Case Manager Jobs in Baker, LA

Hiring Now: Compassionate Substance Abuse Counselor Make a Difference in the Lives of Those Battling Addiction! Full-Time Position Competitive Pay | Comprehensive Benefits | Career Growth OpportunitiesPosition Overview:Are you a dedicated and compassionate counselor with a passion for helping individuals overcome opioid addiction? BAART Programs, a BayMark Health Services company, is looking for a Substance Abuse Counselor to provide individual and group therapy, crisis management, and personalized recovery strategies. As part of our compassionate and knowledgeable team, you will work closely with doctors, nurses, and fellow counselors to support patients on their journey to long-term recovery.Key Responsibilities: Provide individual & group counseling at regularly scheduled intervals Complete Bio-psychosocial assessments and conduct initial patient evaluations Develop and review personalized treatment plans with patients Create discharge & aftercare plans to ensure continued recovery support Coordinate care with healthcare professionals to optimize patient outcomes Ensure accurate documentation in compliance with regulations Promote a non-judgmental, supportive environment for all patients Qualifications: Must be licensed in Louisiana as LAC or LRC Preferred Licenses: LCSW, LPC, LMFT Experience: Previous experience working with chemically dependent individuals is a plus Team-Oriented: Ability to collaborate with a supportive counseling team Compliance: Ability to pass a criminal background check and drug screen Why Join BAART Programs? Competitive Salary Comprehensive Benefits Package (Medical, Dental, Vision, 401K) Generous Paid Time Off & Holidays Excellent Growth & Development Opportunities through our counselor career path A Meaningful & Rewarding Career Make a direct impact on the lives of individuals in recovery Equal Opportunity Employer: BAART Programs, part of BayMark Health Services, is committed to providing Equal Employment Opportunities (EEO) and complying with all Federal, State, and local laws that protect employees from discrimination.Take the Next Step Apply Today! Join a team where your work truly makes a difference. Help individuals reclaim their lives and build a brighter future. Apply Now & Start Your Journey with BAART Programs! PI4b08379ec980-29***********6 RequiredPreferredJob Industries Other

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 (***************************************************************************************************************************

The Behavioural Health Concurrent Review Clinician utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and knowledge in clinically appropriate treatment, evidence based care and medical necessity criteria for appropriate utilization of services Additional Information All your information will be kept confidential according to EEO guidelines.

The Case Manager will manage and grow the company's workers' compensation (WC) program, partnering with local industries to provide high-quality musculoskeletal care for employees injured on the job. The ideal candidate will have strong healthcare and WC experience, excellent customer service skills, and the ability to work independently to ensure smooth care coordination for injured workers. Familiarity with EPIC electronic health record (EHR) systems is preferred. Supervisory Responsibilities: The Case Manager for Workers' Compensation Department will have team lead responsibilities and assist in the program development, hiring, training, performance reviews, termination, and/or progressive disciplinary actions of other team members under the supervision of the Business Office Manager Duties/Responsibilities: Oversee and coordinate all aspects of workers' compensation case management, ensuring timely, efficient, and cost-effective care for injured workers. Serve as the primary liaison between employers, healthcare providers, insurance companies, and employees to facilitate effective communication and treatment. Work closely with the Marketing department to promote the WC program on behalf of BROC. This includes setting meetings and conferences with other industries and vendors in the area providing luncheons, educational sessions, and sharing collateral to inform others of services offered. Evaluate, plan, and implement care strategies, including managing care transitions and return-to-work processes. Work directly with physicians and medical staff to track patient progress, ensuring that care plans are followed and adjusting when necessary to optimize outcomes. Collaborate with various stakeholders to ensure regulatory compliance and address any potential issues that arise during the claims process. Provide guidance and support to injured employees regarding their treatment plans, rehabilitation options, and return-to-work processes. Maintain detailed, accurate records of cases, utilizing the EPIC EHR system to document interactions, care plans, and outcomes.

