Professional Case Management Senior Jobs in Usa

PACT RN Case Manager Help Others, Make a Difference, Save a Life.

Do you want to make a difference in people's lives every day? Or help people navigate the tough spots in their life? And do it all while working where your hard work is appreciated? You have a lot of choices in where you work…make the decision to work where you are valued! Join the McNabb Center Team as the PACT RN Case Manager today! The PACT RN Case Manager JOB PURPOSE/SUMMARY Summary of role of team : The Program for Assertive Community Treatment (PACT) is an evidence-based treatment modality designed specifically to serve those with severe and persistent mental illness.

Clients served by PACT are typically diagnosed with a thought disorder, have a history of psychiatric hospitalization, and are unable to engage with more traditional forms of outpatient care.

The goals of PACT are to assist individuals in the reduction of mental health symptoms, to function successfully in the community, to live as independently as possible and to reduce hospitalizations and/or incarcerations.

Goals are tailored to each individual's needs and may be adjusted quickly to respond to changes.

PACT interventions include ongoing assessment, case management, medication management, advocacy, group therapy and goal-oriented individual therapy services.

Crisis support is available 24 hours per day, 7 days per week.

Summary of position : The PACT RN Case Manager serves as a clinical member of a multi-disciplinary team by providing treatment and case management support to clients; Duties include: Referral, linkage, and advocacy services to promote access to resources; Side by side support in the community and during appointments to promote engagement and accurate understanding of information; Ongoing assessment of client functioning to relay information to other members of the clinical team; Crisis intervention and emergency services as needed.

Serves as a specialist for medical concerns and medication issues while administering and delivering medications to clients in both the office and community; Embraces the key values of case management: empowerment, normalization, rehabilitation, and continuity of care TYPICAL WORKING CONDITIONS/ENVIRONMENT PACT is an outpatient program, and the majority of duties are performed in the community and client homes.

Services are limited to those that reside in the Knox County catchment area.

This position does include limited time in the office for team meetings and documentation.

PACT is a fast-paced program best suited for individuals that are flexible and able to multitask while prioritizing the evolving needs and concerns of individuals served in order to promote the highest quality outcomes.

JOB DUTIES/RESPONSIBILITIES This job description is not intended to be all-inclusive; and employee will also perform other reasonably related job responsibilities as assigned by immediate supervisor and other management as required.

This organization reserves the right to revise or change job duties as the need arises.

Moreover, management reserves the right to change job descriptions, job duties, or working schedules based on their duty to accommodate individuals with disabilities.

This job description does not constitute a written or implied contract of employment.

1.

Participates as an active member of a multi-disciplinary team.

Begins and ends workday as scheduled and is accessible by phone when working in the field.

Is on time for and participates appropriately in daily treatment team and weekly treatment planning meetings.

Provides detailed written reports when excused from attending treatment meetings.

Responds appropriately to all EMR flags, emails, and voicemails within 2 working days.

Submits to Services Coordinator, or designee, proposed schedule for the following week by the stated deadline.

Schedules shall include standing appointments, other clinically appropriate appointments (medically related, DHS, Social Security, payee, housing, etc.), and unavailable blocks (break, paperwork, travel time, etc.).

Follows protocol for assigned changes in schedule.

2.

Completes documentation in compliance with CARF and SSOC standards.

Documents client contact per program standards.

Documents the administration of injections within 24 hours of service delivery.

Completes all documents including, but not limited to, 6-month treatment plans, 3-month treatment plans, assessments, and crisis plans on or before stated deadlines.

Demonstrates connection between treatment goals and documented services.

3.

Provides primary case management for an assigned group of clients including ongoing assessment, direct clinical treatment, rehabilitation and support services, and medication delivery.

Provides case management for all program participants as needed and directed by supervisory staff.

Delivers medications daily, twice per week, and weekly to identified clients according to established protocol.

Administers injections to clients as directed by the PACT Prescriber and PACT Lead RN.

Educates all clients as needed regarding medications, symptoms, coping strategies, personal growth and development, etc.

Provides side-by-side support as needed to promote client independence.

Acts as a liaison between clients and community agencies, resources, families, and natural supports to facilitate treatment.

4.

Adheres to defined productivity standards regarding client contact.

