Case Manager jobs at Peoples Health

AMERISAFE is seeking a detail-oriented, productivity driven professional to add to our Florida based Workers Compensation Claims Team. In this position, you will conduct on-site and in-person investigations, determine compensability, establish reserves, document decision making, issue benefit payments, and make notifications to the State administrative authority. You will work with injured workers, employers, medical and legal professionals to ensure the appropriate benefits are provided to injured workers under the appropriate Workers' Compensation Laws. In addition to the benefits listed on our careers page, other benefits of this position include: Salaried position based on location and experience ($50,000 to $95,000) Auto reimbursement program Reimbursement for cell phone and internet Target Case Load of 60 claims Upon an offer and acceptance of employment with AMERISAFE, you will be required to complete our pre-employment screening, which includes a criminal background check, a 10-panel drug test and, if applicable, a review of your motor vehicle report. A 10-panel drug test includes amphetamine/methamphetamine, barbiturates, benzodiazepines, cocaine metabolite (BZE), marijuana metabolite (THCA), methadone, methaqualone, codeine/morphine, phencyclidine, propoxyphene. Note - All positions that require driving for the company are considered safety-sensitive positions. Qualifications Workers Compensation Claims experience highly preferred. Bachelor's degree or related professional business experience acceptable. State license to handle Workers' Compensation claims if required. Professional written and verbal communication skills required. World class customer service attitude required. Ability to learn and use proprietary software and Microsoft Office products is necessary. The ability to be self-directed. This is a remote position. Valid driver's license, acceptable driving record and acceptable vehicle required. Frequent travel within a designated territory required, but rarely is overnight travel required.

AMERISAFE is seeking a detail-oriented, productivity driven professional to add to our Workers Compensation Claims Team based out of Kansas City, MO or Springfield, MO. In this position, you will conduct on-site and in-person investigations, determine compensability, establish reserves, document decision making, issue benefit payments, and make notifications to the State administrative authority. You will work with injured workers, employers, medical and legal professionals to ensure the appropriate benefits are provided to injured workers under the appropriate Workers' Compensation Laws. In addition to the benefits listed on our careers page, other benefits of this position include: Salaried position based on location and experience ($50,000 to $95,000) Auto reimbursement program Reimbursement for cell phone and internet Target Case Load of 60 claims Upon an offer and acceptance of employment with AMERISAFE, you will be required to complete our pre-employment screening, which includes a criminal background check, a 10-panel drug test and, if applicable, a review of your motor vehicle report. A 10-panel drug test includes amphetamine/methamphetamine, barbiturates, benzodiazepines, cocaine metabolite (BZE), marijuana metabolite (THCA), methadone, methaqualone, codeine/morphine, phencyclidine, propoxyphene. Note - All positions that require driving for the company are considered safety-sensitive positions. Qualifications Workers Compensation Claims experience highly preferred. Bachelor's degree or related professional business experience acceptable. State license to handle Workers' Compensation claims if required. Professional written and verbal communication skills required. World class customer service attitude required. Ability to learn and use proprietary software and Microsoft Office products is necessary. The ability to be self-directed. This is a remote position. Valid driver's license, acceptable driving record and acceptable vehicle required. Frequent travel within a designated territory required, but rarely is overnight travel required.

• Great Work Life Balance! • Quarterly Bonus Program! • Free CEU's for licenses and certificates • License and national certification reimbursement This is a work from home position requiring local field case management travel to cover the Orlando, FL region. RN degree required National Certification such as CCM, CRC, COHN, CRRC REQUIRED Prior Workers Compensation Case Management preferred To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management. Responsibilities Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual's medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW. Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention. May perform job site evaluations/summaries to facilitate case management process. Facilitates timely return to work date by establishing a professional working relationship with the injured worker/disabled individual, physician, and employer. Coordinate RTW with injured worker, employer and physicians. Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services. Maintains contact with all parties involved on case, necessary for case management the injured worker/disabled individual. May obtain records from the branch claims office. May review files for claims adjusters and supervisors for appropriate referral for case management services. May meet with employers to review active files. Makes referrals for Peer reviews and IME's by obtaining and delivering medical records and diagnostic films, notifying injured worker/disabled individual and conferring with physicians. Utilizes clinical expertise and medical resources to interpret medical records and test results and provides assessment accordingly. May spend approximately 70% of their work time traveling to homes, health care providers, job sites and various offices as required facilitating RTW and resolution of cases. Meets monthly production requirements and quality assessment (QA) requirements to ensure a quality product. Reviews cases with supervisor monthly to evaluate files and obtain directions. Upholds the Crawford and Company Code of Business Conduct at all times. Demonstrates excellent customer service, and respect for customers, co-workers, and management. Independently approaches problem solving by appropriate use of research and resources. May perform other related duties as assigned. Qualifications Associate's degree or relevant course work/certification in Nursing is required; BSN Degree is preferred. Minimum of 1-3 years diverse clinical experience and one of the below: Certification as a case manager from the URAC-approved list of certifications (preferred); A registered nurse (RN) license. Must be compliant with state requirements regarding national certifications. General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services. Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation. Excellent analytical and customer service skills to facilitate the resolution of case management problems. Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes. Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees. Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes. Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously. Demonstrated leadership ability with a basic understanding of supervisory and management principles. Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19. Active RN home state licensure in good standing without restrictions with the State Board of Nursing. Must meet specific requirements to provide medical case management services. Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam within proceeding 36 months. National certification must be obtained in order to reach Senior Medical Case Management status. Travel may entail approximately 70% of work time. Must maintain a valid driver's license in state of residence. #LI-RG1

