Director of social services full time jobs - 30 jobs

Job Address: 435 Avis Avenue NW Massillon, OH 44646 How good is your vision? How far can you see? Can you look beyond the body's limitations, beyond the constant medical needs, and see the soul inside? Hanover Healthcare Center, a member of the CommuniCare Family, is seeking a Director of Social Services (LSW preferred ) who shares our vision, who can see our residents for who they are and find ways to enrich their lives with dignity, joy, and meaning. WHAT WE OFFER Beyond our competitive wages, we offer all full-time employees a variety of benefit options including: Life LTD/STD Medical, Dental, and Vision 401(k) Employer Match with Flexible Spending Accounts NOW OFFERING DAILY PAY! WORK TODAY, GET PAID TOMORROW. CATCH THE SPIRIT! When you join the CommuniCare family, you'll quickly catch the team spirit. Coworkers and residents become family, the workplace becomes a home, and a touch of spontaneity and fun keeps everyone smiling. Our core values promote an environment of respect, courtesy, and professional excellence where you can dedicate yourself to a career you love. Do you have what it takes to be our next Director of Social Services? QUALIFICATIONS AND EXPERIENCE REQUIREMENTS 4 year college degree in Social Work or related field. 3-5 years of prior work/life experiences, preferably in a healthcare setting. Must be licensed by the State Licensure exam through the State Social Worker and Counselor Board. YOUR MISSION As Director of Social Services: You will be responsible for the performance of all social and psycho-social functions. You will develop and maintain a good working rapport with other direct caregivers to assure their participation in and support of all programs/services to benefit the residents' psychosocial wellbeing. You will counsel family members, residents, and/or staff members. You will serve as the resident's advocate at all times, working in harmony with all direct care giving staff to assure that the resident's needs are being met. THE COMMUNICARE COMMITMENT A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.

Dublin Post Acute 📍 Dublin, Ohio 🕒 Full-Time Dublin Post Acute is seeking an experienced and motivated Admissions Director to lead our admissions and referral process in a fast-paced skilled nursing and post-acute care environment. This role is critical to maintaining census, ensuring smooth transitions, and building strong relationships with hospitals, case managers, and the community. Key Responsibilities Manage and oversee the entire admissions process from referral to resident arrival Review clinical information to ensure appropriate admissions Coordinate with nursing, therapy, and interdisciplinary teams for smooth transitions Communicate with hospitals, case managers, families, and referral sources Maintain and grow facility census Ensure compliance with CMS, state, and facility policies Track and report admissions data, trends, and outcomes Participate in marketing efforts and referral source relationship-building Qualifications Prior experience in SNF/LTC admissions required Strong understanding of Medicare, managed care, and payer sources Excellent communication and organizational skills Ability to work collaboratively with clinical and administrative teams Marketing or referral liaison experience preferred Knowledge of PointClickCare or similar systems a plus Why Join Dublin Post Acute Supportive leadership team Competitive pay based on experience Opportunity to make a direct impact on resident care and facility success Growing organization with advancement opportunities

Classification: Full-Time | Exempt Are you a proven leader with a passion for senior care and operational excellence? Join Visiting Angels Columbus West, a top-rated home care agency, as our Director of Home Care & Residential Services. This is a high-impact leadership opportunity to oversee agency operations and play a key role in launching a new 16-bed residential assisted living facility in 2025. We are seeking a strategic, compassionate professional who can lead a high-performing team, ensure compliance and quality care, and drive the growth of both our home care services and new residential program. Why Join Visiting Angels Columbus West Purpose-Driven Work Make a difference in the lives of seniors and their families by overseeing the delivery of personalized, high-quality care. Leadership Opportunity Lead a growing team across two care models-home care and residential assisted living-shaping the culture and systems from the ground up. Collaborative Culture Join a tenured and mission-aligned leadership team that values accountability, innovation, and relationship-based care. Room to Grow Contribute to long-term strategy, drive operational improvements, and be a key player in our next chapter of expansion. Key Responsibilities Oversee all aspects of home care operations: staffing, scheduling, compliance, client intake, care management, and client satisfaction Lead the development, implementation, and continuous improvement of caregiver training, onboarding, and retention strategies Manage and coach office staff, Client Care Managers, and caregivers; conduct performance evaluations and provide ongoing feedback Lead the planning, licensing, and operational launch of a new 16-bed residential assisted living home in 2025 Monitor and report on Key Performance Indicators (KPIs) to ensure service quality, financial performance, and team engagement Ensure regulatory compliance across all services (home care and residential), including licensure, inspections, and standards of care Maintain strong relationships with clients, families, caregivers, and community partners Manage financial performance including budget oversight, billing, payroll, and vendor coordination Respond to on-call evening and weekend demands as part of a shared leadership rotation Qualifications Bachelor's degree in Business Administration, Healthcare Management, or a related field required Minimum 5 years of leadership experience in home care, senior living, hospice, or a healthcare operations setting Proven track record in staff development, compliance oversight, and financial management Experience with scheduling platforms, CRM/EMR systems, and Microsoft Office Strong leadership presence, high emotional intelligence, and ability to manage change Clear and professional communication skills, both written and verbal Ability to problem-solve, think critically, and make informed decisions Must have reliable transportation and be available to support the business outside standard office hours when needed We Offer Competitive salary with performance-based bonus potential 401(k) retirement plan Paid time off and holidays Supportive leadership team and positive workplace culture A meaningful opportunity to lead a mission-driven organization and expand your impact in senior care