Clients on assigned caseload shall be met with a minimum of twice per week, unless this is deemed clinically inappropriate by supervisory staff.

Achieves a minimum of 150 contacts per month.

Failed attempts to engage clients for contact shall be documented.

Compensation: Starting salary for this position is approximately $32.76/hr based on relevant experience and education.

Schedule: Schedule is variable and includes a mix of 8am
- 5pm and 11am
- 8pm shifts.

Shifts include a rotation of both weekends and holidays.

Staff provide on call coverage that may include overnight contact with clients.

This position includes some flexibility to allow for coverage during staffing shortages.

Travel : Mostly limited to Knox County with the rare potential for travel to surrounding counties.

This position does require the transportation of clients in a personal vehicle.

Equipment/Technology: This position requires the use of basic technology including a cell phone and computer.

Equipment/Technical Competency : Must possess basic computer skills along with the ability to learn how to successfully navigate the electronic medical record.

QUALIFICATIONS
- PACT RN Case Manager Experience / Knowledge: At least one year of experience working with the SPMI population preferred.

Must have the ability to relate positively with and be emotionally supportive of clients with severe and persistent mental illness.

Education / License : Must have either a Bachelor's or Associate's degree in nursing.

Must have licensure as a registered nurse in the state of Tennessee.

Clinical experience preferred.

Physical/Emotional/Social
- Skills/Abilities: Must have a strong commitment to the right and ability of each person with a severe and persistent mental illness to live in and engage with the community while maintaining access to competent and appropriate support services.

Must have a demonstrated ability to abide by professional/ethical codes of conduct and to establish supportive and respectful relationships with clients.

Must be able to achieve and maintain CPR and HWC certifications.

Must maintain a valid driver's license with an F endorsement, and well as access to a personal vehicle.

Must be able to see and hear normal tones.

Frequent sitting, standing, walking, bending, stooping, and reaching.

Possible exposure to biological hazards.

Location: Knox County, Tennessee Apply today to work where we care about you as an employee and where your hard work makes a difference! Helen Ross McNabb Center is an Equal Opportunity Employer.

The Center 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.

This policy applies to all terms and conditions of employment.

Helen Ross McNabb Center conducts background checks, driver's license record, degree verification, and drug screens at hire.

Employment is contingent upon clean drug screen, background check, and driving record.

Additionally, certain programs are subject to TB Screening and/or testing.

Bilingual applicants are encouraged to apply.

Compensation details: 32.76-32.76 Hourly Wage PI3356726500a1-25448-39833449

Tittle: Case Manager RN

Location: Tallahassee, FL

Shift: Evening shift

Duration: Full time / Permanent role

Sign on Bonus: $10,000

Relocation Assistance: Case by case basis

Shift Differentials: Evening Shift - $2.50 Weekend Shift - $2.00

Job Summary and Qualifications

The RN CM Care Coordinator will facilitate the interdisciplinary plan of care with a focus on evaluating the appropriateness of clinical care, medical necessity, admission status, level of care, and resource management. The RN CM Care Coordinator will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. The RN CM Care Coordinator will identify potential barriers to patient throughput and quality outcomes and will facilitate appropriate discharge plans.

ESSENTIAL FUNCTIONS:

• Performs a comprehensive assessment of psychosocial and medical needs of assigned patients
• Develops a case management plan of care to include identified clinical, psychosocial and discharge needs; coordinates plan of care; plan is documented in the medical record; plan is communicated to appropriate clinical disciplines
• Assumes a leadership role with the interdisciplinary team to manage care, through criteria driven processes, for the appropriate level of care, patient status and resource utilization
• Conducts interdisciplinary team meetings to provide a mechanism for all clinical disciplines to collaborate, plan, implement, and assess the plan of car; patient selection should be criteria based and interventions will be documented
• Evaluates admissions for medical necessity using approved criteria at defined intervals throughout the episode of care; escalates medical necessity and admission status issues through the established chain of command
• Evaluates and assess observation patients for appropriateness in observation status
• Performs utilization management reviews and communicates information to third party payors
• Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies
• Demonstrates knowledge of regulatory requirements, facility ethics and Compliance policies, and quality initiatives; monitors self-compliance and implements process changes to ensure compliance to such regulations and quality initiatives as it relates to the provision of Case Management Services
• Makes appropriate referrals to third party payer disease and case management programs for recurring patients and patients with chronic disease states
• Documents professional recommendations, care coordination interventions, and case management activities to effectively communicate to all members of the health care team
• Facilitates patient throughput with an ongoing focus on quality and efficiency
• Tracks and trends barriers to care; makes recommendations and develops action plans to improve processes and systems
• Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals
• Assesses patients’ post discharge needs and facilitates the provision of services necessary to meet identified needs
• Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered
• Identifies patients with the potential for high risk complications and makes appropriate referrals acting as an advocate for the individual’s healthcare needs
• Directs activities to identify and provide for the needs of the under resourced patient population to include patient education activities, patient assistance programs, and community based resources
• Develops individual plans of care for recurring patients to include education on appropriately accessing healthcare resources, preventative education, and community based resources
• Assumes a leadership role in the development, revision, and implementation of clinical protocols which transition patients across the continuum of care or discharge patients to an appropriate service level of care
• Adheres to established policy and procedure and standards of care; escalates issues through the established Chain of Command timely
• Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered.

Qualifications:

• Candidates are required to have a minimum of 3 years of RECENT (Within the last year) Case Manager experience in an acute care setting.
• Also open to candidates with 3 years of experience on the following units: Med/Surg, Tele, Neuro, ICU, PCU, or ED. will also consider candidates with Case manager experience in home health or insurance. For home health and insurance, they must have 3 years of acute care experience total and must have at least 1 year of acute care experience within the last 5 years.
• Associate's degree in nursing or Diploma in Nursing required
• Bachelor’s degree in nursing preferred
• Current FL RN license required or appropriate compact licensure. If compact license held, active FL RN licenserequiredwithin90 days of hire
• Advanced Practice Registered Nurse license is acceptable for position if current and compliant
• Certification in Case Management, Nursing, or Utilization Review, preferred

Overview

A private investment firm is seeking a Senior Associate to join its Technology investing team. The role will focus on evaluating and executing private equity investments in technology-driven businesses, supporting the full investment lifecycle from sourcing through portfolio management.

Key Responsibilities

• Evaluate investment opportunities in the technology sector through market research, financial analysis, and due diligence
• Build and maintain detailed financial models and investment materials
• Support deal execution including diligence coordination, transaction structuring, and documentation
• Prepare investment committee presentations and internal reports
• Monitor portfolio companies and assist with strategic initiatives, performance tracking, and exit planning
• Work closely with senior investment professionals and management teams

Qualifications

• 3–5 years of experience in private equity, investment banking, growth equity, or a related investment role
• Strong financial modeling, valuation, and analytical skills
• Experience analyzing technology or technology-enabled businesses is preferred
• Excellent communication and presentation skills
• Bachelor’s degree in finance, economics, business, or a related field

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
This is telework position with up to 50-75% travel in designated region of Illinois. Standard working hours can be anywhere within 8am - 9pm as needed to meet business needs. This Care Manager BH role requires working until 9pm for two (2) days a week. Care Manager BH coordinates all case management activities with members to evaluate medical needs and to facilitate the overall wellness of members. Develops strategy to address issues to outcomes and opportunities to enhance member's overall wellness through integration. Instructs programs and procedures in compliance with network management and clinical coverage policies.

Essential Duties and Responsibilities:

• Executes evaluation of member needs and benefit plan eligibility and facilitates member transition to the organization's programs and plans

• Applies advanced clinical judgement to incorporate strategies designed to reduce risk factors and barriers, and to address complex health indicators that impact care planning and resolution of member issues.

• Handles reviews of prior claims to address potential impact on current case management and eligibility.

• Creates a holistic approach to assess the need for referrals to clinical resources and to assist in determining functionality.

• Ensures case management processes follow organization and regulatory requirements.

• Implements systems to maximize member engagement, discern health status and needs, and to assess member levels of work capacity and restrictions.

• Coaches and trains junior colleagues in techniques, processes, and responsibilities.

• Primarily works with members enrolled into Pathways to Success Program for intensive care coordination support.

