Case Manager
Behavior Therapist Job 14 miles from Carolina
Job Details Caguas - CARR 763 KM 60 Bo Borinquen - Caguas, PR Full Time High School $11.00 - $11.00 HourlyDescription
Responsible for ensuring that clients receive the individual range of medical care and other comprehensive services necessary to optimize each client's substance use, mental health, and health outcomes.
Essential Job Functions:
Maintain and demonstrates a comprehensive understanding of the Behavioral Healthcare Home model and treatment principles.
Participates as member of the treatment team by implementing the therapeutic community concepts.
Serves as part of the case management team.
Ensure HMIS data is collected and available for data entry in a timely manner. Enter the HMIS data into the system as required.
Participates in agency Case Management activities and completes case management tasks as indicated.
Develop an array of resources such as medical, housing, employment, educational, financial, public entitlement, parenting and other resources that meet the needs of clients and builds and maintains working relationships with resource providers,
Conduct case management assessments, develop client case management plan with input of client, and incorporate this plan into the client's master .treatment plan.
Facilitates the case management plan, providing transportation to and from appointments, accompanying clients on appointments; obtaining outcomes of appointment by arranging for the procurement of medical and other records/documents, obtaining prescriptions and lab work and other tasks.
Ensures that the medical team (physician, nurses, and psychologist) review clients' off site medical care, including appointment outcomes, new prescriptions, lab and other appointment.
Oversees clients' medication management using agency protocols. Monitors that prescriptions and other medications are filled or purchased using established protocols. Ensures that prescriptions are renewed on time.
Checks medication logs to for errors and reports any errors to medical team.
Ensures that funder requirements related to Communicable Disease testing an immunization are completed and compliant with timelines.
Coordinate services provided by ancillary agencies; coordinate and participate in treatment planning and reviews with the entire treatment team; consult with each patient concerning attainment of case management plan goals and objectives.
Evaluate each client's need and eligibility for public or other entitlements Assist with facilitation of the health insurance application and enrollment process for eligible uninsured clients; and assist client in accessing all eligible entitlements.
Evaluate each client's documentation of personal identification, immigration status and legal status and assist client in obtaining relevant documentation.
Evaluate client's level of life skills and functioning and provide individual and group counseling training/education in areas of need.
Assist medical and other staff in securing health care and medications required by each client. Provide oversight of the healthcare plan.
Evaluate client's level of life skills and functioning and provide training/education in areas of need.
Participates in discharge planning assisting each client in
securing stable, safe post-discharge housing;
securing a stable source of income, including assisting each client in securing employment or public entitlements;
Identifying and developing a workable plan to ensure that the client's medical, child care, legal and other areas of need are met after discharge.
Assist clients in planning finances securing and understanding bank accounts and other financially-related areas.
Maintains accurate documentation of client case management activities.
Along with primary therapist, assure implementation of behavioral management strategies.
Attend and participated in training activities, staff meetings, and supervisory sessions.
Serves as member of Quality Improvement Team and conducts assigned quality improvement activities.
Other assignments requested by Supervisor.
Qualifications
Essential Qualifications:
Certifications/Licenses:
Education:
Bachelor's Degree in a social service field, preferred. Ability to understand substance abuse/mental health treatment concepts, Ability to understand and address needs of clients with Co-occurring Disorders. Familiarity with the community's health and other resources.
Experience and Competencies:
Positive Mental Attitude.
Basic computer literacy including data entry.
Valid driver license.
Working Conditions:
Work is primarily performed in an office or residential treatment setting; and
Some outdoor activities may be required.
Physical Demands:
Requires mobility and physical activity: Having an adequate range of body motion and mobility, to work in the office environment including standing and walking (even and uneven surfaces) to interact with co-workers in the office environment, sitting for extended periods of time, bending, twisting, reaching, balancing, occasional lifting and carrying of up to 30 pounds. Constant use of computer and telephone systems is required which includes coordination of eye and hand, and fine manipulation by the hands (typing, writing, and working with files). Requires the ability to operate a motor vehicle.
Requires talking: Expressing or exchanging ideas by means of the spoken word. Talking is required to impart oral information to employees, clients, patients, and the public, and in those activities in which the employee is required to convey detailed or important spoken instructions to others accurately, loudly, or quickly.
Requires hearing: Hearing is required to receive and communicate detailed information through oral communication.
Requires seeing: Clarity of vision at 20 inches or less as well as vision adequate for driving a motor vehicle. This factor is required to complete paperwork for many of the employee's essential job functions and when driving a motor vehicle.
The normal work routine involves no exposure to human blood, body fluids or tissues. Job duties do not include performing or assisting in emergency medical care or first aid.
Mental Demands:
Requires the ability to collect and analyze complex numerical and written data and verbal information to reach logical conclusions.
Requires the ability to work and cooperate with clients, co-workers, managers, the public and employees at all levels in order to exchange ideas, information, instructions and opinions.
Requires the ability to work under time deadlines.
Case Manager - Scheduler
Behavior Therapist Job 7 miles from Carolina
Tidal Basin is looking for professionals to work on its projects nationwide; however, greater emphasis will be placed on our Puerto Rico market sector. Interested parties will be prioritized if they are already in Puerto Rico. Applicants who are bilingual are preferred. For more information about Tidal Basin, please access *********************************
Position Summary: The objective of the Case Manager with extended functions as a Scheduler is to provide case management services to an assigned caseload of disaster recovery clients in Puerto Rico. The Case Manager will provide assistance to eligible applicants affected by federally declared disasters performing activities related to but may not be limited to program eligibility determinations, income verifications, duplication of benefit analyses, award coordination, status updates and other related case management activities. Eligible applicants may be individual homeowners or business entities impacted by disasters. The Case Manager is responsible for ensuring any services provided to the applicant are documented and organized in program tracking systems. Program areas of focus include housing recovery, economic recovery, and infrastructure
Job Duties and Responsibilities include:
Responsible for assisting program/project management team with the provision of case management services related to CDBG-DR funded projects. Specific duties may include:
Provide one-on-one conversations with applicants to complete intake forms and applications to assess unmet needs and develop a recovery plan.
Lead efforts to compile applicant information, including assistance eligibility and income documentation, and submit applications for funding sources including CDBG-DR.
Follow-up with client to ensure documentation requirements are met and client is moving forward to meet programmatic objectives.
Collect, compile, analyze, report and maintain necessary data in program tracking systems for statistics and reporting.
Assist in coordinating site visits to determine eligible scopes of work for eligible properties under various programs.
Maintain knowledge of CDBG-DR policies, procedures, and regulatory requirements
Create, monitor, and analyze project schedules in accordance with standard of best project practice
Track, analyze, and report information appropriately to allow the project teams to manage their projects and evaluate weekly reports
Ensure accuracy of project schedules and performed version control
Coordinate project schedules, tasks, meeting updates, and efficient distribution of reports
Monitor projects' progress, including identifying critical activities and reviewing forecasts and progress achieved to date
Maintain project risk register to ensure that risks are effectively managed to minimize their impact on schedule, scope, and budget of projects
Track baselines, perform what-if analysis, and develop contingency plans.
Perform coordination of cross-functional departments or divisions to identify project issues, monitor action items, and work with the project manager to ensure resolution.
Perform other duties as needed, subject to changes in Program's Guidelines and Standard Operation Procedures (SOP) changes.
Work within the prescribed system of record for the program which is designed to manage program workflow, manage applicant data and provide available reporting as necessary.
Responds to routine inquiries from external and internal sources with standard correspondence or other messaging mechanisms.
Prepare applicant files for closeout once recovery needs are met.
Perform other duties as assigned
Required Skills and Competencies:
Excellent organizational skills and attention to detail.
Strong interpersonal, analytical, and problem-solving skills.
Previous disaster response/recovery/case management experience a plus.
Demonstrated Customer Service expertise.
Ability to communicate effectively, verbally and in writing.
Excellent time management skills with a proven ability to meet deadlines.
Experience working with federal grant-funded programs including HUD CDBG, CDBG-DR, or CDBG-MIT.
Bilingual candidates in English/Spanish Preferred.
Required Education and Experience:
Bachelor's degree or higher education in the areas of engineering, architecture, administration, human resources, accounting, law, public administration/policy or other related field and 2+ years in Case Management with a focus on infrastructure, community development, disaster recovery, housing projects or;
At least 3+ years of relevant case management experience in any social services field or other relevant field.
Proficient in MS Office Suite.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Rising Phoenix Holdings Corporation is an Equal Employment Opportunity Employer.
Senior Case Manager
Behavior Therapist Job 6 miles from Carolina
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**_Responsibilities_**
The Senior Case Manager supports patient access to therapy through patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and navigation, patient advocacy, program expertise, and continuous improvement efforts.
This program will be working in the manufacturer's CRM system, and this role will require resiliency to change as we will be working in a system that is evolving. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits, identifying & initiating prior authorization and step therapy reviews, proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
+ Process enrollments via inbound fax, phone, and electronically.
+ Provide world-class service and receive inbound calls from patients, healthcare provider offices, SPs, and customers, striving for one-call resolution.
+ Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
+ Must meet the daily task and benefit investigation goals associated with a high enrollment volume/low patient interaction program.
+ Assigned as point of contact for physician offices, patients, and FRM (Field Reimbursement Managers) for patients enrolled into the patient support program.
+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience.
+ Work with specialty pharmacies, insurance providers, and healthcare provider offices to help patients gain access to therapy.
+ Compliantly coordinate the exchange of patient-related information with internal and external stakeholders.
+ Conduct benefit verifications and collaborate with various healthcare providers, including physicians, pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services.
+ Help patients understand their insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed.
+ Assist in obtaining insurance, prior authorization, and appeal requirements and outcomes.
+ Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may impact prescribed products
+ Actively advocate for patients' needs by navigating complex healthcare systems, addressing concerns with providers, and securing necessary approvals for treatments and medications.
+ Implement strategies to promote medication adherence, including patient education, regular check-ins, and addressing potential barriers to compliance.
+ Take ownership of intricate patient cases involving multiple medications, chronic conditions, or challenging adherence issues, developing personalized care plans, and monitoring progress closely
+ Evaluate patient eligibility for assistance programs and assist with enrollment when applicable.
+ Create and implement action plans to address patient access barriers and demonstrate accountability in execution, driving for success and results.
