health care manager

UPMC

<div><div><p>UPMC Community Care Behavioral Health is hiring a full-time Precert Care Manager. This role will work Monday - Friday 3:30 pm - midnight with rotating weekends and holidays. Occasional overnight coverage may be needed at times. This role works fully remote and must reside within 2 hours of a CCBH office location. Candidate should reside within Pennsylvania or the tri-state area.
</p><p>A Precert Care Manager for the 24 hour precert team must be able and willing to work daylight, evening, and night shift positions that also rotate weekend and holiday coverage. A Precert Care Manager is responsible for documenting and reviewing clinical information and making authorization determinations for adult and child/adolescent members being referred to acute and non-ambulatory mental health and substance use disorder levels of care for all Community Care contracts. The Care Manager will also be responsible for crisis management and referring members to appropriate services based on triage assessment. The Care Manager executes these responsibilities consistent with the applicable Community Care Policies and Procedures. A care manager represents the organization to providers, member groups and families, and participates in the overall administration of clinical operations as warranted. A care manager is expected to bring a level of clinical leadership to the care management department. In addition, a care manager may serve as the care management lead for other members of his/her team.<br>
<br>
<b>Responsibilities:</b><br>
</p><ul><li>Coordinates, reviews, and maintains daily logs for reporting purposes and for weekly preparation and analysis of trending reports to address member incidents, provider deficiencies, and quality of care concerns.</li><li>
Independently problem solves based on advanced-level knowledge of the service delivery system, clinical treatment, diversion resources, and the provider network for adult and child/adolescent members for behavioral health and SUD providers from the requested region, member services policies, members' rights and responsibilities, and the operating practices of the organization</li><li>
Responds to deadlines and has work completed on or before deadline 95% of the time.</li><li>
Identify need for and facilitate linkages for members and families between primary care and behavioral health providers and other social service or provider agencies to develop and coordinate service plans.</li><li>
Maintains an understanding of behavioral health benefits and remains current on covered benefits, limitations, exclusions, and policies and procedures, in regards to services. Is able to provide members, providers and other stakeholders with accurate information concerning benefits and coverage.</li><li>
Demonstrates excellent clinical, written and oral communication skills.</li><li>
Utilizes supervision with team coordinator and clinical manager regularly.</li><li>
Assumes responsibility for completion of acute and non-ambulatory precerts and application of appropriate medical necessity guidelines. Precerts include adult and child/adolescent members from all Community Care being admitted to mental health and substance use disorder services, as well as afterhours/weekend completion of precerts for UPMC Health Plan Commercial and SNP lines of business.</li><li>
Assist with moving members to in network facilities or coordinating with appropriate Community Care contracts regarding approval for out of network service utilization.</li><li>
Consults with appropriate physician advisors as needed for case collaboration and care planning.</li><li>
Develops specific clinical interventions and coordinates with the assigned Community Care contract and care management team for members who do not maintain regular contact with their behavioral health provider as recommended contributing to frequent crises, recidivism, and interfering with maximum benefit from available care.</li><li>
Participates in professional development activities to further clinical skills and knowledge. Works as part of a team providing clinical expertise and knowledge to member services and other care management staff.</li><li>
Demonstrates advanced level of computer operation with electronic medical record systems and Microsoft Outlook, Word, and Excel Programs, as well as advanced typing proficiency.</li><li>
Receives and responds appropriately to complex calls, including Afterhours/Weekend Employee Assistance Program calls, triage calls, and provider or member complaints. Ensures accurate, thorough, and correct documentation of these calls.</li></ul></div><div><ul><li>
A current and unrestricted Pennsylvania Licensure in health or human services field (LSW, LCSW, LPC, LMFT) and master's degree OR licensed RN (BSN preferred)
</li><li>Minimum of three years of relevant clinical experience.
</li><li>Experience with both adult and child/adolescent populations and mental health and substance use disorder services strongly preferred.
</li><li>Experience in managed care strongly preferred.
</li><li>General knowledge of best practices in behavioral health, emphasizing work with special needs or priority populations and in public sector systems.
</li><li>Certification in substance use disorders helpful.
</li><li>PCPC 3rd Edition, ASAM, and Confidentiality Training preferred.
</li><li>Supervisory or other leadership experience in behavioral health also preferred<br>
<br>
<b>Licensure, Certifications, and Clearances:</b><br>
</li><li><p>Act 73 FBI
</p><p>Clearance
</p></li><p></p><li>Act 34 Criminal Clearance w Renewal
</li><li>Act 33 Child Clearance w Renewal
</li><li><p>Behavior Specialist OR Clinical Social Work OR Licensed Mar &amp; Fam Therapist OR Licensed Social Worker OR Professional Counselor OR Psychologist OR Registered Nurse
</p></li><p></p><li>Act 33 with renewal</li><li>
Act 34 with renewal</li><li>
Act 73 FBI Clearance with renewal</li><li>Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.</li></ul><br>
<b>
UPMC is an Equal Opportunity Employer/Disability/Veteran</b></div></div>