Job Title: Social Services Case Manager Reports To: Associate Executive Director Job Classification: Full-Time, 40 hours/week; Non-Exempt Salary Range: $20.00-$29.66 per hour Job Summary: Act as care coordinators and managers to evaluate the needs of clients, identify the services needed, and create a plan to provide that care. Personal & Professional Attributes: Demonstrate sensitivity, empathy and understanding of the needs of older, impoverished, and developmentally disabled individuals, display common sense and good judgment, and actively promote LCAP to the public. Uphold the highest level of confidentiality, honesty and integrity, and represent the organization in a positive and professional manner at all times. Core Technology Competencies: Demonstrated working knowledge of computer operations, standard office equipment (copiers, faxes, etc.) and must be able to utilize all Microsoft Office services. Essential Duties: Must be comfortable being in various homes. Experience working with at-risk seniors/families and have knowledge and/or willing to obtain knowledge of local community resources. Basic knowledge of Medicare, Medicaid, Passport, and Insurance. Must be a self-starter, able to work alone and have initiative to further knowledge related to the position. Skills to navigate the internet for self-teaching and information/knowledge. Ability to relate to the elderly, read and write English proficiently, and attention to detail. Ideal candidate will be highly compassionate, friendly, knowledgeable, empathetic, focused and up to the challenge of building and maintaining safe and stable living settings for individuals age 60+. Must have Ohio Senior Health Insurance Information Program (OSHIIP) certification, or able to obtain within 90 days of hire. Strong project management, multitasking, and decision-making skills Perform other related duties as needed or as assigned. Benefits Offered with Full Time: Medical, Dental, Vision, Company paid Life and Long Term Disability insurance, 403B Retirement plan (with 6% employer contribution, no match required, after 1 year of service), 12 paid Holidays, Generous Paid Time off accrual. Requirements General Requirements: Commitment and desire to provide excellent service to all clients and aging community members. Maintain predictable and regular attendance, work stated hours, communicate, comprehend and follow policies and procedures and develop and maintain positive working relationships with all staff. Must be able to satisfactorily perform all of the job responsibilities and meet the physical requirements of that same job title. All employees must possess and maintain a Valid Ohio Driver's License, as well as the minimum auto insurance coverage for Ohio (must be able to provide proof upon request). Minimum Education and Experience Requirements: Minimum 2 years of case management experience in 60+ population and/or disabled adults (preferred). Associate's degree in human services, social services, or a related field or five years' experience providing home and community-based services. Strong organizational skills, ability to prioritize multiple competing tasks, and demands. Active and unrestricted Social Work License (LSW) a plus. Must successfully pass a background check and pre-employment drug-screening.

Full-time Description Manages the day-to-day healthcare operations of the community to ensure residents' healthcare needs are met. The RSD will participate as a member of the community management team in planning, policy formulation, and administrative decision making with attention to the role, functions, and operations of the community's nursing services. The position is responsible for resident care, management, resource management, and fiscal management. Supervisory Responsibility: Manages up to 50 employees Budget Responsibility: $2MM - $5MM Essential Job Functions - Principal Accountabilities Responsible for managing, directing, and supervising all nursing functions. Responsible for staff performance, staff recruitment, staff retention, and staff development. Defines and maintains the standards of nursing practice in the community. Evaluates the quality of care rendered. Initiates the development of policies and procedures that govern nursing services and other services under his or her supervision. Verifies employee credentials under his or her position supervision. Collaborates with other departments and agencies regarding resources and services for improved resident care and staff development. Plans, develops, and implements a budget process for staffing and services rendered. Evaluates the quality and cost-effectiveness of staffing and services within the goals of the community. Serves as a spokesperson for nursing matters and represents the community with professional nursing and related organizations. Participates in meetings and committees. Encourages and supports research and improvement studies that can make meaningful contributions to the quality and economy of nursing services. Other Job Functions Performs other duties as assigned. Requirements Minimum Requirements Education: Associate degree in nursing, or equivalent, is required. Experience: At least three years of supervisory experience in a nursing environment is required. Certification/License: Ohio Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in good standing is required. Candidates are required to attain and maintain CPR certification within 90 days after hire. State background check standards must be maintained as a condition of continued employment. Must complete first aid training required by rule 3701-16-06 of the Ohio Administrative Code, within 60 days of hire. Knowledge/Skills/Abilities Outstanding organizational skills. Thorough understanding on management theories. Knowledge of employee management. Thorough understanding of nursing management strategies. Knowledge of financial management. Knowledge of the foundations of health laws. Knowledge of statistics and research methodologies. Knowledge of federal, state, and local laws and regulations pertaining to the community. Ability to deal professionally, courteously, and efficiently with the public and to remain calm under stress. Strong customer service skills. Strong judgment, problem solving, and critical thinking skills. Good oral and written communications skills. Knowledge of all confidentiality requirements regarding medical clients and strict maintenance of proper confidentiality on all such information. Proficient in Microsoft Office; Ability to work independently. Must project a professional presence and appearance. Physical Demands/Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work in an office environment with controlled temperature and lighting. Move about within and outside the community to attend meetings, training events, and other business activities. Operate computer, read, remain in a stationary position, converse with others. Legibly complete forms; perform data entry of information. Remain in a stationary position for extended periods. Converse with others, write legibly, read and comprehend written/verbal information. Communicate instructions or demonstrate tasks. Lift and carry up to 20 pounds frequently; up to 50 pounds occasionally. Occasionally lift and move resident weighing over 100 pounds while demonstrating care techniques. Stretch, bend, stoop, squat, twist, crouch, kneel, and balance to access all resident body parts, Stand and walk frequently; Sit for extended periods; simple grasp; fine hand manipulation; near vision; hear conversation; speak.

