Case Manager Jobs in Baton Rouge, LA

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.

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.

For a description, visit PDF: ******************** brla. gov/ess/EmploymentOpportunities/~/DocumentViewer. ashx?token=fXefRzitcbPOcqYhnVjrz8gvb0DJ7ZT5V1r4/ee XTP0=&Serial=m71Uik4f4MCUJwk2RP8AyA==&hash=kP9XZTfDn0lShTzzZmen58fys3cYLc6cvTY2+lLOFEE3Sebg9DplY/vn1j/IbN918ewIgaywzP4ugtEw9rOPt6iVTFpmWf76

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.

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.

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

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.

**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $101,300.00 - $167,000.00 **Target Openings** 1 **What Is the Opportunity?** Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims, as well as General Liability Coverage B claims and E&O claims involving Life Sciences insureds. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation, and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Provides consulting and training and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required. This position does not manage staff. **What Will You Do?** + CLAIM HANDLING: + Directly handle assigned severe/complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims, as well as General Liability Coverage B claims and E&O claims involving Life Sciences insureds. + Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. + Consult with Manager on use of Claim Coverage Counsel as needed. + Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Interview witnesses and stakeholders; take necessary statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Utilize evaluation documentation tools in accordance with department guidelines. + Proactively review Evaluation Tool for adherence to quality standards and trend analysis. + Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure. + Establish and maintain proper indemnity and expense reserves. + Recognize and implement alternate means of resolution. + Manages litigated claims. + Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers. + Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. + Update appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options. + Evaluate all claims for recovery potential; directly handle recovery efforts and/or engage and direct Company resources for recovery efforts. + Assist underwriting business partners in marketing and account contact efforts, as well as contract and policy reviews. + Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense. + Share experience and deep knowledge of creative resolution techniques to improve the claim results of others. + LEADERSHIP + Actively provide mentoring and coaching to less experienced claim professionals to increase the technical expertise and improve bench strength. + COMMUNICATION/INFLUENCE: + Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims. + Recommend appropriate cases for discussion at roundtable. + OTHER ACCOUNTABILITIES: + Apply "advanced" litigation management through the selection of counsel, evaluation and direction of claim and litigation strategy + Track and control legal expenses to assure cost-effective resolution. + Appropriately deal with information that is considered personal and confidential. + Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions and inquiries from agents and brokers. + Represent the company as a technical resource; attend legal proceedings as needed, act within established professional guidelines as well as applicable state laws. + Share accountability with business partners to achieve and sustain quality results. + May be responsible to research and evaluate current information regarding trends in the law; digest and communicate this information to other Company departments and divisions to assisting underwriting and management decisions. + May participate in periodic file quality reviews. + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. + Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. Other duties as assigned. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Law degree preferred. + 5-7 years medical products and/or pharmaceutical litigation or claim handling experience. + Advanced level knowledge in coverage, liability and damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills. + Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims. + Able to make independent decisions on most assigned cases without involvement of supervisor. + Thorough understanding of business line products, policy language, exclusions, ISO forms, and effective claims handling practices. + Technical ability/working knowledge of virtual tools (Zoom, Skype, etc) + Openness to the ideas and expertise of others actively solicits input and shares ideas. + Strong customer service skills. - Advanced + Demonstrated coaching, influence and persuasion skills.- Advanced + Strong written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise.- Advanced + Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information. - Advanced + Attention to detail ensuring accuracy - Advanced + Job Specific Technical Competencies: + Analytical Thinking - Advanced + Judgment/Decision Making - Advanced + Communication - Advanced + Negotiation - Advanced + Insurance Contract Knowledge - Advanced + Principles of Investigation - Advanced + Value Determination - Advanced + Settlement Techniques - Advanced + Legal Knowledge - Advanced + Medical Knowledge - Intermediate **What is a Must Have?** + High School Degree or GED required with a minimum of 4 years bodily injury litigation claim handling or comparable claim litigation experience. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .

Mary Bird Perkins Cancer Center is Louisiana's leading cancer care organization, caring for more patients each year than any other facility in the region. And with strategic hospital and physician partnerships, we are delivering on our mission to improve survivorship and lessen the burden of cancer. Mary Bird Perkins and its partners work together to provide state-of-the-art treatments and unparalleled collaborative, comprehensive cancer services. This culture of innovation helps attract the best cancer minds in the country, from expert physicians and highly specialized scientists to forward-thinking leaders in supportive care and other disciplines. Together, with our hospital and physician partners, we are one-hundred percent focused on cancer care. Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve. Job Description: SCOPE OF POSITION: The Social Work Navigator serves as an expert oncology population specific clinician, patient/client advocate and assists cancer/oncology patients/families to navigate the complex health care system in an organized, effective and efficient manner. This position will assist with the standardization and efficiency of care for patients in the cancer service line throughout the continuum of patient care. The Oncology Social Work Navigator models patient-centered care and assumes leadership responsibilities with high level contributions in direct patient interaction, the department, the service line, and across the institution. PEOPLE 1. Develops strong relationships with physicians, their office staff, and healthcare providers to ensure effective communication in patient care. Serves as a liaison between ancillary departments, clinical specialists, primary care physicians and patients to ensure efficient patient flow for cancer service line patients. 2. Builds and maintains relationship with community organizations to help coordinate support services for patients. Educates patients, caregivers, staff and community on available support services. CLINICAL NAVIGATION 1. This position will be housed in Alexandria but will be responsible for navigation of Oncology patients across all Central and North LA clinics. Telehealth and virtual assessment and coordination is appropriate for this position as needed. 2. Coordinates all aspects of patient care and development related to the cancer service line. Facilitates entry of patients into the oncology program and assists with coordination of care through personalized interaction. Follows the population-specific patient throughout the continuum of care and into survivorship. 3. Educates the patient and caregiver on disease-specific guidelines and treatment options to enable patient-led treatment decisions. Educates and/or facilitates patient and caregiver on introduction to program, clinical trial information, resource referrals, and genetic counseling. 4. Coach and assist patients to remove barriers related to insurance coverage, transportation, child care, finances, language, etc. so they can focus on their treatment plan 5. Implements risk assessments and monitors healthcare pathways with multidisciplinary teams and intervenes when necessary to improve timeliness of care. Actively participates in a wide range of performance improvement activities by recommending and leading improvements in patient safety-related processes at unit or cancer service line level. Ensures appropriate data is collected and submitted to appropriate databases for service lines supported. 6. Assist with selection of student interns. Provides supervision of student interns as assigned to area. OTHER DUTIES AS ASSIGNED 1. Providing backup support for other team members during absences. 2. Representing the department in meetings or on committees. 3. Assisting with special projects or events. 4. Supporting cross-functional teams or collaborating with other departments. QUALIFICATIONS: Master's degree in Social Work Experience in oncology preferred or related field through previous job, internship, or volunteer program LMSW required, LCSW preferred; OSW-C encouraged

