telehealth case manager

St Thomas Community Health Center

<div><div><div>Benefits:</div>
<ul><li>401(k) matching</li>
<li>Dental insurance</li>
<li>Health insurance</li>
<li>Paid time off</li>
<li>Parental leave</li>
<li>Vision insurance</li>
 </ul></div><div><div>HIV Non Medical Case Manager
</div>
<div> 
At St. Thomas Community Health Center our mission is to provide culturally competent</div>
<div>healthcare of the highest quality, regardless of the patient&rsquo;s ability to pay. Central to our mission is to acknowledge the role of institutional racism as causative of these disparities. As such, our work is directed toward</div>
<div>becoming an antiracist institution.</div><div> 
</div>
<div>Job Summary</div><div> 
</div>
<div>St. Thomas Community Health Center is looking to hire a non medical case manager. The Non-Medical Case Management (NMCM) provides advice and assistance to empower clients to access a variety of necessary services to support medically related outcome measurements. Clients will have varying levels of needs throughout their enrollment in services. These services may include: medical, social, community, legal and financial. Clients who demonstrate a low level of need may benefit from NMCM. Enrollment in NMCM is not always permanent; as a client may move from one type of case management to the other depending on current situations. Frequent and ongoing assessments by case management (non-medical and medical) should occur to ensure clients receive the appropriate level of care.</div><div> 
</div>
<div>Responsibilities</div><div> 
</div>
<ul><li>Completion of comprehensive assessment of service needs conducted by a non-medical case manager meeting the same qualifications as a medical case manager</li>
<li>Coordination of services required to support health outcomes</li>
<li>Periodic re-evaluation of client needs (housing, transportation, food, legal, emergency financial assistance, and other needed services).)</li>
<li>Encounter clients in their environment, which may include a residence, a public facility, in the streets, or in the facilities of the non-medical case manager</li>
<li>Inform the client of all Ryan White Part A funded services available, AND</li>
<li>Inform the client of all Ryan White Part A funded case management agencies in New Orleans Eligible Metropolitan Area (NO EMA), AND</li>
<li>What client can expect if s/he enrolls in case management services</li>
<li>Establish and/or verify client eligibility for services</li>
<li>Collect required state/federal client data for reporting purposes; AND</li>
<li>Completion of a full Client Eligibility Review and Certification Form (CERV)</li>
<li>Complete all Ryan White forms as required by HIPPA, Grantee, and the agency.</li>
<li>Complete and develop Ryan White Plan of Care in collaboration with the client in according to the client&rsquo;s needs and follow-up on outcomes</li>
<li>Complete referrals for Ryan White services after assessing client</li>
<li>Upload eligibility documents into electronic records system within 3-days of eligibility</li>
<li>Answer and return phone calls, emails, faxes, and makes copies in a timely manner</li>
<li>Complete all Ryan White billing forms for every client interviewed, time clock corrections, and mileage on a weekly basis and submit to the Finance Department.</li>
<li>Work in collaboration with the medical case manager and medical case manager supervisor</li>
<li>Ensure recording of health indicators (CD4, viral load, acuity)</li>
<li>Monitor service utilization (including medical appointment adherence)</li>
<li>Treatment adherence counseling to ensure readiness for and adherence to complex HIV treatments</li>
<li>Establish whether client demonstrates a need or continued need to enroll in non-medical case management services offered by the service provider</li>
<li>Gather an on-going basis appropriate client information in order to determine client eligibility</li>
<li>Reassess at least every six month or as required to respond to a change in client status, utilizing assessment tools as mandated by OHP</li>
Adhere to standards of service as outlined in the Non-Medical Case Management by the OHP 
<li>
</li> </ul><div>Required Qualifications</div> 
<div> 
</div><ul><li>High school/GED diploma required</li>
<li>Ability to communicate effectively with clients, families, physicians, etc., and fulfills documentation requirements.</li> 
</ul>
<div></div> 
<div>Preferred Qualifications</div><div> 
</div>
<ul><li>Experience in community health or official public health agency.</li>
<li>Knowledge of HIV disease/AIDS.</li>
<li>Knowledge of case management.</li>
 Bilingual in Spanish is preferred 
<li>
</li></ul><div>St Thomas Community Health Center offers a full competitive and comprehensive benefits package for full-time employees. Just a few of the great benefits we provide at St Thomas Community Health Center are:</div><div> 
</div>
<ul><li>Medical</li>
<li>Dental</li>
<li>Vision</li>
<li>Life Insurance</li>
<li>Accidental Death &amp; Dismemberment</li>
<li>Short-Term Disability</li>
<li>Long-Term Disability</li>
<li>401K with match</li>
<li>PTO</li>
<li>Paid Holidays</li></ul></div></div>