+ Remain updated on available patient resources and diligently oversee systems and procedures to maintain accuracy and efficiency.
+ Track key patient metrics, analyzing data to identify trends and areas for improvement, and generating reports for stakeholders.
+ Anticipate potential problems, refer to policies and past practices for guidance and develop and execute effective solutions.
+ Provide guidance and training to junior case managers on best practices in case management, patient interaction, and navigating internal and external systems.
+ Actively participate in initiatives to improve care delivery, streamline processes, and enhance patient experience within the patient support program.
+ Use root-cause analysis to investigate and resolve issues affecting patient access.
+ Build and maintain professional relationships with all internal and external stakeholders, including case management, patient support services, medical, sales, market access, insurance companies, specialty pharmacies, and office coordinators.
+ Proactively document and share reimbursement and other knowledge with patient support program team members through resources, consultation for complex cases, and special projects as requested.
+ Consistently maintain and document accurate data, including insurance, coverage approvals, on-going coverage requirements, and all patient and provider interactions.
+ Gain and sustain proficiency in use of the manufacturer's CRM tool to document work and progress the patient journey. Consistently leverage CRM reporting tools and data analytics to make strategic decisions while prioritizing patient and customer needs, while tracking and communicating areas within the CRM where refinement would be beneficial.
+ Provide caseload coverage outside of assigned territory as needed.
+ Ensure compliance with company and manufacturer policies.
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**_Qualifications_**
+ High school diploma or GED preferred
+ Bachelor's degree in related field, or equivalent work experience in related field strongly preferred.
+ 5-8 years of industry experience with patient-facing or high touch customer interaction experience.
+ In-depth understanding of health insurance benefits, relevant state and federal laws and insurance regulations.
+ Strong understanding of pharmaceutical therapies, disease states, and medication adherence challenges.
+ Ability to analyze complex situations, identify potential obstacles, and develop creative solutions to address patient needs
+ Significant experience in managing complex patient cases within a healthcare setting, preferably with a focus on specialty medications.
+ Excellent written and oral communication, mediation, and problem-solving skills, including the ability to connect with patients, caregivers, and providers.
+ Experience and demonstrated success working in a complex matrix to accomplish goals with a patient centric approach.
+ Strong people skills that demonstrate flexibility, persistence, creativity, empathy, and trust.
+ Robust computer literacy skills including data entry and MS Office-based software programs.
+ Ability to identify and handle sensitive issues, working independently and collaboratively within teams.
+ Consistently demonstrates effective utilization and application of resources.
+ Ability to work independently, prioritize effectively, and thrive in a fast-paced, dynamic environment.
+ Demonstrates a high level of adaptability and openness to new ideas, with a proven ability to embrace change and thrive in dynamic environments.
+ Proficiency in managing data and analytics tools is a plus.
+ Bi-lingual; Spanish language skills preferred.
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $26.20 per hour - $33.66 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 05/15/2025 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Procurement & Privacy Counsel
Behavior Therapist Job 6 miles from Carolina
DLA Piper is, at its core, bold, exceptional, collaborative and supportive. Our people are the backbone, heart and soul of our firm. Wherever you are in your professional journey, DLA Piper is a place you can engage in meaningful work and grow your career. Let's see what we can achieve. Together.
Summary
This position is responsible for providing legal guidance and support for matters procurement matters, including data privacy, data security, and other related areas of contract law. Oversees the contract review processes, ensuring compliance with applicable laws, regulations, and firm policies. Reviews and negotiates contracts with vendors through to successful completion. Provides legal advice and counsel to internal stakeholders related to procurement. Responsibilities for these associated functions may change over time.
Location
This position can sit in any of our US offices and offers a hybrid work schedule.
Responsibilities
* Review and negotiate vendor contracts, ensuring alignment with firm priorities and objectives and compliance with applicable laws and regulations.
* Ensure that all firmwide legal contract obligations, risks and required standards for all assigned agreements are met.
* Ensure timely execution of assigned agreements and keep stakeholders informed of progress regularly.
* Identify any legal and business risks inherent to a proposed vendor, service, or product assigned third-party agreements.
* Collaborate with firm management and stakeholders to understand their procurement needs, provide guidance, and establish effective communications to ensure coordination and alignment of legal activities.
* Facilitate department guidance to stakeholders to resolve complex risk, regulatory and legal obligations via vendor negotiations and applying industry and domain knowledge and legal expertise where necessary.
* Navigate and answer specific questions related to privacy and data security laws, rules, and regulations as they pertain to contractual provisions.
* Coordinate with the applicable stakeholder group requesting services to ensure that risk assessments for all technology and related contract purchases are performed.
* Triage vendor contracts, working closely with Deputy General Counsel, Executive Director, New Business Intake & Procurement, and Director, Procurement & Vendor Management to make decisions around levels of review.
* Advise on procurement related data privacy and data security issues, including, but not limited to, CCPA, GDPR, and HIPAA.
* Provide legal advice and guidance on procurement matters to internal stakeholders.
* Develop, implement, and maintain procurement policies, procedures, and practices that align with relevant laws, regulations, and firm policies.
* Conduct legal research and stay up to date with relevant laws, regulations, and industry trends related to procurement, privacy and contracting.
* Manage a steady portfolio of active agreements, prioritizing work using effective judgment to ensure contracts are completed quickly and the process feels efficient to end customers.
* Liaise with key operational resources and processes including vendor management, project management, information security, data privacy and the general counsel offices, as applicable.
* Conduct periodic contract review meetings in collaboration with key procurement and business process owners, where necessary.
* Keep organized control of versions and retains documents in accordance with record retention policies and use of firm systems; enters contracts into a designated repository.
* Create and maintain measures to track contracting speed, quality, and effectiveness.
* Support vendor governance processes including onboarding, relationship management and offboarding of vendors.
* Provide training and educational programs to firm staff regarding procurement matters.
* Manage other firm projects and other duties as assigned.
Desired Skills
Significant experience reviewing and negotiating contracts, including data processing agreements and data security terms. Excellent understanding of data privacy and data security law is necessary. Demonstrated analytical and critical thinking aptitude and ability to create innovative solutions. Operational experience in procurement operations or supply chain management is highly desired. Experience working with support staff in a Professional Services organization desired. The ideal candidate is also a self-starter with the ability to prioritize in a multi-tasking environment. Also, detail orientated, highly organized, and able to handle multiple tasks and projects in a fast-paced environment. They have a commitment to superior quality and accuracy and a willingness to learn and adapt to change. They have experience creating and presenting analysis to be used in business decisions while demonstrating strong verbal and written communication skills. Ability to work effectively with internal stakeholders, vendors, and support staff with strong interpersonal skills. Proficiency with Microsoft Excel, Word and PowerPoint.
Minimum Education
* JD
Certifications
* Active law license in good standing in state where practicing is required.
* Law degree from an accredited university and admission to practice law in the relevant jurisdiction.
Minimum Years of Experience
* 3 years of experience with data security, data privacy, and contract negotiation, preferably in a large law firm, as an in-house counsel, or at a professional services corporation.
Essential Job Expectations
While the specific job requirements of a DLA Piper position may vary depending upon scope of the job and area of specialty, there are certain universal requirements that are expected of all DLA Piper employees, which include but are not limited to:
* Effectively communicate, verbally and in writing, with clients, lawyers, business professionals, and third parties.
* Produce deliverables, answer phone calls, and reply to correspondence in an efficient and responsive manner.
* Provide timely, accurate, and quality work product.
* Successfully meet deadlines, expectations, and perform work duties as required.
* Foster positive work relationships.
* Comply with all firm policies and practices.
* Engage in both physical and sedentary activity, such as (a) working at a computer for extended periods of time, including on-screen reading and typing; (b) participating in digital/virtual conference calls; (c) participating in meetings as needed.
* Ability to work under pressure and manage competing demands in a fast-paced environment.
* Perform all other duties, tasks or projects as assigned.
Our employees are expected to embrace and uphold our firm values as a part of our DLA Piper culture. We are committed to excellence in how we represent our clients and develop our people.
Physical Demands
Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Work Environment
* The individual selected for this position may have the opportunity for a hybrid work arrangement comprised of remote and in-office work, the requirement for which will be determined in coordination with the hiring manager or supervisor and may be modified in the firm's discretion in the future.
Disclaimer
The purpose of this is to provide a concise statement of the work elements and to organize and present the information in a standardized way. It is not intended to describe all the elements of the work that may be performed by every individual in this classification, nor should it serve as the sole criteria for personnel decisions and actions. The job duties, requirements, and expectations for this position may be modified at the Firm's discretion at any time. This job description does not change the at-will nature of employment.
Application Process
Applicants must apply directly online instead of sending application materials via email.
Accommodation
Reasonable accommodations may be made upon request to permit individuals with a disability to perform the essential functions and responsibilities of the position or to participate in the job selection process. If you have a request for an accommodation during the application process, please contact ***********************.
Agency applications will not be considered.
No immigration sponsorship is available for this position.
The firm's expected hiring range for this position is $127,262-$202,352 depending on the candidate's geographic market location.
The compensation offered for employment will also be dependent on other factors including the candidate's experience, skills, educational and professional background, and overall qualifications. We offer a comprehensive package of benefits including medical/dental/vision insurance, and 401(k).
##LI-FG1
#LI-Hybrid
DLA Piper is an equal opportunity employer. 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 applicant poster viewing center.
Manager Assistant Loc NX
Behavior Therapist Job 6 miles from Carolina
Our associates celebrate lives. We celebrate our associates. Consider the possibilities of joining a Great Place to Work! As a seasoned practicing Funeral Director, under the guidance of a Location Manager, learn the responsibilities of a Location Manager for the opportunity of career advancement. Assist the Location Manager with the daily operations of a Funeral Home including planning, achieving annual sales revenue and production targets, encourage profitable case volume growth, Profit & Loss (P&L) goals, manage expenses, developing a professional and effective staff, and exceeding client family expectations. Assist and direct the business operations as if it were your own.
**JOB RESPONSIBLITIES**
**Funeral Director**
+ Arranges and conducts funeral services in accordance with the family's desires, expectations, and spiritual beliefs.
+ Discusses family's wishes, funeral options, services, products, and pricing with deceased family. Identifies and communicates special veteran or recognition benefits. Executes funeral services contracts and documents in accordance with state and federal laws.