Are you passionate about helping out your community? Do you consider yourself a "people person" with plenty of customer service skills? If so, you may be the next great fit we are looking for at the Jewish Community Center! The JCC is currently hiring a Member Services Assistant Director - we are looking for someone to bring their experience with strategic thinking and enthusiasm for people to this wonderful opportunity - could that person be you? This full time position offers an array of benefits including a free JCC fitness center membership, and the potential for health, dental and vision insurance, a 403b retirement plan, paid time off, paid holidays, and more! Position Summary: The Member Services Assistant Director assists guests, as well as new and existing members with equal priority, and ensures that recruitment, retention, customer service and customer satisfaction are of the highest quality. The Member Services Assistant Director generates excitement and interest in the JCC and in the community and focuses on procedures that acquire new members and retain existing members. Duties and Responsibilities: Retain current members through monthly membership appreciation events, excellent customer service, and creative programming. Serve as facilitator of Members' issues, concerns, questions and problems. Implement Membership recruitment and retention projects as assigned by Member Services Director. Help to prepare and organize special events, open houses, etc. to bring prospective clients to the JCC of Greater Columbus. Assist Member Services Director to meet targeted membership sales based on budget goals. Supervise Member Services' staff as well as Front Desk Team as needed to ensure outstanding customer service throughout Member Services Department. Coordinate membership needs with Front Desk to ensure the highest level of customer service. Collaborate with staff from other JCC departments to coordinate projects and address membership issues as needed. As JCC Community Representative, coordinate and implement joint community programs.Some evening and weekend availability is required. All other duties as assigned. Minimum Qualifications: Qualifications: 1. Knowledge and Education - Minimum Required or Preferred: High School diploma required; Associate's Degree and/or BA/BS in related field preferred. 2. Experience - Minimum Required or Preferred: 1 - 2+ years' experience, with at least one being supervisory, in a similar position; extensive knowledge of, and love for, Jewish customs and culture. 3. Special Skills: Strategic thinker, recruitment and retention strategies, collaborative, computer and internet proficient, experience with not-for-profit organizations, and motivational with ability to influence others. Experience with customer relationship management software preferred. . The JCC requires all employees to be vaccinated against COVID-19. Pay rate is commensurate with experience. The Jewish Community Center is an EEO and at-will employer.

Director of Outpatient Services Full-time Your experience matters Beckett Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Director of Outpatient Services joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute A Director of Outpatient Services who excels in this role: Develops and implements departmental goals, plans, and standards consistent with the clinical, administrative, legal, and ethical requirements/objectives of the organization. Directs and evaluates departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives. Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives. Prepares, monitors, and evaluates departmental budgets, and ensures that the department operates in compliance with allocated funding. Coordinates and directs internal/external audits. Creates and fosters an environment that encourages professional growth. Integrates evidence-based practices into operations and clinical protocols. Manage the work of others, including planning, assigning, scheduling and reviewing work, ensures quality standards. Responsible for hiring, terminating, training and developing, reviewing performance and administering corrective action for staff. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. What we're looking for Applicants should have a Master's degree in social work, counseling, or related field required. Current, unencumbered clinical, social work, or counseling license required by state regulations. Additional requirements include: CPR and de-escalation certification required or obtain within 30 days of hire Ability to create, maintain and incorporate simple functions into documents, spreadsheets, databases, and presentations to support business objectives. Can present, resolve, and address delicate situations. Can motivate and persuade others. Provides and sets goals and priorities for functional area. May make recommendations for department policies, practices, and programs. Makes decisions for and/or resolves problems for others. Minimum overnight travel (up to 10%) by land and/or air. More about Beckett Springs Beckett Springs is a 48-bed behavioral health hospital that has been offering exceptional care to the West Chester community for over 10 years. We are proud to be Accredited by The Joint Commission and be recognized for the Psych Armor Certification. EEOC Statement “Beckett Springs is an Equal Opportunity Employer. Beckett Springs is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.”