HIV Non Medical Case Manager

Highmark Health

<div><h2 class="jobSectionHeader">Company :
</h2>Highmark Inc.
<h2 class="jobSectionHeader">Job Description :
</h2>JOB SUMMARY
This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent will be supported by a multi-disciplinary team and will use clinical judgment to refer members to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality outcomes (clinical, financial and functional) for the specified panel of members.
ESSENTIAL RESPONSIBILITIES
<ul><li>Maintain oversight over specified panel of members by performing ongoing assessment of members&rsquo; health management needs, identifying the right clinical interventions to address member needs and/or triaging members to appropriate resources for additional support.
</li><li>For assigned case load, create care plans to address members&rsquo; identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.
</li><li>Ensure targeted percentage of patient goal achievement (i.e., realization of member care plan), and other patient outcomes, as applicable, are achieved.
</li><li>Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards.
</li><li>Maintain current knowledge and adheres to applicable CMS, state, local, and regulatory agency requirements and applicable standards of practice for case management including those published by CMSA and/or ACMA, as required by the organization.
</li><li>Other duties as assigned or requested.
</li></ul>EDUCATION
Required
<ul><li>High School Diploma/GED
</li></ul>Substitutions
<ul><li>None
</li></ul>Preferred
<ul><li>Bachelor's Degree in Nursing
</li></ul>EXPERIENCE
Required
<ul><li>7 years of any combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience
</li></ul>Preferred
<ul><li>Advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy (DBT)
</li><li>Experience working with the healthcare needs of diverse populations
</li><li>Understanding of the importance of cultural competency in addressing targeted populations
</li></ul>LICENSES AND CERTIFICATIONS
Required
<ul><li>Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) or WV or DE or NY is required. Other RN license(s), if applicable, must be obtained within the first 6 months of employment.
</li></ul>Preferred
<ul><li>Certification in Case Management
</li></ul>SKILLS
<ul><li>Written and verbal presentation skills, negotiation skills, and skills in positively influencing others with respect and compassion
</li><li>Broad knowledge of disease processes
</li><li>Understanding of healthcare costs and the broader healthcare service delivery system
</li><li>Proficiency in MS Excel and strong analytic skills with ability to interpret, evaluate and act on clinical and financial data, including analysis of statistical data
</li><li>Excellent interpersonal/ consensus building skills as well as the ability to work with a variety of internal and external colleagues from all levels of an organization
</li><li>Ability to work in a high performing team environment that requires flexibility
</li><li>Demonstrated ability to handle multiple priorities in a fast paced environment. Excellent organizational, time management and project management skills
</li><li>Self-directed; self-starter, ability to work successfully with indirect supervision and moderate autonomy
</li></ul>LANGUAGE REQUIREMENT (Other than English)
 
None
TRAVEL REQUIREMENT
0% - 25%
PHYSICAL, MENTAL DEMANDS AND WORKING CONDITIONS
Position Type
Office-Based
Teaches/Trains others regularly
Rarely
Travels regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (Sales employees)
Does Not Apply
Physical Work Site Required
No
Lifting: up to 10 pounds
Rarely
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
 
 
Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
 
 
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company&rsquo;s Handbook of Privacy Policies and Practices and Information Security Policy.
 