+ Through community and non-profit involvement, retains heritage, increases good will, and indirectly increases market share.
+ Additional responsibilities associated with Funeral documents, arrangements, services, and post family care.
**Location Management**
**Financial Management**
+ Work with Location Manager to develop annual business plan and budget as well as financial, production and revenue goals.
+ Run reports, analyze, identify trends, and make observations or improvement recommendations to Location Management.
+ Understand industry finances, how daily activities affects financial outcomes. May approve expenditures and invoices including overtime.
**Operations**
+ Assist the Location Manager with the day-to-day activities ensuring on-time services that exceed client family expectation. Identify barriers, encourage ideas, and recommend improvements. Assure the location's operating practices comply with applicable federal & state regulations and Company policies.
+ Manage frontline supervisor's responsibilities, expectations, and accountabilities. Make decisions that support and reinforce the company's market strategies, values, and goals.
+ In absence of the Location Manager, full-fil appropriate daily responsibilities and decision-making.
+ Additional responsibilities as requested or assigned.
**People Development**
+ Screen, interview, and assess candidates (internal and external) for hiring or promoting a skilled and effective staff.
+ Develop a strong, trusting, and reliable team through influence and leading by example, having indirect responsible for staff. Constructively address issues and provide tangible and appropriate feedback to develop skills and/or close gaps. Monitor training and licensing requirements ensuring staff is re-trained/licensed prior to expiration.
**Education, experience & Skills**
Education, Certifications, and Licensure
+ Applicable state Funeral Director Licensure is required; Technical schooling diploma Funeral Services/ Mortuary Science preferred; Bachelor's degree in Mortuary Science where required by state law.
Experience
+ At least five (5) years industry experience in the applicable discipline with progressively increasing responsibilities with an understanding of industry competitive pricing, demographic patterns, and market competition
+ Desire to learn, understand and apply Financial and Business acumen
+ Professional interpersonal skills as well as cultural sensitivity and tactfulness to interact with a variety of cultures and language barriers
Skills
+ Proficient in MS Office suite including mail, word, excel, & power point as well as proprietary industry software (HMIS, CarePoint, Becan)
+ Environment: Work may be performed both indoors and outdoors regardless of weather conditions; Care Center personnel may have exposure to various chemicals and fluids; cemetery personnel may have exposure to chemicals and equipment.
+ Attire: Business attire is required. Personal safety equipment or appropriate attire may be required for cemetery or crematory environment
+ Physical Demands: Sitting continuously for multiple hours or standing continuously for multiple hours. Manual dexterity to operate standardized office equipment, telephone, calculator, copier, and computer. Ability to lift up to 50lbs to assist with moving bodies
+ Extenuating Schedule: Typically required to work several evenings or weekends each month
+ Travel: minimal local
Postal Code: 00918-3738
Category (Portal Searching): Operations
Job Location: US-PR - San Juan
Job Profile ID: OP3501
Time Type: Full time
Location Name: Funeraria Buxeda
CASE MANAGER (BACH)
Behavior Therapist Job 7 miles from Carolina
Responsibilities Case Manager (Bachelor's degree) The Case Manager supports the Call Center team in responding 24/7 to individuals in need of services, orientation and/or crisis by providing case management and referring clients to the appropriate level of care after consulting with the Clinical Manager, Clinical Supervisor, Director, VP of Clinical or Psychiatrist. The Case Manager uses clinical structured data to determine based on eligibility criteria for a variety of program services based on member's needs and benefits under the health plan. The goal of the services provided are to support client wellness. Case Manager is responsible to document the services authorization and complies with the established processes to coordinate services with the providers. Case Manager educates clients, their representatives and their dependents about the coverage benefits and community resources available.
The case manager is responsible for providing support in the coordination and notification of appointments scheduled for our clients, in accordance with the timeframes established in the organization's policies. This role also ensures the accessibility and care of the clients.
Responsibilities and essential duties:
* Upon answering the telephone, FHC Call Center staff identify themselves by name, title, and organization's name. Answers the telephone in the company's established time frame, with a clear and pleasant tone of voice, and with an appropriate language expression.
* Shows appropriate communication skills, effective listening, and case management skills to deal with challenging situations.
* Provide phone support to members calling the Call Center to conduct needs assessments, brief interventions, facilitating referrals and supportive engagement.
* Verifies the member eligibility before processing and registering the phone call in FHC's platforms.
* Educates the member about our programs and coverage's benefits.
6. For initial screening, the Case Manager does:
* Structured clinical data acquisition: (Structured clinical data is collected using scripts).
* Conducts telephone interview to gather the necessary data using structured clinical data (scripts) and Triage Logic platform logs the health care services, coordinates appointments, makes the appropriate referrals, and service authorizations.
* Demonstrate knowledge when using the program to log the health care services and the other technological applications available.
* Collection and transfer of non-clinical data.
e. Activities that do not require evaluation or interpretation of clinical information.
f. Performance of review of service request for completeness of information.
* Maintains the confidentiality of the documents and the information received.
* Facilitate access to immediate services if an individual reports risk of suicidal or homicidal ideation or threats.
* Provide solution-focused interventions such as helping a client practice calming/coping skills, facilitating linkage to ongoing supports, and explaining the mental health services available.
* Conducts the interview process and documents according to the requirements of the Health Insurance Portability and Accountability Act (HIPAA) and law 408.
* Have immediate access to licensed clinicians or clinical manager or supervisor.
* Consult with Call Center psychiatrists and/or licensed clinicians whenever necessary.
* Complies with the guidelines and established criteria for the different processes.
* Carry out delegated duties such as:
* Outbound calls for purposes of requesting a copy of the medical/clinical record and scheduling (to verify next appointments, attendance at previous appointments, coordinate services and service authorizations.)
* Faxing materials
* Mailing/e-mailing already identified materials.
* Follow up initiative referrals.
* TTY validation.
* Follow up Call Backs.
* In charge of administrative discharge of cases previously authorized by Utilization Review Department
* Complies with the established quality parameters for abandonment rate, average speed of answer, coordination of services and notification, calls classification and routing, and first call resolution.
* Interacts with providers, clients, and other professionals in charge of member's care to guarantee the efficiency and continuity of service.
* Manages the emergency calls according to the standard procedures established in the practice of mental health services and according to the internal policies and procedures established by the organization relevant to the Access Center.
* Validate the registration process of the admissions to mental health services.
* Enter the system the inpatient admission registration when the facility cannot complete the task.
* Assist members and/or providers with the transition of care by identifying resources to support the discharge plan.
21. Receives and verifies referrals for the coordination of appointments and request additional information, if necessary.
22. Timely coordination of care for clients and dependents is essential. Applications must be submitted entirely via Web Service.
23. Contact clients and dependents to inform them of the appointments that have been scheduled within the specified timeframes.
24. Issue authorizations for services coordinated and inform clients/dependents.
25. Notify the relevant parties of any coordinated appointments that may be necessary.
* Provide the mental health first aid to members in crisis.
* Responsible to call psychiatric inpatient facilities to validate admissions and discharges.
* Responsible to enter information related to admissions and/or discharges in the Web Census platform.
* Provide backup to Utilization Review Department out of business hours including document in the appropriate platform services request, provide information of service request status, operational hours, appointment of representative orientation and other.
* Participate in new project as assigned by the supervisor.
31. Applies in a consistent manner the policies and procedures that are pertinent to the Access Center at FHC.
* Complies with the established attendance and punctuality policies.
* Agree to comply with the following requirements, but not limited to: Code of Conduct, Ethics, Confidentiality, Conflict of Interest, etc.
* Complies with the standards of the Service Excellence Program.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion, and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, or local laws. We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************.
Qualifications
* Minimum qualifications:
* Bachelor of Psychology, Social Work, Social Sciences, or Biopsychology with minor in Psychology.
* Knowledge in Microsoft Office
* Preferable fully bilingual
* Available to work 24/7 (rotating shifts)
Family Support Specialist I
Behavior Therapist Job 14 miles from Carolina
Job Details Caguas Office - Caguas, PRDescription
TITLE: Family Support Specialist I
REPORT TO: Senior Project Manager
BACKGROUND: For nearly 40 years, Urban Strategies, Inc. has assisted residents and community stakeholders to design and implement a wide range of transformative projects in distressed U.S. communities. Our goal is to ensure that our all of families are stable and thriving.
JOB SUMMARY:
Family Support Specialist provides support to a defined community or housing development as both a social service specialist and community organizer. The Specialist will work with residents on an individual basis, as needed, to mitigate risks of housing instability. The Specialist will also develop programs with residents and other community service providers to address community concerns and opportunities.
Direct Service Delivery Responsibilities
Develop effective partnerships with organizations that address community identified needs (including, but not limited to, after school programs, health fairs, job training, on- site classes)
Develop and coordinate programs as applicable that address the community identified needs
Develop and maintain relationships with community stakeholders and service organizations
Work directly with residents when specific intervention is required to include conducting assessments, developing IDPs and FDPs, connection to services, and conducting quarterly check-ins for those with identified goals.
Identify resident needs and locate community resources that may address these needs
Collaborate with the management company and resident leadership body on neighborhood safety initiatives and meetings
Grant writing for programs at the local site.
Maintain records and document resident need, progress, and continual outcomes
Document work with residents in LEARN
Document onsite programming outputs in LEARN
QUALIFICATIONS:
Education and/or experience required:
Associates Degree or related experience
Commitment to strengths-based and family-focused service planning; ability to understand program philosophies and place-based approach
Ability and commitment to handle privileged information in a professional and confidential manner
Ability to function as a team player in both internal and external relationships
Availability to attend evening and weekend functions as required
Possession of a valid driver's license and availability of automobile for work use
Strong verbal and written communication skills
Must be proficient in Microsoft Outlook, Word and Excel
Skills and/or competencies required:
Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
Strong organizational, planning and time management skills.
A strong sense of and respect for confidentiality involving both participants and fellow employees.
Must excel in fast-paced environment
Ability to work in a variety of settings with culturally-diverse persons and communities with the ability to be culturally sensitive and appropriate.
The ability to work independently and with initiative, combined with skills for thriving in a team environment to achieve shared goals.
Computer proficiency in MS Office Suite (Advanced MS Excel), other commonly used software.