Precert Care Manager (Evening Shift)

Humana

<div><h1 class="jobSectionHeader"><b>Become a part of our caring community and help us put health first</b><br>
</h1>
The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.<p></p><p>
The Care Manager, Telephonic Behavioral Health 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.</p><h1 class="jobSectionHeader"><b><br>
Use your skills to make an impact</b><br>
<b>
</b></h1><p><b>Scheduled Hours</b></p><p></p><ul><li>
The working hours for this position are Monday-Friday from 9:30 am &ndash; 6:00 pm EST.</li><li>
The first 2 weeks of training will be from 8:30 AM to 5:00 PM EST.</li><li>
No time off is permitted during the first month of training. The first 90 days following training are critical in building your foundation; therefore, planned or unplanned time will not be permitted.</li></ul><p><b><br>
Key Responsibilities</b></p><p></p><ul><li>
Serve as a Licensed, Master&rsquo;s-level Social Worker within the Special Needs Plan (SNP) program, functioning as a Support Social Services associate and interdisciplinary care team member.</li><li>
Conduct telephonic outreach to members with social determinants of health (SDOH) needs to assess, support, and coordinate care using plan benefits and community resources.</li><li>
Utilize structured assessments and critical thinking to determine appropriate interventions, including care coordination, health education, resource connection, and advocacy.</li><li>
Collaborate with interdisciplinary team members (e.g., nurse care managers, dietitians, behavioral health, pharmacists), providers, and community partners to address member needs.</li><li>
Handle both outbound and inbound member interactions in a fast-paced, telephonic, work-from-home environment; perform follow-up as needed to ensure all needs are addressed.</li><li>
Assess members for additional support needs and initiate referrals to appropriate disciplines based on individualized circumstances.</li><li>
Develop, update, and maintain member care plans as needed to support ongoing care coordination.</li><li>
Document all interactions and care activities accurately in the member record to ensure CMS compliance and reflect engagement with members and care teams.</li></ul><p></p><p><b>
Required Qualifications</b></p><p></p><ul><li>
Master&rsquo;s degree in social work from an accredited university</li><li>
Current, unincumbered, social work license (LMSW, LCSW, or LICSW).</li><li>
Must have passed ASWB Exam (Master, Advance Generalist, or Clinical level).</li><li>
Minimum 3 years of experience working as a social worker in a medical healthcare setting.</li><li>
Proficient in Microsoft applications including Word, Outlook, Excel</li><li>
Capacity to manage multiple or competing priorities including use of multiple computer applications simultaneously.</li><li>
Must be willing to obtain/maintain social work licensure in multiple states, based on business need.</li></ul><p></p><p><b>
Preferred Qualifications</b></p><p></p><ul><li>
Experience working with geriatric, vulnerable, and/or low-income populations</li><li>
Licensure in AL, AR, IN, LA, MO, MS, NC, OK, SC, or WA</li><li>
Bilingual English/Spanish or English/Creole</li><li>
Experience working with Medicare and Medicaid</li></ul><p></p><p><b>
Work-At-Home Requirements:</b></p><ul><li><p><br>
You must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work.</p></li><li><p>
High-speed DSL or cable modem for a home office (minimum: 25 Mbps download / 10 Mbps upload).</p></li><li><p>
Satellite and wireless internet services are <b>NOT </b>permitted.</p></li><li><p>
Dedicated workspace to maintain confidentiality of PHI/HIPAA information.</p></li><li><p>
Associates or contractors working from California will receive internet expense reimbursement.</p></li></ul><p></p>
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.<p></p><p><b>
Scheduled Weekly Hours</b></p><p></p>
40<p></p><p><b>
Pay Range</b></p>
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.<br>
<p></p>
$59,300 - $80,900 per year<br>
<p></p>
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.<p></p><p><b>
Description of Benefits</b></p>
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.<p></p><h1 class="jobSectionHeader"><b><br>
About us</b><br>
</h1>
Humana Inc. (NYSE: HUM) is committed to putting health first &ndash; for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.<p></p><p><br>
<br>
<b>Equal Opportunity Employer</b></p><p></p><p>
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.</p></div>