The Social Worker provides medical social work services to patients and families in the acute care setting in the Care Management Department. This includes psychosocial assessments, discharge planning, linkage to community resources, collaboration with other treatment team members, and/or supportive counseling and crisis intervention. At Franciscan Missionaries of Our Lady Health System, we offer you much more than just a job in the healthcare industry. We offer career opportunities for people who have a calling to share their gifts and talents as part of our healing ministry. As a Catholic hospital, we are here to create a spirit of healing - and we invite you to join our team today if you would like to be part of that spirit. In addition to competitive salaries and generous benefits, we offer you something special - the chance to do God's work by helping to serve people in need throughout our community, every day. Responsibilities Clinical Practice and Care Management Serves as the case manager for assigned patients. Coordinates the interdisciplinary assessment process. Completes psychosocial assessment within guidelines defined by the organization. Conducts group and individual therapy and/or case management activities as appropriate to the treatment plan. Conducts family meetings as necessary and as directed by the physician. Develops and implements high quality patient treatment plans based on thorough patient assessment and evaluation, analysis of family and home dynamics, and assessment of patient's capacity and potential to cope with problems of daily living in an effort to promote the high quality health and wellness services provided by the department. Follows established practice guidelines with regard to work and patient scheduling and demonstrates flexibility in scheduling to meet practice and patient needs. Provides 24 hour on-call coverage for the center on a rotating basis as scheduled and manages any crisis issues that occur. Demonstrates professional judgment in reporting cases of suspected abuse or neglect while maintaining patient and family member confidentiality in an effort toward ensuring the provision of high quality health and wellness services by the department. Documentation Completes treatment plan documentation and updates according to patient needs and organizational expectations. Completes documentation of all patient and caregiver interactions. Completes documentation of all group, individual and family activities. Explains and discusses the living will and durable power of attorney to patients and family members in a sensitive and caring manner in accordance with established hospital policy and procedure. Follows policies and procedures regarding discharge planning, evaluations, chart documentation, and follow-up coordination, ensures appropriate and efficient completion of authorization to provide or receive information, and completes billing forms and writes letters and reports as indicated in a timely manner. Develops high quality and appropriate instructional materials for cardiac rehabilitation patients in an effort to facilitate patient recovery and promote overall patient wellness. Communication, Partnership and Collaboration Works collaboratively to solve problems, improves processes, develop services, and acts as a patient advocate. Acts as an information and referral source by developing cooperative agreements with community agencies and services in an effort to meet patient needs and ensure that treatment is immediately relevant to the problems the patient is experiencing. Participates in departmental and organizational quality improvement initiatives. Provides high quality counseling to staff members and facilitates staff support groups in an effort to promote a positive working environment and address the immediate needs of fellow co-workers. Actively participates in the development and implementation of the interdisciplinary treatment plan. Actively participates in treatment team activities. Promotes a therapeutic milieu by formal and informal methods. Professional Development Acts as a clinical resource and serves as a mentor to health care team members; displays leadership behaviors. Identifies own learning needs based on self-evaluation and the progress made from the previous year's goals. Accountable for all documentation and completion of all required continuing education and competencies relevant to area of practice as defined by clinical management. Ensures improvements in practice settings by assuming responsibility for self-development in life-long learning. Provides direction and guidance to others regarding practice, serves as a resource, preceptor, and mentor. Leadership skills in critical thinking, decision-making, and problem solving. Participates in community outreach services as an educational resource informing the public about innovative care management programs available to caregivers. Provides high quality professional consultation and in-service education to medical and hospital staff. Performs other duties as assigned or requested. Qualifications LMSW Minimum Requirements: Education: Master's Degree Licensure: Current Louisiana State Board of Social Workers License LMSW LCSW Minimum Requirements: Education: Master's Degree Experience: some previous social work experience Licensure: Current Louisiana State Board of Social Workers License LCSW

Job Details Hospice of Baton Rouge - Main Office - Baton Rouge, LADescription If you are passionate about our mission and dedicated to providing compassionate end-of-life care, we invite you to join our talent pool by applying here. By doing so, we can keep your information on file and may reach out when a role aligns with your skills and interests. Together, we can continue making a meaningful difference in the lives of our patients and their families. JOB FUNCTIONS: Keep a positive attitude. Keep this organization's mission at the forefront of decisions. Maintain professionalism in all interactions with staff, patients, families and remember you are a representative of this organization. Meet regularly with the Hospice team, and assist with developing and revising the patient/family care plan. Also, enact the part of the care plan pertaining to Medical Social Work, and receive feedback from other team members on the effectiveness of intervention. Assess patient/family psychosocial needs, problems, and coping skills, including their response to terminal illness. Provide counseling services for the patient and family. Qualifications EDUCATION: Master's Degree in Social Work CERTIFICATONS: Licensure or pending licensure by the Louisiana State Board of Social Work Examiners LMSW/LCSW required. WORK EXPERIENCE: Previous experience with Hospice preferred, or thorough understanding of the Hospice concept of care and service. SPECIAL SKILLS: Expertise in interpersonal relationships. Ability to work individually as well as on interdisciplinary team. REQUIREMENTS: Must have own transportation and provide proof of liability insurance which meets state requirements. Must be able to travel to and from all patient homes without assistance. Must be able to perform all aspects of the position unassisted. Must have good communication skills and techniques with facilities, patients, families, physicians, and office staff. Installation of company communication application on cellular device.

Part-time Description 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.

