care plans, and facilitating access to appropriate resources and services within the community. The Case Manager acts as a liaison between clients, healthcare providers, social service agencies, and other stakeholders to promote effective communication and continuity of care. By addressing crisis situations and advocating for clients, the Case Manager helps to resolve conflicts and barriers that may impede progress. Ultimately, this role aims to empower clients to achieve improved mental health, social functioning, and overall quality of life through tailored intervention and ongoing support. Minimum Qualifications: Bachelor's degree in Social Work, Human Services, Psychology, or a related field. At least two years of experience in case management or social services. Knowledge of mental health issues, crisis intervention techniques, and community resources. Strong communication and interpersonal skills to effectively engage with clients and multidisciplinary teams. Ability to manage multiple cases simultaneously while maintaining attention to detail and confidentiality. Preferred Qualifications: Master's degree in Social Work (MSW) or related discipline. Certification in Case Management (CCM) or equivalent credential. Experience working with child welfare systems and program development. Familiarity with electronic health records (EHR) and case management software. Training in conflict resolution and trauma-informed care approaches. Responsibilities: Conduct comprehensive assessments of clients' social, emotional, and health needs to develop individualized case plans. Coordinate and monitor services such as mental health counseling, crisis intervention, housing assistance, and healthcare referrals. Collaborate with multidisciplinary teams including healthcare providers, social workers, and community organizations to ensure integrated care delivery. Advocate on behalf of clients to secure necessary resources and support, including navigating complex systems such as child welfare and human services. Develop and implement discharge plans for clients transitioning from institutional care to community-based settings. Provide crisis intervention and conflict resolution to address immediate client needs and stabilize situations. Maintain detailed documentation and case records in compliance with organizational policies and regulatory requirements. Participate in program development initiatives to improve service delivery and client outcomes. Skills: The required skills such as case management, social services, and crisis intervention are essential for assessing client needs and coordinating appropriate care plans on a daily basis. Mental health knowledge and human services expertise enable the Case Manager to understand complex client situations and provide effective support. Skills in discharge planning and child welfare are applied to ensure smooth transitions and safeguard vulnerable populations. Conflict resolution abilities are critical when addressing client crises and facilitating positive outcomes. Program development skills contribute to enhancing service delivery and adapting interventions to meet evolving community needs.
    $34k-49k yearly est. 16d ago
  • Substance Use Counselor

    Acadia Healthcare Inc. 4.0company rating

    Clinical case manager job in Williamson, WV

    Outpatient MAT Opioid Treatment Program Seeking: Substance Use Counselor Full-Time Hours: Monday-Friday 5:00AM-1:30PM Our Benefits: Semi-Annual Bonus Program Medical, Dental, and Vision insurance Competitive 401(k) plan Paid vacation and sick time Employer-paid clinical supervision (free to employees) Free and unlimited access to 500+ accredited Continuing Education Units (CEUs) Employee Assistance Program (EAP) offering continued support to employee lifestyle and well-being Early morning hours offering a great work/life balance Opportunity for growth that is second to none in the industry Our Team: Huntington Comprehensive Treatment Center (CTC), located in Huntington, WV, is part of Acadia Healthcare's Comprehensive Treatment Centers, the leading provider of medication-assisted treatment in the nation. Our mission is to provide full-circle care that includes a blend of therapies and the use of safe and effective medications. Our team is the front line of our fight against the opiate epidemic. Your Job as a Substance Use Counselor: The Substance Use Counselor is instrumental in our patient's treatment and recovery from opioid use disorder. Substance Use Counselors provide high quality, compassionate care through various mediums which include both individual and group counseling sessions. Job Responsibilities: Provide high quality, compassionate guidance in both individual and group counseling sessions. Plan, oversee, facilitate and document patient's recovery. Co-facilitate assigned group or family sessions as needed. Ensure all documentation regarding patient care, treatment, and incidents is completed timely and in a clear, concise manner. Prepare individual treatment plans for each assigned patient. Initial assessments as well as follow up assessments. Evaluate patient needs and determine if referrals to other programs or facilities are needed. May plan for aftercare for assigned patients. Provide crisis intervention to patients, as needed. Provide case management duties for patients, ensuring individualized quality care as needed. Act as a liaison between referral sources and patients, as needed. Eligible positions may qualify for student loan forgiveness through HRSA, depending on clinic site eligibility. Check your eligibility here: HRSA Eligibility Education, Skills and Qualifications: Bachelor's or Master's degree in social or health services field required Degree must be from an accredited college or university. Previous experience in addiction recovery or behavioral health settings, such as outpatient, residential, or correctional facilities. * Familiarity with Medication-Assisted Treatment (MAT), including methadone, buprenorphine, and naltrexone. * Experience conducting individual and group counseling sessions focused on substance use recovery. * Knowledge of evidence-based practices, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and relapse prevention techniques. * Documentation experience, including maintaining clinical notes, treatment plans, and progress updates in accordance with state and federal guidelines. * Familiarity with state regulatory standards (e.g., 42 CFR Part 2, HIPAA, Joint Commission standards). * Experience collaborating in a multidisciplinary team with medical staff, case managers, and peer support specialists. Licenses/Certifications: * Not required, position applicable to the following: ADC, AADC, PLC, LPC, BSW, MSW We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. #LI-CTC
    $33k-58k yearly est. 1d ago
  • Return To Work Case Mgr I

