16,715 Clinical Care jobs in the United States
Pharmacy Tech I - Clinical Care Services
Posted 2 days ago
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Summary:This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.The Pharmacy Technician certification is preferred but not required at a State or National level. Duties: This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist. Experience:Minimum (1) year experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position. The Pharmacy Technician certification is preferred but not required at a State or National level. Education: Verifiable High School diploma or GED is required. The Pharmacy Technician certification is preferred but not required at a State or National level. Skills: Pharmacy technician, Prior Authorization, Calling About US Tech Solutions:US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Pharmacy Tech I - Clinical Care Services

Posted 9 days ago
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Job Description
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
The Pharmacy Technician certification is preferred but not required at a State or National level.
**Duties:**
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
**Experience:**
Minimum (1) year experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position. The Pharmacy Technician certification is preferred but not required at a State or National level.
**Education:**
Verifiable High School diploma or GED is required. The Pharmacy Technician certification is preferred but not required at a State or National level.
**Skills:**
**Pharmacy technician, Prior Authorization, Calling**
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ( .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Clinical Care Manager
Posted 1 day ago
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This is a fantastic opportunity to be a major contributor in a rapidly growing, patient-focused business. We are actively recruiting a talented Clinical Care Manager to join our team of energetic, compassionate professionals who will oversee a centralized team providing case management and triage services for PACE, Hospice, and Home Health patients. This role is responsible for managing a team who focuses on distinguishing between clinical and non-clinical issues, managing communication, reducing unnecessary hospital utilization, and ensuring seamless coordination of care and closing gaps in care. This position is critical to the success of the company as we continue to grow and serve sophisticated and engaged partners in the post-acute space. The role reports to the Vice President of Nursing.
IntellaTriage's mission is to improve the lives of nurses and patients. Bottom line - we want to ensure our providers' patients are able to receive the care they need any time, any place; and their nurses are able to be at ease knowing their patients are in good hands. Our nurse triage services are in high demand, exceeding our growth goals every year for the past five years, and we are looking for a team member to help us take our company to the next level.
Since 2019, IntellaTriage has transformed from quality small business to the leading provider of after-hours nurse triage in the hospice and home health markets. Our nursing team has grown from 45 to 300+ - making us the largest post-acute nurse triage service in the world. We have aggressive growth plans over the next few years and our ability to successfully onboard and provide best-in-class service to our customers will play an integral role in achieving our vision.
What you'll do:
Supervisory Responsibilities
•Provide daily oversight, mentorship, and guidance to a team of case managers, fostering professional growth and successful onboarding of new hires.
•Support new team members through structured training, call review, documentation coaching, and constructive feedback.
•Conduct regular audits of documentation and call performance to ensure clinical compliance and quality standards.
•Lead team meetings, staff training sessions, and performance evaluations in collaboration with leadership.
•Collaborate with the leadership team and QA/VP of Nursing to develop and implement best practices and ensure high-quality service delivery.
•Carry a caseload of patients when needed to support team capacity or during staffing transitions.
•Manage administrative responsibilities including payroll, reporting, and participation in the on-call rotation as assigned.
Clinical Call Management
•Conduct telephonic triage to assess the severity of participant concerns and direct to appropriate resources.
•Initiate and coordinate clinic appointments and in-home care visits based on acuity.
•Provide medication education, refill coordination, and escalate new prescription needs.
•Share normal/non-serious lab/test results after consulting providers; ensure critical results are escalated appropriately.
•Assist with appointment prep, confirmation, and clarity around the visit's purpose (e.g., med holds, new meds).
•Manage transitions of care: authorize admissions, coordinate discharges, arrange home equipment, and collaborate with care teams.
•Serve as a central point for complaints and concerns, initiating the grievance process as needed.
Non-Clinical Call Coordination
•Respond to and manage inquiries regarding transportation, appointment scheduling, and cancellations.
•Coordinate and ensure timely dispatch communication for urgent transportation needs.
•Manage medical records requests from hospitals, SNFs, and providers; ensure timely upload into EMR.
•Handle claims status inquiries and route appropriately.
•Field new enrollment interest and route to the appropriate enrollment team contact.