Urban Strategies, Inc is an Equal Opportunity Employer.
Counsel
Behavior Therapist Job 6 miles from Carolina
**It's fun to work in a company where people truly BELIEVE in what they're doing!** The Commercial Counsel is a strategic and cross-functional role. As such, the successful candidate will provide commercial legal services to in-house clients, primarily Sales, as well as across multiple functions at Rocket Software.
**Essential Duties and Responsibilities** :
Principal duties include structuring, drafting and negotiating a variety of commercial agreements, including direct sales and partner agreements and associated order forms, SaaS agreements; incoming and outgoing and confidentiality agreements, professional services agreements, subcontracts, rfp responses as well as complex strategic contracts.
Duties also include: serving as legal counsel on business deals; resolving issues that arise in existing commercial relationships, provide legal support to management and business units regarding applicable laws and regulations and participate in new business processes within the business and risk areas.
+ Develop a thorough understanding of Rocket's business, products, markets, customers and partners in order to identify trends and formulate effective compliance strategies.
+ Counsel the business team on legal issues and risks, business strategies, complex deal structures, approval processes, intellectual property and other issues related to technology transactions.
+ Provide day to day responses to requests for legal support for the company as needed.
+ Work on significant and unique issues where analysis of situation and/or data requires evaluation of intangibles and legal expertise.
+ Exercise independent judgment in methods, techniques and evaluation criteria for obtaining results and acting independently to determine methods and procedures on assignments.
+ Counsel and collaborate with other members of the legal department in areas of expertise.
+ Ensure group companies' compliance to laws and regulations such as Data Protection, Anti-bribery, Export Controls and other legal and regulatory requirements.
+ Help with the maintenance and update of corporate governance policies and procedures.
+ Monitor changes in relevant legislation and regulations, prepare summaries of change and any suggested action required and assist with embedding these within the Company.
**Qualifications:**
+ Strong academic credentials, law degree.
+ Must be licensed to practice law in at least one US State.
+ Minimum of 2 years' experience in a law firm and in-house legal positions.
+ Experience in software transaction drafting and negotiation.
+ Experience in international transactions.
+ Experience with technology sales, licensing and procurement transactions and related distributor, reseller, cloud computing, and software product and services agreements.
+ Knowledge of and experience with pertinent laws, including software licensing, data protection, export control and anti-corruption laws.
+ Ability to clearly articulate and defend risk analysis; critically examine business practices to ensure they are aligned with legal requirements; provide advice regarding business practice risk.
+ Successful candidate is a proven team player and consensus builder that takes a business approach to law.
+ Successful candidate is a flexible self-starter and proactive problem solver who can work autonomously and handle significant client contact.
+ Effective written and oral communication skills are essential. Ability to clearly present information, in writing and orally, respond to questions from executives, managers, customers, and other employees, with focus on client service.
+ Diplomatic, approachable and possessing good business and personal judgment.
+ Must manage conflicting demands from multiple business clients in a fast-paced environment.
+ Inherent ability to act with the highest integrity and professionalism.
+ Excellent organizational skills; ability to manage multiple projects at once, follow through and meet deadlines.
+ Experience in any of the following areas is highly preferred; government contracting, partner agreements, contracting with customers in Brazil.
\#LI-Remote
\#LI-HP
**Information Security:**
Information security is everyone's responsibility. A fundamental principle of information security at Rocket Software is that all individuals in the organization have a responsibility for the security and protection of company information and IT Resources over which they have control, according to their role.
**Diversity, Inclusion & Equity:**
At Rocket we are committed to an inclusive workplace environment, where every Rocketeer can thrive by bringing their full selves to work. Being a Rocketeer means you are part of our movement to continually drive inclusivity, diversity and equity in our workforce.
The base salary range for this role is $123,645.00 - $154,556.00 /year. Exact compensation may vary based on skills, experience, and location.
.
**What Rocket Software can offer you in USA:**
**Extensive paid time off programs (paid holidays, sick, and unlimited vacation time)**
**Healthcare coverage options to fit you (and your family's) needs**
**Retirement savings, with matching contributions by Rocket Software**
**Life and disability coverage**
**Leadership and skills training opportunities**
**Two paid work days for off-site training**
EOE M/F/Vet/Disability. Rocket Software Inc. is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Rocket Software Inc. is also committed to compliance with all fair employment practices regarding citizenship and immigration status.
Rocket is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please call: ************ or send an email to *************************. We will make a determination on your request for reasonable accommodation on a case-by-case basis.
_It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability._
_If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!_
Companies around the world trust Rocket to solve their most complex business challenges by powering their critical infrastructure, business processes, and data. We help extend the value of these assets, enabling our customers to embrace the potential of cloud and mobile computing, advanced analytics, and the innovations of tomorrow. From the clothes we wear to the cars we drive, Rocket solutions power the back-end systems that thousands of brands rely on every day.
At Rocket, software is about more than just code-it's about people. We are passionate problem-solvers, working to make a difference for others. Our foundation is built on empathy, humanity, trust, and love, and we strive to embody these core values in everything we do. Whether we're serving our customers, partners, or fellow Rocketeers, we are committed to treating everyone with the respect and care they deserve.
Founded in 1990, Rocket Software is headquartered in Waltham, Massachusetts, and has 20 offices worldwide, bringing people and technology together to build a better future.
Counsel
Behavior Therapist Job 6 miles from Carolina
Company: Popular Workplace Type: Hybrid Counsel At Popular, we offer a wide variety of services and financial solutions to serve our communities in Puerto Rico, United States & Virgin Islands. As employees, we are dedicated to making our customers dreams come true by offering financial solutions in each stage of their life. Our extensive trajectory demonstrates the resiliency and determination of our employees to innovate, reach for the right solutions and strongly support the communities we serve; therefore, we value their diverse skills, experiences and backgrounds.
Are you ready for a rewarding career?
Over 8,000 people in Puerto Rico, United States and Virgin Islands work at Popular.
Come and join our community!
General Description
Provide advice across multiple corporate law practice areas, including commercial real estate, insurance, securities, intellectual property, consumer financial protection, financial services, and mergers & acquisitions.
Essential Duties and Responsibilities
* Support the business objectives of Popular, Inc. and its affiliates.
* Counsel on legal and regulatory matters, anticipating legal risks.
* Advise business units on regulatory issues related to banking, securities, insurance and trust services.
* Draft legal documents and negotiate agreements.
* Develop solutions to complex legal questions.
* Analyze consumer financial protection regulations.
* Review loan collateral documents.
* Support other attorneys as needed.
Education
Juris Doctor from an ABA-accredited law school.
Experience
A minimum of five years of experience in a financial institution as in-house counsel or law firm focused on corporate law.
Certifications/ Licenses
Admitted to practice law and licensed as a Notary Public in the Commonwealth of Puerto Rico.
Knowledge, Skills and Abilities (KSA's)
* Strong legal writing skills
* Fluent in English and Spanish.
* Manage multiple projects and work with different business teams.
* Ability to work independently and meet aggressive deadlines.
* Excellent teamwork skills.
* Strong analytical skills and attention to detail.
* Technical knowledge of the Puerto Rico Registry of the Property and Mortgage Law.
* Identify opportunities and potential solutions to complex matters.
* Strong work ethic.
Values
Passion for People
Succeed Together
Own Every Moment
Build the Future
Additional Requirements
The information provided here is only a general guide as to the nature of the position and does not constitute an exact description of the goals, tasks, duties and responsibilities of the position. The specific details of each position are described in the employee's performance evaluation.
Important: The candidate must provide evidence of academic preparation or courses related to the job posting, if necessary.
If you have a disability and need assistance with the application process, please contact us ***************************. This email inbox is monitored for such types of requests only. All information you provide will be kept confidential and will be used only to the extent required to provide needed exemptions or reasonable accommodations. Any other correspondence will not receive a response.
As Puerto Rico's leading financial institution, we reaffirm our commitment to always offer essential financial services and solutions for our customers, including during emergency situations and/or natural disasters. Popular's employees are considered essential workers, whose role is critical in the continuity of these important services even under such circumstances. By applying to this position, you acknowledge that Popular may require your services during and immediately after any such events.
If you are a California resident, please click here to learn more about your privacy rights.
.
Popular is an Equal Opportunity Employer
Learn more about us at *************** and keep updated with our latest job postings at *********************
Connect with us!
LinkedIn | Facebook | Twitter | Instagram
Youth Group Facilitator
Behavior Therapist Job 11 miles from Carolina
TITLE: Youth Group Facilitator
PILAR: Social Pillar
REPORTS TO: Community Outreach & Case Manager
STATUS: o Full time - Hourly o Full time - Salary ü Part Time - Hourly
CLASIFICATION (FLSA): o Exempt ü Non-Exempt
GENERAL DESCRIPTION: Manage social intervention, leadership, and socio-emotional programs to develop participants to their best potential. Facilitate workshops, presentations, and learning activities focused on developing the social, emotional, and leadership skills of participants.
TASKS AND DETAILED WORK ACTIVITIES:
Plan and facilitate learning activities to develop integral skills and abilities, such as decision-making, emotional intelligence, violence prevention, socio-emotional aspects, trauma, and crisis management, among others.
Implement and assess social pillar program initiatives (according to the club's operational service levels and needs), such as Keystone, SMART Leaders, Triple Play, Torch Club, Passport to Man Hood, and/or Girl Circle.
Facilitates Youth of the Year module's seminars and activities (if applicable).
Sponsor extracurricular activities, such as clubs, student organizations, and community service, volunteer and academic contests.
Plan and supervise class projects, field trips, visits by guest speakers, or other experiential activities, and guide participants in learning from those activities.
Collaborate with coworkers in planning and scheduling learning activities based on participant's needs that promote leadership, social, and socio-emotional skills.
Use computers, audio-visual aids, and other equipment and materials to supplement presentations.
Manage participant profiles, documentation, folders, and reports required by all programs.
Establishes and ensures compliance with behavior and safety rules to maintain order among participants.
Instruct and monitor students in the use and care of equipment and materials to prevent injury and damage.
Evaluate and observe performance, behavior, social and emotional development, and physical and psychological health of participants.
Keep informed about trends in leadership, education, emotions, trauma, behavioral and cognitive therapy, and social development and subject matter specialties.
Perform any other task requested by the supervisor.