    The Travelers Companies 4.4company rating

    Clinical case manager job in Charleston, WV

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $67,000.00 - $110,600.00 Target Openings 1 What Is the Opportunity? This role is eligible for a sign on bonus. Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW. There are no litigated issues or minor to moderate litigated issues. The claim may involve minor sprains/ minor to moderate surgery The injured worker is working modified duty and receiving ongoing medical treatment. The injured worker as returned to work, reached Maximum Medical Improvement (MMI) and is receiving PPD benefits. File will close as soon as the PPD is paid out. With close to moderate supervision, may handle claims of greater complexity where Injured worker (IW) remains out of work and unlikely to return to position. Employer is unable to accommodate the restrictions. The claim involves moderate to complex litigation issues IW has returned to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been released to work with permanent restrictions and there has been a change in the current position. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment on more complex files. Injuries may involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving moderate to complex offsets, permanent restrictions and/or fatalities. Claims on which a settlement should be considered. Travelers offers a hybrid work location model that is designed to support flexibility. What Will You Do? * Conduct investigations, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical providers, and other parties in a timely manner to determine compensability * Establish and update reserves to reflect claim exposure and document rationale. Identify and set actuarial reserves. Apply knowledge to determine causal relatedness of medical conditions. * Manage files with an emphasis on file quality (including timely contact and proper documentation and proactive resolution of outstanding issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical treatment.in collaboration with internal nurse resources where appropriate. * Work in collaboration with specialty resources (i.e. medical and legal) to proactively pursue claim resolution opportunities, (i.e. return to work, structured settlement, and discontinuation of benefits through litigation). Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome. * Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services into the overall claim strategy. Prepare necessary letters and state filings within statutory limits. * Pursue all offset opportunities, including apportionment, contribution and subrogation. Evaluate claims for potential fraud.Proactively manage inventory with documented plans of action to ensure timely and appropriate file closing or reassignment. * Effectively manage litigation to drive files to an optimal outcome, including resolution of benefits. Understand and apply Medicare Set Asides and allocations. * Negotiate settlement of claims within designated authority. May use structured settlement/annuity as appropriate for the jurisdiction. * In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * 2 years Workers Compensation claim handling experience. * Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making. * Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology. * Ability to effectively present file resolution to internal and/or external stakeholders. * Negotiation: Intermediate ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise. * General Insurance Contract Knowledge: Interprets policies and contracts, applies loss facts to policy conditions, and determines whether or not a loss comes within the scope of the insurance contract. * Principles of Investigation: Intermediate investigative skills including the ability to take statements. * Follows a logical sequence of inquiry with a goal of arriving at an accurate reconstruction of events related to the loss. * Value Determination: Intermediate ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves. * Settlement Techniques: Intermediate ability to assess how a claim will be settled, when and when not to make an offer, and what should be included in the settlement offer package. * Legal Knowledge: General knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. * Medical knowledge: Intermediate knowledge of the nature and extent of injuries, periods of disability, and treatment needed. * WC Technical: * Intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to resolve claims. * Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state. * Intermediate knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. * Customer Service: * Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes. * Teamwork: * Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result. * Planning & Organizing: * Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals. * Maintain Continuing Education requirements as required or as mandated by state regulations. What is a Must Have? * High School Diploma or GED. * 1 year Workers Compensation claim handling experience or successful completion of the WC trainee program. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************
    $67k-110.6k yearly 7d ago
  • Case Manager - Outpatient