Requirements
Qualifications
•Minimum 3 years in home health, PACE, or geriatric care
•Prior experience in clinical leadership or triage management preferred
•Strong understanding of PACE program structure, transitions of care, and geriatric needs
•Proficient in EMR and telehealth systems
•Excellent communication, organization, and crisis management abilities
•RN required
Your Traits & Characteristics
- You are passionate about excellence in the delivery and consistency of patient care
- You are organized and detail oriented
- You have strong interpersonal, written, and communication skills
- You have sound clinical judgment with a thorough understanding of procedure notes and protocols.
- You foster teamwork and motivate others to perform at a high level.
- You do what is right every time and without question
Benefits
This is Full- time position and will offer a competitive salary based on experience. Full-time employees accumulate PTO, based on the number of hours worked (per year). All full-time employees are eligible to participate in our 401(k) plan. Full-time employees may also participate in medical, dental, vision, and/or supplemental insurances.
Clinical Care Manager
Posted 1 day ago
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Begin a rewarding career-join Maple Crest Health Center as a Clinical Care Manager, where your commitment and compassion will directly impact the lives of others! Apply today and receive a response within 48 hours! Why choose Maple Crest? Great compensation and the opportunity to pursue your passion. Develop meaningful relationships with residents and staff members. Training and resources to keep your career moving forward. Great benefits available! Wage starts at $72,800/year | Credit given for experience. Holiday pay and on-call pay available! How you will make an impact: As a Clinical Care Manager at Maple Crest, you will lead and oversee nursing and clinical services. Your role includes managing resident care, coordinating with care teams, ensuring compliance with regulations, supporting staff development, and promoting high-quality, person-centered care.Schedule: Full-time day shift position with rotating weekends, holidays, and occasional on-call duties.What you will need: Must be at least 21 years of age or older. RN license within the state of NE required.Current CPR certification required. 2 years of experience supervising in healthcare required.Geriatrics experience strongly preferred. Benefits for Qualified Employees Medical Dental Vision 403(b) with Discretionary Employer Match Life/AD&D Insurance Short- & Long-Term Disability Accident & Critical Illness Insurance Employee Assistance Program To apply, please complete the required questionnaire. We accept applications on a rolling basis.We are an Equal Opportunity Employer and are committed to a diverse and inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, age, national origin, ancestry, disability, medical condition, genetic information, marital status, veteran or military status, citizenship status, pregnancy (including childbirth, lactation, and related conditions), political affiliation, or any other status protected by applicable federal, state, or local laws.All candidates must pass a drug screen as part of the pre-employment process. Applicants may be subject to a background check. Employees in this position must be able to satisfactorily perform the essential functions of the position. If requested, this organization will make every effort to provide reasonable accommodations to enable employees with disabilities to perform the position's essential job duties. As markets change and the Organization grows, job descriptions may change over time as requirements and employee skill levels evolve. With this understanding, this organization retains the right to change or assign other duties to this position.
Clinical Care Manager
Posted 2 days ago
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Job Description
Job Location
Methuen, MA
Description
American Training Inc. is currently hiring afull time Clinical Care Manager to p rovide quality clinical services to youth and families . American Training is a non-profit human services agency, proudly recognized as a Top Place to Work in Massachusetts by the Boston Globe and nationwide by USA Today.This Award is a testimony to the creative talent, knowledge and experienced Colleagues we have on our team.
SPECIFIC DUTIES:
- Facilitate contacts and linkages in the community to strengthen symptom management/clinical goals outlined throughout treatment and safety planning.
- Develop clinically based, rehabilitation option billable treatment plans, and service notes
- Provide training on coping skills, negative behavior replacement and harm reduction techniques to youth with various cognitive levels and symptomology using an individualized approach
- Accurately and timely document training and progress in written format
- Adhere to policies and procedures specific to treatment model regarding development and maintenance of clinical documentation.