✨Join a group of passionate advocates on our mission to improve the lives of youth! Rite of Passage Team is hiring for a Case Manager - Days at Fort Myers Academy in Fort Myers, Florida ✨ Ft. Myers Academy, located close to stunning beaches, offers comprehensive care and treatment, specializing in evidence-based intensive mental health services. The academy is dedicated to providing high-quality care in a serene and supportive environment, designed to promote healing and recovery for individuals facing mental health challenges. With a focus on evidence-based practices, Ft. Myers Academy ensures that each client receives personalized, effective treatment tailored to their specific needs. Pay: Starting at $23.50 per hour. Perks & Benefits: Medical, Dental, Vision and company paid Life Insurance within 90 days, and 401k match of up to 6% after 1 year of employment, Paid Time Off that can be used as soon as it accrues and more! ROP-benefits-and-perks-2 What you will do: As a Case Manager/ Transitional Services, you will be responsible for administrating, developing and facilitating the completion of case plans and treatment programs in accordance with the requests of the placing agency and the needs of each student on their case load. The Case Manager/ Transitional Services reports to the Director of Student Services and/or Program Director. To be considered you should: Be empathetic, patient, and treat others with respect. Have a BA/BS in a related field. Have prior case management experience, including 3 years with youth and/or juvenile placement agencies. Have a desire to work with troubled teens. Be able to pass a criminal background check, drug screen, physical, and TB test. Schedule: Typical schedule: 5 days on - 2 days off. Days of the week may vary. Evening and weekend hours as necessary. Apply today and Make a Difference in the Lives of Youth! After 40 years of improving the lives of youth, we are looking for passionate advocates to continue the legacy of helping young people become successful adults. As a Case Manager , you will have the unique opportunity to create a positive, safe and supportive environment for the youth we serve while building a career rich in growth opportunities and self-fulfillment. Follow us on Social! Instagram / Facebook / Linkedin / Tik Tok / YouTube

Providing quality service and accurate results supports Ascential Care Partner's primary mission as a trusted adviser to our clients. As Nurse Case Manager (full, or hybrid), you will be working in a fast-growing company and work environment. Your valuable role requires working closely with treating physicians/providers, employers, claim representatives, legal representatives, and the injured/ disabled person to create and implement safe and effective Return to Work plans, and facilitate appropriate and cost-effective medical services to achieve maximum medical improvement and recovery. As a member of our team, you will continue to reinforce Ascential's mission of being a market leader and collaborative partner to current and prospective customers and partners. Job Duties: Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions. Case Management & Application of Knowledge: Demonstrate and apply knowledge of case management standards, injuries, medications, treatment options, and job duties to advise on and implement treatment plans Adhere to ethical guidelines and best practice standards, ensuring quality of care. Collaboration & Communication: Collaborate telephonically and in-writing when needed with injured workers, claims representatives, employers, and healthcare providers to achieve optimal return to work and claim outcomes Facilitate telephonic and written communication and coordination with appropriate parties Maintain regular, frequent telephone and written contact with patients throughout the claim assignment Involve patients in decision-making and encourage their appropriate use of healthcare services to maximize health outcomes and maintain cost-effectiveness. Patient-Centered Care & Advocacy: Assess patient needs, provide support and advocacy, promote self-advocacy and self-determination Assist in safe transitioning of care, and resolve problems using multidisciplinary strategies, always prioritizing patient needs. Documentation & Confidentiality: Maintain accurate documentation of case management services in client records Uphold patient confidentiality and adhere to HIPAA standards. Quality Assurance: Ensure quality of care by adhering to standards, measuring outcomes, making necessary adjustments, and following ethical guidelines. Reflect the company's philosophy by demonstrating ardent customer service-related results. Professional Development: Maintain professional and industry knowledge through continuous learning, networking, and participation in professional activities. Maintain state license(s) and certifications required for this role. Workload Management: Manage assigned workload independently, prioritizing cases, evaluating progress, and modifying goals to improve treatment effectiveness and claim outcomes. Physically attend client visits on an as needed basis. Perform other duties as assigned Skills/Qualifications: Credentials: Candidate must maintain a current, active, and unrestricted Georgia RN license required Candidate must maintain an active CCM or CRRN required Candidate has an active Georgia Rehabilitation Supplier Registration or is willing to obtain required •Experience: Two or more years' full-time work providing direct clinical care Experience in worker's comp case management required •Education: Associate degree or bachelor's degree in nursing •Required Skills: Able to think critically and strategically to accomplish case goals Excellent interpersonal skills, and customer service focused Assertive and proactive in approach and communications Maintains confidence and tact in difficult discussions and collaborations to achieve positive outcomes Possesses strong organizational, task prioritization, and delegation skills Demonstrates technical proficiency in Microsoft Office products and ability to learn new software Ability to maintain accurate records, prepare reports, correct English usage, and maintain confidentiality Ability to construct grammatically correct reports using standard medical terminology Ability to use a computer keyboard and mouse up to 8 or more hours per day •Work Requirements: This is a remote, telephonic case management role serving injured workers in the Atlanta, GA metro. A client visit may be scheduled periodically. Bilingual (Spanish/English) highly desired . Ability to work minimum core business hours (Mon-Fri, 8:30a-5p EST). Must have dedicated home office space that ensures privacy with access to reliable high-speed internet Must maintain a valid driver's license with good driving history •Physical Demands: Telephonic / Desk-Based Work (primary) Sitting: prolonged periods at a computer and phone; ability to alternate sitting/standing as needed Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership. Why Join Us: At Acrisure, we're building more than a business, we're building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future. Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York. Employee Benefits We also offer our employees a comprehensive suite of benefits and perks, including: Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time. Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription. Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs. Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage. … and so much more! This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location. Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting ******************* . California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy. Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice. Welcome, your new opportunity awaits you.