Required Qualifications

• Clinical licensure

• Minimum two years experience working with children living with special needs or children in foster care

• Willing and able to travel up to 50-75% of their time to meet members face to face within one hour of their location

• Reliable transportation required; mileage is reimbursed per company expense reimbursement policy

• Willing and able to work until 9:00pm two (2) days a week

Preferred Qualifications

Managed Care experience

Case Management experience

Education

Masters Degree in Social Work or any related field

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit  anticipate the application window for this opening will close on: 03/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are seeking a FORGE Lead Case Manager/Co-Facilitator to join our team.

Starting Salary: $56,000 (Salary)

Contingent Upon Funding- External Research Project. Employment is contingent upon its continued grant support.

We are seeking a FORGE Lead Case Manager/Co-Facilitator to join our team. The University of Kansas School of Social Welfare (KUSSW) and its partner, Cornerstones of Care, will develop and deliver the project, Family Opportunity, Resilience, Grit, Engagement - Fatherhood (Kansas FORGE Fatherhood). Kansas FORGE Fatherhood will serve fathers and father-figures raising a child by improving outcomes in healthy relationships, parenting practices, economic stability, and receive support in accessing community resources to long-term success.

The FORGE Lead Case Manager/Co-Facilitator works under the direction of the Manager of FORGE Fatherhood Project and is responsible for delivering the proposed program model, which includes the evidence-based Strengthening Father Involvement (SFI) curriculum, the evidence-informed financial program Money Habitudes (MH), and individualizing training based on participant's goals and needs as identified in case management. Additionally, the FORGE Lead Case Manager/Co-Facilitator provides case management to fathers and works closely with the Case Managers to ensure participants build relationship skills, gain positive parenting skills, and move towards economic stability.

WHAT YOU WILL DO:

• 
  
• Facilitate workshops, creating a supportive, culturally responsive, and flexible learning environment for fathers
  
• Ensure program implementation supports methods for fathers to work collaboratively with spouses or co-parents.
  
• Provide oversight and guidance to FORGE Case Managers.
  
• Manage a case load of father participants, developing individualized plans to assist them in obtaining healthy relationships, positive parenting skills, and economic stability.
  
• Connect fathers with community resources to assist them in meeting personalized goals.
  

WHAT YOU WILL BRING:

Our ideal candidate will have 2-5 years of child and families services experience and the following:

• 
  
• Bachelor's degree in social work or other human service-related field.
  

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• Master's degree in social work or other human service-related field and 2-5 years of work experience in child and family services. Licensed by the Behavioral Sciences Regulatory Board to practice in Kansas (LBSW, LMSW, LSCSW, Professional Counselor, LMFT, and/or Alcohol and Drug Counselor) preferred.
  

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• A valid driver's license in the state you reside in, proof of current vehicle insurance, and reliable transportation.
  

WHO WE ARE:

Cornerstones of Care is a mental and behavioral health nonprofit certified in trauma-informed care that provides evidence-based prevention, intervention, treatment, and support services to help children and families improve their safety and health by making positive changes in their lives. Each year, our team empowers children and families in Kansas, Missouri, and beyond through three key service areas:

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• Youth & Family Support - We help youth gain independence through social and living support programs while empowering families with the skills and resources they need to become resilient and successful.
  
• Foster Care & Adoption - We reunify and unite families while recruiting and providing support to foster parents and youth in foster care.
  
• Education & Community Trainings - We help students achieve academic success while giving educators the tools to create safe learning environments to improve their students' behaviors and offer innovative learning opportunities to build and improve knowledge in the community.
  

CORNERSTONES OF CARE'S ORGANIZATIONAL COMMITMENTS:

• 
  
• Nonviolence - helping to build safety skills and a commitment to a higher purpose.
  
• Emotional Intelligence - helping to teach emotional management skills.
  
• Social Learning - helping to build cognitive skills.
  
• Open Communication - helping to overcome barriers to healthy communication, learn conflict management.
  
• Democracy - helping to create civic skills of self-control, self-discipline, and administration of healthy authority.
  
• Social Responsibility - helping to rebuild social connection skills, establish healthy attachment relationships.
  
• Growth and Change - helping to work through loss and prepare for the future.
  