 
Furthermore, it is every employee&rsquo;s responsibility to comply with the company&rsquo;s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$72,700.00
Pay Range Maximum:
$116,600.00
Base pay is determined by a variety of factors including a candidate&rsquo;s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice</div>

Complex Case Manager RN - Oncology (Remote)

Adara Home Health

Up to $10,000 Sign-on Bonus
 Why Work for Adara?
 
Adara Home Health offers fulfilling Home Care careers to professionals looking for flexibility and the ability to manage their own schedule. Join our team and work for an employer who values each employee as an individual and respects everyone’s need for work-life balance.
 
The Physical Therapy (PT) Case Manager provides and oversees home health services for clients within the community. Collaborates with the client, their family, and the health care team to develop and implement goal-centered care plans taking into consideration quality measures and financial aspects of treatment. Provides skilled care to clients and clinical oversight to professional and unlicensed personnel. Builds and maintains respectful relationships with others. The position reports to the Clinical Supervisor.
 
SCHEDULE
 <ul>
<li>This is a full time position, Monday - Friday. As PT Case Manager, you will manage your schedule during office hours.</li>
<li>This position will require you to travel to client's homes to provide 1:1 client care that may take 1-3 hours per client.</li>
</ul>
COVERAGE AREA
 <ul>
<li>This position reports to the Mendota Heights, MN office and provides services in Minneapolis and surrounding cities.</li>
</ul>
BENEFITS
 <ul>
<li>Opportunity for Productivity Bonuses in Addition to Base Salary</li>
<li>Ability to Manage Your Schedule</li>
<li>Mileage Reimbursement</li>
<li>Medical, Dental, Vision, Life, AD&D, Pet Insurance</li>
<li>401K 100% Vested Upon Eligibility</li>
</ul>
DUTIES AND RESPONSIBILITIES
 <ul>
<li>Reflects the company’s mission and values in developing and maintaining professional working relationship with others.</li>
<li>Performs initial and periodic assessment of clients to determine care needs, implements interventions, and evaluates the effectiveness of care to achieve positive outcomes.</li>
<li>Collaborates with physicians/non-physician practitioners and the home health team to develop and update the client’s home health plan of care at least every 60 days or more often as changes occur.</li>
<li>Serves as a client advocate ensuring safety needs are addressed by assessing the home environment, developing and implementing individualized abuse prevention plans, and reporting any suspected vulnerability such as abuse, neglect or financial exploitation.</li>
<li>Meets documentation standards ensuring accuracy, timeliness, and compliance with state and payer/billing requirements.</li>
<li>Provides education to the client, family, caregivers, licensed clinicians (as indicated), and unlicensed personnel.</li>
<li>Provides direct care to clients of varying ages, clinical acuity levels, and diagnoses in accordance with the company’s policies, procedures, processes and the Minnesota Physical Therapy Practice Act.</li>
<li>Coordinates client care with family, caregivers, community resources, and other health care</li>
</ul>
members.
 <ul>
<li>Provides clinical oversight, delegation, and leadership to licensed clinicians and unlicensed personnel.</li>
<li>Ensures effective and appropriate financial management of the client’s home health services are met.</li>
<li>Manages work schedule effectively, adapts to and remains flexible with unexpected changes</li>
</ul>
PHYSICAL/ENVIRONMENTAL DEMANDS
 Client care provided in individual client homes and may require transfers and lifting with adaptive equipment. Must be adaptable to a variety of environments and community settings. Must be able to drive or use public transportation in all types of weather.
 
Heavy. Amount of weight moved; 50 to 100 pounds occasionally; 25 to 50 pounds frequently; 10 to 20 pounds constantly. Physical Demand requirements are in excess of those for Medium Work.
 