Hours: Monday through Friday, 8am - 5pm CST The BH Case Mgr II is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD) etc. Primary duties may include but are not limited to: + Responds to more complex cases and account specific requests. + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. + Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment. + Monitors and evaluates effectiveness of care plan and modifies plan as needed. + Supports member access to appropriate quality and cost effective care. + Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers. + Serves as a resource to other BH Case Mgrs. + Participates in cross-functional teams projects and initiatives. Requirements: + MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. + Current active unrestricted license such as RN, LCSW, or LPC required. + Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Hours: Monday through Friday, 8am - 5pm CST The BH Case Mgr II is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD) etc. Primary duties may include but are not limited to: Responds to more complex cases and account specific requests. Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment. Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member access to appropriate quality and cost effective care. Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers. Serves as a resource to other BH Case Mgrs. Participates in cross-functional teams projects and initiatives. Requirements: MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. Current active unrestricted license such as RN, LCSW, or LPC required. Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders. Managed care experience required. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed/Certified Behavioral Health Role Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Company: St. Vincent de Paul Job Title: Social Work Case Manager St. Vincent de Paul is an international, non-profit, charitable organization which has a rich history of service to the needy in our community. We are seeking a dedicated Social Work Case Manager to provide support and advocacy to individuals and families in need. The ideal candidate will have a strong background in social work and a passion for helping others all while carrying out the mission of St. Vincent de Paul. This position provides and coordinates the case management for the homeless participants in coordination with the Shelter/Residential Director and Social Work Supervisor. This position may work in a variety of programs under the St. Vincent de Paul umbrella. This position works with all of the Day Shelter Program and Night Shelter staff as applicable and provides case management and linkages to community resources. This position interacts with the participants (and possible participants) at the SVDP shelter and are responsible to assist the participants with setting goals, guide them through their journey to obtain their GED or educational requirements, assist to obtain documents needed for their employment, transportation, scheduling medical appointments, they work with the local liaisons to help enroll their children in school while their parents are at our shelter, and they help them identify housing opportunities and resources, all with the goal of becoming self-established and “on their feet”. They also help to bring children of non-school age to respective and available daycares. The position is from 8am-4pm, Monday-Fridays, but you may be required to work outside of normal business hours on an as needed basis. Responsibilities: Conduct assessments to determine client needs Create and implement individualized care plans Provide crisis intervention and emotional support Collaborate with community resources and agencies Maintain accurate and up-to-date client records Qualifications: Bachelor's or Master's degree in Social Work or related field Previous experience in case management or social work- 2 years experience preferred Strong communication and interpersonal skills Ability to work independently and as part of a team Ability to utilize a computer and office equipment. Able to enter data into the Homeless Management Information System (HMIS) Familiar with Microsoft Office products, and G-Suite Requirements: Licensed and Registered Social Worker (BSW) Knowledge of community resources and services Valid driver's license and safe driving record Ability to pass a background check Preferred Skills: Strong communication and interpersonal skills Ability to work effectively with individuals from diverse backgrounds Experience in providing crisis intervention and counseling services Knowledge of community resources and social service agencies Proficiency in case management software Education and Experience: Bachelor's degree in Social Work (BSW) or related field, Masters degree preferred Minimum of 2 years experience in social work Licensure as a Registered Social Worker (RSW) with LA State Board of Social Work Benefits: We offer competitive salary, health insurance, vision insurance, dental insurance, short term disability, long term disability, group life, voluntary life, and retirement plan . Equal Opportunity: St. Vincent de Paul of Baton Rouge is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, or any other characteristic protected by law. ADA Compliant: We comply with the Americans with Disabilities Act and the Veterans and provide reasonable accommodations for qualified individuals with disabilities. Conclusion: If you are passionate about helping others and making a positive impact in the community, we encourage you to apply for this rewarding opportunity. Other details Job Family Saint Vincent De Paul Pay Type Hourly