Providing quality service and accurate results supports Ascential Care Partner's primary mission as a trusted adviser to our clients. As Nurse Case Manager (full, or hybrid), you will be working in a fast-growing company and work environment. Your valuable role requires working closely with treating physicians/providers, employers, claim representatives, legal representatives, and the injured/ disabled person to create and implement safe and effective Return to Work plans, and facilitate appropriate and cost-effective medical services to achieve maximum medical improvement and recovery. As a member of our team, you will continue to reinforce Ascential's mission of being a market leader and collaborative partner to current and prospective customers and partners. Job Duties: Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions. * Case Management & Application of Knowledge: * Demonstrate and apply knowledge of case management standards, injuries, medications, treatment options, and job duties to advise on and implement treatment plans * Adhere to ethical guidelines and best practice standards, ensuring quality of care. * Collaboration & Communication: * Collaborate telephonically and in-writing when needed with injured workers, claims representatives, employers, and healthcare providers to achieve optimal return to work and claim outcomes * Facilitate telephonic and written communication and coordination with appropriate parties * Maintain regular, frequent telephone and written contact with patients throughout the claim assignment * Involve patients in decision-making and encourage their appropriate use of healthcare services to maximize health outcomes and maintain cost-effectiveness. * Patient-Centered Care & Advocacy: * Assess patient needs, provide support and advocacy, promote self-advocacy and self-determination * Assist in safe transitioning of care, and resolve problems using multidisciplinary strategies, always prioritizing patient needs. * Documentation & Confidentiality: * Maintain accurate documentation of case management services in client records * Uphold patient confidentiality and adhere to HIPAA standards. * Quality Assurance: * Ensure quality of care by adhering to standards, measuring outcomes, making necessary adjustments, and following ethical guidelines. * Reflect the company's philosophy by demonstrating ardent customer service-related results. * Professional Development: * Maintain professional and industry knowledge through continuous learning, networking, and participation in professional activities. * Maintain state license(s) and certifications required for this role. * Workload Management: * Manage assigned workload independently, prioritizing cases, evaluating progress, and modifying goals to improve treatment effectiveness and claim outcomes. * Physically attend client visits on an as needed basis. * Perform other duties as assigned Skills/Qualifications: * Credentials: * Candidate must maintain a current, active, and unrestricted Georgia RN license required * Candidate must maintain an active CCM or CRRN required * Candidate has an active Georgia Rehabilitation Supplier Registration or is willing to obtain required * Experience: * Two or more years' full-time work providing direct clinical care * Experience in worker's comp case management required * Education: * Associate degree or bachelor's degree in nursing * Required Skills: * Able to think critically and strategically to accomplish case goals * Excellent interpersonal skills, and customer service focused * Assertive and proactive in approach and communications * Maintains confidence and tact in difficult discussions and collaborations to achieve positive outcomes * Possesses strong organizational, task prioritization, and delegation skills * Demonstrates technical proficiency in Microsoft Office products and ability to learn new software * Ability to maintain accurate records, prepare reports, correct English usage, and maintain confidentiality * Ability to construct grammatically correct reports using standard medical terminology * Ability to use a computer keyboard and mouse up to 8 or more hours per day * Work Requirements: * This is a remote, telephonic case management role serving injured workers in the Atlanta, GA metro. A client visit may be scheduled periodically. * Bilingual (Spanish/English) highly desired. * Ability to work minimum core business hours (Mon-Fri, 8:30a-5p EST). * Must have dedicated home office space that ensures privacy with access to reliable high-speed internet * Must maintain a valid driver's license with good driving history * Physical Demands: * Telephonic / Desk-Based Work (primary) * Sitting: prolonged periods at a computer and phone; ability to alternate sitting/standing as needed Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership. Why Join Us: At Acrisure, we're building more than a business, we're building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future. Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York. Employee Benefits We also offer our employees a comprehensive suite of benefits and perks, including: * Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time. * Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription. * Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs. * Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage. * … and so much more! This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location. Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting *******************. California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy. Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice. Welcome, your new opportunity awaits you.