Director of Outpatient Services Full-time Your experience matters Beckett Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Director of Outpatient Services joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute A Director of Outpatient Services who excels in this role: * Develops and implements departmental goals, plans, and standards consistent with the clinical, administrative, legal, and ethical requirements/objectives of the organization. * Directs and evaluates departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives. * Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives. * Prepares, monitors, and evaluates departmental budgets, and ensures that the department operates in compliance with allocated funding. Coordinates and directs internal/external audits. * Creates and fosters an environment that encourages professional growth. * Integrates evidence-based practices into operations and clinical protocols. * Manage the work of others, including planning, assigning, scheduling and reviewing work, ensures quality standards. Responsible for hiring, terminating, training and developing, reviewing performance and administering corrective action for staff. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: * Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. * Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. * Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. * Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). * Professional Development: Ongoing learning and career advancement opportunities. What we're looking for Applicants should have a Master's degree in social work, counseling, or related field required. Current, unencumbered clinical, social work, or counseling license required by state regulations. Additional requirements include: * CPR and de-escalation certification required or obtain within 30 days of hire * Ability to create, maintain and incorporate simple functions into documents, spreadsheets, databases, and presentations to support business objectives. * Can present, resolve, and address delicate situations. Can motivate and persuade others. * Provides and sets goals and priorities for functional area. May make recommendations for department policies, practices, and programs. Makes decisions for and/or resolves problems for others. * Minimum overnight travel (up to 10%) by land and/or air. More about Beckett Springs Beckett Springs is a 48-bed behavioral health hospital that has been offering exceptional care to the West Chester community for over 10 years. We are proud to be Accredited by The Joint Commission and be recognized for the Psych Armor Certification. EEOC Statement "Beckett Springs is an Equal Opportunity Employer. Beckett Springs is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Job Description Director of Clinical and Supportive Services Full Time Days working 8am-5pm Lutheran Social Services of Central Ohio is currently seeking a Director of Clinical and Supportive Services for the Health Center at Faith Mission in Columbus, Ohio. The ideal candidate will share Our Mission: Creating a better world by serving people in need. What will I do as the Director of Clinical and Supportive Services with Lutheran Social Services? Plan, develop, and implement comprehensive supportive services to benefit clients of the Health Center. Work closely with the Health Center leadership team to oversee the delivery of individualized "wrap around" integrated services that address the holistic needs of clients including healthcare, mental health, substance abuse treatment, as well as supportive services including employment, housing, transportation, etc. Ensure prompt and accurate completion of required documentation within the electronic health record. Provide professional leadership and direction to clinical/supportive services staff. Perform as an invested member of the health center leadership team. Provide direct services to a caseload of clients, including clients with co-occurring mental health and substance use disorders, unhoused clients, and clients living with HIV/AIDS and other health comorbidities, as necessary. Requirements for the Director of Clinical and Supportive Services with Lutheran Social Services: Master's degree in Social Work, related field or equivalent experience required. Preferred licensure includes: LISW-S, LICDC, LPCC or licensure in related field Minimum four years working in a social service setting required. Experience working with the following or related populations: unstable housing, mental health disorders, substance use disorder, and other health comorbidities Experience with MOUD treatment program Proficient use of computers, smart phones and tablets, printers, fax machines, as well as software including word processing, spreadsheet, and database programs. Excellent oral, written, and interpersonal communication skills, including group facilitation skills required. As one of the largest non-for-profits in Central Ohio, we value our employees. Our excellence is based upon team members dedicated to a fulfilling career and committed to the service of others. Benefits for Full-time positions* with Lutheran Social Services include: Health insurance with 4-plan options! Tuition Reimbursement Program 403(b) retirement plan with employer matched savings Dental and Vision insurance Medical and Childcare Flexible Spending (FSA) Health Savings Account PTO and 12 Paid Holidays Discount Marketplace Opportunity to make a positive impact on individuals & the community *some part-time positions may be eligible for some benefits as well ABOUT Lutheran Social Services: We put our Mission of Service into action. Every day LSS serves thousands of people in 27 Ohio counties by addressing the four core societal issues of food, shelter, safety, and healing. LSS offers Food Pantries, housing and supportive services through homeless shelters, domestic violence services, senior living and health care, affordable housing communities, and other services that uplift families and strengthen communities. Lutheran Social Services of Central Ohio is committed to being an equal opportunity employer.

Medical Director -Long Term Support and Services Preferred Location: Ohio. Please note that per our policy 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. MyCare Ohio Plan program is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs. The Medical Director -Long Term Support and Services is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How will you make an impact: * Oversee all primary and physical health services provided to individuals of the health plan, including those receiving LTSS, ensuring the appropriate level of medical care is received. Identifies potential issues, project change, and scope data. * Ensure services align with LTSS clinical and service coordination requirements as defined by state and federal contracts/rules. * Conduct targeted LTSS Case Management training sessions, emphasizing the most prevalent medical diagnoses affecting the key LTSS populations. * Assist with resource development and drive Health Plan collaborations to support LTSS/HCBS populations. * Supports clinicians to ensure timely and consistent responses to members and providers. * Provides guidance for clinical operational aspects of a program. * Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. * May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. Minimum Requirements: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * A minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, a minimum of 5 years of experience providing health care is required. * * Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.* Preferred Skills, Capabilities and Experiences: * Minimum of ten years of clinical experience, including at least five years of experience directing healthcare services for target populations strongly preferred. * 1-2 years Utilization Management experience strongly preferred. * Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. 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.

Department of Social Work Director of Field Education, MSW Program - Faculty of Social Work Type: Full-time, 12-month faculty appointment Since 1920, Mount St. Joseph University has provided an education that is based on interdisciplinary liberal arts and professional curricula emphasizing mission, values, integrity, and social responsibility. Faculty and staff deliver high-quality academics, hands-on experiential learning, and personalized attention to support student success. Join our award-winning team, recognized as a 'Best College to Work for,' and be part of a vibrant culture that places a premium on collaboration and belonging. The Department of Social Work at Mount St. Joseph University invites applications for a Director of Field Education for the MSW Program, position beginning August 1st, 2026. This is a full-time, 12-month faculty position; rank commensurate with education and experience. The role includes 50% instructional responsibilities and 50% field education administration, responsible for coordinating all aspects of the MSW Field Education Program. Position Responsibilities The Director of Field Education, MSW Program administers the graduate Social Work Field Education Program in alignment with CSWE Educational Policy and Accreditation Standards (EPAS). This includes: * Oversight of field placements for traditional MSW students (students with bachelor's degree in non-social work area) and advanced standing (students with BSW degree) in areas of specialization (advanced generalist and behavioral health), student supervision, and agency partnerships * Compliance with CSWE standards for field education * Development of and collaboration with community partners and site supervisors, including providing field instructor training and supervision * Advising and mentoring students * Teaching graduate social work courses, which may be offered in evening, weekend, and online formats * Departmental, divisional, and university service contributions * Other duties as assigned

