bilingual case manager (remote flexible, spanish speaking)

case manager

behavioral health medical director Jobs in Los Angeles

behavioral health medical director

behavioral health quality manager Jobs in Los Angeles

behavioral health quality manager

bilingual case manager (remote flexible, spanish speaking) Jobs in Los Angeles

bilingual ecm case manager Jobs in Los Angeles

bilingual ecm case manager

clinical case manager behavioral health

CVS Health

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.
Position Summary:
Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. 
Assessment of Members:<ul><li>
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member&rsquo;s needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member&rsquo;s benefit plan and available internal and external programs/services.</li><li>
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.</li><li>
Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated.</li><li>
Provides crisis follow up to members to help ensure they are receiving the appropriate treatment/services.</li></ul>
Enhancement of Medical Appropriateness and Quality of Care:<ul><li>
Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member&rsquo;s needs to ensure appropriate administration of benefits</li><li>
Using holistic approach consults with supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary view in order to achieve optimal outcomes</li><li>
Identifies and escalates quality of care issues through established channels</li><li>
Ability to speak to medical and behavioral health professionals to influence appropriate member care.</li><li>
Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promotes lifestyle/behavior changes to achieve optimum level of health</li><li>
Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.</li><li>
Helps member actively and knowledgably participate with their provider in healthcare decision-making</li><li>
Analyzes all utilization, self-report and clinical data available to consolidate information and begin to identify comprehensive member needs.</li></ul> 
Monitoring, Evaluation and Documentation of Care<ul><li>
In collaboration with the member and their care team develops and monitors established plans of care to meet the member&rsquo;s goals</li><li>
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.</li><li>
Ability to take and manage crisis calls.</li></ul> 
Required Qualifications:<ul><li>
Unencumbered Independent Behavioral Health clinical license in the state where they reside and work:</li></ul><h3 class="jobSectionHeader">
Licensed Mental Health Counselor (LMHC)</h3><h3 class="jobSectionHeader">
Licensed Clinical Social Worker (LCSW)</h3><h3 class="jobSectionHeader">
Licensed Independent Social Worker (LISW)</h3><h3 class="jobSectionHeader">
Licensed Marital and Family Therapist (LMFT)</h3><h3 class="jobSectionHeader">
Licensed Professional Counselor (LPC)</h3><ul><li>
3+ years of direct clinical practice experience post masters degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility</li><li>
3+ years minimum of Behavioral Health experience</li><li>
Applicants must be willing to work standard business hours in EST or CST.</li></ul> 
Preferred Qualifications<ul><li>
Case management and discharge planning experience
</li><li>Crisis intervention skills
</li><li>Managed care/utilization review experience
</li><li>Ability to take and manage crisis calls</li></ul>
Education
Minimum of a Master&rsquo;s degree in Behavioral/Mental Health or related field
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$54,095.00 - $142,576.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. 
Additional details about available benefits are provided during the application process and on Benefits Moments. 
We anticipate the application window for this opening will close on: 05/02/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Clinical Case Manager, Behavioral Health

Heluna Health

<div>Salary Range: $32.96-$45.04 per hour

SUMMARY

The Los Angeles County Department of Homeless Services and Housing (HSH) consolidates our countywide response to homelessness. The driving force behind HSH is increasing accountability and transparency, improving care for people experiencing or at risk of homelessness, and streamlining collaboration with partners including services providers, the County&rsquo;s 88 cities, and unincorporated areas to deliver high-quality, life-saving care. Staff schedules are based on business need and may include the option of a hybrid work schedule where employees work remotely, in the field and from the office.

This position is for a Clinical Social Worker with the department of HSH and will support the Enriched Residential Care (ERC) program and Interim Housing (IH) sites. The role will entail both direct care to patients through quality clinical bio-psychosocial assessments of patients and technical assistance (TA) and training support to on-site staff on behavioral health issues. The focus on this role will be to provide short-term behavioral health services, evidence-based treatment services to certain complex high acuity patients and also provide training and support to onsite staff at the different sites to support/improve their management of complex patients.