    WVU Medicine 4.1company rating

    Clinical case manager job in Clarksburg, WV

    Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. This position will combine and utilize professional skills and expertise in the area of case management of patient care in the outpatient clinic providing support for the physicians, other therapists and staff to be able to serve their patients in an efficient manner. This position will be responsible for handling crisis that arise for patients daily and interfacing between the patients, families and providers within the department. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelor's Degree in Social Work or related field. 2. State criminal background check and Federal (if applicable), as required for regulated areas. EXPERIENCE: 1. One (1) year of experience in Social Work experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Current West Virginia Social Work licensure. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Facilitates referrals of patients to providers. 2. Takes crisis calls and works outcomes for patients. 3. Sends refill requests to providers and call pharmacy per direction of MD/NP/PA as needed. 4. Maintain a working knowledge of relevant medical/legal issues that impact on patient care, e.g., advance directives, child and elder abuse. 5. Provide education to patients and families around issues related to adaptation to the patient's diagnosis, illness, treatment and/or life situation. 6. Participate in multi-disciplinary health care teams. 7. Acts as a liaison with community agencies and resources. 8. Arrange, procure, and coordinate patient/family pre and post hospital needs. 9. Document assessment, plan, interactions, and interventions according to departmental, hospital and/or health system guidelines and standards. 10. Assisting in obtaining prior authorizations from third party carriers. 11. Working with the units in securing beds for admission. 12. Preparing or assisting in the preparation of discharge letters. 13. May schedule MRI's, PET's, and other imaging procedures. 14. Works with discharge planners and consult team to secure appointments. 15. Schedules new patient visits per established protocols. 16. Meets with patients face to face as needed to resolve crisis situations. 17. Assists Residents/front desk staff with resolving scheduling problems. 18. Covers messages and work ques for providers that are out of the office. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping are necessary body movements utilized in performing duties through the work shift. 2. Ability to sit for extended periods of time. 3. When working on inpatient units must be able and willing to participate in physical restraint of patient if needed. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment & clinical environment. SKILLS AND ABILITIES: 1. Must be knowledgeable and able to access different outpatient and community support systems to grant patients access to different types of services, ie patient assistance programs, Medicaid, and welfare services. 2. Must have the ability to be able to work closely with patients, families, physicians, psychologists, social workers and other members of the treatment team to develop individual and departmental treatment goals. 3. Must be knowledgeable and able to access many different types of services. 4. Must have the ability to assess and treat individuals with behavioral health and mental illnesses. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: USC Healthy Minds Cost Center: 3038 USC Healthy Minds Harrison Address: 6 Hospital PlazaClarksburgWest Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
    $38k-58k yearly est. Auto-Apply 19d ago
  • Case Manager