Join a group of passionate advocates on our mission to improve the lives of youth! Rite of Passage Team is hiring for a Case Manager at Columbus Youth Academy ⠐⠐⠐⠐✨ Columbus Youth Academy is a moderate risk residential commitment program for male youth up to age 19. This program provides youth comprehensive care, treatment, supervision, and evidence-based sex offender services. Youth will also receive psychotherapeutic services, including individual, family, and group counseling while in the program A youth's length of stay is determined by the youth's assessed risk to reoffend, their progress in reducing applicable criminogenic needs and risk factors, and the completion of their individualized treatment plan. Pay: $22.31/hour Perks & Benefits: Medical, Dental, Vision and company paid Life Insurance within 90 days, and 401k match of up to 6% after 1 year of employment, Paid Time Off that can be used as soon as it accrues and more! ROP-benefits-and-perks-2 What you will do: The Case Manager is responsible for administrating, developing and facilitating the completion of case plans and treatment programs in accordance with the requests of the placing agency and the needs of each student on their case load. In this role, the Case Manager collaborates with other professional staff to establish and meet the goals of each youth's treatment plan by providing individual counseling and skill development and communicate with families, probation officers, referral agencies, etc. on the progress each youth on your case load. Case Managers provide an atmosphere that is supportive of the youth's needs; monitor and document clinical behaviors and activities; and participate and assist with educational, social, athletic and recreational activities. To be considered you should: Possess a BA/BS in related field ~ Have prior case management experience, including three years' experience with juveniles ~ Be at least 21 years of age ~ Be able to pass a criminal background check, drug screen (we no longer test for THC for pre-employment), physical, and TB test ~ Be able to pass a search of the child abuse central registry. Schedule: M-F 9:00AM -5:00PM (Some Weekends required depending on business needs) Apply today and Make a Difference in the Lives of Youth! ⠐⠐⠐⠐✨ After 40 years of improving the lives of youth, we are looking for passionate advocates to continue the legacy of helping young people become successful adults. As a Case Manager, you will have the unique opportunity to create a positive, safe and supportive environment for the youth we serve while building a career rich in growth opportunities and self-fulfillment. Follow us on Social! Instagram / Facebook / Linkedin / Tik Tok / YouTube

✨Join a group of passionate advocates on our mission to improve the lives of youth! Rite of Passage Team is hiring for a Bilingual Case Manager at Canyon State Academy in Queen Creek, Arizona ✨ Canyon State Academy is located on a scenic 180-acre campus surrounded by Farm student housing for 300 + youth, a Thrift Store, Café, Barbershop and Church open to the community incorporating life skills for our students. Along with a fully equipped weight room, football stadium, an athletic center (gymnasium, padded wrestling room & more). Pay: $25.93 an hour $3,000 Sign on Bonus Perks & Benefits: Medical, Dental, Vision and company paid Life Insurance within 90 days, and 401k match of up to 6% after 1 year of employment, Paid Time Off that can be used as soon as it accrues and more! ROP-benefits-and-perks-2 What you will do: Case Manager is a member of the site team implementing the Rite of Passage program. The Case Manager is responsible for administrating, developing and facilitating the completion of case plans and treatment programs in accordance with the requests of the placing agency and the needs of each student on their caseload. Depending on location, the Case Manager reports to the Director of Student Services, Case Management Coordinator, Unit Manager and/or Program Director. To be considered you should: Possess a Bachelor's Degree in behavioral sciences, human services or social services field ~Bilingual in Spanish and English~ Child Welfare and/or case management experience ~ Be at least 21 years of age ~ Be able to pass a criminal background check, drug screen (we no longer test for THC), physical, and TB test ~ Be able to pass a search of the child abuse central registry. Schedule: Two Shifts Sunday to Thursday Tuesday to Saturday *Hours are based on the need of the program with one work from home day* *Schedule subject to change based on the need of the program* Apply today and Make a Difference in the Lives of Youth! After 40 years of improving the lives of youth, we are looking for passionate advocates to continue the legacy of helping young people become successful adults. As a Bilingual Case Manager, you will have the unique opportunity to create a positive, safe and supportive environment for the youth we serve while building a career rich in growth opportunities and self-fulfillment. Follow us on Social! Instagram / Facebook / Linkedin / Tik Tok / YouTube