Title: Advanced Outpatient Presvc Spe - UHC Counseling Center Department Org: UTMC UHC Counseling Center - 114460 Employee Classification: B1 - Classif'd Full Time AFSCME HSC Bargaining Unit: AFSCME HSC Primary Location: HSC H Shift: 1 Start Time: 8am End Time: 5pm Posted Salary: $19.04 - $21.46 Float: False Rotate: False On Call: False Travel: False Weekend/Holiday: False Job Description: The Advanced Outpatient Preservice Specialist performs all scheduling, pre-registration and insurance verification for outpatient surgery, imaging care, advanced diagnostic testing, infusion services, and other non-routine outpatient care services. Performs complete and accurate patient appointment scheduling, account pre-registration, insurance verification and authorization functions either via electronic media collection or telephonic interview methods; works to provide patient information which maximizes reimbursement, achieves collection ratios, meets accounts receivable (AR) goals, and provides timely and through information to all other providers and users of patient data. Verifies insurance requirements, obtains and understands insurance benefits, obtains prior authorizations and care certifications as required by applicable payors. Requests any non-covered patient collectibles such as coinsurance, deductibles, and copayments prior to service; Ensures that patients meet financial requirements and that insurance authorization requirements are met prior to services being rendered; Provides general information to hospital users, patients and families; Communicates effectively to service delivery areas to maximize patient flow and customer service outcomes both internally and externally. Minimum Qualifications: 1. High school graduate or equivalent required. 2. 1 year experience with ICD-9 and/or CPT codes required. 3. Medical practice insurance and coding diploma, Registered Health Information Technician, Certified Healthcare Access Associate, Certified Revenue Cycle Representative, Licensed Practice Nurse, or like designation preferred. 4. Two years current professional office experience in medical collections, billing, medical insurance verification and precertification, advanced patient scheduling or equivalent education preferred. 5. 40wpm typing speed required. 6. Experience in internet, internet navigation, word processing, standard computer manipulation required 7. Ability to calculate fractions, decimals and percentages and to read and write common vocabulary required. 8. Ability to work with minimum supervision. 9. Excellent communication skills, oral and written skills. 10. Ability to deal with confrontation. 11. Ability to develop and maintain professional, service oriented working relationships with patients, families, physicians, nurses, co-workers, supervisors and others. 12. Must be able to understand and comply with policies and procedures. 13. Possess excellent analytical and problem solving skills and perform multiple tasks while working independently. 14. Ability to work collaboratively with a high performance team of professionals in partnership toward common objectives 15. Knowledge of information systems and healthcare applications. 16. Proficient in Word and Excel, required. 17. Work in a professional office environment with possible high stress levels 18. Previous customer service experience required. Preferred Qualifications: Conditions of Employment: To promote the highest levels of health and well-being, the University of Toledo campuses are tobacco-free. Pre-employment health screening requirements for the University of Toledo Health Science Campus Medical Center will include drug and other required health screenings for the position. Equal Employment Opportunity Statement: The University of Toledo is an equal opportunity employer. The University of Toledo does not discriminate in employment, educational programs, or activities on the basis of race, color, religion, sex, age, ancestry, national origin, sexual orientation, gender identity and expression, military or veteran status, disability, familial status, or political affiliation. The University is dedicated to attracting and retaining the best and brightest talent and fostering a culture of respect. The University of Toledo provides reasonable accommodation to individuals with disabilities. If you require accommodation to complete this application, or for testing or interviewing, please contact HR Compliance at ************************ or ************ between the hours of 8:30 a.m. and 5 p.m. or apply online for an accommodation request. Computer access is available at most public libraries and at the Office of Human Resources located in the Center for Administrative Support on the UToledo Main Campus.

Justice Center Counselor - Full-Time Location: Wayne County Jail Starting Pay: $50,000 (based on education, licensure, and experience) Sign-On Bonus: $3,000 (25% paid at 90 days, 25% at 6 months, 50% at 1 year) Be the Reason Someone Finds Hope At OneEighty , we restore dignity, reimagine potential, and rebuild lives. We believe there are always more reasons to hope than to fear or despair-and you can be part of that change. We're seeking two Justice Center Counselors to provide direct mental health services within a jail setting. This is a full-time opportunity to make a meaningful impact on justice-involved individuals through counseling, crisis support, and care coordination. What You'll Do Provide individual and group counseling Conduct assessments and develop treatment plans Deliver trauma-informed care and crisis intervention Collaborate with correctional and clinical staff Coordinate post-release care for continuity of services What You'll Bring Master's degree (or enrollment in a master's program) in Counseling, Social Work, Psychology, or related field Licensure in Ohio or license eligibility Experience or training in trauma, crisis intervention, and substance use disorders Ability to maintain professional boundaries and relationships within a correctional setting CPR/First Aid certification (or willingness to obtain) Valid Ohio driver's license and insurable driving record Eligibility for NPI and Ohio Medicaid billing Proficiency in Microsoft Office and electronic health records Two years of continuous sobriety if in recovery Bonus Qualifications Experience in correctional, forensic, or community mental health Training in suicide assessment and crisis de-escalation Why Join OneEighty? Hope starts here. We're a private nonprofit serving Wayne and Holmes counties with addiction, domestic violence, and behavioral health services. Our team is passionate, supportive, and mission-driven. Employee Testimonials: “I feel we are part of the solution in this community.”“I love helping others.”“My coworkers are amazing. I enjoy the work and the clients.” Benefits Include: Generous PTO: 17 days/year + 88 hours of holiday time Medical, dental, and vision insurance 401(k) with company match Federal Student Loan Forgiveness eligibility Flexible work arrangements (where applicable) Employee recognition programs, and more! Ready to Make a Difference? Apply today and help change the course of someone's life for the better. Any offer of employment will be based on the outcome of a background check and the ability to pass a drug screening prior to employment. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including, without limitation, pregnancy, sexual orientation, and gender identity), national origin, age, disability, genetics, ancestry, or military status. In addition to federal law requirements, OneEighty complies with applicable state and local laws governing nondiscrimination in employment in every location in which OneEighty has facilities. OneEighty is an Equal Opportunity Employer. Persons with a disability can request an accommodation to complete the application process by emailing ********************** with the subject line "Accommodation Request." Visit us on the web: ****************** . Check us out on Facebook and Instagram - OneEighty, Inc. Why OneEighty listen to this message from our Executive Director