EXPERIENCE, EDUCATION, SKILLS & KNOWLEDGE REQUIRED:
Bachelor's degree in social work, psychology, education, or related field.
One or more years of experience working with communities, students, or adolescents.
English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Education and Training - Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
Psychology - Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
Therapy and counseling - Knowledge of the principles, methods, and procedures for the diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for professional orientation and guidance.
Sociology and Anthropology - Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures, and their history and origins.
Helping and caring for others - providing personal assistance, emotional support, or other personal care to others, such as co-workers, clients, or patients.
Provide Consultation and Advice to Others -Provide guidance and expert advice to management or other groups on technical, systems, or process-related issues.
Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.
PHYSICAL REQUIREMENTS & WORK ENVIRONMENT:
Individuals may need to sit or stand as needed. The position may require walking primarily on a level surface for periodic periods throughout the day. May reach above shoulder height or below the waist and lift as required to file documents or store materials throughout the workday must be able to lift 15 pounds and use proper lifting techniques.
DISCLAIMER:
The information presented indicates the general nature and level of work expected of employees in this classification. It is not designed to contain, nor to be interpreted as, a comprehensive inventory of all duties, responsibilities, qualifications, and objectives required of employees assigned to this job.
An Equal Employment Opportunity Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
MFLC Assignment Ready Counselor (ARC) - Puerto Rico
Behavior Therapist Job 6 miles from Carolina
Candidates must be local to Puerto Rico. This position requires you to be licensed at the independent level as an Mental Health Counselor, Therapist, or Social Worker. This position would work in support of On Demand Events, Surges, Summer Camps, and Backfills supporting the MFLC program.
The Assignment Ready Counselor (ARC) will provide coverage in short-term, surge and on demand situations resulting from the Military needs such as a post-deployment event or to cover an existing assignment for counselors who are absent. The Summer ARC counselor position covers assignments during the May 15th through September 15th time period, coinciding with the school summer break. With minimal guidance and oversight, provides the full breadth of Adult or Child and Youth Behavioral (CYB) counseling services to military service members and their families at military installations. These services may include non- medical counseling, training/health and wellness presentations, consultation with parents, personnel at child daycare centers and schools, and consultation to installation command regarding behavioral health issues affecting military personnel and their family members. ARC CYB counselors may be assigned to DoDEA schools and community schools and will need to have experience working in a school setting to qualify for ARC role in backing up a school position. CYB counselors may also be assigned to youth programs, summer camps, and on demand assignments. ARC adult counselors may be assigned to support MFLC services in a variety of military community and readiness centers, as well as on-demand and surge assignments. The counselors work closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation.
* Provides non-medical, short term, solution focused, counseling directly to adults, children, and youth of service members. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated.
* CYB counselors will also have a focus on supporting the staff and personnel of CDCs, DoDEA and community schools, youth programs and summer camps as well as providing parent training and guidance.
* Provides training and health and wellness presentations, participate in health fairs and other base/installation activities.
* Enters counselor activity data daily through smart phone or web application assure that reporting is accurate from assigned installation while maintaining confidentiality and anonymity of service / family member.
Other Job Requirements
Responsibilities
Master's Degree from an accredited graduate program in a mental health related field, or social work.
With short notice, willing to accept assignments of undefined periods to include weekends.
Can cover, on a full-time basis, assignments of varying length from a weekend to two weeks.
Quickly builds rapport with service personnel clients, family members, students, parents and co-workers.
Adaptable to new working conditions, varying location rules, etc.; adjusts working style to align with each work environment.
Able to work effectively with minimal instruction and guidance.
Listens carefully to instructions provided.
With minimal notice, participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned.
Requires ability to quickly engage and communicate with military members, spouses or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions. Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain current immunizations or vaccinations and provide record of receipt.
Ability to prove US Citizenship and must be fluent in English.
Advanced knowledge of brief therapy and solution-focused counseling methods.
Prior military service/military family member and/or strong familiarity with military culture desired.
For CYB positions must meet the Magellan MFLC CYB criteria for experience with children and youth and specialty in child and adolescent development/psychology.
Creates a presence on the installation in which the service and family members feel comfortable approaching the counselor and recognize the program to be confidential; for CYB counselors -- creates a presence in child and youth settings, is available to children, youth, and staff. When working with children, counselor must abide by line of site protocol.
Establishes and maintains working relationships with community resources and provides appropriate linkages.
Partners with POC to provide Adult and CYB services in a manner that addresses the needs of the installation/facility. Develops an excellent working relationship with the installation/facility POC.
Manages duty to warn and restricted reporting situations according to DoD protocol and staffs the cases with Regional Supervisor/Regional Director.
Communicates with Regional Supervisors and participate in regular individual and group supervision, sharing information regarding trends and issues on the installations and in facilities to which they are assigned for substitute or on call services.
Responds to critical incidents and special requests as directed by the POC and approved by the OSD program manager.
General Job Information
Title
MFLC Assignment Ready Counselor (ARC) - Puerto Rico
Grade
MFLC ARC
Work Experience - Required
Clinical
Work Experience - Preferred
Education - Required
Master's - Behavioral Health, Master's - Social Work
Education - Preferred
License and Certifications - Required
Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, DL - Driver License, Valid In State - Other, LPC - Licensed Professional Counselor - Care Mgmt, Must be an independently licensed behavioral health clinician - Care Mgmt
License and Certifications - Preferred
This is a Service Contract Act (SCA) covered position. The pay rate and health and welfare allowance are specified in the applicable wage determination agreement.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
YOUTH GROUP FACILITATOR
Behavior Therapist Job In Puerto Rico
TITLE: Youth Group Facilitator
PILAR : Social Pillar
REPORTS TO: Community Outreach & Case Manager
STATUS : o Full time - Hourly o Full time - Salary ü Part Time - Hourly
CLASIFICATION (FLSA): o Exempt ü Non-Exempt
GENERAL DESCRIPTION: Manage social intervention, leadership, and socio-emotional programs to develop participants to their best potential. Facilitate workshops, presentations, and learning activities focused on developing the social, emotional, and leadership skills of participants.
TASKS AND DETAILED WORK ACTIVITIES:
Plan and facilitate learning activities to develop integral skills and abilities, such as decision-making, emotional intelligence, violence prevention, socio-emotional aspects, trauma, and crisis management, among others.
Implement and assess social pillar program initiatives (according to the club's operational service levels and needs), such as Keystone, SMART Leaders, Triple Play, Torch Club, Passport to Man Hood, and/or Girl Circle.
Facilitates Youth of the Year module's seminars and activities (if applicable).
Sponsor extracurricular activities, such as clubs, student organizations, and community service, volunteer and academic contests.
Plan and supervise class projects, field trips, visits by guest speakers, or other experiential activities, and guide participants in learning from those activities.
Collaborate with coworkers in planning and scheduling learning activities based on participant's needs that promote leadership, social, and socio-emotional skills.
Use computers, audio-visual aids, and other equipment and materials to supplement presentations.
Manage participant profiles, documentation, folders, and reports required by all programs.
Establishes and ensures compliance with behavior and safety rules to maintain order among participants.
Instruct and monitor students in the use and care of equipment and materials to prevent injury and damage.
Evaluate and observe performance, behavior, social and emotional development, and physical and psychological health of participants.
Keep informed about trends in leadership, education, emotions, trauma, behavioral and cognitive therapy, and social development and subject matter specialties.
Perform any other task requested by the supervisor.
EXPERIENCE, EDUCATION, SKILLS & KNOWLEDGE REQUIRED:
Bachelor's degree in social work, psychology, education, or related field.
One or more years of experience working with communities, students, or adolescents.
English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Education and Training - Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
Psychology - Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
Therapy and counseling - Knowledge of the principles, methods, and procedures for the diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for professional orientation and guidance.
Sociology and Anthropology - Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures, and their history and origins.
Helping and caring for others - providing personal assistance, emotional support, or other personal care to others, such as co-workers, clients, or patients.
Provide Consultation and Advice to Others -Provide guidance and expert advice to management or other groups on technical, systems, or process-related issues.
Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.
PHYSICAL REQUIREMENTS & WORK ENVIRONMENT:
Individuals may need to sit or stand as needed. The position may require walking primarily on a level surface for periodic periods throughout the day. May reach above shoulder height or below the waist and lift as required to file documents or store materials throughout the workday must be able to lift 15 pounds and use proper lifting techniques.
DISCLAIMER:
The information presented indicates the general nature and level of work expected of employees in this classification. It is not designed to contain, nor to be interpreted as, a comprehensive inventory of all duties, responsibilities, qualifications, and objectives required of employees assigned to this job.
An Equal Employment Opportunity Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Procurement & Privacy Counsel
Behavior Therapist Job 6 miles from Carolina
DLA Piper is, at its core, bold, exceptional, collaborative and supportive. Our people are the backbone, heart and soul of our firm. Wherever you are in your professional journey, DLA Piper is a place you can engage in meaningful work and grow your career. Let's see what we can achieve. Together.
**Summary**
This position is responsible for providing legal guidance and support for matters procurement matters, including data privacy, data security, and other related areas of contract law. Oversees the contract review processes, ensuring compliance with applicable laws, regulations, and firm policies. Reviews and negotiates contracts with vendors through to successful completion. Provides legal advice and counsel to internal stakeholders related to procurement. Responsibilities for these associated functions may change over time.
**Location**
This position can sit in any of our US offices and offers a hybrid work schedule.
**Responsibilities**
+ Review and negotiate vendor contracts, ensuring alignment with firm priorities and objectives and compliance with applicable laws and regulations.
+ Ensure that all firmwide legal contract obligations, risks and required standards for all assigned agreements are met.
+ Ensure timely execution of assigned agreements and keep stakeholders informed of progress regularly.
+ Identify any legal and business risks inherent to a proposed vendor, service, or product assigned third-party agreements.
+ Collaborate with firm management and stakeholders to understand their procurement needs, provide guidance, and establish effective communications to ensure coordination and alignment of legal activities.
+ Facilitate department guidance to stakeholders to resolve complex risk, regulatory and legal obligations via vendor negotiations and applying industry and domain knowledge and legal expertise where necessary.
+ Navigate and answer specific questions related to privacy and data security laws, rules, and regulations as they pertain to contractual provisions.