Care Manager, Behavioral Health

Total Life

<div>
 <strong>
  <strong>
   Description
   <br/>
   <br/>
  </strong>
 </strong>
 Position Description: Telehealth RN
 <br/>
 <br/>
 Location: Remote (Telehealth) - Must hold an active Florida RN license
 <br/>
 <br/>
 Schedule: Daytime hours, Monday-Friday (normal business hours)
 <br/>
 <br/>
 Compensation: Negotiable, based on experience
 <br/>
 <br/>
 <strong>
  About Us:
  <br/>
  <br/>
 </strong>
 At Total Life, we're on a mission to support healthier aging and address mental health challenges by making high-quality, affordable emotional support services accessible to all older adults. As a behavioral health organization dedicated to older adult care, we use evidence-based practices to help clients live emotionally healthy, connected, and fulfilling lives.
 <br/>
 <br/>
 <strong>
  <strong>
   Position Overview
   <br/>
   <br/>
  </strong>
 </strong>
 Job Title: Registered Nurse (Florida Licensed) - Geriatric Behavioral Health Care Manager (Telehealth)
 <br/>
 <br/>
 <strong>
  <strong>
   Position Overview
   <br/>
   <br/>
  </strong>
 </strong>
 We are seeking a Florida-licensed Registered Nurse to serve as a Care Manager for our geriatric behavioral health program. This telehealth role focuses on ongoing mental health support, dementia care management, and caregiver guidance for older adults. The RN will provide structured monthly patient engagement and coordinate care within a multidisciplinary team that includes psychiatry, nurse practitioners/physician assistants, psychology, and nutrition services.
 <br/>
 <br/>
 This position offers a predictable daytime schedule with no evenings, weekends, or call requirements.
 <br/>
 <br/>
 <strong>
  Patient Population
  <br/>
  <br/>
 </strong>
 Adults age 65 and older
 <br/>
 <br/>
 <ul>
  <li>
   Patients in assisted living, long-term care, and community settings
  </li>
  <li>
   Common conditions include dementia, mild cognitive impairment, depression, anxiety, behavioral symptoms of dementia, and complex medical and psychosocial needs
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  <strong>
   Key Responsibilities
   <br/>
   <br/>
  </strong>
 </strong>
 <ul>
  <li>
   Provide a minimum of 60 minutes of patient and/or caregiver touchpoints per month through scheduled telehealth or phone-based care management
  </li>
  <li>
   Monitor mental health symptoms, cognitive and behavioral changes, medication adherence, and overall functioning
  </li>
  <li>
   Support dementia care planning, behavioral strategies, and safety considerations
  </li>
  <li>
   Provide education and emotional support to caregivers and family members
  </li>
  <li>
   Identify clinical concerns and escalate to psychiatry or medical providers as appropriate
  </li>
  <li>
   Reinforce treatment plans developed by psychiatry, PA/NP, psychology, and nutrition
  </li>
  <li>
   Coordinate services and ensure continuity of care across the multidisciplinary team
  </li>
  <li>
   Maintain timely and accurate documentation within the EMR
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  <strong>
   Qualifications
   <br/>
   <br/>
  </strong>
 </strong>
 <ul>
  <li>
   Active, unrestricted Florida RN license (required)
  </li>
  <li>
   Experience in geriatric care, behavioral health, dementia care, or care management strongly preferred
  </li>
  <li>
   Strong understanding of mental health conditions and behavioral symptoms in older adults
  </li>
  <li>
   Experience supporting caregivers and families
  </li>
  <li>
   Comfortable delivering care via telehealth and phone-based outreach
  </li>
  <li>
   Excellent communication, organization, and care coordination skills
  </li>
  <li>
   Ability to work independently within a structured, team-based care model
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  <strong>
   What We Offer
   <br/>
   <br/>
  </strong>
 </strong>
 <ul>
  <li>
   Fully remote work environment
  </li>
  <li>
   Consistent daytime schedule and strong work-life balance
  </li>
  <li>
   Supportive multidisciplinary clinical team
  </li>
  <li>
   Structured patient engagement model with clear expectations
  </li>
  <li>
   Flexible compensation structure
  </li>
  <li>
   Opportunity to make a meaningful impact in the lives of older adults and their caregivers
  </li>
  <li>
   Minimal administrative burden with strong clinical support
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  <strong>
   About The Role
   <br/>
   <br/>
  </strong>
 </strong>
 This is an ideal opportunity for an RN who is passionate about relationship-based care, proactive patient engagement, and supporting medically and emotionally complex geriatric patients within a collaborative behavioral health model.
 <br/>
 <br/>
 <strong>
  <strong>
   What We Offer
   <br/>
   <br/>
  </strong>
 </strong>
 <ul>
  <li>
   Fully remote work environment
  </li>
  <li>
   Consistent daytime schedule and strong work-life balance
  </li>
  <li>
   Supportive administrative, nursing, and psychiatric leadership team
  </li>
  <li>
   Flexible compensation structure
  </li>
  <li>
   Opportunity to make a meaningful impact in an underserved geriatric population
  </li>
  <li>
   Minimal administrative burden with strong clinical support
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What Will Set You Apart:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Experience working with older adults or in geriatric mental health
  </li>
  <li>
   Strong interpersonal and communication skills with a compassionate, patient-centered approach
  </li>
  <li>
   Bilingual in English/Spanish is a plus
  </li>
  <li>
   Established relationships within your local community
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  <strong>
   Benefits &amp; Compensation
   <br/>
   <br/>
  </strong>
 </strong>
 <ul>
  <li>
   Extremely competitive salary
  </li>
  <li>
   Full-time position with comfortable visit lengths
  </li>
  <li>
   Supportive clinical and administrative team
  </li>
  <li>
   Opportunities for professional growth, leadership, and meaningful impact within a mission-driven organization
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Schedule
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Monday - Friday FT position
  </li>
  <li>
   Completing care plans focused on geriatric mental health population
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  <strong>
   How To Apply
   <br/>
   <br/>
  </strong>
 </strong>
 Please attach your resume and a brief note about your interest in supporting healthier aging in your community. We look forward to meeting passionate clinicians ready to make a difference.
 <br/>
 <br/>
 <strong>
  Our Commitment:
  <br/>
  <br/>
 </strong>
 Total Life is proud to be an equal opportunity employer. We value diversity, inclusion, and respect, ensuring a workplace free from discrimination and harassment.
</div>