Resident Services Director Role Information Schedule: Full-Time Who We Are Life Enriching Communities is a not-for-profit organization that provides exceptional everyday experiences for associates and residents in our vibrant senior living communities. Our values of respect, innovation, spirituality, and excellence guide everything we do, fostering a sense of extended family and teamwork within our community. Our residents are exceptional and kind, and our dedicated associates deliver a high level of service with grace and compassion. Join us in making a meaningful difference in the lives of seniors and their families. What You'll Love About Working Here At Life Enriching Communities, we believe exceptional care begins with an exceptional team. Alongside our warm and welcoming environment, we offer a package of: Health, Dental, Vision, Life, and Disability benefits Generous Paid Time Off (PTO) Retirement Fund with Company Match On-Site Gym Advancement opportunities Beautiful, state-of-the-art facilities A supportive team culture Work that truly makes a difference Excellent patient care ratios that support quality time with residents You, Our Ideal Candidate The Resident Services Director leads and elevates the overall resident experience. Providing, oversight to Independent Living departments including but not limited to Pastoral Care, Life Safety, Welcome Center, Transportation and Wellness. This role leads and develops departmental managers under their direction, ensuring high performance and alignment with organizational standards. Success in this position requires exceptional communication skills, sound judgment, and a high degree of patience and compassion when engaging with team members, residents, and families. The Director also implements policies and regulations to ensure a welcoming, safe, and hospitable environment for residents, staff, and guests. Responsibilities Supervise and develop managers of departments related to independent care. Providing onboarding, training, and evaluating performance. Supervise other sight specific staff such as Executive assistant and Hospitality Specialist. Create and coordinate work schedules; and serve as the departmental timekeeper for hourly associates. Maintain staff by recruiting, selecting, orienting, engaging and training team members. Establish departmental strategic goals while managing financial resources to ensure that needed resources are available and that services are delivered to residents, as appropriate. Support and advise regarding day-to-day operations in the Independent Living area. Manage the resident survey process and reporting. Requirements College degree or advanced schooling preferred but not required. Strong communication, interpersonal and organizational skills. Proficient in Microsoft 365. Demonstrated creativity and customer service experience. Must possess a customer service or sales background and orientation. Life Enriching Communities is an equal opportunity employer committed to workplace diversity and compliance with the applicable provisions of the Americans with Disabilities Act. We are a drug-free and tobacco-free workplace.