- Complete clinical paperwork for a specific number of charts as assigned by the Independently Licensed Clinician
- This includes safety plans, service notes, treatment plans, quarterly reviews, youth readiness assessments, CANS assessment
- Demonstrates knowledge of the policies for specific treatment model for American Training, Inc., Department of Early Education and Care and Department of Children and Families in the areas of Human Rights and confidentiality in all duties
- Complete clinical paperwork for a specific number of charts as assigned by the Independently Licensed Clinician
- Make therapeutic/psychopharmacological referrals to community based providers within seven days of intake to ensure continuity of care
- Complete 24 hours of training per calendar year
- Attend and successfully complete Medication Administration Program, First Aid/CPR and OSHA
- Provide verbal communication effectively to allied professionals and families in relation to youths' treatment and progress
- Follow Boundaries Agreement
- Lead and or co-facilitate groups and/or trainings to youth, families and Colleagues in support of program objectives
- Provide transportation for youth to access community resources using personal vehicle
- Participate in Supervisor-On Call on a rotating basis providing 24-hour crisis intervention and support
- Provide effective service delivery and communication to people of varied cultural backgrounds
- Work a flexible schedule contingent upon youth needs; may include evenings, weekends, early AM shifts and holidays
- Provide individual, family and group therapy if clinically appropriate.
- Implement the Mission of American Training - "To Bring Out the Best in Everyone We Touch, because LIFE Matters!" and live the Value and Mission Statement
- Attends all required training and meetings
- Other duties and responsibilities as assigned
- Valid driver's license, the use of a personal or company vehicle and satisfactory CORI are required
- Possess knowledge of the Department of Children and Families and Department of Early Education and Care Licensing Standards and Rehabilitation Options Guidelines
- Knowledge of Human Rights regulations
- Exceptionally strong communication and relationship building skills required
- Completion of clinical documentation within specific time demands
- Ability to work collaboratively
- Good community relations skills
- Effective problem-solving skills
- Ability to maintain an environment that promotes learning, growth and pride
- Medication Administration Program (MAP) Certified
- Proficient in Microsoft Office Suite
- Flexible attitude with the ability to manage change and offer solutions
- Bachelor's Degree or Master's Degree in Related Field
- Three years' experience in a mental health setting. Experience may be waived if additional education indicates competence.
American Training, Inc. offers flexible hours, great benefits package including medical and dental insurance, life, and disability, VSP vision, 403B, competitive pay, generous paid time off, paid holidays, a dynamic, FUN work environment, and much more!
Clinical Care Manager
Posted 2 days ago
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Job Description
Brockton, MA, Brockton, Massachusetts, United States of America Job Description Posted Friday, July 11, 2025 at 4:00 AM Now offering a higher rate for visits and a reduced quota! *Salary for full-time RN's: potential earnings up to $100k and beyond! Innovive Health is a leader in home healthcare and has flexible shifts available for Registered Nurses in all of our Massachusetts office locations. We are currently recruiting for Full-time, Part-time, Weekends, and Per Diem positions. FLSA Classification: Exempt Department: Clinical Management Reports To: Clinical Director Direct Reports: Case Managers RN, LPNs POSITION SUMMARY: The Clinical Care Manager is responsible for leading a team of multidisciplinary staff, including Registered Nurses and License Practical Nurses , to develop, administer and coordinate skilled nursing care to patients requiring home care services. Services are provided in accordance with physician’s orders, under the direction and supervision of the Clinical Director, and in compliance with applicable laws and regulations and the policies of the organization. RESPONSIBILITIES: Builds a high functioning care team committed to the care of Innovive patients and the care of each other. Responsible for coordination of care team members to ensure delivery of high-quality patient care in accordance with evidence-based practice. Receives daily report from team members to ensure consistent delivery of care and patient updates. Reviews On-Call reporting daily Collaborates with Clinical Directors and Clinical Operations Support teams to monitor and improve KPI and ABNS reporting; including the completion and submission of accurate, timely clinical notes including all OASIS documents, visit authorization requests and all other clinical documentation regarding patient’s condition and care provided in accordance with Innovive company policies. Actively participates in the on-boarding of new full-time and per diem clinicians, including scheduling of shadow/reverse shadows and ensuring full-time staff are integrated into the clinical model by monitoring visit counts and OASIS training. With assistance from the Clinical Director and in collaboration with the Patient Services Coordinator, assigns