+ Coordinate with the applicable stakeholder group requesting services to ensure that risk assessments for all technology and related contract purchases are performed.
+ Triage vendor contracts, working closely with Deputy General Counsel, Executive Director, New Business Intake & Procurement, and Director, Procurement & Vendor Management to make decisions around levels of review.
+ Advise on procurement related data privacy and data security issues, including, but not limited to, CCPA, GDPR, and HIPAA.
+ Provide legal advice and guidance on procurement matters to internal stakeholders.
+ Develop, implement, and maintain procurement policies, procedures, and practices that align with relevant laws, regulations, and firm policies.
+ Conduct legal research and stay up to date with relevant laws, regulations, and industry trends related to procurement, privacy and contracting.
+ Manage a steady portfolio of active agreements, prioritizing work using effective judgment to ensure contracts are completed quickly and the process feels efficient to end customers.
+ Liaise with key operational resources and processes including vendor management, project management, information security, data privacy and the general counsel offices, as applicable.
+ Conduct periodic contract review meetings in collaboration with key procurement and business process owners, where necessary.
+ Keep organized control of versions and retains documents in accordance with record retention policies and use of firm systems; enters contracts into a designated repository.
+ Create and maintain measures to track contracting speed, quality, and effectiveness.
+ Support vendor governance processes including onboarding, relationship management and offboarding of vendors.
+ Provide training and educational programs to firm staff regarding procurement matters.
+ Manage other firm projects and other duties as assigned.
**Desired Skills**
Significant experience reviewing and negotiating contracts, including data processing agreements and data security terms. Excellent understanding of data privacy and data security law is necessary. Demonstrated analytical and critical thinking aptitude and ability to create innovative solutions. Operational experience in procurement operations or supply chain management is highly desired. Experience working with support staff in a Professional Services organization desired. The ideal candidate is also a self-starter with the ability to prioritize in a multi-tasking environment. Also, detail orientated, highly organized, and able to handle multiple tasks and projects in a fast-paced environment. They have a commitment to superior quality and accuracy and a willingness to learn and adapt to change. They have experience creating and presenting analysis to be used in business decisions while demonstrating strong verbal and written communication skills. Ability to work effectively with internal stakeholders, vendors, and support staff with strong interpersonal skills. Proficiency with Microsoft Excel, Word and PowerPoint.
**Minimum Education**
+ JD
**Certifications**
+ Active law license in good standing in state where practicing is required.
+ Law degree from an accredited university and admission to practice law in the relevant jurisdiction.
**Minimum** **Years of Experience**
+ 3 years of experience with data security, data privacy, and contract negotiation, preferably in a large law firm, as an in-house counsel, or at a professional services corporation.
**Essential Job Expectations**
While the specific job requirements of a DLA Piper position may vary depending upon scope of the job and area of specialty, there are certain universal requirements that are expected of all DLA Piper employees, which include but are not limited to:
+ Effectively communicate, verbally and in writing, with clients, lawyers, business professionals, and third parties.
+ Produce deliverables, answer phone calls, and reply to correspondence in an efficient and responsive manner.
+ Provide timely, accurate, and quality work product.
+ Successfully meet deadlines, expectations, and perform work duties as required.
+ Foster positive work relationships.
+ Comply with all firm policies and practices.
+ Engage in both physical and sedentary activity, such as (a) working at a computer for extended periods of time, including on-screen reading and typing; (b) participating in digital/virtual conference calls; (c) participating in meetings as needed.
+ Ability to work under pressure and manage competing demands in a fast-paced environment.
+ Perform all other duties, tasks or projects as assigned.
Our employees are expected to embrace and uphold our firm values as a part of our DLA Piper culture. We are committed to excellence in how we represent our clients and develop our people.
**Physical Demands**
Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
**Work Environment**
+ The individual selected for this position may have the opportunity for a hybrid work arrangement comprised of remote and in-office work, the requirement for which will be determined in coordination with the hiring manager or supervisor and may be modified in the firm's discretion in the future.
**Disclaimer**
The purpose of this is to provide a concise statement of the work elements and to organize and present the information in a standardized way. It is not intended to describe all the elements of the work that may be performed by every individual in this classification, nor should it serve as the sole criteria for personnel decisions and actions. The job duties, requirements, and expectations for this position may be modified at the Firm's discretion at any time. This job description does not change the at-will nature of employment.
**Application Process**
Applicants must apply directly online instead of sending application materials via email.
**Accommodation**
Reasonable accommodations may be made upon request to permit individuals with a disability to perform the essential functions and responsibilities of the position or to participate in the job selection process. If you have a request for an accommodation during the application process, please contact *********************** .
Agency applications will not be considered.
No immigration sponsorship is available for this position.
The firm's expected hiring range for this position is $127,262-$202,352 depending on the candidate's geographic market location.
The compensation offered for employment will also be dependent on other factors including the candidate's experience, skills, educational and professional background, and overall qualifications. We offer a comprehensive package of benefits including medical/dental/vision insurance, and 401(k).
\##LI-FG1
\#LI-Hybrid
_DLA Piper is an equal opportunity employer. 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 applicant poster viewing center (****************************************************************************************************** _._
**DLA Piper is, at its core, bold, exceptional, collaborative and supportive**
Our people are the backbone, heart and soul of our firm. Wherever you are in your professional journey, DLA Piper is a place you can engage in meaningful work and grow your career. Let's see what we can achieve. Together.
**Get to Know Us**
We invite you to learn more about us. Please visit the following pages for more information about DLA Piper.
Laterals (***********************************************
Lateral Partners
Law Students (***************************************************
Business Professionals
**Recruitment Agencies:**
Per the terms of our agreement, all candidates must be submitted through the firm's agency portal for consideration. If you have an agreement with the firm, please log in to the agency portal via the following link (*********************************************************************** to review positions accepting agency submissions.
_Lawyer Positions Only:_ If you do not have an agreement with us and would like us to consider candidates, please send a blind candidate profile to ********************************
Case Manager
Behavior Therapist Job 6 miles from Carolina
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**Responsibilities**
+ Must demonstrate a superior willingness to help external and internal customers
+ First point of contact on inbound calls, and determines needs, and handles accordingly
+ Creates and completes accurate applications for enrollment with a sense of urgency
+ Scrutinizes forms and supporting documentation thoroughly for any missing information or new information to be added to the database
+ Conducts outbound correspondence when necessary to help support the needs of the patient and/or program
+ Conducts benefits investigations to identify patients' insurance plan coverage for medications, procedures, and travel and lodging
+ Provides detailed activity notes as to what appropriate action is needed for the Benefit Investigation processing
+ Assist with coordination of travel and lodging associated with patient therapy
+ Working alongside teammates to best support the needs of the patient population or transfer caller to appropriate team member (when applicable)
+ Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance
+ Update internal treatment plan statuses and external pharmacy treatment statuses
+ Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry
+ Make all outbound calls to patient and/or provider to discuss any missing information and/or benefit related information
+ Notify patients, physicians, practitioners, and/or clinics of any financial responsibility of services provided as applicable
+ Responsible for placing all outbound calls to ensure the process is complete
+ Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance
+ Must follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product must be fully exhausted
+ Documentation must be clear and accurate and stored in the appropriate sections of the database
+ Must track any payer/plan issues and report any changes, updates, or trends to management
+ Ability to search insurance options and explain various programs to the patient while helping them to select the best coverage option for their situation
+ Handle all escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client
+ Responsible for reporting any payer issues to the appropriate team
+ Must self-audit activities to ensure accuracy and efficiency for the program
**_Qualifications_**
+ Previous customer service experience, preferred
+ High School diploma or equivalent, preferred
+ Demonstrated high level customer service
+ Experience conducting and documenting patient medical health insurance benefit investigations, prior authorizations, and appeals, preferred
+ Cell/Gene therapy and/or Oncology experience, preferred
+ Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred
+ Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred
+ Knowledge of ICD9/ICD10 coding is preferred
+ Critical and creative thinking, preferred
+ Important to have a strong attention to detail
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ May modify process to resolve situations
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CST, mandatory on camera attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 8:00am- 6:00pm CST.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $21.50 per hour - $30.70 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 05/22/2025 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
CASE MANAGER (BSW)
Behavior Therapist Job 7 miles from Carolina
Responsibilities Case Manager (Bachelor's degree) The Case Manager supports the Call Center team in responding 24/7 to individuals in need of services, orientation and/or crisis by providing case management and referring clients to the appropriate level of care after consulting with the Clinical Manager, Clinical Supervisor, Director, VP of Clinical or Psychiatrist. The Case Manager uses clinical structured data to determine based on eligibility criteria for a variety of program services based on member's needs and benefits under the health plan. The goal of the services provided are to support client wellness. Case Manager is responsible to document the services authorization and complies with the established processes to coordinate services with the providers. Case Manager educates clients, their representatives and their dependents about the coverage benefits and community resources available.
The case manager is responsible for providing support in the coordination and notification of appointments scheduled for our clients, in accordance with the timeframes established in the organization's policies. This role also ensures the accessibility and care of the clients
Responsibilities and essential duties:
* Upon answering the telephone, FHC Call Center staff identify themselves by name, title, and organization's name. Answers the telephone in the company's established time frame, with a clear and pleasant tone of voice, and with an appropriate language expression.
* Shows appropriate communication skills, effective listening, and case management skills to deal with challenging situations.
* Provide phone support to members calling the Call Center to conduct needs assessments, brief interventions, facilitating referrals and supportive engagement.
* Verifies the member eligibility before processing and registering the phone call in FHC's platforms.
* Educates the member about our programs and coverage's benefits.
* For initial screening, the Case Manager does:
* Structured clinical data acquisition: (Structured clinical data is collected using scripts).
* Conducts telephone interview to gather the necessary data using structured clinical data (scripts) and Triage Logic platform logs the health care services, coordinates appointments, makes the appropriate referrals, and service authorizations.
* Demonstrate knowledge when using the program to log the health care services and the other technological applications available.
* Collection and transfer of non-clinical data.
* Activities that do not require evaluation or interpretation of clinical information.
* Performance of review of service request for completeness of information.
* Maintains the confidentiality of the documents and the information received.
* Facilitate access to immediate services if an individual reports risk of suicidal or homicidal ideation or threats.
* Provide solution-focused interventions such as helping a client practice calming/coping skills, facilitating linkage to ongoing supports, and explaining the mental health services available.