RN Telehealth

Epiphany Family Services, LLC

<div><div><b>TCM Care Manager</b></div><div><b>
Department:</b> Tailored Care Management</div><div><b>
Location:</b> Hybrid (In-Office, Field, and Remote)</div><div><b>
Schedule:</b> Monday &ndash; Friday | 8:30 AM &ndash; 5:00 PM</div><div></div><div><b><br>
Position Summary</b></div><div></div><div><b><br>
Epiphany Family Services is seeking a compassionate and detail-oriented TCM Care Manager</b> to serve as the primary point of coordination for individuals enrolled in our Tailored Care Management (TCM) program.</div><div></div><div><br>
This role ensures the delivery of <b>person-centered, comprehensive, and high-quality care</b> by assessing needs, developing individualized service plans, coordinating services, and advocating for clients. The Care Manager collaborates with individuals, families, healthcare providers, and community partners to improve overall health outcomes and quality of life.</div><div></div><div><br>
Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions. Additional duties may be assigned as needed.</div><div></div><div><b><br>
Key Responsibilities</b></div><div><b>
Care Management &amp; Coordination</b></div><br>
<div></div><ul><li>
Conduct comprehensive assessments of physical, behavioral health, and social needs</li><li>
Develop, implement, and monitor individualized care plans based on client goals</li><li>
Coordinate services across medical, behavioral health, housing, and social service systems</li><li>
Provide ongoing follow-up, care coordination, and health promotion</li></ul><div><b>
Referrals &amp; Resource Linkage</b></div><br>
<div></div><ul><li>
Connect individuals to appropriate community resources</li><li>
Address Social Determinants of Health (SDOH), including housing, education, access to care, and community support</li><li>
Empower individuals to actively manage their health and wellness</li></ul><div><b>
Transitions of Care</b></div><ul><li><b>
Coordinate follow-up within 24 hours of hospital or emergency department discharge</b></li></ul><br>
<div></div><ul><li>
Support individuals through life transitions (e.g., housing changes, incarceration release)</li></ul><div><b>
Crisis Response</b></div><br>
<div></div><ul><li>
Identify and respond to crisis situations in accordance with agency protocols</li><li>
Participate in on-call rotation and 24/7 crisis response as required</li><li>
Participate in post-crisis debriefings and prevention planning</li></ul><div><b>
Collaboration &amp; Advocacy</b></div><br>
<div></div><ul><li>
Build and maintain relationships with interdisciplinary care teams and community partners</li><li>
Advocate for equitable access to services and resources</li><li>
Educate clients and families on available services and self-management strategies</li></ul><div><b>
Documentation &amp; Compliance</b></div><br>
<div></div><ul><li>
Maintain accurate, timely, and compliant documentation in accordance with state, federal, and program guidelines</li><li>
Monitor client progress and adjust care plans as needed</li></ul><div><b>
Quality Improvement &amp; Additional Duties</b></div><br>
<div></div><ul><li>
Participate in team meetings, trainings, and Quality Improvement (QI) initiatives</li><li>
Monitor utilization, outcomes, and compliance metrics</li><li>
Perform additional duties as assigned</li></ul><div></div><div><b><br>
Qualifications</b></div><div><b>
Education &amp; Experience</b></div><br>
<div></div><ul><li>
Bachelor&rsquo;s degree in Social Work, Nursing, Human Services, or related field required; Master&rsquo;s preferred</li><li>
Minimum of 2 years of experience in care management, case management, or care coordination</li><li>