Job Purpose: The Case Manager provides services to Ryan White and MAI eligible clients to assist clients in accessing medical care and supportive services. Essential Job Functions including, but not limited to: 1.Satisfies Core Competencies •Accepts responsibility for ensuring that performance meets the standards of the professional, ethical and relevant legislated requirements.•Adheres to the Ryan White Standards of Care and agency policies in the provision of services to clients.•Demonstrates cultural competency and commitment to patients. 2.Case Management •Assess clients for eligibility and appropriateness in receiving Ryan White or MAI funded Medical or Non-Medical Case Management. Ensure clients are assigned and serviced accordingly.•Conduct comprehensive assessment of strengths that may assist with barriers that may inhibit clients from accessing medical care, medication, and other supportive services.•Utilize evidence-based techniques, including trauma informed care and motivational interviewing, to interact with and provide support to clients.•Work with client to develop individualized care plans unique to each clients' needs to address barriers to medical care and clients' ability to live at their maximum capacity. Monitor, evaluate, and review care plans regularly with clients to assess progress with and appropriateness of care plan to meet client needs.•Remain knowledgeable of available public and private community resources.•Provide and follow up on referrals to community services, including advocating for clients and problem solving with community agencies.•Attend medical and supportive services appointments with clients providing support and education.•Conduct home visits with clients to monitor progress with care plans and assist clients in removing or alleviating barriers to completing steps on care plans.•Participate in case conferences to assess needs and coordinate services. 3.Other Duties •Maintain patient confidentiality and comply with all federal and state health information privacy laws.•Participate in ongoing quality improvement objectives.•Resolve or address client requests within a timely manner. 4.Reporting and Program/Staff Development •Document all services and contact in the client record.•Attend all mandatory meetings and trainings assigned by supervisor.•Collaborates with team members and leadership in reviewing program and departmental policies and procedures annually and amend as needed.•Complete 16 hours of HIV orientation training and 24 hours of annual training.•Maintains CEs as required by applicable licensing body. Required Education: •Bachelor's degree required.• At least One (1) year of paid post-degree experience in direct service to target population Skills, Licensure and Knowledge Requirements: •Current Basic Life Support (BLS) Certification required Physical Demands: The physical demands described here are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.•While performing the duties of this job, the employee is regularly required to, stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone keyboard reach•Specific vision abilities required include close vision requirements due to computer work•Light to moderate lifting is required Work Environment: The work environment characteristics described here are representative of those the employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.•Moderate noise (i.e. business office with computers, phone, and printers, light traffic).•Ability to work in a confined area.•Ability to sit at a computer terminal for an extended period of time. Travel or Special Requirements: Driving during the workday as well as local or out of state travel may be required to perform job duties.

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Job Title: Case Manager Job code: FLSA Status: _ Exempt X Non-exempt Program: Progressive PHP of Seaside Health System Reports To: Clinical Supervisor / Assistant Clinical Supervisor Supervisory Responsibility (check one): Yes X No Origination Date: May 2022 Date Approved: Equal Employment Opportunity Progressive PHP of Seaside Health System is committed to the principle of Equal Employment Opportunity for all employees and applicants. It is our policy to ensure that both current and prospective employees are afforded equal employment opportunity without consideration of race, religious creed, color, national origin, nationality, ancestry, age, sex, marital status, sexual orientation, or disability in accordance with local, state, and federal laws. Americans with Disabilities Act Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law. Position Summary: The Case Manager coordinates patient case management issues with other treatment team members; perform direct and indirect patient care duties to assist patients in maintaining recovery. Qualifications: Education Years of Related Experience Minimum Preferred Minimum Preferred High School Graduate / Equivalent 0-1 X Professional Certification 1-3 Technical School / 1 Year College 3-5 X Technical School / 2 Years College / Associate's Degree 5-8 Bachelor's Degree X