* Conducts the interview process and documents according to the requirements of the Health Insurance Portability and Accountability Act (HIPAA) and law 408.
* Have immediate access to licensed clinicians or clinical manager or supervisor.
* Consult with Call Center psychiatrists and/or licensed clinicians whenever necessary.
* Complies with the guidelines and established criteria for the different processes.
* Carry out delegated duties such as:
* Outbound calls for purposes of requesting a copy of the medical/clinical record and scheduling (to verify next appointments, attendance at previous appointments, coordinate services and service authorizations.)
* Faxing materials
* Mailing/e-mailing already identified materials.
* Follow up initiative referrals.
* TTY validation.
* Follow up Call Backs.
* In charge of administrative discharge of cases previously authorized by Utilization Review Department
* Complies with the established quality parameters for abandonment rate, average speed of answer, coordination of services and notification, calls classification and routing, and first call resolution.
* Interacts with providers, clients, and other professionals in charge of member's care to guarantee the efficiency and continuity of service.
* Manages the emergency calls according to the standard procedures established in the practice of mental health services and according to the internal policies and procedures established by the organization relevant to the Access Center.
* Validate the registration process of the admissions to mental health services.
* Enter the system the inpatient admission registration when the facility cannot complete the task.
* Assist members and/or providers with the transition of care by identifying resources to support the discharge plan.
* Receives and verifies referrals for the coordination of appointments and request additional information, if necessary.
* Timely coordination of care for clients and dependents is essential. Applications must be submitted entirely via Web Service.
* Contact clients and dependents to inform them of the appointments that have been scheduled within the specified timeframes.
* Issue authorizations for services coordinated and inform clients/dependents.
* Notify the relevant parties of any coordinated appointments that may be necessary.
* Provide the mental health first aid to members in crisis.
* Responsible to call psychiatric inpatient facilities to validate admissions and discharges.
* Responsible to enter information related to admissions and/or discharges in the Web Census platform.
* Provide backup to Utilization Review Department out of business hours including document in the appropriate platform services request, provide information of service request status, operational hours, appointment of representative orientation and other.
* Participate in new project as assigned by the supervisor.
* Applies in a consistent manner the policies and procedures that are pertinent to the Access Center at FHC.
* Complies with the established attendance and punctuality policies.
* Agree to comply with the following requirements, but not limited to: Code of Conduct, Ethics, Confidentiality, Conflict of Interest, etc.
* Complies with the standards of the Service Excellence Program.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion, and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, or local laws. We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************
Qualifications
* Bachelor of Psychology, Social Work, Social Sciences, or Biopsychology with minor in Psychology.
* Knowledge in Microsoft Office
* Preferable fully bilingual
* Available to work 24/7 (rotating shifts)
Case Manager
Behavior Therapist Job 24 miles from Carolina
Job Details Manaya - Antiguo Hospital - Vega Baja, PR Full Time High School $13.50 - $13.50 HourlyDescription
Responsible for ensuring that clients receive the individual range of medical care and other comprehensive services necessary to optimize each client's substance use, mental health, and health outcomes.
Essential Job Functions:
Maintain and demonstrates a comprehensive understanding of the Behavioral Healthcare Home model and treatment principles.
Participates as member of the treatment team by implementing the therapeutic community concepts.
Serves as part of the case management team.
Ensure HMIS data is collected and available for data entry in a timely manner. Enter the HMIS data into the system as required.
Participates in agency Case Management activities and completes case management tasks as indicated.
Develop an array of resources such as medical, housing, employment, educational, financial, public entitlement, parenting and other resources that meet the needs of clients and builds and maintains working relationships with resource providers,
Conduct case management assessments, develop client case management plan with input of client, and incorporate this plan into the client's master .treatment plan.
Facilitates the case management plan, providing transportation to and from appointments, accompanying clients on appointments; obtaining outcomes of appointment by arranging for the procurement of medical and other records/documents, obtaining prescriptions and lab work and other tasks.
Ensures that the medical team (physician, nurses, and psychologist) review clients' off site medical care, including appointment outcomes, new prescriptions, lab and other appointment.
Oversees clients' medication management using agency protocols. Monitors that prescriptions and other medications are filled or purchased using established protocols. Ensures that prescriptions are renewed on time.
Checks medication logs to for errors and reports any errors to medical team.
Ensures that funder requirements related to Communicable Disease testing an immunization are completed and compliant with timelines.
Coordinate services provided by ancillary agencies; coordinate and participate in treatment planning and reviews with the entire treatment team; consult with each patient concerning attainment of case management plan goals and objectives.
Evaluate each client's need and eligibility for public or other entitlements Assist with facilitation of the health insurance application and enrollment process for eligible uninsured clients; and assist client in accessing all eligible entitlements.
Evaluate each client's documentation of personal identification, immigration status and legal status and assist client in obtaining relevant documentation.
Evaluate client's level of life skills and functioning and provide individual and group counseling training/education in areas of need.
Assist medical and other staff in securing health care and medications required by each client. Provide oversight of the healthcare plan.
Evaluate client's level of life skills and functioning and provide training/education in areas of need.
Participates in discharge planning assisting each client in
securing stable, safe post-discharge housing;
securing a stable source of income, including assisting each client in securing employment or public entitlements;
Identifying and developing a workable plan to ensure that the client's medical, child care, legal and other areas of need are met after discharge.
Assist clients in planning finances securing and understanding bank accounts and other financially-related areas.
Maintains accurate documentation of client case management activities.
Along with primary therapist, assure implementation of behavioral management strategies.
Attend and participated in training activities, staff meetings, and supervisory sessions.
Serves as member of Quality Improvement Team and conducts assigned quality improvement activities.
Other assignments requested by Supervisor.
Qualifications
Essential Qualifications:
Certifications/Licenses:
Education:
Bachelor's Degree in a social service field, preferred. Ability to understand substance abuse/mental health treatment concepts, Ability to understand and address needs of clients with Co-occurring Disorders. Familiarity with the community's health and other resources.
Experience and Competencies:
Positive Mental Attitude.
Basic computer literacy including data entry.
Valid driver license.
Working Conditions:
Work is primarily performed in an office or residential treatment setting; and
Some outdoor activities may be required.
Physical Demands:
Requires mobility and physical activity: Having an adequate range of body motion and mobility, to work in the office environment including standing and walking (even and uneven surfaces) to interact with co-workers in the office environment, sitting for extended periods of time, bending, twisting, reaching, balancing, occasional lifting and carrying of up to 30 pounds. Constant use of computer and telephone systems is required which includes coordination of eye and hand, and fine manipulation by the hands (typing, writing, and working with files). Requires the ability to operate a motor vehicle.
Requires talking: Expressing or exchanging ideas by means of the spoken word. Talking is required to impart oral information to employees, clients, patients, and the public, and in those activities in which the employee is required to convey detailed or important spoken instructions to others accurately, loudly, or quickly.
Requires hearing: Hearing is required to receive and communicate detailed information through oral communication.
Requires seeing: Clarity of vision at 20 inches or less as well as vision adequate for driving a motor vehicle. This factor is required to complete paperwork for many of the employee's essential job functions and when driving a motor vehicle.
The normal work routine involves no exposure to human blood, body fluids or tissues. Job duties do not include performing or assisting in emergency medical care or first aid.
Mental Demands:
Requires the ability to collect and analyze complex numerical and written data and verbal information to reach logical conclusions.
Requires the ability to work and cooperate with clients, co-workers, managers, the public and employees at all levels in order to exchange ideas, information, instructions and opinions.
Requires the ability to work under time deadlines.
MFLC Assignment Ready Counselor (ARC) - Puerto Rico
Behavior Therapist Job 76 miles from Carolina
Candidates must be local to Puerto Rico. This position requires you to be licensed at the independent level as an Mental Health Counselor, Therapist, or Social Worker. This position would work in support of On Demand Events, Surges, Summer Camps, and Backfills supporting the MFLC program.
The Assignment Ready Counselor (ARC) will provide coverage in short-term, surge and on demand situations resulting from the Military needs such as a post-deployment event or to cover an existing assignment for counselors who are absent. The Summer ARC counselor position covers assignments during the May 15th through September 15th time period, coinciding with the school summer break. With minimal guidance and oversight, provides the full breadth of Adult or Child and Youth Behavioral (CYB) counseling services to military service members and their families at military installations. These services may include non- medical counseling, training/health and wellness presentations, consultation with parents, personnel at child daycare centers and schools, and consultation to installation command regarding behavioral health issues affecting military personnel and their family members. ARC CYB counselors may be assigned to DoDEA schools and community schools and will need to have experience working in a school setting to qualify for ARC role in backing up a school position. CYB counselors may also be assigned to youth programs, summer camps, and on demand assignments. ARC adult counselors may be assigned to support MFLC services in a variety of military community and readiness centers, as well as on-demand and surge assignments. The counselors work closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation.
* Provides non-medical, short term, solution focused, counseling directly to adults, children, and youth of service members. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated.
* CYB counselors will also have a focus on supporting the staff and personnel of CDCs, DoDEA and community schools, youth programs and summer camps as well as providing parent training and guidance.
* Provides training and health and wellness presentations, participate in health fairs and other base/installation activities.
* Enters counselor activity data daily through smart phone or web application assure that reporting is accurate from assigned installation while maintaining confidentiality and anonymity of service / family member.
Other Job Requirements
Responsibilities
Master's Degree from an accredited graduate program in a mental health related field, or social work.
With short notice, willing to accept assignments of undefined periods to include weekends.
Can cover, on a full-time basis, assignments of varying length from a weekend to two weeks.
Quickly builds rapport with service personnel clients, family members, students, parents and co-workers.
Adaptable to new working conditions, varying location rules, etc.; adjusts working style to align with each work environment.
Able to work effectively with minimal instruction and guidance.
Listens carefully to instructions provided.
With minimal notice, participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned.
Requires ability to quickly engage and communicate with military members, spouses or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions. Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain current immunizations or vaccinations and provide record of receipt.
Ability to prove US Citizenship and must be fluent in English.
Advanced knowledge of brief therapy and solution-focused counseling methods.
Prior military service/military family member and/or strong familiarity with military culture desired.
For CYB positions must meet the Magellan MFLC CYB criteria for experience with children and youth and specialty in child and adolescent development/psychology.