    Home Base 3.8company rating

    Clinical case manager job in Madison, WV

    Case Manager/Wraparound Facilitator Home Base, Inc. Do you enjoy working with families? Are you interested in Psychology, Social Work, Sociology, Criminal Justice, or looking to make a career change? Are you just starting out in Social Services, and want hands-on experience? Make a difference in the lives of families as a Home Base Inc. Case Manager/Wraparound Facilitator! Home Base Inc. is seeking an ambitious, driven and enthusiastic applicant for the role of Case Manager/Wraparound Facilitator in our Behavioral Health Program! We offer a competitive salary option and benefits package for eligible full-time employees. We offer health insurance, dental and vision, after becoming full-time. 401k after 1 year of full-time services, tuition reimbursement, paid maternity leave, flexible scheduling, and hands-on experience. A full-time Case Manager/Wraparound Facilitator could expect a starting yearly salary of around $47,500. If you want to gain hands-on social work experience, while working for a reputable and professionally established company, APPLY TODAY! Case Manager/Wraparound Facilitator will possess the following qualifications: Bachelor's Degree in a human service field required. 2-4 years of experience in Case Management and/or Outpatient/ Inpatient behavioral health setting preferred. 1-2 years of experience in leading teams preferred. Must be able to communicate and demonstrate experience. Computer skills are essential; must be comfortable with Outlook, Word, Excel, and PDF. Must have a valid driver's license. Must be able to pass a NCIC/CIB background check and an APS/CPS Background Check Must be able to provide three professional references. Experience with virtual platforms. Professionalism and customer service skills are essential. Written communication skills are essential. Must be able to work independently and without supervision at times. Must be able to work evenings and weekends Time management skills are a must Must have your own reliable transportation Responsibilities for the Case Manager/Wrap Facilitator include but not limited to: Provide wraparound services to families with a limit of up to 15 members/families. Coordinate a comprehensive set of supports, resources, and strategies for each member and family. Utilizing a strengths-based approach, plan, coordinate, collaborate and facilitate team meetings with the youth, family, and team members. Ensure services and clinical treatment modalities augment each other for optimal outcomes. Work with the MCO care manager and family to identify natural supports, and other community resources to meet the family's needs. Lead the planning team through engagement and team preparation, initial plan development, plan implementation and implementation of a transition plan. Administer the Child and Adolescent Needs and Strengths assessment tool. Monitor the implementation of the plan, making sure the family is receiving services identified in the plan. Initiate and coordinates discharge and after-care planning. Provide linkage and referral to services and supports as identified in the plan. Conduct home visits with youth and / or family in accordance with the needs determined in the individualized plan. Identify and develop formal and informal services / resources available to youth, family, and community. Identify service gaps and collaborate with community stakeholders and existing services providers for resolution. Facilitate the development and implementation of an individualized transition plan for members who will reach the waiver's maximum age limit. Ensure documentation is thorough, accurate and timely. Ensure that pertinent data is collected and compiled as required. Participate in weekly/monthly supervision and coaching sessions. Maintain client records in compliance with organizational goals and objective as well as regulatory guidelines. Physical Requirements: Must be able to walk up and down stairs Must be able to operate a motor vehicle and follow all motor vehicle laws that apply to West Virginia and the state of which you are a resident Must be able to lift 5-50 pounds Must be able to kneel, bend, squat, and stand Home Base is an EOE.
    $47.5k yearly 60d+ ago
  • BH Case Mgr II

    Carebridge 3.8company rating

    Clinical case manager job in Charleston, WV

    BH Case Manager II A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care. Location: 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. The Behavioral Health Case Manager II 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. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD) etc. Primary duties may include but are not limited to: Responds to more complex cases and account specific requests How You Will Make an Impact * Responds to more complex cases and account specific requests. * Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. * Conducts assessments to identify individual needs and develops specific 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. * Serves as a resource to other BH Case Mgrs. * Participates in cross-functional teams projects and initiatives 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 of 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 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. * Previous 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. Managed care experience required. Preferred Skills, Capabilities, and Experiences: * Experience in health coaching and motivational interviewing techniques preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $78,660 to $117,990 Locations: California In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. 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.
    $30k-41k yearly est. Auto-Apply 60d+ ago
  • Case Manager-Substance Use Disorder (Flatwoods)