Experience working with individuals with behavioral health conditions, chronic health needs, or social barriers.</li></ul><div></div><div><b><br>
Qualified Professional (QP) Requirements &ndash; North Carolina</b></div><div>
Candidates must meet Qualified Professional (QP) criteria in accordance with 10A NCAC 27G. To qualify, candidates must meet <b>one</b> of the following:</div><br>
<div></div><ul><li>
Be a fully certified professional through the North Carolina Addictions Specialist Professional Practice Board (NCASPPB) with 4 years of full-time experience working with the MH/DD/SUD population</li><li><i>
Note: CADC-R and CADC-I are not considered full certification</i></li></ul><div><b>
OR</b></div><br>
<div></div><ul><li>
Meet degree and experience requirements as follows:</li></ul><div><b>
For CADC Credential Holders:</b></div><br>
<div></div><ul><li>
If, no college degree:</li><li>
Minimum 4 years of full-time experience with MH/DD/SUD population</li><li>
If college graduate: must meet one of the following:</li><li>
Master&rsquo;s degree in a human services field + 1 year of supervised MH/DD/SUD experience</li><li>
Bachelor&rsquo;s degree in a human services field + 2 years of supervised MH/DD/SUD experience</li><li>
Bachelor&rsquo;s degree in a non-human services field + 4 years of supervised MH/DD/SUD experience</li></ul><div><b>
OR</b></div><br>
<div></div><ul><li>
Be a Substance Use Disorder Professional with equivalent supervised experience:</li><li><b>
1 year</b> (Master&rsquo;s level)</li><li><b>
2 years</b> (Bachelor&rsquo;s in human services)</li><li><b>
4 years</b> (Bachelor&rsquo;s in non-human services)</li></ul><div><b>
</b></div><div><b>
Skills &amp; Competencies</b></div><br>
<div></div><ul><li>
Strong understanding of care management principles and community resources</li><li>
Knowledge of <b>ICD-10 coding</b> and behavior management techniques</li><li>
Excellent communication, organizational, and problem-solving skills</li><li>
Ability to manage a caseload and prioritize effectively</li><li>
Proficiency in EHR systems and Microsoft Office</li></ul><div><b>
</b></div><div><b>
Licensure/Certification (Preferred)</b></div><br>
<div></div><ul><li>
Licensed Social Worker, Registered Nurse, or other applicable credential</li><li>
Valid driver&rsquo;s license and reliable transportation for community-based work</li></ul><div><b>
</b></div><div><b>
Work Environment</b></div><br>
<div></div><ul><li>
Hybrid work model (in-office, remote, and field-based services)</li><li>
Travel within assigned service areas required</li><li>
Flexible hours may be needed to meet client needs</li><li>
Care Manager JD</li></ul><div><b>
</b></div><div><b>
Benefits</b></div><div></div><div><b><br>
Epiphany Family Services offers a comprehensive and competitive benefits package:</b></div><br>
<div></div><ul><li>
Medical, Dental, and Vision Insurance</li><li>
Short-Term Disability (STD) &amp; Long-Term Disability (LTD)</li><li>
Group Life Insurance</li><li><b>
80 Hours of PTO</b> (Vacation, Sick, and Personal Time)</li><li>
Paid Holidays</li><li>
Employee Discount Program (Tickets at Work)</li></ul><div><b>
</b></div><div><b>
About Epiphany Family Services</b></div><div></div><div><b><br>
Epiphany Family Services is committed to providing an integrated system of care to individuals from diverse backgrounds. We empower those experiencing mental health and substance use challenges with the tools needed to achieve and sustain recovery.</b></div><div></div><div><b><br>
Join Our Team</b></div><div></div><ul><li><b><br>
If you are passionate about making a meaningful impact and providing high-quality, person-centered care, we encourage you to apply and grow with us.</b></li></ul><p>
E04JI802okl940908wj</p></div>