JOB TITLE: Case Manager REPORTS TO: Administrator FLSA STATUS: Non-Exempt JOB OVERVIEW: In collaboration with the physician provides individual program management for each patient to ensure the patient's progression through the continuum of care in a manner that achieves the desired clinical and financial outcomes. Monitors and manages clinical and financial coordination of treatment plan of assigned patients to ensure timely, cost-effective, individualized service delivery. Works with rehabilitation patients with various disabilities including, but not limited to: spinal cord injury, brain injury, cerebrovascular accident, amputation, neurologic disorders, orthopedic conditions, and arthritis. Coordinates length of stay management within Medicare (CMS) guidelines and 60% compliance threshold. ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO: a. Meets with patient upon admission to discuss rehabilitation process and role of case manager. b. Conducts and documents initial patient assessment within 72 hours, to include psychosocial, family and disposition status; determines tentative initial discharge plans in conjunction with patient and family goals. c. Appropriately modifies approach to the patient based upon patient's age and developmental level. d. Involves the patient/family in the development of the plan of care by obtaining their goals for rehabilitation. e. Reviews goals with patient's family (with patient's permission) and third party payer. f. Maintains accurate up-to-date documentation in the medical records of patient and family contacts, communications with payers and other services performed on behalf of patient and family. g. Coordinates, evaluates, documents and reviews interdisciplinary team goals as they pertain to the plan of care and discharge plan. h. Coordinates team conferences. i. Documents in the medical record a summary of the team conference. j. Serves as the primary family contact (with patient permission) for the treatment team, communicating within 48 hours of the team conference. Also updates the external case manager and/or payer source regarding progress, plan and patient's future needs (as requested by payer source). k. Ensures the scheduling of family conferences, family participation in therapy and provides pertinent information to appropriate team members. l. Documents in the medical record a summary of the family conference. m. Coordinates completion of discharge plans by assisting with arrangements for family education, equipment and services as appropriate for patient discharge level of care. n. Calls patient or family as needed post-discharge to ensure planned discharge recommendations are occurring and to assess if additional services are needed. o. In collaboration with the Controller, monitors and ensures needs of per diem negotiations, recertification, concurrent reviews and timely reports. p. Participates in monitoring, analyzing and utilizing program evaluation data to promote quality of care and position hospital for success. q. Works closely with finance in order to facilitate Utilization Management program. r. Maintains good working relationships with other hospital departments, participates in hospital meetings and serves on hospital committee as requested. Knowledge, Skills and Abilities: Language Skills: Able to communicate effectively in English, both verbally and in writing. Skills: Basic computer knowledge Education and Experience: Current Louisiana Licensure as RN. Fifth year college or university program certificate; or two to four years related experience and/or training; or equivalent combination of education and experience. Knowledge of basic bookkeeping, office procedures, and electronic billing procedures. BCLS - required. OSHA: I-Position is considered to have opportunity for routine exposure to blood borne pathogens in the normal performance of job duties. II- Position is considered to have occasional opportunity for exposure to blood borne pathogens in the normal performance of job duties. III-Position is considered to have no occupational exposure to blood borne pathogens in the normal performance of job duties

Job Details Hammond, LADescription ELOS is looking for qualified and experienced Construction Case Managers to assist individuals applying for the Restore Louisiana Homeowner Assistance Program. The Restore Louisiana Homeowner Assistance Program is dedicated to helping homeowners with Hurricanes Laura, Delta, Ida, or the May 2021 Severe Storms repair and restore their damaged homes, or get reimbursed for work already completed. Applicants should possess the qualifications identified below: A four (4) year Bachelor's degree from an accredited university, preferably in Construction Management or a related field. A combination of education and relevant experience will also be considered.. Must have working knowledge of home construction. Two or more years of experience in CDBG-DR single-family housing case management preferred. Ability to perform the job functions under the supervision of others, while remaining acutely aware of goals, expectations, and deadlines. Ability to acquire a working knowledge of applicable rules and regulations and/or specialized industry knowledge related to the functional area. Provide Program technical assistance as applicable. Excellent written and oral communication skills, strong analytical and problem-solving skills, ability to work independently, and effective interpersonal skills. Intermediate level Microsoft Office skills; knowledge of creating tables and graphs in Microsoft Excel; ability to quickly learn new software applications. Knowledge of Construction Processes is preferred but not required. Qualifications This position requires the passing of a background check and drug test. Work will be performed from the Restore Louisiana Corporate office (11100 Mead Rd. Baton Rouge, LA). Duration of Contract: 1 - 3 years Job Type: Contract Responsibilities may include corresponding with homeowners, tracking and monitoring progress of projects, and providing technical assistance for construction project and may include tasks associated with scopes of work, estimates, pricing, contracts, coordination of inspections, and other construction related activities. Additional responsibilities may include but are not limited to the following: Project planning including identifying available funding, supporting project budgeting, reviewing estimates and bids, permitting requirements, and understanding scopes of work and program requirements. Contractor selection including providing resources for choosing contractors in good standing, providing information on avoiding contractor fraud, identifying resources and construction trades necessary to perform the work Prioritization of repairs including recommendations on sequence of repairs. Assistance through construction completion including coordinating with contractors, initiating and reviewing work completed, and providing other technical advisement as needed. Maintain knowledge and understanding of program policies and procedures. Communicating program options and requirements to homeowners and contractors. Support day-to-day project management activities and other case tasks as directed. Job Types: Full-time, Contract Pay: $25.00 per hour Expected hours: 40 per week Benefits: Dental insurance Health insurance Life insurance Vision insurance Schedule: 8 hour shift Monday to Friday Education: Bachelor's (Preferred) Experience: CDBG-DR single-family housing case management: 2 years (Preferred) Ability to Relocate: Baton Rouge, LA 70816: Relocate before starting work (Required) Work Location: In person