    Community Care of West Virginia 3.6company rating

    Clinical case manager job in Sutton, WV

    Job Objective: The case manager is responsible for managing an assigned caseload of clients with substance use or other addiction-related illnesses. The case manager is responsible for assessing needs, developing, implementing, reviewing treatment plans, and coordinating services for individuals and families served. The case manager provides services and assists the treatment professionals in developing and delivering services to individuals challenged by addiction-related disorders. Responsibilities and Essential Duties: • Accepts newly assigned cases in which the diagnostic intake has been completed by a licensed provider. • Completes case management assessment on all patients entering caseload. • Develops appropriate treatment/service plans with patients to implement appropriate services and develop effective alliances with patients. • Provides ongoing support and/or case management functions according to the problems, needs, and strategies identified within the treatment plan to help the patient achieve the stated goals and objectives. • Provides face-to-face reviews with patients and/or relevant staff on a regular basis, the progress made in achieving treatment goals so that the treatment plan can be modified as necessary to ensure that the goals and objectives have been achieved. The treating provider and treatment plan will determine the frequency of reviews. • Documents all contacts on a timely basis, including face-to-face interviews, meetings with treatment providers, maintains case records in accordance with regulatory standards and requirements. • Assists the patients in obtaining appointments with external providers and facilitating patient use of community services. o Refers patients to community resources as needed. o Establishes and maintains relationships with identified service providers. o Ensures that referrals are completed promptly. • Maintains ongoing tracking and appropriate documentation on referral tracking. o Communicates with the treatment team any issues or any need for further follow-up. o Contacts the patient and/or family member regarding any pending referrals and/or diagnostic testing. o Sends appropriate notifications, reminders, and letters to patients communicating referral status. o Reviews details and expectations about the referral with patients. o Ensures the patient's electronic health record is up to date with information on specialist consults, including documentation of scheduled appointments, results from specialists, and treatment recommendations. • Meets regularly with immediate supervisor to enhance professional growth, review case management activities, and address administrative issues. • Maintains close communication with the treatment team and support staff regarding medication compliance, side effects of medication, and medication changes and alerts these staff members to any changes in the patient which may suggest the need for intervention. • Participates in regular interdisciplinary staff meetings held at position location. • Other projects and duties as assigned. • Supports the Mission, Values, and Vision of Community Care of West Virginia (CCWV) and the facility. Patient Satisfaction: • Assist patients, family members, or other clients with concern and empathy. • Respects client confidentiality and privacy and communicate with them in a courteous and respectful manner. • Answers and refers telephone calls or other inquires to the appropriate team member to ensure accurate and timely communications are facilitated. • Identifies self in a pleasant and positive manner. • Takes responsibility for helping the patient. Teamwork: • Assists in the orientation/training of new members of the care team. • Consistently works in a positive and cooperative manner with fellow members of the care team. • Assists others in the performance of their assignments. • Seeks out opportunities to help rather than waiting to be asked. • Considers the impact of their actions on peers throughout CCWV. • Takes direction and initiates actions (cross/additional training) that will allow the assumption of cross-functional duties to ensure seamless patient care. • Demonstrates flexibility to perform duties wherever volume deems it necessary within CCWV. Problem Solving: • Demonstrates sound judgment by taking appropriate actions regarding questionable findings or concerns. • Investigates and follows through on unusual orders or requests for service or information. • Follows proper reporting procedures for actual or potential accidents and/or incidents so follow-up and/or prevention can occur. • Consistently evaluate work and determine if further steps are needed to meet patient expectations. • Ensures compliance with regulatory standards. Productivity/ Efficiency: • Consistently demonstrates the ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary. • Minimizes non-productive time and fills slow periods with activities that facilitate preparation for the department's future needs. • Organizes job functions and work areas to facilitate effective completion of varied assignments within established time frames. • Consistently demonstrates the ability to take the initiative in making decisions/choices without direct supervision. Adherence to Departmental Policies: • Demonstrates knowledge and understanding of all policies and procedures and the ability to reference them from appropriate books and manuals. • Complies with the CCWV's infection control policies and procedures, including the Bloodborne Pathogens Standard, to ensure a safe working environment for self and others. Great Benefits Paid Time Off (PTO) Paid Holidays Extended Sick Pay (ESP) Medical Health Insurance and Prescription Coverage Basic Life Insurance for Employee and Family Short-Term Disability Long-Term Disability 401(k) Voluntary Contribution Plan Health Reimbursement Account Employee Elected Voluntary Coverage for Employee and Family Life Insurance, Dental, Vision, Flexible Spending Account, Dependent Spending Account Discounted undergraduate & graduate rates at West Virginia Wesleyan College for employee and family Qualifications Physical Demands/Working Environment: • Work is performed in a professional medical office setting, business casual dress environment. • Extended periods of sitting and/or standing, telephone, and computer work. • Ability to see information in print and/or electronically. • The job requires standing, walking, hearing, reaching, talking, and occasional lifting up to 25 pounds. • Incumbents will be exposed to viruses, disease, and infection from patients and specimens in the working environment. • The incumbent will be required to work at any facility and be responsible for their own transportation. • Incumbents may experience traumatic situations, including psychiatric, dismembered, and deceased patients. Qualifications/Requirements/Skills: • License & Certifications - None required. • Working knowledge of the nature of serious mental illness and addiction and related treatment modalities. • Knowledge of interventions and techniques and different types of assessments and their uses in treatment planning. • Knowledge of clients' rights, local community resources, patient record documentation requirements, and patient treatment plan development and implementation. • Demonstrated ability to interview and assess patients, using appropriate assessment tools, and observe, record, and report on an individual's functioning. • Ability to read and understand assessments, evaluations, observations, and use in developing treatment plans. • Ability to establish effective working relationships with staff and relevant community organizations and interact positively with patients and their families. • Ability to work independently, as well as collaborate with multi-disciplinary teams and health care providers. • Must demonstrate excellent interpersonal communication skills and the ability to engage with varying patient populations. • Must be flexible and adaptable to change. • Must have strong analytical, organizational, and time management skills. • Must be able to work with little supervision while handling numerous projects at once. • Must be able to effectively use electronic health records (EHR) to document patient interactions, progress, and other relevant information. Education/Qualifications/Experience: • Possesses a combination of behavioral health work experience or relevant education and training, which indicates possession of knowledge, skills, and abilities to perform essential job duties. • Bachelor's degree in social work, psychology, or human services-related field is required. • Two (2) years of experience in a healthcare setting, preferably behavioral health or substance abuse. • Experience working directly with individuals who have substance use disorders is highly preferred. • Experience with Medicare and Medicaid population, insurance providers, and telephonic engagement. • Experience in working with an underserved population preferred.
    $33k-44k yearly est. 12d ago
  • Behavioral Health Case Manager