patient visits and referrals to the appropriate care team members. Ensures the clinical team is adhering to all regulations and policies while conducting patient care in the home. As defined by the Federal Register; §484.105(c), the Clinical Care Manager will provide oversight of: patient and personnel assignments coordination of patient care activities coordinating referrals assuring that patient needs are continually assessed and assuring the development, implementation, and updates of the individualized plan of care Provides oversight to the direct care and case management of patients in their assigned district to ensure: High quality patient care delivery A high level of patient satisfaction; works to quickly resolve patient concerns and complaints Follows up on any incidents that occur in the field Through case load reviews and daily reports, supports the case manager to continually assess and evaluate the patient plan of care Ensures the clinical team is regularly communicating with physicians and other agencies providing nursing or related services on a consistent basis to ensure continuity of care and implementation of a comprehensive care plan. Responsible for conducting “Case Load Reviews” every 60 days and as needed. Case load reviews are inclusive of reviewing the patient’s established care plan, parameters established by the patient payor, community resources, code/category status, a review of documentation required by the COPs (emergency preparedness, hotline, posted schedule etc.), supervision of additional disciplines (HHA/LPN) and a review of the patient’s chart and associated documentation. The Clinical Care Manager provides education to the Case Manager and makes recommendations on patient care delivery based on Case Load Review findings. Conducts field supervisions annually, and as needed Field supervisions are conducted in the patient home. During the supervision, the Clinical Care Manager observes patient care delivery to ensure that the field nurse is following state guidelines including but not limited to: following POC, ensuring the care delivered in the home is accurately reflected on the patient plan of care, providing education, ensuring that patient rights are supported, ensuring appropriate documentation is in the home, emergency preparedness protocols are in place, infection control measures are adhered to, and safety protocols are in place. Assumes responsibility for growth and development for self and team members: Maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education, including mandatory in-service programs offered by the agency Coaches and mentors care team members to support their development In partnership with area Clinical Director, conducts care team performance evaluations Ensures communication and collaboration with other members of the multidisciplinary team (HHA, Rehab services). Participates in scheduled clinical and care team review meetings. Attends vendor and referral meetings as needed and assigned, or as patient conditions require. Adheres to HIPAA laws and maintain patient confidentiality always. Performs other activities and duties, including provision of patient care, as deemed necessary. Performs other duties as assigned. COMPETENCIES: Effective communication skills (verbal and written), documentations skills, interpersonal skills, and problem-solving skills. Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Organizes or schedules other people and their tasks; Develops realistic action plans. Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. Managing People - Includes staff in planning, decision-making, facilitating and process improvement; Takes responsibility for subordinates' activities; Makes self available to staff; Provides regular performance feedback; Develops subordinates' skills and encourages growth; Solicits and applies customer feedback (internal and external); Fosters quality focus in others; Improves processes, products, and services.; Continually works to improve supervisory skills. REQUIRED QUALIFICATIONS: Graduate of an accredited school of professional nursing Is currently licensed as an RN through the State Board of Nursing and meets one of the following criteria: RN with a Bachelor’s degree in nursing and one year of related working experience RN with a diploma or Associate’s degree with two years related work experience 2+ years of clinical management experience Complies with accepted professional standards and principles Licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order, or other means of reliable transportation Possesses and maintains good physical stamina. Has presented a pre-employment physician’s health clearance including a negative TB test and/or CXR and other tests as required by the organization’s policy Possesses and maintains current CPR certification Has satisfactory references from nursing school, previous (or current) employers and/or professional peers PREFERRED EDUCATION AND EXPERIENCE: Prior experience in a supervisory role preferred 2+ years’ experience in a home health environment OASIS certification preferred Continuing Education Requirements: Agency personnel are expected to participate in appropriate continuing education as may be requested and/or required by their immediate supervisor. In addition, agency personnel are expected to accept personal responsibility for other educational activities to enhance job related skills and abilities. All agency personnel must attend mandatory education programs. PHYSICAL DEMANDS AND WORK ENVIRONMENT: Frequently required to stand. Frequently required to walk. Frequently required to sit. Continually required to use hands and fingers. Frequently required to climb, balance, bend, stoop, kneel or crawl. Occasionally required to lift/push light weights (less than 25 pounds). Occasionally required to lift/push light weights (greater than 25 pounds). Moving, lifting, or transferring of patients may be required on occasion. Frequent exposure to bloodborne and airborne pathogens or infectious materials. Innovive Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. #J-18808-Ljbffr