Employment Type: Full-Time, Permanent Schedule: Weekdays (7-10 hour days) with occasional on-call/extended hours Salary Range: $109,762-$164,570/year (DOE) 1-3 years: ~$109,762-$120k 3-5+ years: ~$120k-$135k 5+ years: ~$135k-$145k Compensation above $145k may require additional approval. Sign-On Bonus: $10,000 Relocation Assistance: Available Job Description Overview A 282-bed acute-care hospital in the Panama City region is seeking an experienced Director of Case Management to lead all Case Management, Utilization Review, and Social Work operations. This strategic leadership role oversees department performance, care coordination models, staffing, and compliance for a system managing more than 1.2 million annual patient encounters. The ideal candidate is a strong, relationship-driven leader with deep operational knowledge and a passion for improving patient flow, resource utilization, and quality outcomes. Key Responsibilities Lead daily operations of Case Management and Social Work services, ensuring consistent, high-quality, patient-centered care coordination. Oversee discharge planning workflows, utilization review, and care transition models. Manage department staffing, productivity, onboarding, and resource allocation. Ensure regulatory compliance and adherence to policies and documentation standards. Analyze departmental data, identify performance gaps, and drive sustainable process improvements. Partner with hospital leadership (CNO, CMO, Finance, Legal, Ethics, etc.) on system-wide initiatives. Promote financial stewardship through effective resource and utilization management. Build strong interdisciplinary and community relationships to support effective transitions of care. Foster a culture of accountability, engagement, and service excellence. Provide coaching, performance feedback, and professional development for team members. Participate in budgeting, forecasting, and capital planning. Qualifications Required: 3+ years recent acute-care hospital Case Management experience. 2+ years leadership experience. Bachelor's degree. Current licensure as RN, LCSW, or LMSW. Strong understanding of care coordination, discharge planning, and utilization review. Preferred: Master's degree in Nursing, Healthcare Administration, Business Administration, or related field. Experience overseeing Case Management in a high-volume hospital. Strong analytical, communication, and change-management skills. Additional Information Compensation & Benefits Competitive salary: $109,762-$164,570/year (based on experience). $10,000 sign-on bonus for eligible hires. Relocation assistance available. Medical, dental, and vision insurance. 401(k) with 100% company match (3-9%) depending on years of service. Employee stock purchase program (10% discount). Tuition assistance, certification support, student loan resources, and dependent scholarships. PTO, paid family leave, disability coverage. Mental health and emotional wellness programs. Additional optional benefits: FSA, accident/critical illness policies, identity protection, pet insurance. Ideal Candidate Experienced Case Management leader seeking a high-impact role. RN or Social Work professional with strong knowledge of care coordination and UR. Leader skilled in process improvement, performance management, and team development. Strong communicator who excels in collaborative, fast-paced environments. Keywords / Hashtags Case Management Director, RN Case Management Leader, Hospital Care Coordination, Director of Social Work, Utilization Review Management, Healthcare Leadership Jobs Florida, Panama City RN Leadership #DirectorCaseManagement #CaseManagementJobs #RNLeadership #HospitalLeadership #CareCoordination #UtilizationReview #PanamaCityJobs #FloridaHealthcareCareers

✨Join a group of passionate advocates on our mission to improve the lives of youth! Rite of Passage Team is hiring for a Bilingual Case Manager at Sycamore Canyon Academy in Oracle, Arizona ✨ Sycamore Canyon Academy is a unique therapeutic and educational community located in the heart of Oracle, Arizona. Our campus is a sanctuary where students and staff can connect with nature. We have extensive trails all maintained to provide a safe and enriching environment for learning and growth. Sycamore Canyon empowers at risk youth to overcome challenges and reach their full potential. We achieve this through a holistic approach that combines accredited education, therapeutic services, and immersive outdoor experiences. As a Bilingual Case Manager. you play a key role in shaping the future of our students. You will have the opportunity to lead outdoor activities, assist in developing innovative programs, and make a lasting impact in a supportive community-focused environment. With onsite housing, free meals and transportation provided, you can fully immerse yourself in the work and the beautiful surroundings. Pay: $25.93 an hour $3,000 Sign on Bonus Perks & Benefits: Medical, Dental, Vision and company paid Life Insurance within 90 days, and 401k match of up to 6% after 1 year of employment, Paid Time Off that can be used as soon as it accrues and more! ROP-benefits-and-perks-2 What you will do: Case Manager is a member of the site team implementing the Rite of Passage program. The Case Manager is responsible for administrating, developing and facilitating the completion of case plans and treatment programs in accordance with the requests of the placing agency and the needs of each student on their caseload. Depending on location, the Case Manager reports to the Director of Student Services, Case Management Coordinator, Unit Manager and/or Program Director. To be considered you should: Possess a Bachelor's Degree in behavioral sciences, human services or social services field ~Bilingual in Spanish and English~ Child Welfare and/or case management experience ~ Be at least 21 years of age ~ Be able to pass a criminal background check, drug screen (we no longer test for THC), physical, and TB test ~ Be able to pass a search of the child abuse central registry. Schedule: Two Shifts Sunday to Thursday Tuesday to Saturday *Hours are based on the need of the program with one work from home day* *Schedule subject to change based on the need of the program* Apply today and Make a Difference in the Lives of Youth! After 40 years of improving the lives of youth, we are looking for passionate advocates to continue the legacy of helping young people become successful adults. As a Bilingual Case Manager, you will have the unique opportunity to create a positive, safe and supportive environment for the youth we serve while building a career rich in growth opportunities and self-fulfillment. Follow us on Social! Instagram / Facebook / Linkedin / Tik Tok / YouTube