TCM Care Manager - Gastonia

<div><div><b>TCM Care Manager</b></div><div><b>
Department:</b> Tailored Care Management</div><div><b>
Location:</b> Hybrid (In-Office, Field, and Remote)</div><div><b>
Schedule:</b> Monday &ndash; Friday | 8:30 AM &ndash; 5:00 PM</div><div></div><div><b><br>
Position Summary</b></div><div></div><div><b><br>
Epiphany Family Services is seeking a compassionate and detail-oriented TCM Care Manager</b> to serve as the primary point of coordination for individuals enrolled in our Tailored Care Management (TCM) program.</div><div></div><div><br>
This role ensures the delivery of <b>person-centered, comprehensive, and high-quality care</b> by assessing needs, developing individualized service plans, coordinating services, and advocating for clients. The Care Manager collaborates with individuals, families, healthcare providers, and community partners to improve overall health outcomes and quality of life.</div><div></div><div><br>
Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions. Additional duties may be assigned as needed.</div><div></div><div><b><br>
Key Responsibilities</b></div><div><b>
Care Management &amp; Coordination</b></div><ul><li>
Conduct comprehensive assessments of physical, behavioral health, and social needs</li><li>
Develop, implement, and monitor individualized care plans based on client goals</li><li>
Coordinate services across medical, behavioral health, housing, and social service systems</li><li>
Provide ongoing follow-up, care coordination, and health promotion</li></ul><div></div><div><b><br>
Referrals &amp; Resource Linkage</b></div><ul><li>
Connect individuals to appropriate community resources</li><li>
Address Social Determinants of Health (SDOH), including housing, education, access to care, and community support</li><li>
Empower individuals to actively manage their health and wellness</li></ul><div></div><div><b><br>
Transitions of Care</b></div><ul><li><b>
Coordinate follow-up within 24 hours of hospital or emergency department discharge</b></li><li>
Support individuals through life transitions (e.g., housing changes, incarceration release)</li></ul><div></div><div><b><br>
Crisis Response</b></div><ul><li>
Identify and respond to crisis situations in accordance with agency protocols</li><li>
Participate in on-call rotation and 24/7 crisis response as required</li><li>
Participate in post-crisis debriefings and prevention planning</li></ul><div></div><div><b><br>
Collaboration &amp; Advocacy</b></div><ul><li>
Build and maintain relationships with interdisciplinary care teams and community partners</li><li>
Advocate for equitable access to services and resources</li><li>
Educate clients and families on available services and self-management strategies</li></ul><div></div><div><b><br>
Documentation &amp; Compliance</b></div><ul><li>
Maintain accurate, timely, and compliant documentation in accordance with state, federal, and program guidelines</li><li>
Monitor client progress and adjust care plans as needed</li></ul><div></div><div><b><br>
Quality Improvement &amp; Additional Duties</b></div><ul><li>
Participate in team meetings, trainings, and Quality Improvement (QI) initiatives</li><li>
Monitor utilization, outcomes, and compliance metrics</li><li>
Perform additional duties as assigned</li></ul><div></div><div><b><br>
Qualifications</b></div><div><b>
Education &amp; Experience</b></div><ul><li>
Bachelor&rsquo;s degree in Social Work, Nursing, Human Services, or related field required; Master&rsquo;s preferred</li><li>
Minimum of 2 years of experience in care management, case management, or care coordination</li><li>
Experience working with individuals with behavioral health conditions, chronic health needs, or social barriers.</li></ul><div></div><div><b><br>
Qualified Professional (QP) Requirements &ndash; North Carolina</b></div><div><b>
Candidates must meet Qualified Professional (QP)</b> criteria in accordance with <b>10A NCAC 27G</b>. To qualify, candidates must meet <b>one</b> of the following:</div><ul><li>
Be a fully certified professional through the North Carolina Addictions Specialist Professional Practice Board (NCASPPB) with 4 years of full-time experience working with the MH/DD/SUD population</li><li><i>
Note: CADC-R and CADC-I are not considered full certification</i></li></ul><div><b>
OR</b></div><ul><li>
Meet degree and experience requirements as follows:</li></ul><div></div><div><b><br>
For CADC Credential Holders:</b></div><ul><li>
If, no college degree:</li><li>
Minimum 4 years of full-time experience with MH/DD/SUD population</li><li>
If college graduate: must meet one of the following:</li><li>
Master&rsquo;s degree in a human services field + 1 year of supervised MH/DD/SUD experience</li><li>
Bachelor&rsquo;s degree in a human services field + 2 years of supervised MH/DD/SUD experience</li><li>
Bachelor&rsquo;s degree in a non-human services field + 4 years of supervised MH/DD/SUD experience</li></ul><div><b>
OR</b></div><ul><li>
Be a Substance Use Disorder Professional with equivalent supervised experience:</li><li><b>
1 year</b> (Master&rsquo;s level)</li><li><b>
2 years</b> (Bachelor&rsquo;s in human services)</li><li><b>
4 years</b> (Bachelor&rsquo;s in non-human services)</li></ul><div><b>
</b></div><div><b>
Skills &amp; Competencies</b></div><ul><li>
Strong understanding of care management principles and community resources</li><li>
Knowledge of <b>ICD-10 coding</b> and behavior management techniques</li><li>
Excellent communication, organizational, and problem-solving skills</li><li>
Ability to manage a caseload and prioritize effectively</li><li>
Proficiency in EHR systems and Microsoft Office</li></ul><div><b>
</b></div><div><b>
Licensure/Certification (Preferred)</b></div><ul><li>
Licensed Social Worker, Registered Nurse, or other applicable credential</li><li>
Valid driver&rsquo;s license and reliable transportation for community-based work</li></ul><div><b>
</b></div><div><b>
Work Environment</b></div><ul><li>
Hybrid work model (in-office, remote, and field-based services)</li><li>
Travel within assigned service areas required</li><li>
Flexible hours may be needed to meet client needs</li><li>
Care Manager JD</li></ul><div><b>
</b></div><div><b>
Benefits</b></div><div></div><div><b><br>
Epiphany Family Services offers a comprehensive and competitive benefits package:</b></div><ul><li>
Medical, Dental, and Vision Insurance</li><li>
Short-Term Disability (STD) &amp; Long-Term Disability (LTD)</li><li>
Group Life Insurance</li><li><b>
80 Hours of PTO</b> (Vacation, Sick, and Personal Time)</li><li>
Paid Holidays</li><li>
Employee Discount Program (Tickets at Work)</li></ul><div><b>
</b></div><div><b>
About Epiphany Family Services</b></div><div></div><div><b><br>
Epiphany Family Services is committed to providing an integrated system of care to individuals from diverse backgrounds. We empower those experiencing mental health and substance use challenges with the tools needed to achieve and sustain recovery.</b></div><div></div><div><b><br>
Join Our Team</b></div><div></div><div><b><br>
If you are passionate about making a meaningful impact and providing high-quality, person-centered care, we encourage you to apply and grow with us.</b></div><p>
E04JI802okl940908qx</p></div>