Clinical Care Manager
Posted 3 days ago
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Summary: The Clinical Care Manager is assigned to Enrollees. The CCM provides direct CP supports and activities to Assigned and Engaged Enrollees and supervises a team of Care Coordinators within the assigned BHPMW BHCP consortium entity (CE) or Affiliated Partner (AP). Why Work for SMOC? Paid Time Off: All full-time employees can accrue up to 3 weeks of vacation, and 2 weeks of sick time and are eligible for 12 paid holidays during their first year of employment. Employer-paid Life Insurance & AD&D and Long-Term Disability for full-time employees. Comprehensive Benefits Package including Medical Plans through Mass General Brigham with an HRA Employer cost-sharing program, Dental Plans with Orthodontic Coverage, and EyeMed Vision Insurance available to full-time employees. 403(B) Retirement Plan with a company match starting on day one for all full-time and part-time employees. Additional voluntary benefits including; Term and Whole Life Insurance, Accident Insurance, Critical Illness, Hospital indemnity, and Short-Term Disability. Flexible Spending Accounts, Dependent Care Accounts, Employee Assistance Program, Tuition Reimbursement and more. Primary Responsibilities: With the BHCP Program Manager hire, train and supervise BHCP Care Coordinators. Motivate and lead a high-performance team; provide supervision, mentoring and professional development opportunities. Collaborate with team members to implement measures that decrease episodic care and meet quality outcomes. Serve as the Clinical Care Manager for assigned Enrollees. Provide CP supports to Enrollees and supervise Care Coordinators in doing same. Coordinates either directly or through the supervision of Care Coordinators, all aspects of CP service delivery with team members. Utilize effective, dignified, empowering and creative engagement strategies to ensure Enrollees are at the center and lead in their BHCP services and supervise Care Coordinators in providing CP supports in this manner. Conduct outreach and engagement activities with Assigned Enrollees and engage them in enrolling in the BHCP program and supervise Care Coordinators in providing this CP support. Supervise Care Coordinators in completing comprehensive assessment in a collaborative manner with Engaged Enrollees, with input from Care Team members and other stakeholders as well as conducting annual re-assessments. Review and sign off on all assessments completed by Care Coordinators. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinators, as indicated. Supervise Care Coordinators in developing a person-centered treatment plan with each Engaged Enrollee, with input from Care Team members and other stakeholders as well as updating the treatment plan according to required timeframes. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinators as indicated. Supervise Care Coordinators in developing advanced directives, acute care plans, and/or crisis plans with Engaged Enrollees as needed. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinators as indicated. Supervise Care Coordinators in working with Engaged Enrollees to assemble Care Teams and facilitate all communication and coordination with the team. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinator as indicated. Supervise Care Coordinators in supporting Engaged Enrollees during care transitions including attendance at discharge planning meetings, face to face meetings post discharge, ensuring linkages with all needed services and supports, and facilitating Enrollee participation in those services. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinators, as indicated. Meet expectations related to supervising the programmatically required number of Care Coordinators and supporting the programmatically required number of Enrollees which may vary over time. Supervise Care Coordinators in providing health and wellness coaching to Engaged Enrollees and assist them in identifying and utilizing health and wellness supports in the community. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinators, as indicated. Supervise Care Coordinators in connecting Engaged Enrollees to all needed services and supports including those that address social needs that affect health and facilitating ongoing connection. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinators, as indicated. Supervise Care Coordinators in collaborating with existing providers, Care Team members, state agency staff, and all other stakeholders and delivers CP supports and activities in accordance with Enrollee's person-centered treatment plan. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinators, as indicated Participate in BHCP team meetings and each Engaged Enrollee's Care Team with the assigned Care Coordinator when needed to ensure effective communication among all disciplines and stakeholders involved in the person's care. Identify community resources and develop natural supports for Enrollees and supervise Care Coordinators in performing these functions. Participate in all required orientation and training. Train Care Coordinators and other CP Team members. Learn all BHCP policies, procedures, protocols and plans and deliver CP supports and activities in compliance with them. Ensure all CP Team members are trained and comply with these protocols. Develop knowledge about all focus populations and assist CP Team members in doing so. Learn evidence-based practices identified by the BHC, and deliver CP supports and activities in compliance with them, and ensure all CP Team members are trained and supported in implementing them. Complete all required documentation in a timely manner. Attend and actively participate in supervision and staff meetings. Consults with RNs and other CP Team members as needed around clinical, medical and other matters. Provide on-call coverage, as needed. Ensure that all clients are treated with dignity and respect in accordance with BHPMW's Human Rights policy. Perform all duties in accordance with the agency's policies and procedures. Strictly follow all agency Performance Standards. Please note: The essential functions listed in this section are not limited only to the tasks listed and may include other duties as assigned. Knowledge and Skill Requirements: Master's degree with first level license (LICSW, LMFT, LMHC, licensed psychologies, or LADAC I) with minimum of 2 years of experience working in a community-based mental health, substance use and/or physical health setting. Minimum of 2 years' supervisory experience, preferred. Demonstrated knowledge base and judgment necessary for independent clinical decision making. Minimum of 3 years professional and clinical experience in the areas of mental health, counseling, and substance use. Strong skills in the areas of communication, follow through, collaboration, and customer service. Strongly prefer that a candidate will have a demonstrated understanding of and competence in serving culturally diverse populations. Excellent interpersonal skills and demonstrated ability to interact professionally with culturally and educationally diverse staff and patients. Creativity, flexibility, sound judgment, and the ability to take initiative. Excellent time management and organizational skills. Strong Computer skills, including proficiency in contemporary Windows operating systems and Windows office suites with an emphasis on Word and Excel; ability to learn new systems; experience entering and working with data; and comfort and experience using mobile technologies. Strong communication and writing skills. Demonstrated ability to work as an effective team member and leader in a complex and fast-paced environment. Knowledge regarding psychiatric rehab and understanding of recovery model. Must be able to perform each essential duty satisfactorily. Must hold a valid drivers' license. Must have access to an operational and insured vehicle and be willing to use it to transport members. Must be willing to spend 50% of time traveling and meeting with members in their homes or in their communities. Ability to read and speak English. Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Organizational Relationship: Directly reports to Program Director. Direct reports of this position are None Working Conditions: This facility is a non-smoking environment. As part of the responsibilities of this position, the Clinical Care Manager will have direct or incidental contact with clients served by SMOC in various programs funded or administered through the Executive Office of Health and Human Services. A successful background check is required. We are an equal opportunity employer committed to diversity in the workplace Monday - Friday 9:00am - 5:00pm 35 hours per week #J-18808-Ljbffr
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Clinical Care Manager
Posted 3 days ago
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Job Description
Overview Salary: $70K-$75K The Clinical Care Manager is assigned to Enrollees. The CCM provides direct CP supports and activities to Assigned and Engaged Enrollees and supervises a team of Care Coordinators within the assigned BHPMW Central Teams or BHCP consortium entity (CE). Minimum Education Required: Master's Degree Responsibilities Support consortium entity teams by providing supervision, conducting audits, and actively participating as a member of their team to ensure high-quality care coordination and compliance with best practices. Motivate and lead a high-performance team; provide supervision, mentoring, and professional development opportunities. Collaborate with team members to implement measures that decrease episodic care and meet quality outcomes. Provide CP supports to Enrollees and supervise Care Coordinators in doing the same. Coordinates either directly or through the supervision of Care Coordinators, all aspects of CP service delivery with team members. Utilize effective, dignified, empowering, and creative engagement strategies to ensure Enrollees are at the center and lead in their BHCP services and supervise Care Coordinators in providing CP supports in this manner. Conduct