Hours: Monday through Friday, 8am - 5pm CST The BH Case Mgr II is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD) etc. Primary duties may include but are not limited to: * Responds to more complex cases and account specific requests. * Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. * Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment. * Monitors and evaluates effectiveness of care plan and modifies plan as needed. * Supports member access to appropriate quality and cost effective care. * Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers. * Serves as a resource to other BH Case Mgrs. * Participates in cross-functional teams projects and initiatives. Requirements: * MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. * Current active unrestricted license such as RN, LCSW, or LPC required. * Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders. * Managed care experience required. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. * This position is contingent upon contract award and will be located onsite in either the southeast, southwest, or central United States. Travel will likely be required.* Duties and Responsibilities: * Conduct comprehensive patient evaluations to understand their medical history, social needs, and treatment goals. * Create individualized treatment plans based on patient assessments, coordinating with healthcare providers to establish appropriate interventions and timelines. * Act as a liaison between patients, doctors, nurses, therapists, insurance companies, and other relevant healthcare entities to ensure seamless care delivery. * Facilitate smooth transitions from inpatient to outpatient care by coordinating post-discharge services like home healthcare or rehabilitation. * Regularly track patient progress against care plans, identifying potential issues, and making necessary adjustments. * Patient advocacy: Representing the patient's needs and interests to navigate complex healthcare systems, advocating for appropriate treatment options and addressing concerns. * Communication management: Maintaining open communication with patients, families, and healthcare team members through regular updates and clear information sharing. * Documentation: Maintaining detailed patient records, including medical history, care plans, progress notes, and communication logs * Record medical histories * Educate patients about disease prevention, detection and reproductive health * Collaborate with other medical and non-medical personnel * Keep up to date with current practices and innovations * Performs other duties as assigned in accordance with contract requirements. Qualifications: * The contractor shall have, at a minimum, a Baccalaureate Degree in Nursing. * Licensure and Certification. Basic Life Support (BLS) certification is required before the contract start date. The individual must maintain an active, valid, current, and unrestricted license (with no limitations, stipulations or pending adverse actions) to practice nursing as a registered nurse by a US state/jurisdiction. Certification in Case Management from the American Nurses Credentialing Center or the Commission for Case Management Certification is highly desirable. * Collaborate with other medical and non-medical personnel * Keep up to date with current practices and innovations * Medical Case Manager shall have at least 5 years of active nursing practice, 18 months of which must be in discharge planning or clinical case management to include experience in working with one or more of the following: adults, children, families, or seniors. * Proficiency with computers and common office equipment, as well as with MS Office products required. * Must be able to perform duties in a stressful and high paced environment. * Ability to adapt to sudden changes and flexibility in work requirements to include potential shift changes based on operational needs and/or command priorities. Physical Requirements and Work Conditions * Work is normally performed in a typical interior/office work environment. * Work involves sitting and standing for prolonged periods of time. Acuity International is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, national origin, age, protected veteran status, or disability status. For OFCCP compliance, the taxable entity associated with this job posting is: Acuity-CHS, LLC