QUALIFICATIONS
 <ul>
<li>Currently licensed as a Physical Therapist (PT) in the State of Minnesota. The license must not have been revoked, suspended and without limitations or restrictions.</li>
<li>Proof of negative TB testing: Mantoux skin test, single TB blood test or chest x-ray.</li>
<li>Access to a dependable automobile in order to travel to multiple company business stops a day.</li>
<li>A valid driver’s license and proof of current car insurance when using a personal vehicle for company business.</li>
<li>Have U.S. Citizenship or evidence of valid Alien Work Permit.</li>
<li>Disclose any conviction and criminal history records pertaining to any crime related to the provision of health services. A candidate who has been convicted of such crimes will not be hired.</li>
<li>Pass initial and ongoing background studies and screenings including but not limited to those of the Minnesota Department of Health and the Federal Office of the Inspector General’s List of Excluded Individuals and Entities.</li>
</ul>
SKILLS AND EXPERIENCE
 <ul>
<li>Have at least two (2) years’ experience in a health care facility or home care field.</li>
<li>Demonstrates critical thinking skills, the ability to follow standards/procedures, and make appropriate clinical judgments to provide safe and effective client care.</li>
<li>Ability to work independently with minimal supervision, adapt to change, and manage a variety of assignments while establishing priorities and ensuring the necessary duties are completed.</li>
<li>Ability to build and maintain professional relationships.</li>
<li>Excellent written and oral communication skills; interpersonal communication and teaching skills.</li>
<li>Basic computer skills and willing to learn new software programs; experience with Electronic Medical Records and Microsoft Outlook preferred.</li>
<li>Current CPR certification highly recommended.</li>
</ul>
Adara Home Health, Inc. is committed to fair and equitable compensation practices. The base salary range for this position in the U.S. is $80,000 - $115,000 per year plus productivity, compensation and benefits. A candidate's salary is determined by various factors including, but not limited to, relevant work experience, skills, certifications, job level, supervisory status, and location.

Home Health Physical Therapy Case Manager

Recovery Centers of Montana

<div>Description:

Case Manager &ndash; Virtual Intensive Outpatient Program (IOP)
Position Summary
The Virtual IOP Case Manager provides care management services to adults with substance use disorders, serious emotional disturbances, and severe and disabling mental illnesses. Under the supervision of the Program Supervisor, the Case Manager partners with consumers to assess needs, develop individualized treatment plans, coordinate care across service systems, and support recovery-focused goals. This role requires meeting caseload and billing expectations on a monthly, quarterly, and annual basis.
Essential Job Functions<ul><li>
Assess and evaluate adults to determine appropriateness and need for care management services</li><li>
Assist consumers with entry into services and monitor progress throughout the continuum of care</li><li>
Develop, coordinate, and monitor Individual Treatment Plans (ITPs) in alignment with agency policy and procedure</li><li>
Ensure treatment plans are completed within 5 encounters or 21 days, whichever is sooner, and that clinical assessments are updated annually</li><li>
Coordinate treatment team meetings and ensure treatment plans are outcome-based and recovery-focused</li><li>
Educate consumers on recovery markers and incorporate them into treatment plan evaluation</li><li>
Screen consumers for Medicaid eligibility and assist with enrollment as applicable</li><li>
Complete required documentation, reports, and applications within established timelines</li><li>
If serving consumers with a mental health diagnosis, complete SDMI designation and Level of Impairment (LOI) prior to initiating case management services; for SUD diagnoses, the SUD diagnosis serves as the criteria for service entry</li><li>
Collaborate effectively with internal team members and external community providers</li><li>
Meet bi-weekly with the Program Supervisor to review consumer cases and service delivery</li><li>
Attend required trainings, workshops, and conferences; share relevant learning with team members as requested</li><li>
Perform other duties as assigned</li></ul>
Virtual Service Delivery
Services are delivered primarily via telehealth through the agency's virtual IOP platform. All telehealth documentation must reflect clinical appropriateness for remote delivery. Case Managers are expected to maintain flexible scheduling to accommodate consumer availability, including evening hours as needed.
Community Based Psychiatric Rehabilitation Services (CBPRS)
Case Managers may also provide CBPRS, documented separately with an individual superbill. CBPRS consists of intensive behavioral management and stabilization services designed to reduce disability, restore functioning, and support social integration. Specific expectations include:<ul><li>
Skills training that includes clear description, modeling, practice, and performance feedback</li><li>
Consultation with family members or key support persons as clinically indicated</li><li>
Individual CBPRS up to 2 hours and group CBPRS up to 2 hours per 24-hour period; exceptions require department approval</li><li>
Group CBPRS limited to 8 adults per staff member</li><li>
Face-to-face delivery is preferred; telehealth is permitted when clinically indicated or when access barriers exist, with documentation of rationale and attempts to identify local supports</li></ul>
Attendance and Scheduling
This position requires flexible scheduling to meet consumer needs. Schedule changes will be communicated in writing. Attendance at staff meetings and required trainings is expected and may occasionally require schedule adjustments.
Requirements: 
Minimum Qualifications<ul><li>
Bachelor's degree in Social Work, Psychology, or a related human services field from an accredited college; or an equivalent combination of education and at least two years of full-time experience serving adults with mental illness, substance use disorders, or a related human services population</li><li>
Individuals who have developed the necessary knowledge and skills through lived experience as a consumer, provider, or advocate of mental health services may be considered; equivalency must be documented per agency policy</li><li>
Reliable internet connection and a private, confidential workspace suitable for telehealth service delivery</li></ul>
Knowledge, Skills, and Abilities<ul><li>
Working knowledge of Montana Medicaid behavioral health regulations, SDMI criteria, Level of Impairment (LOI) documentation standards, and targeted case management requirements</li><li>
Ability to assess and respond to the clinical and functional needs of adults with SUD and/or serious mental illness</li><li>
Familiarity with community resources and the ability to connect consumers with medical, social, vocational, recreational, or other support services</li><li>
Effective verbal and written communication skills sufficient to build trusting therapeutic relationships and produce compliant clinical documentation</li><li>
Strong interpersonal skills, empathy, adaptability, and a positive approach to working with diverse populations</li><li>
Ability to work collaboratively within a multidisciplinary treatment team and with external community providers</li></ul></div>

Case Manager – Virtual Intensive Outpatient Program (IOP)

Claratel Behavioral Health

<div>
 
 About Claratel Behavioral Health
 
 
 
 Claratel Behavioral Health is an innovative, community-based behavioral health and developmental disabilities services organization offering a full range of mental health, developmental disabilities, and substance use disorder services to underserved individuals. As a public, not-for-profit organization, Claratel Behavioral Health operates in more than 20 locations in DeKalb County, Georgia, with a diverse workforce of more than 400 direct-care and support staff.
 
 
 If you are passionate about driving change in behavioral health and developmental services and are eager to work in an environment that values innovation and inclusivity, Claratel Behavioral Health is the place for you. Here, your work is impactful, your growth is prioritized, and your well-being is supported. Together, we can forge pathways to a healthier future for all.
 
 
 
 Now Hiring - Adult Case Manager | Community Support Services Program
 
 
 
 FT | M-F 8:15AM &ndash; 5:00PM
 
 
 Are you passionate about empowering others and making a difference in your community? Join our dedicated team at [Your Organization's Name] as an Adult Case Manager and become a key player in transforming lives through recovery-focused, community-based care.
 
 
 
 What You&rsquo;ll Do
 
 
 
 As an Adult Case Manager in our Community Support Services (CSS) Program, you&rsquo;ll be the bridge between individuals and the support systems they need to thrive. You&rsquo;ll help adults navigate mental health services, achieve goals outlined in their Individual Recovery Plans (IRPs), and foster connections to natural supports and community resources.
 