outreach and engagement activities with Assigned Enrollees and engage them in enrolling in the BHCP program and supervise Care Coordinators in providing this CP support. Supervise Care Coordinators in completing comprehensive assessments in a collaborative manner with Engaged Enrollees, with input from Care Team members and other stakeholders as well as conducting annual re-assessments. Review and sign off on all assessments completed by Care Coordinators. Supervise Care Coordinators in developing a person-centered treatment plan with each Engaged Enrollee, with input from Care Team members and other stakeholders as well as updating the treatment plan according to required timeframes. Supervise Care Coordinators in developing advanced directives, acute care plans, and/or crisis plans with Engaged Enrollees as needed. Supervise Care Coordinators in working with Engaged Enrollees to assemble Care Teams and facilitate all communication and coordination with the team. Supervise Care Coordinators in supporting Engaged Enrollees during care transitions including attendance at discharge planning meetings, face-to-face meetings post-discharge, ensuring linkages with all needed services and supports, and facilitating Enrollee participation in those services. Meet expectations related to supervising the programmatically required number of Care Coordinators and supporting the programmatically required number of Enrollees which may vary over time. Supervise Care Coordinators in providing health and wellness coaching to Engaged Enrollees and assist them in identifying and utilizing health and wellness supports in the community. Supervise Care Coordinators in connecting Engaged Enrollees to all needed services and supports including those that address social needs that affect health and facilitating ongoing connection. Supervise Care Coordinators in collaborating with existing providers, Care Team members, state agency staff, and all other stakeholders and deliver CP supports and activities in accordance with Enrollee’s person-centered treatment plan. Participate in BHCP team meetings and each Engaged Enrollee’s Care Team with the assigned Care Coordinator when needed to ensure effective communication among all disciplines and stakeholders involved in the person’s care. Identify community resources and develop natural supports for Enrollees and supervise Care Coordinators in performing these functions. Participate in all required orientation and training. Train Care Coordinators and other CP Team members. Learn all BHCP policies, procedures, protocols, and plans and deliver CP supports and activities in compliance with them. Develop knowledge about all focus populations and assist CP Team members in doing so. Learn evidence-based practices identified by the BHC, and deliver CP supports and activities in compliance with them. Complete all required documentation in a timely manner. Attend and actively participate in supervision and staff meetings. Consult with RNs and other CP Team members as needed around clinical, medical, and other matters. Provide on-call coverage, as needed. Ensure that all clients are treated with dignity and respect in accordance with BHPMW’s Human Rights policy. Perform all duties in accordance with the agency’s policies and procedures. Strictly follow all agency Performance Standards. Qualifications Masters degree with first level license (LICSW, LCSW, LMFT, LMHC, LMFT licensed psychologists, or LADAC I or RN) with a minimum of 2 years of experience working in a community-based mental health, substance use, and/or physical health setting. Minimum of 2 years’ supervisory experience, preferred. Demonstrated knowledge base and judgment necessary for independent clinical decision-making. Minimum of 3 years of professional and clinical experience in the areas of mental health, counseling, and substance use. Strong skills in the areas of communication, follow-through, collaboration, and customer service. Strongly prefer that a candidate will have a demonstrated understanding of and competence in serving culturally diverse populations. Advocates is committed to cultivating a diverse and welcoming community where everyone feels respected and valued. Advocates fosters a culture of inclusion that celebrates and promotes diversity along multiple dimensions, including race, ethnicity, sex, gender identity, gender expression, sexual orientation, partnered status, age, national origin, socioeconomic status, religion, ability, culture, and experience. #J-18808-Ljbffr
Clinical - Care Navigator
Posted 1 day ago
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Immediate need for a talented Care Navigator. This is a 06+months contract opportunity with long-term potential and is located in TX(Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID: 25-71338
Pay Range: $21 - $23/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Shift Time & Working Days: Hours of operation is 8-6:30 CST pm.
- We have 4 different shifts:8:30-5, 9-5:30, 9:30-6, 10:00 -6:30
- Lunch break: 1 hour during training, once assigned shift 30 minutes & 2 15-minute breaks
OT potential - can support other departments - These positions work in a Call Center setting where the contractors are on a phone queue
- Day to Day responsibilities - Inbound call center, assist and educate Medicaid members on benefits and Services such as PCP Changes, ID Cards and Coordinate transportation and other services.