OUR BENEFITS:

Cornerstones of Care offers a competitive benefits package, which includes:

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• 9 Paid Holidays, Unlimited Paid Time Off, and Paid Sick Leave
  
• Team members who work at least 30 hours per week are eligible for
  
  • 
    
  • Health insurance benefits (medical, prescription, dental, vision)
    
  • Cafeteria plans (Health Savings Account (HSA) and Medical and Dependent Care Flexible Spending Accounts)
    
  • Ancillary insurance benefits (accident insurance, critical illness insurance, hospital indemnity insurance, short-term disability insurance, voluntary life)
    
  • Cornerstones of Care provides long-term disability insurance and basic term life/AD&D insurance at no cost to the team member
    
  
  
  
• Retirement savings plan (401K) with employer match
  
• Pet Insurance
  
• Employee assistance program (EAP)
  
• Tuition reimbursement program
  
• Public Service Loan Forgiveness.
  
• To view more information on our benefits, please visit our Job Openings page at Join Our Team - Cornerstones of Care to download the current benefits guide.
  

Questions?

Please contact: Cornerstones of Care, People Experience Team

8150 Wornall Rd., Kansas City, MO 64114

Phone: Fax:

Like us on Facebook at: cornerstonescareers

Employment Conditions:

Contingent Upon Funding - External Research Project. The project is supported by grant number 90ZJ0128 from the Children's Bureau within the Administration of Children and Families, a division of the U.S. Department of Health and Human Services. Employment is contingent upon its continued grant support[1][PN1] .

Cornerstones of Care is an Equal Opportunity Employer

We are an equal employment opportunity employer without regard to a person's race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status, or genetic information.

[1] The production of this job posting was supported by Grant Number 90ZJ0128-1 from the Administration for Children and Families (ACF). Its contents are solely the responsibility of the University of Kansas and do not necessarily represent the official view of ACF.

Immediate need for a talented Registered Nuse – Case Manager. This is a 03 months contract opportunity with long-term potential and is located in San Jose,CA(Onsite). Please review the job description below and contact me ASAP if you are interested.

Job ID:26-04999

Pay Range: $75 - $90/hour. Traveler benefits as per agency package. (Benefits vary by vendor and assignment.)

Key Responsibilities:

• 5 days/week including every other weekend (Saturday & Sunday)
• Headcount: 2 Travelers
• Perform daily pre-admission, admission, and concurrent utilization reviews
• Determine appropriate levels of care using clinical guidelines and policies
• Coordinate inpatient discharge planning and transitions of care
• Participate in multidisciplinary rounds with physicians and care teams
• Communicate discharge plans with patients, families, and external providers
• Arrange transfers, post-acute services, and obtain authorizations as needed
• Ensure continuity of care through accurate documentation and follow-up
• Maintain compliance with federal, state, and institutional regulations
• Educate care teams on utilization and care coordination processes

Key Requirements and Technology Experience:

• Key Skills; Inpatient Case Management & Discharge Planning
• Utilization Management / Utilization Review (UM/UR)
• Acute hospital experience (inpatient setting)
• Knowledge of CMS, DMHC, NCQA, TJC, HIPAA, EMTALA
• Strong interdisciplinary communication and care coordination
• Ability to independently manage inpatient caseloads
• Healthcare benefit interpretation and authorization coordination
• Graduate of an accredited school of nursing
• Diploma or Associate Degree in Nursing (ADN) required
• Active California RN License (Required)
• BLS Certification (Required)
• Minimum 2 years of experience in:
• Utilization Management
• Case Management
• Discharge Planning
• Recent acute inpatient hospital experience
• Ability to work rotating schedules and every other weekend
• Comfortable working in a Labor/Management Partnership environment
• Bachelor’s degree in Nursing or healthcare-related field
• Master’s degree in Case Management

Our client is a leading IT Consulting 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, colour, 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.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

Immediate need for a talented Registered Nurse – Case Manager/ Utilization Manager. This is a 03+ months contract opportunity with long-term potential and is located in San Francisco, CA (Onsite). Please review the job description below and contact me ASAP if you are interested.