Life Case Manager The Quantum Group Scottsdale, AZ About Quantum The Quantum Group, an Integrity company, provides financial advisory firms with a comprehensive approach to growing their business by combining client-centric insurance solutions with strategic marketing, advanced planning and operations support, helping advisors realize their vision and achieve their professional goals. Job Summary The ideal candidate will be assisting in the day to day activities within the life insurance department. You will be required to assist in ordering, obtaining and following up on underwriting requirements with each case. Must have reasonable attention to detail, respond to items in a timely manner, and the ability to problem solve. This ole will provide back up support the Life Insurance Director or other Case Managers as needed. This is an in-office position in North Scottsdale. Primary Responsibilities: As an energetic, results-oriented professional you will take individual ownership for delivery cycle-time, accuracy, and compliance standards on all new business applications as part of a high-performance team of accountable, self-directed professionals. Essential to success in this position, you will continuously demonstrate your ability to manage multiple, concurrent projects, often at various stages of succession in our overall process. Your superior language skills and competency with programs like Microsoft Excel and Word, as well as data entry will all come in handy to help you hit the ground running. You'll be in touch via phone and email with customers and employees, so great organizational and effective communication skills are a must. As our work environment is dynamic and fast paced, we will rely on your aptitude to work under pressure and your prioritization and decision-making abilities will be called upon as you perform multiple tasks simultaneously. Required Skills and Requirements: Entry Level OK. Will Train the right candidate. Computer proficiency is a must. The ability to grasp simplistic financial and insurance based concepts and calculations quickly is required. Ability to build a comfortable rapport with our existing client base and have excellent interpersonal communication skills. About Integrity Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com. Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.

Some of the duties of The Behavioral Health Case Managers include the following: Adheres to the facility and daily schedules. Responsible for coordinating, documenting, billing, and overseeing upwards of 15-30 students per caseload. Documentation in all behavioral health services and/or contacts to be completed within 24 hours of the service and meet the minimum 27.5-hour weekly billing requirement. Primary program liaison between student, parents/legal guardian, and placing agency officials. Assists with coordinating enrollment into behavioral services on-site or with outside agencies. Provides monthly progress notes, weekly student updates to the treatment team or placing agency official according to the student's individualized case plan. Facilitates all court hearings, Probation Officer visits, student visits and/or home passes, and meetings with students and their treatment team to record progress. Attends and assists with the facilitation of daily Positive Skill Development Group meetings and treatment groups. In conjunction with administrative assistance, manages and updates assigned student files in both an electronic health record system and paper file system. Completes Serious Incident Reports and notifies the appropriate individuals/agencies in a timely manner. Completes required reports and documentation in a timely manner, provides management with required reports and advises of any problematic situations. Ensures the highest standards are maintained to prevent illegal, unethical, or improper conduct and to ensure the program remains in compliance with agency licensing and Rite of Passage policies and procedures. Assists with the correction of deficiencies and quality improvement efforts. Oversees on-site family visits.

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: The opportunity Short-Term Disability insurance provides an income to employees who cannot work due to an illness or injury. As a Case Specialist, you will review claims for Short-Term Disability and decide if the person applying for benefits are eligible to receive them. Some claims are easy, some are more complex. But all claims give you the opportunity to interact and make a difference for our Clients daily. How you will contribute * Review claim forms to make sure the person applying for benefits meets all the requirements to receive benefits, including their medical condition, the recommendations of their health care providers, and the details of the short-term disability contract. * Approve the benefits if the person meets all these requirements. * Process these claims in a timely manner with accuracy. * Serve our clients in a caring and empathetic manner, communicating clearly with them the decisions you make. * Reach out to employees, employers, health care providers, attorneys, and anyone else as needed to get the paperwork or information you need to make a decision. * Make sure all your claim decisions match the insurance contract and follow all laws, regulations, and procedures. What you will bring with you * Passion for helping people, especially in times of need due to illness or injury. * Your desire and ability to provide superior service and build positive relationships. * Independent thinking and decision-making skills to support payment of benefits. * Your energy to thrive in a fast-paced environment. * Drive to continuously learn, build, and grow professionally. * The ability to adapts well to change and execute on new concepts. * Insurance claims experience is not a requirement. Salary Range: $49,400 - $66,700 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Claims - Life & Disability Posting End Date: 29/01/2026

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 $104,000.00 - $171,700.00 Target Openings 1 What Is the Opportunity? Be the Hero in Someone's Story When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most. As a Major Case Specialist, you are responsible for investigating, evaluating, reserving, negotiating, and resolving complex, serious and severe claims typically with full damage value for average claim $500,000 to over a multi-million dollar value. You will serve as an expert technical resource to claim professionals, business partners, customers, and other stakeholders. This role is eligible for a sign on bonus. What Will You Do? * Oversee major General Liability claims from initiation to resolution, ensuring compliance with company policies and industry regulations. Conduct detailed investigations to gather evidence, assess liability and determine extent of damages. * Evaluate claim information and documentation to make informed decisions regarding coverage and settlement. * Engage in negotiations with claimants, legal representatives, and other parties to achieve fair and equitable settlements. * Maintain comprehensive and accurate records of all claim activities, communications, and decisions. * Prepare and present detailed reports on claim status, trends and outcomes to senior management. * Work closely with legal, underwriting, and other departments to ensure coordinated claim handling. * Apply litigation management strategies through the selection of counsel and evaluation. * 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. What Will Our Ideal Candidate Have? * Bachelor's Degree. * Ten years of experience in handling major General Liability claims and managing litigation and complex negotiations. * Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims. * Able to make independent decisions on most assigned cases without involvement of management. * Thorough understanding of business line products, policy language, exclusions, and ISO forms. * Demonstrated ability of strategic claims handling practices. * Strong written and verbal communication skills with the ability to understand, synthesize, interpret, and convey information in a simplified manner. * Familiarity with industry regulations and legal requirements specific to General Liability insurance. * Ability to work independently and manage multiple high-value claims simultaneously. What is a Must Have? * High School Degree or GED required with a minimum of 4 years bodily injury litigation claim handling or comparable claim litigation experience. 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 *********************************************************