Key Requirements and Technology Experience:
- Key skills; Customer service, call center experience
- Computer knowledge, specifically Excel and other Office features (Teams, Outlook, etc.)
- Insurance background.
- Education/Certification: High school Diploma or GED.
- Preferred: BA in Social Work or Healthcare Mgmt, LVN, CNA, CMA, RT, Pharmacy Tech.
- Preferred: CHW
- Must haves: good attendance, call center background; worked with MCO insurance
- Nice to haves: background in Service Coordination, and call center experience.
- Disqualifiers: no call center experience, upcoming extended PTO/time off
- Performance indicators:
- Software Skills: Will be using various software on the job: Microsoft Office Suite, Avaya, Zoom, Skype.
- Customer service, call center experience
- Computer knowledge, specifically Excel and other Office features (Teams, Outlook, etc.)
- Insurance background.
Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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Clinical Care Manager

Posted 10 days ago
Job Viewed
Job Description
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
**Entity:** Clinical Care Associates (CCA) - Penn Primary Care (PPC) and Penn Specialty Practices (PSP) of Penn Medicine Medical Group (PMMG)
**Department:** Penn Partners in Care 2
**Location:** Penn Medicine Bucks County- 777 Township Line Road
**Hours:** Per Departmental Needs - Full Time
Summary:
+ The Clinical Care Manager is responsible for promoting organizational values of patient and visitor satisfaction by demonstrating courtesy and respect for families, visitors and other employees. Collaborates with practices and actively provides clinical support to "high-risk" patient populations for multiple practices - in all age groups ranging from young adulthood through geriatrics. Demonstrates competence in the assessment, treatment and care of patients serviced. Will include face to face (travel required), telephone or telehealth encounters as appropriate to patient needs.
Responsibilities:
+ Designs and implements care management support activities for high risk patients with chronic diseases and high medical service utilization.
+ Collaborates with physician and practice staff in identifying appropriate patients for care management utilizing established criteria. Collaborates with the patient and provider to establish and implement a care management plan using evidencebased guidelines. Develops patient objectives and measures progress according to standards of care.
+ Triages patient telephone calls and provides consultation regarding ongoing symptom management resulting from treatment and disease, analysis of intervention regarding diagnostic work-up, assessing and managing acute emergencies, managing family concerns as needed, liaison activities with affiliated physicians, nurses, pharmacists and emergency rooms.
+ Initiates appropriate evaluation and management of emergency situations.
+ Coordinates patient's management/treatment plan throughout the institution.
+ Instructs patient/family regarding medications and treatments. Educates patients regarding health and illness prevention. Recommends community resources to meet patient and family needs. Develops patient education programs.
+ Creates, uses, and maintains patient-specific care management tracking system that identifies/ reports on patients who will benefit from care management services, the subsequent patient progress, and associated interventions.
+ Supports QA and maintenance efforts for patient registries and quality reporting. Works with the Clinical Analyst to summarize and analyze data from registries
+ Promotes patient self-management and empowers patient and families to achieve optimal health outcomes. Assists patient to identify and/ or develop and utilize their support systems.
+ Evaluates the effectiveness of care management plan in meeting established care goals and revises the plan as needed to reflect changing needs, issues and goals.
+ Prepares and maintains appropriate documentation as required.
+ Collaborates with all members of the health care team to resolve patient health, social or behavioral health needs.
+ Provides monitoring and continuity of care between physician visits. Maintains and reviews patient records, charts and other pertinent information.
+ Performs duties in accordance with Penn Medicine and entity values, policies, and procedures
+ Other duties as assigned to support the unit, department, entity, and health system organization
Credentials:
+ Active PA or NJ RN license based on position location. Dual (NJ & PA) RN licensure required within 3 months of hire (Required)
Education or Equivalent Experience:
+ Associate's Degree NLN- approved school of nursing (Required)
+ Bachelor's Degree Nursing And 1+ years prior nursing experience in internal/family medicine (Preferred)
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
REQNUMBER: 275066