This position is expected to function with a degree of independence and be self-directed as this role works with individualized treatment plans and with onsite staff to accomplish changes in insight, attitudes, and motivations of patients, family and staff to attain optimal health functioning. This position demands professional skills that may include additional expertise in specific therapeutic methods such as motivational interviewing, cognitive behavioral therapy, relapse prevention therapy, and trauma-informed care.

The Clinical Social Worker must possess a comprehensive knowledge of established professional standards and principles, pertinent policies and procedures of the department and the assigned facility, community resources available for referral, and State and Federal social welfare laws and regulations. The position reports to the ERC Clinical Social Work Supervisor and works under the direction of the clinical social work supervisor.

ESSENTIAL FUNCTIONS
<ul>
<li>Assesses and treats the complicated psychosocial problems of patients including but not limited to untreated or under- treated mental health or substance abuse conditions, economic instability, legal problems, and inadequate social support, housing and transportation.</li>
<li>Works closely with and in partnership with ERC medical case workers, medical team, program managers and other HSH staff for complicated high acuity patients to assess, develop, and help implement care plans for the patients/ participants</li>
<li>Responds to requests for consultation and brief intervention around functional decline related to mental health and/or substance use, behavioral challenges, and higher level of care cases. This will include carrying a caseload, as needed, of clients needing short-term intervention and stabilization.</li>
<li>Provides consultation to team members, community partners, and /or other staff at the sites or facilities in delivery of care support management of chronic medical and behavioral condition.</li>
<li>Provides direct services when needed to patients/participants by conducting a face-to-face comprehensive behavioral health assessment and develops care planning/treatment plans for patients that address the patient&rsquo;s mental health, substance abuse and behavioral health needs. This includes helping to coordinate SUD and/or mental health services on behalf of the client.</li>
<li>Utilizes motivational interviewing and a trauma informed approach when providing direct services or when providing consultation to other team members in how to support patients.</li>
<li> Complete required documentation in EMR for any direct services provided and create or updates client care plan identifying wrap around supports that align with assessment.</li>
<li> Participate in case conference with the care team, as needed.</li>
<li>Provides technical assistance (TA) and training support to Facility Administrators, facility staff, or IH on-site staff as needed to address mental health and behavioral health issues and support staff in the management of behavioral health issues.</li>
<li>Develops and deliver education and/or training to staff on various mental health topic or mental health resources that help non-clinical providers identify and support residents who have behavior issues that are impacting their functioning and related to mental health and/or substance use issues</li>
<li>Provides education and training programs to other team members on how to implement trauma informed care, harm reduction and housing first models</li>
<li>Provides training implementation support that may include educational outreach visits, consultation, shadowing opportunities, modeling and developing site-specific protocols, techniques, and tools as needed</li>
<li>Conducts and /or participate in meetings/ case conference with ERC facility or IH sites to provide individualized interactive problem-solving support targeting provider and/or residents&rsquo; needs</li>
<li>Works with HSH staff to help perform facility-oriented evaluations to improve the physical and social environmental impact on clients, functioning as part of ongoing quality assurance efforts</li>
<li>Works with HSH staff in developing collaborative relationships with ERC facilities and housing and service providers to co-learn and tailor sustainable, responsive, site-specific assistance for change</li>
<li>May work with Clinical Social work supervisor on other macro issues/projects as needed, including liaising with Mental Health and SUD Services for Care Coordination</li>
<li>Participates in performance/quality improvement (PI/QI) activities and contributes to policy development as needed.</li>
</ul>
JOB QUALIFICATIONS

A Master's Degree in Social work from a graduate school accredited by the Council on Social Work Education including supervised clinical social work field work experience - OR - A Master's Degree in Social Work from a graduate school accredited by the Council on Social Work Education and one year of experience in medical, community, psychiatric, family, or child welfare social work involving problems of medical, mental, or emotional adjustment.