**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** $104,000.00 - $171,700.00 **Target Openings** 1 **What Is the Opportunity?** Be the Hero in Someone's Story When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most. As a Major Case Specialist, you are responsible for investigating, evaluating, reserving, negotiating, and resolving complex, serious and severe claims typically with full damage value for average claim $500,000 to over a multi-million dollar value. You will serve as an expert technical resource to claim professionals, business partners, customers, and other stakeholders. This role is eligible for a sign on bonus. **What Will You Do?** + Oversee major General Liability claims from initiation to resolution, ensuring compliance with company policies and industry regulations.Conduct detailed investigations to gather evidence, assess liability and determine extent of damages. + Evaluate claim information and documentation to make informed decisions regarding coverage and settlement. + Engage in negotiations with claimants, legal representatives, and other parties to achieve fair and equitable settlements. + Maintain comprehensive and accurate records of all claim activities, communications, and decisions. + Prepare and present detailed reports on claim status, trends and outcomes to senior management. + Work closely with legal, underwriting, and other departments to ensure coordinated claim handling. + Apply litigation management strategies through the selection of counsel and evaluation. + 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. **What Will Our Ideal Candidate Have?** + Bachelor's Degree. + Ten years of experience in handling major General Liability claims and managing litigation and complex negotiations. + Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims. + Able to make independent decisions on most assigned cases without involvement of management. + Thorough understanding of business line products, policy language, exclusions, and ISO forms. + Demonstrated ability of strategic claims handling practices. + Strong written and verbal communication skills with the ability to understand, synthesize, interpret, and convey information in a simplified manner. + Familiarity with industry regulations and legal requirements specific to General Liability insurance. + Ability to work independently and manage multiple high-value claims simultaneously. **What is a Must Have?** + High School Degree or GED required with a minimum of 4 years bodily injury litigation claim handling or comparable claim litigation experience. **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 ******************************************************** .

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 $104,000.00 - $171,700.00 Target Openings 1 What Is the Opportunity? Be the Hero in Someone's Story When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most. As a Major Case Specialist, you are responsible for investigating, evaluating, reserving, negotiating, and resolving complex, serious and severe claims typically with full damage value for average claim $500,000 to over a multi-million dollar value. You will serve as an expert technical resource to claim professionals, business partners, customers, and other stakeholders. This role is eligible for a sign on bonus. What Will You Do? * Oversee major General Liability claims from initiation to resolution, ensuring compliance with company policies and industry regulations. Conduct detailed investigations to gather evidence, assess liability and determine extent of damages. * Evaluate claim information and documentation to make informed decisions regarding coverage and settlement. * Engage in negotiations with claimants, legal representatives, and other parties to achieve fair and equitable settlements. * Maintain comprehensive and accurate records of all claim activities, communications, and decisions. * Prepare and present detailed reports on claim status, trends and outcomes to senior management. * Work closely with legal, underwriting, and other departments to ensure coordinated claim handling. * Apply litigation management strategies through the selection of counsel and evaluation. * 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. What Will Our Ideal Candidate Have? * Bachelor's Degree. * Ten years of experience in handling major General Liability claims and managing litigation and complex negotiations. * Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims. * Able to make independent decisions on most assigned cases without involvement of management. * Thorough understanding of business line products, policy language, exclusions, and ISO forms. * Demonstrated ability of strategic claims handling practices. * Strong written and verbal communication skills with the ability to understand, synthesize, interpret, and convey information in a simplified manner. * Familiarity with industry regulations and legal requirements specific to General Liability insurance. * Ability to work independently and manage multiple high-value claims simultaneously. What is a Must Have? * High School Degree or GED required with a minimum of 4 years bodily injury litigation claim handling or comparable claim litigation experience. 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 *********************************************************