Creates a presence on the installation in which the service and family members feel comfortable approaching the counselor and recognize the program to be confidential; for CYB counselors -- creates a presence in child and youth settings, is available to children, youth, and staff. When working with children, counselor must abide by line of site protocol.
Establishes and maintains working relationships with community resources and provides appropriate linkages.
Partners with POC to provide Adult and CYB services in a manner that addresses the needs of the installation/facility. Develops an excellent working relationship with the installation/facility POC.
Manages duty to warn and restricted reporting situations according to DoD protocol and staffs the cases with Regional Supervisor/Regional Director.
Communicates with Regional Supervisors and participate in regular individual and group supervision, sharing information regarding trends and issues on the installations and in facilities to which they are assigned for substitute or on call services.
Responds to critical incidents and special requests as directed by the POC and approved by the OSD program manager.
General Job Information
Title
MFLC Assignment Ready Counselor (ARC) - Puerto Rico
Grade
MFLC ARC
Work Experience - Required
Clinical
Work Experience - Preferred
Education - Required
Master's - Behavioral Health, Master's - Social Work
Education - Preferred
License and Certifications - Required
Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, DL - Driver License, Valid In State - Other, LPC - Licensed Professional Counselor - Care Mgmt, Must be an independently licensed behavioral health clinician - Care Mgmt
License and Certifications - Preferred
This is a Service Contract Act (SCA) covered position. The pay rate and health and welfare allowance are specified in the applicable wage determination agreement.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Case Manager
Behavior Therapist Job 6 miles from Carolina
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**_Together, we can get life-changing therapies to patients who need them-faster._**
**_Job Summary_**
The Case Manager supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits (pharmacy and medical benefits), and proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place Monday- Friday, 8:00am-5:00pm CST. Mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**_Responsibilities_**
+ Investigate and resolve patient/physician inquiries and concerns in a timely manner
+ Mediate effective resolution for complex payer/pharmacy (or other parties) issues toward a positive outcome to de-escalate
+ Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
+ Prioritize multiple, concurrent assignments and work with a sense of urgency, handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties
+ Communicate clearly and effectively in both a written and verbal format
+ Willingness to help external and internal customers
+ Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable)
+ Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry
+ Self-audit intake activities to ensure accuracy and efficiency for the program
+ Make outbound calls to patient and/or provider to discuss any missing information as applicable
+ Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance
+ Document clear and accurate information and store in the appropriate sections of the database
+ Track any payer/plan issues and report any changes, updates, or trends to management
+ Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client
+ Support team with call overflow and intake when needed
**_Qualifications_**
+ 2-4 years of industry experience with patient-facing or high touch customer interaction experience preferred
+ High School Diploma, GED or equivalent work experience, preferred
+ Strong people skills that demonstrate flexibility, persistence, creativity, empathy, and trust.
+ Robust computer literacy skills including data entry and MS Office-based software programs.
+ Ability to identify and handle sensitive issues, working independently and collaboratively within teams.
+ Strong understanding of pharmaceutical therapies, disease states, and medication adherence challenges.
+ Ability to analyze complex situations, identify potential obstacles, and develop creative solutions to address patient needs
+ Excellent written and oral communication, mediation, and problem-solving skills, including the ability to connect with patients, caregivers, and providers.
+ Demonstrate superior customer support talents
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ May modify process to resolve situations
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**Anticipated hourly range:** $21.50 per hour - $30.70 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 04/27/2025 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
\#LI-Remote
\#LI-SP1
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Case Manager
Behavior Therapist Job 24 miles from Carolina
Job Details Vega Baja - CARR 686 KM 37 Bo Cabo Carbe - Vega Baja, PR Full Time High School $13.05 - $13.05 HourlyDescription
Responsible for ensuring that clients receive the individual range of medical care and other comprehensive services necessary to optimize each client's substance use, mental health, and health outcomes.
Essential Job Functions:
Maintain and demonstrates a comprehensive understanding of the Behavioral Healthcare Home model and treatment principles.
Participates as member of the treatment team by implementing the therapeutic community concepts.
Serves as part of the case management team.
Ensure HMIS data is collected and available for data entry in a timely manner. Enter the HMIS data into the system as required.
Participates in agency Case Management activities and completes case management tasks as indicated.
Develop an array of resources such as medical, housing, employment, educational, financial, public entitlement, parenting and other resources that meet the needs of clients and builds and maintains working relationships with resource providers,
Conduct case management assessments, develop client case management plan with input of client, and incorporate this plan into the client's master .treatment plan.
Facilitates the case management plan, providing transportation to and from appointments, accompanying clients on appointments; obtaining outcomes of appointment by arranging for the procurement of medical and other records/documents, obtaining prescriptions and lab work and other tasks.
Ensures that the medical team (physician, nurses, and psychologist) review clients' off site medical care, including appointment outcomes, new prescriptions, lab and other appointment.
Oversees clients' medication management using agency protocols. Monitors that prescriptions and other medications are filled or purchased using established protocols. Ensures that prescriptions are renewed on time.
Checks medication logs to for errors and reports any errors to medical team.
Ensures that funder requirements related to Communicable Disease testing an immunization are completed and compliant with timelines.
Coordinate services provided by ancillary agencies; coordinate and participate in treatment planning and reviews with the entire treatment team; consult with each patient concerning attainment of case management plan goals and objectives.
Evaluate each client's need and eligibility for public or other entitlements Assist with facilitation of the health insurance application and enrollment process for eligible uninsured clients; and assist client in accessing all eligible entitlements.
Evaluate each client's documentation of personal identification, immigration status and legal status and assist client in obtaining relevant documentation.
Evaluate client's level of life skills and functioning and provide individual and group counseling training/education in areas of need.
Assist medical and other staff in securing health care and medications required by each client. Provide oversight of the healthcare plan.
Evaluate client's level of life skills and functioning and provide training/education in areas of need.
Participates in discharge planning assisting each client in
securing stable, safe post-discharge housing;
securing a stable source of income, including assisting each client in securing employment or public entitlements;
Identifying and developing a workable plan to ensure that the client's medical, child care, legal and other areas of need are met after discharge.
Assist clients in planning finances securing and understanding bank accounts and other financially-related areas.
Maintains accurate documentation of client case management activities.
Along with primary therapist, assure implementation of behavioral management strategies.
Attend and participated in training activities, staff meetings, and supervisory sessions.
Serves as member of Quality Improvement Team and conducts assigned quality improvement activities.
Other assignments requested by Supervisor.
Qualifications
Essential Qualifications:
Certifications/Licenses:
Education:
Bachelor's Degree in a social service field, preferred. Ability to understand substance abuse/mental health treatment concepts, Ability to understand and address needs of clients with Co-occurring Disorders. Familiarity with the community's health and other resources.
Experience and Competencies:
Positive Mental Attitude.
Basic computer literacy including data entry.
Valid driver license.
Working Conditions:
Work is primarily performed in an office or residential treatment setting; and
Some outdoor activities may be required.
Physical Demands:
Requires mobility and physical activity: Having an adequate range of body motion and mobility, to work in the office environment including standing and walking (even and uneven surfaces) to interact with co-workers in the office environment, sitting for extended periods of time, bending, twisting, reaching, balancing, occasional lifting and carrying of up to 30 pounds. Constant use of computer and telephone systems is required which includes coordination of eye and hand, and fine manipulation by the hands (typing, writing, and working with files). Requires the ability to operate a motor vehicle.
Requires talking: Expressing or exchanging ideas by means of the spoken word. Talking is required to impart oral information to employees, clients, patients, and the public, and in those activities in which the employee is required to convey detailed or important spoken instructions to others accurately, loudly, or quickly.
Requires hearing: Hearing is required to receive and communicate detailed information through oral communication.
Requires seeing: Clarity of vision at 20 inches or less as well as vision adequate for driving a motor vehicle. This factor is required to complete paperwork for many of the employee's essential job functions and when driving a motor vehicle.
The normal work routine involves no exposure to human blood, body fluids or tissues. Job duties do not include performing or assisting in emergency medical care or first aid.
Mental Demands:
Requires the ability to collect and analyze complex numerical and written data and verbal information to reach logical conclusions.
Requires the ability to work and cooperate with clients, co-workers, managers, the public and employees at all levels in order to exchange ideas, information, instructions and opinions.
Requires the ability to work under time deadlines.
Case Manager
Behavior Therapist Job 6 miles from Carolina
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**_Together, we can get life-changing therapies to patients who need them-faster._**
**_Job Summary_**
The Case Manager supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits (pharmacy and medical benefits), and proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place Monday- Friday, 8:00am-5:00pm CST. Mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**_Responsibilities_**
+ Investigate and resolve patient/physician inquiries and concerns in a timely manner
+ Mediate effective resolution for complex payer/pharmacy (or other parties) issues toward a positive outcome to de-escalate
+ Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
+ Prioritize multiple, concurrent assignments and work with a sense of urgency, handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties
+ Communicate clearly and effectively in both a written and verbal format
+ Willingness to help external and internal customers
+ Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable)
+ Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry
+ Self-audit intake activities to ensure accuracy and efficiency for the program
+ Make outbound calls to patient and/or provider to discuss any missing information as applicable
+ Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance
+ Document clear and accurate information and store in the appropriate sections of the database
+ Track any payer/plan issues and report any changes, updates, or trends to management
+ Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client
+ Support team with call overflow and intake when needed
**_Qualifications_**
+ 2-4 years of industry experience with patient-facing or high touch customer interaction experience preferred
+ High School Diploma, GED or equivalent work experience, preferred
+ Strong people skills that demonstrate flexibility, persistence, creativity, empathy, and trust.
+ Robust computer literacy skills including data entry and MS Office-based software programs.
+ Ability to identify and handle sensitive issues, working independently and collaboratively within teams.
+ Strong understanding of pharmaceutical therapies, disease states, and medication adherence challenges.
+ Ability to analyze complex situations, identify potential obstacles, and develop creative solutions to address patient needs
+ Excellent written and oral communication, mediation, and problem-solving skills, including the ability to connect with patients, caregivers, and providers.
+ Demonstrate superior customer support talents
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ May modify process to resolve situations
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**Anticipated hourly range:** $21.50 per hour - $30.70 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 04/27/2025 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
\#LI-Remote
\#LI-JD3
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************