* Meeting with students for crisis intervention * Work with teachers and academic leadership to understand dyslexia/ADD in promoting and implementing effective classroom management so students have better outcomes in the classroom. * Helping students learn strong social skills, as well as strategies for conflict resolution and anger management. * Working with family members and other individuals in a child's living situation to help support their adjustment, learning, and development. * Helping parents have an interest in learning the latest science about Dyslexia and ADD/ADHD through the professionals at LKA. * Offering support and education for school staff to help them improve their understanding of the cultural, societal, economical, or other factors that can impact students' education and behavioral tendencies. * Identifying, reporting, and helping school districts to intervene when child abuse or neglect is suspected or confirmed. * Promoting the general well-being of students. * Working with outside agencies to provide support to families. * Developing, implementing and providing crisis intervention strategies to improve student success. * Working to maximize coping skills for students in difficult situations. Requirements * Previous experience as a social school worker or in a similar role * Basic knowledge of MS Office * Experience working with a wide range of issues students' families face (e.g. domestic violence, drug abuse, mental) * Ability to effectively communicate with people from diverse backgrounds * An empathetic and trustworthy personality * Licensed Master Social Worker (LMSW) required, Licensed Clinical Social Worker (LCSW) preferred.

Guidance Counselor for 2025-2026 School Year JobID: 2530 Student Support Services/Guidance Counselor Additional Information: Show/Hide Guidance Counselor Under the general supervision of the Director of Pupil Services, to provide students, parents, administrators, and other teaching staff with information on career and or educational opportunities; administer and interpret career assessment tools; and assist students in developing educational and occupational goals and plans. Essential Performance Responsibilities * Assists students in evaluating students' aptitudes and abilities through the interpretation of individual standardized test scores and other pertinent data, and works with students in developing education and occupation plans consistent with such evaluation. * Assists students in making course and subject selections, as well as with evaluating career interests and choices. * Assists in the scheduling of classes. * Obtains and disseminates information regarding occupational opportunities to students and to classes studying occupations. * Assists students with admissions, scholarship and identifying employment opportunities. * Coordinates with administrators and other teaching staff members to ascertain individual student's abilities and needs, including students with special needs, and to familiarize stakeholders with guidance services. * Researches educational and career opportunities, and coordinates with teachers, college and university personnel, resource specialists, and business and community organizations for the purpose of providing information, and making recommendations. * Assists with the registration and orientation students who are new to the school regarding procedures and educational opportunities. * Assists with the school district's dropout prevention efforts. * Serves as ready resource to students to provide counseling that will lead each student to increased personal growth, self-understanding, and maturity. * Plans and coordinates field trips to institutions of higher learning, businesses and other organizations related to guidance responsibilities. * Continues to acquire professional knowledge and learn of current developments in the educational field by attending seminars, workshops or professional meetings, or by conducting research, and by maintaining professional relationships with members of institutions of higher learning and the business community. * Organizes and maintains a system for accurate and complete record-keeping and providing student information to prospective colleges and employers, as required by district procedures and applicable laws. * Encourages parental involvement in students' education and ensures effective communication with students and parents. * Assists in the orientation of new teachers, and provides in-service training in guidance. Additional Duties Performs other related tasks as assigned by the Principal and other central office administrators as designated by the Superintendent. Note: The above description is illustrative of tasks and responsibilities. It is not meant to be all inclusive of every task or responsibility. Equipment Uses standard office equipment such as personal computers, printer, copy and fax machines, and telephone. Travel Requirements Travels to school district buildings and professional meetings as required. Knowledge, Skills and Abilities * Knowledge of pre/post high school program eligibility requirements. * Knowledge of college/university admissions processes, scholarship programs and other educational opportunities. * Knowledge of current developments in business and industry regarding career opportunities and employment. * Knowledge of differentiated instruction based upon student learning styles. * Knowledge of data information systems, data analysis and the formulation of action plans. * Knowledge of applicable federal and state laws regarding education and students. * Ability to use computer network system and software applications as needed. * Ability to organize and coordinate work. * Ability to communicate effectively with students and parents. * Ability to engage in self-evaluation with regard to performance and professional growth. * Ability to establish and maintain cooperative working relationships with others contacted in the course of work. Physical and Mental Demands, Work Hazards Works in standard office and school building environments. Note: Also see the Summary of Physical, Sensory and Environmental Requirements Needed to Perform Essential Job Duties for this position. Qualifications Profile * Certification/License: Must be certified as a school counselor (Louisiana certification) * Motor Vehicle Operator's License or ability to provide own transportation. Education * Masters Degree Experience Successful prior teaching experience for the appropriate grade level preferred. FLSA Status: Exempt