Certificates/Licenses/Clearances
<ul>
<li>A valid, current license as a Licensed Clinical Social Worker issued by the California Board of Behavioral Sciences OR registration in good standing as an Associate Clinical Social Worker with the California Board of Behavioral Sciences within six (6) months of employment. Associate Clinical Social Workers must remain in good standing with the California Board of Behavioral Sciences for the duration of the waivers permitted by law, not to exceed six years.</li>
<li>A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.</li>
</ul><ul><li>Successful clearance of the Live Scan process and health clearance with the County of Los Angeles.</li>
</ul>
Other Skills, Knowledge, and Abilities
<ul>
<li>Clinical social work in Homeless health care experience</li>
<li>Experience/expertise in assessing and managing clients with dysfunctional SUD Experience/expertise in assessing and managing clients with severe persistent mental illness.</li>
<li>Experience/expertise in trauma-informed care and harm reduction principles</li>
<li>Demonstrated teaching and communication skills with clinical and non-clinical staff.</li>
<li>Experience providing clinical and administrative supervision to other behavioral health staff preferred.</li>
<li>Familiarity with DMH, DPH and community mental health and substance use programs and Excellent documentation and clinical skills, ability to set priorities, work independently, works well under pressure and meet deadlines.</li>
<li>Experience with complex case management, outreach, and home visits.</li>
<li>Must demonstrate cultural humility and a strength-based, recovery philosophy.</li>
<li>Must be able to move between different treatment approaches (clinical case management and evidence-based, trauma-focused psychotherapy) depending on the needs of the client.</li>
<li>Excellent organizational and strong interpersonal skills.</li>
<li>Must demonstrate an understanding of trauma-informed care and housing first models</li>
<li>Proficient with Microsoft Office applications (Word, Excel, PowerPoint, Outlook, Teams) and Adobe Acrobat software.</li>
<li>Knowledge of the functioning of the healthcare setting.</li>
<li>Strong verbal and written communication skills.</li>
<li>Excellent time management skills.</li>
</ul>
PHYSICAL DEMANDS

Stand: Frequently

Walk: Frequently

Sit: Frequently

Reach Outward: Occasionally

Reach Above Shoulder: Occasionally

Climb, Crawl, Kneel, Bend: Occasionally

Lift / Carry: Occasionally - Up to 15lbs

Push/Pull: Occasionally - Up to 15lbs

See: Constantly

Taste/ Smell: Not Applicable 


Not Applicable = Not required for essential functions

Occasionally = (0 - 2 hrs/day)

Frequently = (2 - 5 hrs/day)

Constantly = (5+ hrs/day)

WORK ENVIRONMENT

General Office Setting, Indoors Temperature Controlled

EEOC STATEMENT

It is the policy of Heluna Health to provide equal employment opportunities to all employees and applicants, without regard to age (40 and over), national origin or ancestry, race, color, religion, sex, gender, sexual orientation, pregnancy or perceived pregnancy, reproductive health decision making, physical or mental disability, medical condition (including cancer or a record or history of cancer), AIDS or HIV, genetic information or characteristics, veteran status or military service.</div>

Clinical Social Worker - ERC (N289)