 
 
 Your Role Will Include
 
 
 
 <ul>
 <li>
 Conducting community needs assessments and providing personalized case management
 </li>
 <li>
 Collaborating with an interdisciplinary team to support treatment plans
 </li>
 <li>
 Facilitating communication between clients, families, and service providers
 </li>
 <li>
 Coordinating care, delivering psychosocial rehabilitation, and promoting community reintegration
 </li>
 <li>
 Documenting service contacts, maintaining ethical standards, and ensuring continuity of care
 
 
 </li>
 </ul>
 
 Your Responsibilities
 
 
 
 <ul>
 <li>
 Maintain consistent outreach (minimum twice/mnth per client)
 </li>
 <li>
 Deliver services in-person and via telehealth
 </li>
 <li>
 Attend community/agency meetings and represent client needs
 </li>
 <li>
 Communicate regularly with the Program Manager and attend required trainings
 </li>
 <li>
 Support clients&rsquo; recovery journeys with compassion, coordination, and clarity
 
 
 </li>
 </ul>
 
 What You Bring
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree in Human Services, Social Work, Counseling, Criminal Justice, or related field
 </li>
 <li>
 1+ years&rsquo; experience in behavioral health or case management (preferred)
 </li>
 <li>
 Tech-savviness and comfort using electronic records, phones, and telehealth tools
 </li>
 <li>
 Strong interpersonal and communication skills
 </li>
 <li>
 Reliable transportation and a valid driver&rsquo;s license (defensive driving training provided)
 </li>
 <li>
 A team-first mindset and a passion for helping others succeed
 
 
 </li>
 </ul>
 
 Why Join Us?
 
 
 
 <ul>
 <li>
 Work in a collaborative, supportive environment where your voice matters
 </li>
 <li>
 Build meaningful relationships with clients and community partners
 </li>
 <li>
 Flexible service delivery and opportunities to engage in dynamic community work
 </li>
 <li>
 Expand your skills and grow your career with ongoing professional development
 
 
 </li>
 </ul>
 Apply now to join a mission-driven team helping individuals live fuller, healthier lives with dignity and support.
 
 
 
 Pre-employment drug screening and successful completion of a criminal history background check is required.
 
 
 
 
 Claratel Behavioral Health participates in E-Verify (Company ID: 226305)
 
 
 
 
 
 Claratel Behavioral Health is an Equal Opportunity Employer. Candidates who may require an accommodation under the Americans with Disabilities Act or similar law to perform the essential functions of this job are encouraged to contact Human Resources at hrhelp@claratel.org.
 