Multiple opportunities available Can be located anywhere in the North Shore area This is not just another place to work, Butterfly Effects is led by BCBAs with Dr. Steve Woolf, PhD., BCBA-D, as our President and Molly McGinnis, M.Ed., BCBA, as our Vice President of Clinical Services and Practice Development. We make every effort to ensure that you as the BCBA are fully supported and given the opportunity to continue growing and developing your skills. We are looking for passionate BCBAs to join us in fulfilling our mission to make a socially meaningful change in the lives of children and families. We want you to enjoy coming to work, so we dedicate and commit ourselves to making our teams feel valued, respected, and heard. Our butterfly logo was chosen as a symbol of love, rebirth, and metamorphosis. Together, the name and logo represent our common purpose and deep commitment to helping families create lasting change through individualized ABA therapy. Why Work at Butterfly Effects? BCBAs in all levels of management including senior leadership Stable, established company with growth opportunities for BCBAs High ethical and clinical quality standards Professional Development: Internal CE presentations by prominent leaders in our field through our "PD Speaker Series" Monthly Clinical Case Reviews in collaboration all BCBAs in the company Conference attendance Research opportunities Opportunities for new BCBAs to receive mentorship from their more seasoned BCBA colleagues Supportive and positive work culture - Have your personal touch in creating the culture! We invite BCBAs to get involved and support one another! Salary $72,000- 97,000 - Base salary plus eligible quarterly performance incentive What would you be doing? Reporting to a Regional or Assistant Regional Director, you will be integral to ensuring the highest possible treatment outcomes for families affected by ASD. As a member of the Butterfly Effects Interdisciplinary Team, the BCBA designs and manages individualized behavior programming including: Managing RBTs/ BTs Supervising direct 1:1 ABA service delivery Conducting behavior assessments Individualizing client treatment goals and objectives Conducting monthly caregiver training Coordinating with other professionals on your clients' treatment team What do you bring to the role? Master's degree in Applied Behavior Analysis or related field BCBA Certification - Must hold a current certification by the BACB BCBAs that require additional experience will be enrolled in our BCBA mentorship program Benefits and Compensation: Competitive compensation package with quarterly performance bonuses Benefit packages, including: Medical, Dental, & Vision coverage Life Insurance and Supplemental Insurance programs PTO and Holidays 401K Who are we? Butterfly Effects is an autism-specific ABA-based provider group with home and center-based services across the country. The treatment model is grounded in the implementation science of Applied Behavior Analysis (ABA), Family-Centered Planning, Routines-Based Intervention, and family participation. BE's treatment philosophy is guided by the belief that services should be provided as early in a child's development as possible, be individualized for each child/family, and support the unique culture of each family. Since our establishment in 2005, Butterfly Effects has positively impacted over 13,000 families. Our family-centric applied behavior analysis (ABA) approach aims to enhance the lives of children and families affected by autism spectrum disorder. Our mission is to deliver personalized ABA treatment in partnership with affected families, fostering a more joyous life. For more information, please visit ************************* #INDBCBA

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 (***************************************************************************************************************************

Hours: Monday through Friday, 8am - 5pm CST The BH Case Mgr II is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD) etc. Primary duties may include but are not limited to: * Responds to more complex cases and account specific requests. * Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. * Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment. * Monitors and evaluates effectiveness of care plan and modifies plan as needed. * Supports member access to appropriate quality and cost effective care. * Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers. * Serves as a resource to other BH Case Mgrs. * Participates in cross-functional teams projects and initiatives. Requirements: * MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. * Current active unrestricted license such as RN, LCSW, or LPC required. * Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders. * Managed care experience required. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed/Certified Behavioral Health Role Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.