Pacific Asian Counseling Services

Position Description:PACS is seeking a motivated and community-driven Case Manager to join our Intensive Services team.This role is part of our Full-Service Partnership (FSP) program, providing intensive, community-based mental health services to individuals with complex behavioral health needs. Clients may experience serious mental illness, housing instability, co-occurring conditions, and other high-acuity challenges.The Case Manager plays a critical role in delivering hands-on, field-based support that promotes stability, independence, and overall well-being. This is not a desk-based role, staff work directly in the community, meeting clients where they are and helping them navigate systems such as housing, healthcare, and public benefits.Experience and Essential Job Functions:<ul><li>Provide comprehensive case management services in collaboration with the multidisciplinary treatment team.</li><li>Assist in developing, implementing, and monitoring individualized treatment plans.</li><li>Coordinate and link clients to housing, healthcare, benefits (SSI/SSDI, Medi-Cal, CalFresh, etc.), employment, and substance use services.</li><li>Advocate for clients to reduce barriers and improve access to care.</li><li>Conduct home visits and provide services in community settings.</li><li>Provide transportation and accompany clients to appointments when appropriate.</li><li>Build strong, trusting relationships through consistent outreach and engagement.</li><li>Support crisis intervention efforts alongside the clinical team.</li><li>Assist clients in developing daily living skills and increasing independence.</li><li>Reinforce treatment goals and support behavioral health interventions.</li><li>Participate in outreach to engage potential clients and support enrollment.</li><li>Build relationships with community partners and service providers.</li><li>Assist in facilitating workshops, groups, and community activities.</li><li>Complete timely and accurate documentation of services.</li><li>Maintain productivity and billing requirements.</li><li>Participate in team meetings, case conferences, and trainings.</li><li>Perform additional responsibilities as assigned.</li></ul>Minimum Qualifications:<ul><li>Bachelor's degree in social work, Psychology, or related field, or</li><li>Associate&rsquo;s degree with relevant experience, or</li><li>Experience working with serious mental illness, homelessness, or co-occurring disorders.</li><li>Experience in community mental health or field-based settings.</li><li>First Aid and CPR training (training provided if not currently certified).</li></ul>Preferred Qualifications:<ul><li>Bilingual (Spanish, API languages, or other threshold languages).</li><li>Knowledge of community resources and social service systems.</li><li>Ability to work with diverse populations using a trauma-informed approach.</li><li>Strong communication, organization, and documentation skills.</li><li>Ability to work independently in a fast-paced, field-based environment.</li><li>Ability to respond appropriately in crisis situations.</li><li>Ability to travel throughout Los Angeles County.</li><li>Valid driver&rsquo;s license, reliable transportation, and proof of insurance required.</li><li>Knowledge of HIPAA and mandated reporting.</li></ul>Job Perks:<ul><li>Comprehensive medical, dental, and vision coverage with low premium contributions.</li><li>401(k) retirement plan.</li><li>Professional development support including opportunities for growth.</li><li>Paid holidays and vacation time.</li><li>Mileage reimbursement.</li><li>Partial reimbursement for cell phone and internet expenses.</li></ul>Pay: $27.00 - $30.00 per hourBenefits:<ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Health savings account</li><li>Paid time off</li><li>Vision insurance</li></ul>Education:<ul><li>Master's (Preferred)</li></ul>Language:<ul><li>Bilingual (Spanish, API languages) (Preferred)</li></ul>Work Location: Hybrid remote in Los Angeles, CA 90045

Case Manager – FSP

Comprehensive Community Health Centers

<div>Description:

ACSW/LCSW JOB SUMMARY
Provides evidence based screening and psychosocial assessment and brief intervention treatment as part of the clinic health care team. Provides clinical services, mental health prevention and case management for patients and families within a framework of patient centered care, integrating medical diagnosis, social determinants of health and emotional, mental, and substance use disorders.
ACSW (ASSOCIATE CLINICAL SOCIAL WORKER) ESSENTIAL DUTIES AND RESPONSIBILITIES<ul><li>
Accurate assessment of mental health issues of patients referred by Clinic PCPs.</li><li>
Direct clinical work with diverse patient population of all ages</li><li>
Screen patients using evidence based screening tools and develop a person centered treatment plan with the patient.</li><li>
Assess patient motivation to engage in substance use and/or mental health treatment and engage or refer accordingly</li><li>
Provide short term clinical intervention designed to support patient&rsquo;s ability to meet his/her goals</li><li>
Provide mental health prevention services for patients who are identified as at risk for mental illness and emotional distress</li><li>
Provide case management services, as needed</li><li>
Document all assessments, interventions and treatment plans appropriately and according to departmental, clinic and payer guidelines.</li><li>
Contribute to a team approach promoting and supporting integration between Primary Care and Behavioral Health. Participate in multi-disciplinary health care teams, representing clinical social work perspective.</li><li>
Develop and maintain individual records of patient progress and participation in treatment</li><li>
Maintain working knowledge and relationship with community resources and work with a network of community based providers.</li><li>
Participate in regular supervisory conferences; keep current with social work and health care developments and seek to enhance job related developments.</li><li>
If eligible, may be asked to supervise social work graduate interns</li><li>
Perform other duties assigned by CCHC Director of Social Work and Behavioral Health Services</li></ul>
LCSW (LICENSED CLINICAL SOCIAL WORKER) DUTIES AND RESPONSIBILITIES (IN ADDITION TO ABOVE)<ul><li>
Supervises MSW interns as part of a team and oversees these interns who provide mental health prevention services for patients who are identified as at risk for mental illness and emotional distress; supervises interns providing case management services, as needed</li><li>
Intake and screening of new patients</li><li>
Opportunity to provide trainings and facilitate groups</li></ul>
Requirements:

CSW (ASSOCIATE CLINICAL SOCIAL WORKER) EDUCATION, TRAINING AND EXPERIENCE<ul><li>
Master&rsquo;s degree in social work from an accredited university; two years post master&rsquo;s preferred</li><li>
Registered with BBS and working towards licensure</li><li>
Bilingual English/Spanish required</li></ul>
LCSW EDUCATION, TRAINING, AND EXPERIENCE<ul><li>
LCSW with relevant health care experience preferred</li><li>
Two or more years of social work experience in a health care setting.</li></ul>
ACSW (ASSOCIATE CLINICAL SOCIAL WORKER) PAY RATE: $70K-$75K annually
LCSW (LICENSED CLINICAL SOCIAL WORKER) PAY RATE: $79K &ndash; 83K annually
ACSW/LCSW BENEFITS:<ul><li>
Medical, Dental and Vision &ndash; 100% paid by Employer</li><li>
Life Insurance and Accidental Dismemberment &ndash; 100% paid by Employer</li><li>
Paid Holidays</li><li>
Paid Time Off</li><li>
Wellness Day Off</li><li>
401(k) and 401(k) matching</li><li>
Malpractice coverage</li><li>
CME allowance</li><li>
Flexible Spending Account</li><li>
Fringe Points</li><li>
Supplemental Insurance</li><li>
Participate in Provider Incentive Program</li><li>
Participate in Loan Repayment Program (HRSA)</li></ul>
We are committed to providing equal employment opportunities to all applicants, including those with arrest or conviction records. In accordance with the ULAC Fair Chance Ordinance, we will not inquire about or consider criminal history until after a candidate has received a copy of their background check report. All applicants will be evaluated based on their qualifications and ability to perform the essential functions of the job. For more information, please refer to LA County Fair Chance Hiring.</div>

ACSW/LCSW (ASSOCIATE/LICENSED CLINICAL SOCIAL WORKER)

Humana

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models. Maintains efficient operations while ensuring attainment of quality of care and financial goals. Provides information for pricing guidelines based on utilization patterns and client demographics. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.
The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise.
The Behavioral Health Medical Directors will learn Medicare, Medicare Advantage and/or Medicaid requirements, and will understand how to operationalize this knowledge in their daily work.
The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Behavioral Health Medical Directors support Humana values, and Humana&rsquo;s Bold Goal mission, throughout all activities.<h1 class="jobSectionHeader"> 
Use your skills to make an impact 