The Social Worker LMSW conducts psychosocial evaluations, provides individual and group psychotherapy, care management services and discharge planning. Develops and implements patient treatment plans and participates in treatment team conferences. Relies on education, experience and judgment to accomplish job. Works under supervision required by regulation and licensing board. Creativity and some latitude is expected to complete responsibilities. * Clinical Practice and Care Management * Serves as the case manager for assigned patients. Coordinates the interdisciplinary assessment process. * Completes psychosocial assessment within guidelines defined by the organization. * Conducts group and individual therapy and/or case management activities as appropriate to the treatment plan. * Conducts family meetings as necessary and as directed by the physician. * Develops and implements high quality patient treatment plans based on thorough patient assessment and evaluation, analysis of family and home dynamics, and assessment of patient's capacity and potential to cope with problems of daily living in an effort to promote the high quality health and wellness services provided by the department. * Follows established practice guidelines with regard to work and patient scheduling and demonstrates flexibility in scheduling to meet practice and patient needs. * Demonstrates professional judgment in reporting cases of suspected abuse or neglect while maintaining patient and family member confidentiality in an effort toward ensuring the provision of high quality health and wellness services by the department. * Documentation * Completes treatment plan documentation and updates according to patient needs and organizational expectations. * Completes documentation of all patient and caregiver interactions. * Completes documentation of all group, individual and family activities. * Explains and discusses the living will and durable power of attorney to patients and family members in a sensitive and caring manner in accordance with established hospital policy and procedure. * Follows policies and procedures regarding discharge planning, evaluations, chart documentation, and follow-up coordination, ensures appropriate and efficient completion of authorization to provide or receive information. * Communication, Partnership and Collaboration * Works collaboratively to solve problems, improves processes, develop services, and acts as a patient advocate. Acts as an information and referral source by developing cooperative agreements with community agencies and services in an effort to meet patient needs and ensure that treatment is immediately relevant to the problems the patient is experiencing. * Participates in departmental and organizational quality improvement initiatives. Provides high quality counseling to staff members and facilitates staff support groups in an effort to promote a positive working environment and address the immediate needs of fellow co-workers. * Actively participates in the development and implementation of the interdisciplinary treatment plan. * Actively participates in treatment team activities. * Promotes a therapeutic milieu by formal and informal methods. * Professional Development * Acts as a clinical resource and serves as a mentor to health care team members; displays leadership behaviors. * Identifies own learning needs based on self-evaluation and the progress made from the previous year's goals. * Accountable for all documentation and completion of all required continuing education and competencies relevant to area of practice as defined by clinical management. * Ensures improvements in practice settings by assuming responsibility for self-development in life-long learning. * Provides direction and guidance to others regarding practice, serves as a resource, preceptor, and mentor. Leadership skills in critical thinking, decision-making, and problem solving. * Participates in community outreach services as an educational resource informing the public about innovative care management programs available to caregivers. Provides high quality professional consultation and in-service education to medical and hospital staff. * Performs other duties as assigned or requested. Education - Master's Degree Training - Crisis Intervention Training within 90 days of employment Special Skills - Proficient in the English language, verbal and written communications skills, basic computer skills Licensure - Certification as a Masters in Social Work (or CSW) by the Louisiana State Board Social Work Examiners

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success. Job Description The Behavioral 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 Fundamental Components include: Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function Gathers clinical information and applies the appropriate medical necessity criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation/discharge planning along the continuum of care Utilizes clinical experience and skills in a collaborative process to evaluate and facilitate appropriate healthcare services/benefits for members including urgent or emergent interventions (such as triage / crisis support) Coordinates/Communicates with providers and other parties to facilitate optimal care/treatment Identifies members who may benefit from care management programs and facilitates referral Identifies opportunities to promote quality effectiveness of healthcare services and benefit utilization 3-5 years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required. Must be a Licensed Mental Health Professional with unrestricted LA state license. LADC or LAC (Licensed Addiction Counselor) Additional Job Details: Experience and knowledge required in clinical guidelines, systems and tools i.e., Milliman, LOCUS, ASAM Knowledge of provider networks and delivery, ability to interface with providers Possesses sound clinical judgment Strong organizational skills with an attention to detail Ability to work independently and on a team Ability to work with all levels of management Strong documentation skills and broad based clinical knowledge Behavioral health and physical health integrated care experience Positions may require working on-site Self-motivated and confident making clinical decisions, ability to influence and shape clinical outcomes Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor. Typical office working environment with productivity and quality expectations. Qualifications Required for the openings : Managed care/utilization review experience strongly preferred Must be a Licensed Mental Health Professional with unrestricted LA state license. LADC or LAC (Licensed Addiction Counselor) Additional Information having Healthcare reimbursement knowledge along with medical billing and collection.

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

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.