 
</div>

Behavioral Health Adult Case Manager

Lumina Care

Company overview: Lumina Care is focused on unifying, coordinating, and managing care for geriatric patients in nursing facilities and at home. We offer a range of services to improve health outcomes and quality of life for patients, including afterhours telehealth, transitional care, chronic care, remote patient monitoring, behavioral health and telehealth psychiatry.Job title: Community Case CoordinatorPurpose/Summary: The Case Coordinator supports care delivery by managing and executing care coordination tasks for patients enrolled in Transitional Care Management (TCM) and Chronic Care Management (CCM) programs. This role ensures timely follow-up, accurate documentation, and effective communication between providers, patients, and external partners. Reports to Case Coordination Team Lead and Community Clinical Manager.Role &amp; Core Responsibilities: <ul><li>Manage and execute all assigned case coordination orders in ThoroughCare</li><li>Prioritize TCM orders over CCM orders to meet compliance timelines</li><li>Coordinate with providers, medical assistants, patients, and external vendors/agencies</li><li>Maintain accurate and timely documentation</li><li>Track and update all assigned cases</li><li>Escalate delays, barriers, or patient concerns to leadership</li></ul>Case Coordination Lead Responsibilities:<ul><li>Reviews all new case coordination orders daily</li><li>Assigns each patient/order based on:</li><li>Assignment tracker</li><li>Coordinator availability</li><li>Patient/date distribution</li></ul>Updates the Case Coordination Tracker with:<ul><li>Assigned Case Coordinator</li><li>Patient Name / MRN</li><li>Order Type (TCM / CCM)</li><li>Date Assigned</li></ul>Case Coordinator Actions:<ul><li>For each assigned order:</li><li>Documentation and updates on status of case coordination items.</li><li>Care Coordination Tasks:</li><li>Contact patient and/or caregiver as needed</li><li>Coordinate with vendors/agencies (home health, DME, pharmacy, etc.)</li><li>Ensure all requested services are initiated and/or completed</li><li>System Updates:</li><li>Update status in ThoroughCare</li><li>Maintain accurate updates in the Case Coordination Tracker</li></ul>Monitoring &amp; Follow-Up:<ul><li>TCM Orders (High Priority):</li><li>Initial processing within 24 hours</li><li>Follow-up and confirmation within 48&ndash;72 hours</li><li>CCM Orders:</li><li>Completed after TCM workload is addressed</li><li>Timely but non-urgent processing</li></ul>Escalation &amp; Red Flags:<ul><li>The following must be escalated to the Case Coordination Lead:</li><li>Delays greater than 24 hours</li><li>Missing or incomplete status updates</li><li>Inability to reach patient/caregiver</li><li>Barriers to completing coordination tasks</li><li>Repeated patient or provider inquiries</li></ul>Performance Expectations:<ul><li>Timely completion of assigned tasks</li><li>Accurate and thorough documentation</li><li>Clear communication across care team</li><li>Proactive escalation of issues</li><li>Consistent adherence to workflow and prioritization</li></ul>Qualifications: <ul><li>Degree in Social Work, Public Health, or a related healthcare field required. Equivalent combination of education and relevant experience may be considered.</li><li>Certification in care management or case management (preferred but not required)</li><li>At least 2 years community or long-term care nursing experience is preferred</li><li>Experience with telemedicine platforms and remote care coordination is preferred</li><li>Familiarity with electronic health record (EHR) systems and care management platforms is required</li><li>Knowledge and experience working with Medicaid and Medicare populations is preferred</li><li>Strong problem-solving skills and the ability to handle complex care scenarios is required</li><li>Comfort working in a virtual telehealth environment</li><li>Strong communication and documentation skills</li></ul>Working conditions: A designated, secure, and private home workspace is required for this remote role to ensure compliance with HIPAA and company privacy and security policies. This workspace must support confidential patient communications and prevent unauthorized access to protected health information. Typing is required and you will be required to use Company approved virtual technology to visualize patients during visits. A personally owned computer used for this role must meet all company-mandated security and encryption requirements as defined by the IT team. Company-provided security software, including platforms for patient video consultations, may need to be installed to ensure the device remains compliant with organizational data protection standards. Periods of prolonged sitting or standing can be expected. Travel requirements could occur based on specific state licensure and leadership needs.Compensation: Hourly rate of $22-28. Compensation is determined based on market range, experience, skills, education, and qualifications.We offer a comprehensive and competitive benefits package to support our employees, including:<ul><li>Medical, Dental, and Vision Insurance</li><li>Paid Time Off (PTO)</li><li>Paid Holidays and Floating Holidays</li><li>Flexible Work Arrangements and Remote Work Options</li></ul>Summary: Lumina Care is an Equal Opportunity Employer. We consider all qualified applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, or any other characteristic protected by law.Pay: $22.00 - $28.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Application Question(s):<ul><li>Can you start ASAP?</li></ul>Experience:<ul><li>Care coordination: 2 years (Preferred)</li><li>Telehealth: 1 year (Preferred)</li><li>Long term care: 2 years (Preferred)</li></ul>Work Location: Remote

Community Case Coordinator

Oklahoma Department of Mental Health and Substance Abuse Services

<div>
 Make a Difference at Griffin Memorial Hospital (GMH)!
 