TITLE: Director Case Management / Utilization Management / CDI Now is your chance to join a Forbes magazine top 100 hospital where career growth and opportunity await you. They are committed to building healthcare teams whose care exceeds the expectations of their patients and community and are looking for quality talent who share the same values. They're nestled in a beautiful rural setting but close enough to the big city to enjoy that too! If that sounds like the change you are looking for, please read on… What you'll be doing: •Responsible for developing, planning, evaluating, and coordinating comprehensive patient care across the continuum, to enhance quality patient care while simultaneously promoting cost-effective resource utilization. Provides director-level oversight of Inpatient and ED Case Management, Utilization Management and Clinical Documentation Integrity programs, ensuring alignment with organizational goals and regulatory requirements. Monitors patient care, including utilization, quality assurance, discharge planning, continuity of care, and case management activities, and ensures that these functions are integrated into overall hospital operations. Coordinate and monitors activities with appropriate members of the health care team to promote efficient use of hospital resources, facilitate timely discharges, prevent and control infections, promote quality patient care, and reduce risk and liability. Collaborates closely with coders and revenue cycle teams to optimize clinical documentation and support accurate coding, reimbursement, and compliance initiatives. •Responsible for identifying tracking mechanisms in order to evaluate and achieve optimal financial outcomes, to enhance quality patient care, and promote cost-effective resource utilization. •Uses data to drive decisions, plan, and implement performance improvement strategies for case management, utilization management, and clinical documentation integrity •Coordinates daily activities of the Case Management, UM, and CDI Department in order to promote quality patient care, efficient use of hospital resources, facilitate timely and adequate discharges, and reduce risk and liability. •Investigates and initiates follow-up on utilization denials, contract negotiations, and external regulatory agencies' requirements. •Directs operations of our Physician Advisor Program, including analysis of performance through reporting and committee involvement and oversight. •Actively serves on hospital committees and teams and facilitates opportunities for employees to do the same. •Develops, performs, and improves personal and departmental knowledge of computer software and reporting functions. •Organizes and oversees the maintenance of denial and appeal activity. Follows up with physicians and others when indicated. •Prepares or coordinates the preparation of periodic and special reports required by various agencies, insurance contracts, and for hospital committees. •Analyzes and trends data results in order to incorporate efforts and information results with existing systems to optimize the efficiency of operational systems through strategic quality leadership. •Facilitates growth and development of the case management program, utilization management ( including physician advisor program and clinical documentation integrity (CDI), in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities, as needed. •Develop new resources where gaps exist in the system as identified through research and data analysis to meet and enhance the quality/efficiency of comprehensive patient care and/or basic human needs for the community. •Interact with Corporate Consulting and Business office on issues such as contracting, billing, reimbursement, denials, and physician reports cards, and collaboratively initiate improvements related to these areas. •Maintains hospital compliance with the Quality Improvement Organization (QIO) and CMS guidelines. •Maintains professional knowledge by participating in educational seminars and opportunities. •Participates in Population Health work at an organizational level, including active involvement with the System-Wide Care Management Team and Value-Based Care Delivery. Additional info: •Position will report to a Manager that is well respected in the organization. Position is open as the person is retiring. They use EPIC(EMR) and the facility has a lot of technology. Person would be over about 50-60 people between CM/UM/CDI. Great team to work with. •If you're a passionate Pharmacist and seeking a rewarding career in a collaborative healthcare setting, this is the opportunity you've been waiting for. Join us in east central Ohio, and become part of our exceptional team dedicated to delivering high-quality care to our community. Apply now and embark on a fulfilling career journey with us. Requirements What they're looking for: •Master's degree in nursing, Healthcare Administration, or Business Administration required. •Current Ohio RN licensure (or active multi-state licensure). •Certified Case Manager(CSM). •At least three (3) years of management or demonstrated leadership experience required. •Knowledge of prospective payment systems, managed care, infection control surveillance, patient care, disease processes, discharge planning, and continuum of services offered within Genesis and externally. Knowledge of coding, mid-revenue cycle, CDI, physician advisor and payor relations. •Ability to perform data analysis and to utilize computer systems to record and communicate information to other services. •The ability to lead collaboration with other leaders in the organization, especially about the delivery of high-quality, timely, and right site of care. •Excellent leadership, verbal and organizational skills to order to steer the case management process. Benefits Hours and compensation potential: •The position is full time. •The range starts at $62.50hr($130K)-$75hr($156K) depends on years of experience. •Full benefits package being offered.

Job Address: 225 West Main Street Shelby, OH 44875 How good is your vision? How far can you see? Can you look beyond the body's limitations, beyond the constant medical needs, and see the soul inside? Crestwood Care Center, a member of the CommuniCare Family, is seeking a Director of Social Services (LSW) who shares our vision, who can see our residents for who they are and find ways to enrich their lives with dignity, joy, and meaning. WHAT WE OFFER Beyond our competitive wages, we offer all full-time employees a variety of benefit options including: Life Insurance LTD/STD Medical, Dental, and Vision 401(k) Employer Match with Flexible Spending Accounts NOW OFFERING DAILY PAY! WORK TODAY, GET PAID TOMORROW. CATCH THE SPIRIT! When you join the CommuniCare family, you'll quickly catch the team spirit. Coworkers and residents become family, the workplace becomes a home, and a touch of spontaneity and fun keeps everyone smiling. Our core values promote an environment of respect, courtesy, and professional excellence where you can dedicate yourself to a career you love. Do you have what it takes to be our next Director of Social Services? QUALIFICATIONS AND EXPERIENCE REQUIREMENTS 4 year college degree in Social Work or related field. 3-5 years of prior work/life experiences, preferably in a healthcare setting. Must be licensed by the State Licensure exam through the State Social Worker and Counselor Board. YOUR MISSION As Director of Social Services: You will be responsible for the performance of all social and psycho-social functions. You will develop and maintain a good working rapport with other direct caregivers to assure their participation in and support of all programs/services to benefit the residents' psychosocial wellbeing. You will counsel family members, residents, and/or staff members. You will serve as the resident's advocate at all times, working in harmony with all direct care giving staff to assure that the resident's needs are being met. THE COMMUNICARE COMMITMENT A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.