TCM Care Manager - Charlotte

Stress Care of New Jersey, LLC

<div><div><div><b>Join Stress Care of New Jersey and work </b><b>with our</b>* dynamic, caring and talented <b>*professionals</b>* while helping others!*</div><p><br>
Stress Care of New Jersey, LLC is a Behavioral Health and Addiction Treatment Center licensed by the State of NJ and accredited by The Joint Commission. At Stress Care, we provide a full range of Outpatient Services, including Psychiatric Evaluations, Medication Management, Traditional Therapy, Group Therapy, Intensive Outpatient Programs, Partial Care, and Case Management. We work with adults and adolescents and our integrated treatment team consists of Psychiatrists, Nurse Practitioners, Clinical Social Workers, Counselors, Case Managers, Peer Professionals, and other allied team members</p><p>
We are currently seeking a <b>Case Manager</b> to provide direct health promotion services, referral and linkage to community services, and assist in the implementation of the Care Plan for each recipient and their family enrolled in the Stress Care of NJ BHH.</p><p><b>
ANNUAL SALARY: Starting hourly rate $20.00</b></p><p><b>
Qualifications and Skills</b></p><ul><li>
Completed bachelor's degree in related human service field</li><li>
Must possess excellent communication skills (written; spoken); excellent organizational, problem-solving, and decision-making skills.</li><li>
Ability to work independently and with a team. A minimum of one year of experience in the related field.</li></ul><p><b>
Responsibilities and Duties</b></p><ul><li>
Engagement and retention of all recipients referred and enrolled in Stress Care of NJ BHH to maintain community functioning and when necessary, coordinate with inpatient medical, psychiatric, detoxification, and rehabilitation programs to assist transition back to the community.</li><li>
Conduct outreach and complete initial screening documentation and orientation for recipients identified for enrollment in the Stress Care of NJ BHH</li><li>
On-call hours are required on a rotating basis.</li><li>
Travel to clients as part of outreach efforts and flexibility to guarantee each client has the appropriate face-to-face contact and monthly units as required by the BHH program guidelines</li><li>
Risk assessment and safety planning in coordination with Program Manager.</li><li>
Participate in the Care Plan meeting with the recipient and BHH team</li><li>
Escort recipient to medical appointments and document and report on medication adherence and update health information with Program Manager and Registered Nurse Manager in accordance with Policy and Procedure</li><li>
Assist recipient with application for service, arrange transportation, and escort to appointments as necessary</li><li>
In collaboration with SW/Program Manager, maintain communication with recipient, family and community providers and problem solve barriers</li><li>
Participate in Weekly Team Conference and report on progress toward Care Planning</li><li>
Provide coaching and health promotion activities to recipients using individual, family and group forums in accordance with best practice guidelines of Chronic Illness Self Management model</li><li>
Interface with medical professionals and others on behalf for the recipient as appropriate</li><li>
Submit Quality Assurance data in accordance with CMS required quality measures</li><li>
Participate in weekly supervision and staff meetings</li><li>
Conduct community outreach activities to educate general public on services provided by Stress Care of New Jersey</li><li>
Complete accurate and timely documentation</li><li>
Participate in Case Conferences with other SCNJ Programs.</li><li>
Be responsible for compiling, filing and communicating about community resources to all BHH staff. Maintaining the information up-to-date and researching new resources.</li><li>
Assisting with training new BHH hired staff (Case Managers and Peers).</li><li>
Other duties as assigned.</li></ul><p><b>
About our Benefits:</b></p><p>
Stress Care of New Jersey offers a comprehensive variety of benefits to promote health and financial security for you and your family:</p><ul><li>
Competitive Salary</li><li>
Comprehensive Medical, Dental &amp; Vision Plan Options</li><li>
Generous Paid Time Off (vacation, sick, personal)</li><li>
401K Retirement Plan (Employer Match!)</li><li>
Tuition Reimbursement</li><li>
Covered Malpractice Insurance</li><li>
Discount offers for cell phone service, entertainment, travel, shopping, childcare and much more!</li></ul><p><b>
Job Type: Full-time</b></p></div></div><div></div>