</h1>Required Qualifications<ul><li>MD or DO degree</li><li>5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population</li><li>Current and ongoing Board Certification an approved ABMS Medical or ABPN Specialty</li><li>A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required.</li><li>No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.</li><li>Excellent verbal and written communication skills .</li><li>Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.</li></ul>
Preferred Qualifications<ul><li>Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.</li><li>Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance.</li><li>Experience with national guidelines such as MCG&reg; or InterQual</li><li>Psychiatry, Internal Medicine, Family Practice, Geriatrics, Hospitalist, or Emergency Medicine clinical specialists</li></ul>
&bull; Advanced degree such as an MBA, MHA, MPH&bull; Exposure to Public Health, Population Health, analytics, and use of business metrics.<ul><li>Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health.</li><li>The curiosity to learn, the flexibility to adapt and the courage to innovate</li></ul>
Additional Information
Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of business.
#physiciancareers
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. 

$223,800 - $313,100 per year 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<h1 class="jobSectionHeader"> 
About us 
</h1>
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. 
 
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.</div>

Behavioral Health Medical Director

Pair Team

<div><h2 class="jobSectionHeader">About Pair Team</h2> 


At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities we serve.

We're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care. At Pair Team, we leverage AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support.

Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients.

We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions.

At Pair Team, were not just delivering care - we're building the future of more equitable, community-driven healthcare. 


Our Values
<ul>
<li>Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.</li>
<li>Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.</li>
<li>Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo.</li>
<li>Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent.</li>
<li>Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.</li>
</ul><h3 class="jobSectionHeader">In the News</h3>
<ul><li>Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most</li>
<li>TechCrunch: Building for Medicaid's regulatory moment with Neil Batlivala from Pair Team</li>
<li>Axios: Pair Team collects $9M for Medicaid-based care</li>
</ul>
<h2 class="jobSectionHeader"> 
About the Opportunity</h2>

Pair Team is building a team of deeply passionate individuals ready to change primary care operations for those who need it most. We are looking for a highly motivated full-time Lead Care Manager who is willing to think creatively and empathically to help our team change the way people access healthcare.

We seek a full-time Lead Care Manager to play a critical role in our whole-person, interdisciplinary care model, responsible for directly outreaching and engaging with individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs. We believe in the power of trust and relationships to successfully engage those who may have never received the kind of whole-health care that Pair Team can provide. 

This position primarily allows for remote work; however, it includes 2-3 times a month on-site visits in the community alongside a fellow PairMate. You can expect to engage in these in-person activities 2-3 times per month, close to your city, while the majority of your duties, approximately 90%, will be performed from your home 

<h3 class="jobSectionHeader">
What You'll Do</h3>
<ul><li>Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals</li>
<li>Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system</li>
<li>Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members</li>
<li>Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan</li>
<li>Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks</li>
<li>Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions</li>
<li>Consistently meet monthly encounter metrics to ensure compliance with health plan regulations</li>
<li>Identify and break down barriers ensuring individuals' continuation with the program</li>
<li>Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups</li>
<li>Coordinate physical care management appointments through collaboration with external and internal providers</li>
<li>Utilize external and internal online platforms to collaborate with team members and carry out daily tasks</li></ul> 

<h3 class="jobSectionHeader">
What You'll Need</h3>
<ul><li>1+ years of general work experience (Case Management preferred)</li>
<li>You are physically located in California
<ul><li>Field Ops requires you to maintain reliable transportation for engagement at clinic, community based organization, and health system partner locations</li>
<li>Virtual Ops requires a quiet, HIPAA compliant and internet connected space</li>
</ul></li><li>Bilingual &ndash; English/Spanish</li>
<li>Strong understanding of cultural fluency</li>
<li>High degree of empathy</li>
<li>Ability to work collaboratively in a multidisciplinary team</li>
<li>An eye for optimization</li>
<li>Organizational skills</li>
<li>Ability to remain patient when faced with adversity</li>
<li>Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing</li>
<li>A valid driver's license and auto liability insurance</li>
</ul><h3 class="jobSectionHeader">Preferred Qualifications:</h3>
<ul><li>Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder</li>
<li>2+ years of case management experience</li>
<li>Experience with motivational interviewing</li>
<li>Knowledge of medical terminology</li>
<li>Zest for problem solving, seeking answers, and thinking outside the box</li>
<li>Detail-oriented and organized self-starter who is a rockstar multitasker</li>
<li>Reliable and comfortable in an ever-changing environment</li></ul> 