Department of Social Work Director of Field Education, MSW Program - Faculty of Social Work Type: Full-time, 12-month faculty appointment Since 1920, Mount St. Joseph University has provided an education that is based on interdisciplinary liberal arts and professional curricula emphasizing mission, values, integrity, and social responsibility. Faculty and staff deliver high-quality academics, hands-on experiential learning, and personalized attention to support student success. Join our award-winning team, recognized as a 'Best College to Work for,' and be part of a vibrant culture that places a premium on collaboration and belonging. The Department of Social Work at Mount St. Joseph University invites applications for a Director of Field Education for the MSW Program, position beginning August 1 st , 2026. This is a full-time, 12-month faculty position; rank commensurate with education and experience. The role includes 50% instructional responsibilities and 50% field education administration, responsible for coordinating all aspects of the MSW Field Education Program. Position Responsibilities The Director of Field Education, MSW Program administers the graduate Social Work Field Education Program in alignment with CSWE Educational Policy and Accreditation Standards (EPAS). This includes: Oversight of field placements for traditional MSW students (students with bachelor's degree in non-social work area) and advanced standing (students with BSW degree) in areas of specialization (advanced generalist and behavioral health), student supervision, and agency partnerships Compliance with CSWE standards for field education Development of and collaboration with community partners and site supervisors, including providing field instructor training and supervision Advising and mentoring students Teaching graduate social work courses, which may be offered in evening, weekend, and online formats Departmental, divisional, and university service contributions Other duties as assigned Qualifications Required: MSW from a CSWE-accredited program Minimum of five (5) years of post-MSW social work practice experience Experience in program administration or program development Prior college-level teaching experience Availability to teach on a flexible schedule (evenings, weekends, online) Preferred: Social work licensure Terminal degree (Ph.D, DSW, Ed.D, in social work or related field) Familiarity with Cincinnati tri-state area social service agencies Commitment to student-centered pedagogy, engaged learning, and social justice Experience working with first-generation college students Application Requirements Applicants must submit the following materials: Cover Letter Curriculum Vitae Statement of Pedagogical Approach to teaching in graduate social work education About Mount St. Joseph University Mount St. Joseph University is a mission-driven institution grounded in the values of the Sisters of Charity, committed to academic excellence, student success, service, and social responsibility. We welcome applications from individuals who embrace excellence and share a commitment to the transformative power of education. Benefits Mount St. Joseph University offers a wide array of benefit options, to meet the financial, educational, health, and wellness needs of you and your family. Eligibility varies by position and FTE. Tuition Remission for you and your family. 403b Retirement Excellent benefits including medical, employer HSA contributions, dental, vision, life, parental leave. Generous PTO. 16 paid holidays. Competitive salaries. Opportunity to work in a dynamic and collaborative educational environment. Professional development opportunities. A review of resumes will begin immediately and continue until the position is filled. Please click here to review the University's policies on E-Verify, Equal Opportunity, and Non-Discrimination. Mount St. Joseph University is an Equal Opportunity Employer

Justice Center Counselor - Full-Time Starting Pay: $50,000 (based on education, licensure, and experience) Sign-On Bonus: $3,000 (25% paid at 90 days, 25% at 6 months, 50% at 1 year) Be the Reason Someone Finds Hope At OneEighty, we restore dignity, reimagine potential, and rebuild lives. We believe there are always more reasons to hope than to fear or despair-and you can be part of that change. We're seeking two Justice Center Counselors to provide direct mental health services within a jail setting. This is a full-time opportunity to make a meaningful impact on justice-involved individuals through counseling, crisis support, and care coordination. What You'll Do Provide individual and group counseling Conduct assessments and develop treatment plans Deliver trauma-informed care and crisis intervention Collaborate with correctional and clinical staff Coordinate post-release care for continuity of services What You'll Bring Master's degree (or enrollment in a master's program) in Counseling, Social Work, Psychology, or related field Licensure in Ohio or license eligibility Experience or training in trauma, crisis intervention, and substance use disorders Ability to maintain professional boundaries and relationships within a correctional setting CPR/First Aid certification (or willingness to obtain) Valid Ohio driver's license and insurable driving record Eligibility for NPI and Ohio Medicaid billing Proficiency in Microsoft Office and electronic health records Two years of continuous sobriety if in recovery Bonus Qualifications Experience in correctional, forensic, or community mental health Training in suicide assessment and crisis de-escalation Why Join OneEighty? Hope starts here. We're a private nonprofit serving Wayne and Holmes counties with addiction, domestic violence, and behavioral health services. Our team is passionate, supportive, and mission-driven. Employee Testimonials: “I feel we are part of the solution in this community.” “I love helping others.” “My coworkers are amazing. I enjoy the work and the clients.” Benefits Include: Generous PTO: 17 days/year + 88 hours of holiday time Medical, dental, and vision insurance 401(k) with company match Federal Student Loan Forgiveness eligibility Flexible work arrangements (where applicable) Employee recognition programs, and more! Ready to Make a Difference? Apply today and help change the course of someone's life for the better. Any offer of employment will be based on the outcome of a background check and the ability to pass a drug screening prior to employment. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including, without limitation, pregnancy, sexual orientation, and gender identity), national origin, age, disability, genetics, ancestry, or military status. In addition to federal law requirements, OneEighty complies with applicable state and local laws governing nondiscrimination in employment in every location in which OneEighty has facilities. OneEighty is an Equal Opportunity Employer. Persons with a disability can request an accommodation to complete the application process by emailing ********************** with the subject line "Accommodation Request." Visit us on the web: ******************* Check us out on Facebook and Instagram - OneEighty, Inc. Why OneEighty listen to this message from our Executive Director

Medical Director -Long Term Support and Services Preferred Location: Ohio. Please note that per our policy 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. MyCare Ohio Plan program is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs. The Medical Director -Long Term Support and Services is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How will you make an impact: * Oversee all primary and physical health services provided to individuals of the health plan, including those receiving LTSS, ensuring the appropriate level of medical care is received. Identifies potential issues, project change, and scope data. * Ensure services align with LTSS clinical and service coordination requirements as defined by state and federal contracts/rules. * Conduct targeted LTSS Case Management training sessions, emphasizing the most prevalent medical diagnoses affecting the key LTSS populations. * Assist with resource development and drive Health Plan collaborations to support LTSS/HCBS populations. * Supports clinicians to ensure timely and consistent responses to members and providers. * Provides guidance for clinical operational aspects of a program. * Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. * May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. Minimum Requirements: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * A minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, a minimum of 5 years of experience providing health care is required. * * Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.* Preferred Skills, Capabilities and Experiences: * Minimum of ten years of clinical experience, including at least five years of experience directing healthcare services for target populations strongly preferred. * 1-2 years Utilization Management experience strongly preferred. * Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. 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.