 
 Are you passionate about helping individuals with mental health and substance abuse challenges? Join our Consumer Services Department as part of the Social Services Team at Griffin Memorial Hospital (GMH). As a Behavioral Case Manager, you&rsquo;ll play a vital role in providing clinical services, telehealth and in-person support, screenings, and referrals to those in need.
 
 
 Why Choose Us?
 
 
 ✔ Impactful Work &ndash; Help establish and maintain a treatment-focused environment for consumers and their families.
 
 
 ✔ Comprehensive Training &amp; Growth &ndash; Opportunities for continued education, CEUs, and professional development.
 
 
 ✔ State Employee Benefits &ndash; Competitive salary, health benefits, and retirement plans.
 
 
 ✔ Work-Life Balance &ndash; Enjoy generous paid time off and a predictable schedule.
 
 
 Position Details:
 
 
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 Job Type: Full-time, shift-based position (8-hour shifts, Monday- Friday).
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 Primary Work Hours: 8:00 AM &ndash; 5:00 PM.
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 Annual Salary Range: $47,750 - $49,500 + shift differentials depending on education and experience.
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 FLSA Status: Non-Exempt.
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 Location: Griffin Memorial Hospital, Norman, OK.
 
 
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 Minimum Qualifications &amp; Experience:
 
 
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 Behavioral Case Manager I: Education and Experience requirements at this level consists of a High School Diploma, General Equivalency Diploma (GED), or High School Equivalency (HSE) Credential and six (6) months of behavioral health experience.
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 Behavioral Case Manager II: Thirty-six (36) months of direct, documented experience working with persons with mental illness and/or substance use disorder and possess a High School Diploma or equivalent or
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 Sixty (60) college credit hours and have a minimum of twelve (12) months of direct, documented experience working with persons with mental illness and/or substance use disorder or
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 Bachelor's or Master's degree in any field and have a minimum of six (6) months of direct, documented experience working with persons with mental illness and/or substance use disorder or
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 Have a Bachelor's or Master's degree in a behavioral health related field or
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 Have a current license as a registered nurse in the State of Oklahoma with documented experience in behavioral health care.
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 Senior Behavioral Case Manager II &ndash; Same Minimum Qualification as a Behavioral Case Manager II plus 2 additional years of experience as a case manager.
 
 
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 Special Requirements:
 
 
 ✅ Must have a valid driver&rsquo;s license and be willing to travel for job-related needs.
 
 
 ✅ This position is safety-sensitive and requires pre-employment drug and alcohol testing.
 
 
 ✅ Availability for weekends, holidays, and overtime as needed to ensure 24/7 coverage.
 
 
 Exceptional Benefits Package Includes:
 
 
 🌟 Generous State-Paid Benefits Allowance for insurance premiums.
 
 
 🌟 Multiple Health Insurance Plans with no exclusions for pre-existing conditions.
 
 
 🌟 Flexible Spending Accounts for healthcare and dependent care.
 
 
 🌟 Employee Assistance &amp; Wellness Programs to support your well-being.
 
 
 🌟 Paid Time Off &ndash; 11 paid holidays + 15 days of vacation &amp; sick leave in the first year.
 
 
 🌟 Retirement Savings Plan with employer match.
 
 
 🌟 Longevity Bonus for years of service.
 
 
 🌟 Student Loan Repayment Options to support your financial future.
 
 
 🌟 Ongoing Training &amp; CEU Opportunities to advance your career.
 
 
 About Us:
 
 
 Griffin Memorial Hospital (GMH) is an ODMHSAS treatment center serving all 77 counties in Oklahoma. We specialize in community crisis stabilization and residential treatment for individuals facing substance abuse, co-occurring mental health disorders, and trauma-related conditions.
 
 
 📢 Apply Today &amp; Start Making an Impact!
 
 
 Reasonable accommodation for individuals with disabilities available upon request.
 
 
 Griffin Memorial Hospital is an Equal Opportunity Employer.
 
 
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