Behavioral Health Home Case Manager

<p></p><div><p>The Behavioral Health Case Manager is responsible for providing evidence-based psychological and behavioral health services within post-acute and long-term care facilities. This role delivers direct clinical care, conducts psychological and behavioral assessments, and collaborates with interdisciplinary teams to support patient well-being, reduce hospitalizations, and enhance facility outcomes.</p><p>
The position requires an independently licensed clinician who can provide psychotherapy, behavioral interventions, crisis response, and care coordination while adhering to all applicable state and federal regulations. The Behavioral Health Case Manager integrates mental health services into the facility&rsquo;s broader clinical environment and supports value-based care by addressing emotional, cognitive, and behavioral needs in medically complex populations.</p><p>
This role requires strong clinical judgment, cultural competence, proficiency with EHR systems, adherence to compliance and documentation standards, and the ability to communicate effectively with facility staff, patients, families, and internal teams.</p><p><b>
Market: Boca</b></p><p></p><h2 class="jobSectionHeader"><b><br>
Key Responsibilities</b></h2><h3 class="jobSectionHeader"><b>
Clinical Care</b></h3><ul><li>
Provide psychotherapy using evidence-based interventions appropriate for post-acute and long-term care residents.</li><li>
Deliver behavior therapy and supportive interventions to address mood, cognitive, and behavioral symptoms.</li><li>
Conduct psychological and behavioral assessments to support diagnosis, care planning, and treatment goals.</li></ul><h3 class="jobSectionHeader"><b>
Care Coordination &amp; Collaboration</b></h3><ul><li>
Collaborate with physicians, nursing, therapy, social services, and interdisciplinary team members to support integrated behavioral health care.</li><li>
Participate in care planning meetings as needed and communicate treatment recommendations clearly to facility teams.</li><li>
Coordinate with internal PHA providers to support continuity of psychiatric and psychological care.<br>
</li></ul><h3 class="jobSectionHeader"><b>Documentation &amp; Compliance</b></h3><ul><li>
Complete accurate, timely documentation within the EHR in accordance with PHA policies, billing requirements, and regulatory standards.</li><li>
Follow all AHCA, DCF, CMS, and Florida practice guidelines relevant to psychological and behavioral health care.</li>
Maintain ethical practice standards, confidentiality, and HIPAA compliance at all times.<br>
<li>
</li></ul><h3 class="jobSectionHeader"><b>
Crisis Intervention</b></h3><ul><li>
Provide crisis assessment and intervention, including managing acute changes in mental status, suicidality, aggression, or behavioral disturbances.</li>
Follow appropriate procedures for risk management, safety planning, and Baker Act protocols when indicated.<br>
<li>
</li></ul><h3 class="jobSectionHeader"><b>
Education, Consultation &amp; Facility Support</b></h3><ul><li>
Provide consultation and guidance to facility staff to enhance understanding of mental health conditions, behavioral strategies, and patient care approaches.</li>
Participate in staff education initiatives as requested.<br>
<li>
</li></ul><h3 class="jobSectionHeader"><b>
Professional Development</b></h3><ul><li>
Maintain required licensure, continuing education credits, and clinical competencies.<br>
</li><li>
Stay current with evidence-based practices, regulatory updates, and behavioral health standards relevant to post-acute care.</li></ul><p><b><br>
Qualifications</b></p><h3 class="jobSectionHeader"><b>
Education</b></h3><ul><li>
Doctoral or master&rsquo;s degree in psychology, counseling, , or social work from an accredited institution.</li></ul><h3 class="jobSectionHeader"><b>
Licensure (Required)</b></h3><p>
Active Florida independent license as one of the following:</p><ul><li>
Licensed Clinical Social Worker (LCSW)</li><li>
Licensed Mental Health Counselor (LMHC)</li></ul><h3 class="jobSectionHeader"><b>
Experience</b></h3><ul><li>
Minimum of two years of clinical experience in behavioral health.</li><li>
Experience working with geriatric, medically complex, or post-acute care populations preferred.</li><li>
Experience with behavioral or cognitive interventions, crisis response, and interdisciplinary collaboration preferred.</li></ul><h3 class="jobSectionHeader"><b>
Knowledge &amp; Skills</b></h3><ul><li>
Proficiency in evidence-based therapeutic approaches (CBT, supportive therapy, solution-focused therapy, etc.).</li><li>
Strong clinical assessment, diagnostic, and problem-solving skills.</li><li>
Understanding of interdisciplinary care models within skilled nursing and long-term care environments.</li><li>
Familiarity with value-based care principles and outcome-driven clinical practices.</li><li>
Proficiency with EHR documentation and digital communication tools.</li><li>
Strong interpersonal, communication, and organizational skills.</li><li>
Demonstrated cultural competence and ability to work effectively with diverse patient and facility populations.</li></ul><h2 class="jobSectionHeader"><b>
Work Environment &amp; Schedule</b></h2><ul><li>
On-site conducting screenings across assigned post-acute and long-term care facilities. 50% travel to buildings / 50% Working from home-office</li><li>
Monday&ndash;Friday with some flexibility based on facility and patient needs. (8am-5pm)</li><li>
Credentialing support provided for payer enrollment.</li></ul></div><p></p>

Behavioral Health Case Manager-LMHC Boca

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