**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** $104,000.00 - $171,700.00 **Target Openings** 1 **What Is the Opportunity?** Be the Hero in Someone's Story When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most. As a Major Case Specialist, you are responsible for investigating, evaluating, reserving, negotiating, and resolving complex, serious and severe claims typically with full damage value for average claim $500,000 to over a multi-million dollar value. You will serve as an expert technical resource to claim professionals, business partners, customers, and other stakeholders. This role is eligible for a sign on bonus. **What Will You Do?** + Oversee major General Liability claims from initiation to resolution, ensuring compliance with company policies and industry regulations.Conduct detailed investigations to gather evidence, assess liability and determine extent of damages. + Evaluate claim information and documentation to make informed decisions regarding coverage and settlement. + Engage in negotiations with claimants, legal representatives, and other parties to achieve fair and equitable settlements. + Maintain comprehensive and accurate records of all claim activities, communications, and decisions. + Prepare and present detailed reports on claim status, trends and outcomes to senior management. + Work closely with legal, underwriting, and other departments to ensure coordinated claim handling. + Apply litigation management strategies through the selection of counsel and evaluation. + 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. **What Will Our Ideal Candidate Have?** + Bachelor's Degree. + Ten years of experience in handling major General Liability claims and managing litigation and complex negotiations. + Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims. + Able to make independent decisions on most assigned cases without involvement of management. + Thorough understanding of business line products, policy language, exclusions, and ISO forms. + Demonstrated ability of strategic claims handling practices. + Strong written and verbal communication skills with the ability to understand, synthesize, interpret, and convey information in a simplified manner. + Familiarity with industry regulations and legal requirements specific to General Liability insurance. + Ability to work independently and manage multiple high-value claims simultaneously. **What is a Must Have?** + High School Degree or GED required with a minimum of 4 years bodily injury litigation claim handling or comparable claim litigation experience. **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 ******************************************************** .

The School-Based Therapist provides mental health and emotional support services to students within the school setting, collaborating with educators and families to promote students' overall well-being and academic success. A full-time, year around position in which school-based therapists are expected to maintain a therapy caseload during the summer through PHC Behavioral Health Outpatient youth referrals. Responsibilities: Individual and Group Therapy: * Conduct individual and group therapy sessions with students addressing a range of mental health concerns, including anxiety, depression, trauma, and behavioral challenges. * Provide immediate support and intervention to students experiencing emotional or behavioral crises. * Other relevant clinical tasks as needed within the organization. Collaboration with School Staff: * Collaborate with teachers, administrators, and other school personnel to identify student needs, develop individualized support plans, and implement interventions within the school environment. Family Engagement: * Engage with parents and guardians to provide support, education, and collaboration regarding students' mental health needs. Assessment and Documentation: * Conduct comprehensive assessments of students' mental health needs, develop treatment plans, and maintain detailed and confidential records. Consultation and Professional Development: * Participate in school-wide initiatives, provide consultation to staff on mental health issues, and actively engage in professional development opportunities. Qualifications: Master's degree in social work, counseling, psychology, or a related field. LPC or LCSW preferred. Candidates eligible for provisional licensure must provide proof provisional license within 90 days of hire. Demonstrated experience in providing individual and group therapy, preferably within a residential setting. Strong understanding of trauma-informed care, crisis intervention, and behavior management strategies. Excellent communication, interpersonal, and problem-solving skills. Commitment to ethical practice and client-centered care. Preferred experience working with children and adolescents in a school setting or similar environment. Strong clinical skills in individual and group therapy, crisis intervention, assessment, and case management. Excellent communication and collaboration skills to work effectively with students, families, and school staff. Thorough understanding of child development, mental health disorders, and school-based interventions.

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Case Management - Nurse, Senior will report to the Manager of Care Management. In this role you will play a pivotal role in assessing member needs, providing clinical education, as well as care coordination with providers, medical groups, and community resources. You will be responsible for managing and coordinating patient care, ensuring that our members receive the highest quality of care and services. Care Managers perform care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians. Your Knowledge and Experience Requires a current and valid CA RN License or valid RN license(s) from other state(s). Preferred licensure from a compact state. If assigned to another state, must maintain an active, unrestricted RN license in assigned state(s) or the ability to obtain required RN license (in addition to primary state license) within 90 days of hire Bachelor of Science in Nursing or advanced degree preferred Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements Requires 5 years experience in nursing, healthcare, or related field A minimum of 3 years managed care experience in inpatient, outpatient, or managed care environment preferred Health insurance/managed care experience preferred Transitions of care experience preferred Strong knowledge of healthcare delivery systems, managed care principles, and care coordination Excellent communication skills Your Work In this role, you will: Determine appropriateness of referral for CM services, mental health, and social services Assess members health behaviors, cultural influences and clients belief/value system. Evaluate all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriers Research and design treatment/care plans to promote quality of care, cost effective health care services based on medical necessity complying with contract for each appropriate plan type. Adjust plans or create contingency plans as necessary Identify appropriate programs and services that align with member needs and preferences Initiate timely Individualized Care Plans (ICP) based on Health Risk Assessment (HRA) completion, participation in and documentation of Interdisciplinary meetings (ICT), assisting in transitions of care across all ages Provide Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD) Conduct member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental cases Research opportunities for improvement in assessment methodology and actively promote continuous improvement. Anticipate potential barriers while establishing realistic goals to ensure success for the member, providers, and BSC Determine realistic goals and objectives and provide appropriate alternatives. Actively soliciting client's involvement Recognize need for contingency plans throughout the healthcare process Provide education and support to members and their families regarding health conditions, treatment options, and community resources Follow up with members as appropriate to ensure they have successfully connected with recommended programs and services