<h3 class="jobSectionHeader">
Because We Value You</h3>
<ul><li>Salary: $22-$25/hour</li>
<li>Comprehensive health, vision &amp; dental insurance</li>
<li>401k</li>
<li>Monthly $100 work from home expense stipend for your WFH days</li>
<li>Gas reimbursements for your on-site engagement days</li>
Flexible vacation policy <li>- take the time you need to recharge!</li>
<li>We provide all of the equipment needed for the role</li>
<li>Opportunity for rapid career progression with plenty of room for personal growth!</li></ul><div> 
Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law.

Pair Team participates in E-Verify to verify employment eligibility for new hires. 
 
Any offer of employment at Pair Team is conditioned upon passing a pre-employment background check. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including; criminal history, reference checks, and driving records if a role requires vehicle use.

We do not conduct any TA business outside of our @pairteam.com emails. If you're ever concerned about spam or fraudulent activity, please reach out to recruiting@pairteam.com.

Note: Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we're unable to respond to general position inquiries via email. To apply for a position with us, please submit your application for the role you are interested in. Our team regularly reviews applications and will reach out to candidates whose qualifications align with our current openings listed below. Thank you!</div></div>

Bilingual Case Manager (Remote Flexible, Spanish Speaking)

Working Nurse

<div>
 RN Job
 
 
 Case Manager **$7,500 Sign on Bonus**
 
 
 Shift
 
 
 Full Time 8 hr shifts Mon - Fri, 8am - 4:30pm
 
 
 Pay Range
 
 
 $50 - $58.65 depends on experience
 
 
 Location
 
 
 Los Angeles, 90067
 
 
 Apply at Website
 
 
 Email Recruiter
 
 
 
 Job Description
 
 
 
 The Case Manager is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve quality and outcomes, coordination of care across the continuum; promotion of cost-effective care within the allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge plans.
 
 
 
 The Primary Job Functions In Case Management Include
 
 
 
 <ul>
 <li>
 Responsible for leading hospital-based discharge planning and care coordination to ensure safe, timely, and appropriate transitions across the continuum.
 </li>
 <li>
 Care Planning Management
 </li>
 <li>
 Fiscal Management
 </li>
 <li>
 Payer/Referral Management
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 
 Minimum Qualifications
 
 
 
 <ul>
 <li>
 Current Licensure per sate guidelines in a clinical or related discipline OR a Bachelor's or Master's in health or human services discipline.
 </li>
 <li>
 Required hospital-based discharge planning and care coordination.
 
 
 </li>
 </ul>
 
 Previous Experience
 
 
 
 <ul>
 <li>
 Previous experience in Case Management and Discharge Planning preferred.
 </li>
 <li>
 CCM Certification Preferred.
 
 
 </li>
 </ul>
 
 About The Hospital
 
 
 
 A partnership between Cedars-Sinai, UCLA Health and Select Medical, California Rehabilitation Institute is the largest acute inpatient rehabilitation hospital on the West Coast.
 
 
 Led by a physiatrist &ndash; a physician board certified in physical medicine and rehabilitation &ndash; our team includes rehabilitation nurses; physical, occupational and speech-language therapists; dietitians; case managers and other clinical and support staff.
 
 
 Together, as part of a national network of approximately 30 inpatient rehabilitation hospitals, we leverage best practices to help patients recover the strength, skills and functional ability to return home and rebuild their lives.
</div>

Case Manager **$7,500 Sign on Bonus**

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