    Integrated Health Centers of West Virginia 4.5company rating

    Clinical case manager job in Saint Marys, WV

    Job DescriptionSalary: 16.70-21.50/hour Who we are: Integrated Health Centers of West Virginia (IHCWV) is a Federally Qualified Health Center (FQHC) based in rural West Virginia. IHCWV has provided high-quality healthcare services to the surrounding counties on a sliding fee scale since 1994. With nine locations and expanding, IHCWV is a growing healthcare organization that provides primary and acute medical care and behavioral health services to the local communities. Where we are going: At Integrated Health Centers of West Virginia, we take pride in offering affordable, compassionate, and excellent care to our patients. We are dedicated to expanding access to exceptional healthcare in our communities and strive to be the preferred healthcare provider for Ritchie, Pleasants, Doddridge, and Wood Counties residents. Providing healthcare is more than just our job; it's our passion, and we are dedicated to serving others with the highest quality care. What you'll do: Comprehensive care and coordination of services for patients. Complete intake assessments, including psychosocial and other related psychiatric templates. Obtain preauthorization and retroactive authorization from insurance companies for billing purposes. Maintain up-to-date files on all patients through electronic health records. Maintain thorough and confidential records. Attend regular organizational meetings and departmental meetings. Represents IHCWVs Behavioral Health program in approved meetings and coordinates relationships with community organizations, government groups, and social agencies, updating those entities on the activities and goals of the program. Maintains up-to-date contact information for commonly used community resources. Provides crisis assistance as needed. Maintains knowledge of, and supports, IHCWV's mission, values, polices, procedures, operating instructions, and code of ethical behavior. Is accessible to the Behavioral Health Director during clinic hours. Other duties as assigned by the Behavioral Health Director, Chief Medical/Operating Officer, or Chief Executive Officer. QUALIFICATIONS Must be able to perform each essential duty satisfactorily. Minimum of a Bachelors Degree from an accredited institution in Psychology, Human Services, Social Work, or related field. Three years of experience in the mental health field is preferred. A valid Drivers License The ability to pass a pre-employment background test and urine drug screen. KNOWLEDGE, SKILLS, AND ABILITIES Strong patient assessment skills. Knowledge of crisis intervention practices. Knowledge of medical and pharmacology terminology. Ability to effectively communicate orally, both in person and by telephone. Ability to form and maintain effective relationships with patients. Ability to maintain a consistent and dependable work schedule, adhering to IHCWV requirements. Excellent organizational skills. Excellent documentation skills. Ability to work well with diverse and challenging populations from a culturally sensitive framework. Maintain appropriate professional boundaries. All employees are responsible for maintaining an environment that is free from discrimination, intimidation, coercion, or harassment. Computer literacy is required, with experience in various online programs and software preferred. The ability to sit for long periods of time. TRAVEL REQUIREMENTS: Some travel to individual IHCWV locations is required. SALARY RANGE: Based on level of experience and educational training. WORK HOURS: Hours of operation for primary care health services (typically, 40 hours/week). What we offer: Competitive benefit packages: Health Insurance, Dental, Vision, Life Insurance, LTD, STD, and Retirement Plan with Employer Match. Excellent team culture Work-Life balance: 2 weeks paid vacation to start- accrued monthly 9 paid sick days per year 10 paid holidays 1 paid day for your birthday Evenings and weekends off IHCWV is an Equal Opportunity Employer.
    $30k-43k yearly est. 6d ago

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