Job ID: 26-01370

Pay Range: $80- $95/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:

• Perform daily pre-admission, admission, and concurrent utilization reviews
• Determine appropriate levels of care using clinical guidelines and policies
• Coordinate inpatient discharge planning and transitions of care
• Participate in multidisciplinary rounds with physicians and care teams
• Communicate discharge plans with patients, families, and external providers
• Arrange transfers, post-acute services, and obtain authorizations as needed
• Ensure continuity of care through accurate documentation and follow-up
• Maintain compliance with federal, state, and institutional regulations
• Educate care teams on utilization and care coordination processes

Key Requirements and Technology Experience:

• Skills-Inpatient Case Management & Discharge Planning
• Utilization Management / Utilization Review (UM/UR)
• Acute hospital experience (inpatient setting)
• Knowledge of CMS, DMHC, NCQA, TJC, HIPAA, EMTALA
• Strong interdisciplinary communication and care coordination
• Ability to independently manage inpatient caseloads
• Healthcare benefit interpretation and authorization coordination
• Graduate of an accredited school of nursing
• Diploma or Associate Degree in Nursing (ADN) required
• Active California RN License (Required)
• BLS Certification (Required)
• Minimum 2 years of experience in:
• Utilization Management
• Case Management
• Discharge Planning
• Recent acute inpatient hospital experience
• Ability to work rotating schedules and every other weekend
• Comfortable working in a Labor/Management Partnership environment
• Bachelor’s degree in Nursing or healthcare-related field
• Master’s degree in Case Management

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.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

Who we are

Founded in 1999 and headquartered in Central Ohio, we’re a privately owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®.

We’re committed to building diverse and inclusive teams – more than 2,000 of us and counting – so if you’re excited about this position, we encourage you to apply – even if your experience doesn’t match every requirement.

About the role

The Transplant Nurse (PCG) facilitates care coordination for a member with the potential for a transplant, including hematologic malignancies and end stage disease processes. The position requires a multidisciplinary, collaborative approach to manage the complexity, financial impact, frequent resource utilization and variable acuity across the transplant continuum. Management begins at referral and follows through pre-transplant care, evaluation, and the transplant phase to post-transplant case closure.

Location: This position is located at our Dublin, OH campus with hybrid flexibility.

What you’ll do (Essential Responsibilities)

Identify and assess members with the potential for solid organ or bone marrow transplant, end stage renal disease, and hematologic malignancies.

Apply the nursing process when actively case managing transplant members.

Utilize well-developed critical thinking and interpersonal skills to problem-solve and make knowledgeable recommendations for needed actions.

Document all activities specific to members, caregivers, providers, facilities and clients in appropriate database.

Maintain a collaborative relationship with members’ health care teams by communicating information, responding to requests, building rapport, and participating in team problem-solving methods.

Serve as member and provider advocate by educating and guiding through the transplant process.

Provide benefit and health information to each member so they are able to make informed health decisions.

Maintain a working knowledge of all policies and procedures related to Clinical Operations.

Work closely with and provide updates to internal client executives and employer contacts for transplant patients.  

Maintain a working knowledge of employer health benefit plans and know where to access benefit information.

Be a clinical resource for all Quantum Health work teams.

Maintain working knowledge of Transplant Vendor contracts, single case rate agreements, access agreements, and negotiated agreements as required by client plan design. 

Assist members and clients with wellness activities, enhanced benefits, behavioral incentives

Be a transplant clinical resource for all Quantum Health work groups.

Work closely with and provide updates to internal client executives and employer contacts for transplant patients.

Maintain contact with the QH clinical staff for transfer of cases when appropriate.

All other duties as assigned.

What you’ll bring (Qualifications)

Licensure: Current and active license as a Registered Nurse in the state of Ohio, BSN preferred

Experience: Minimum of two years clinical experience with direct patient care required

Certification in Case Management preferred within 2 years of hire

Outstanding computer skills including Microsoft applications

Excellent critical thinking skills

Possess excellent verbal and written communication skills

Possess excellent time management skills

Demonstrate ability to work autonomously

Solid organ or bone marrow transplant experience desired

Effective communication skills, both verbal and written.

A high degree of personal accountability and trustworthiness, a commitment to working within Quantum Health’s policies, values and ethics, and to protecting the sensitive data entrusted to us.

#LI-HW1 #LI-Hybrid #LI-Remote

What’s in it for you

• 
  
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  Compensation: Competitive base and incentive compensation
  
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  Coverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.
  
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  Retirement: 401(k) plan with up to 4% employer match and full vesting on day one.
  
  
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  Balance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
  
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  Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.
  
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  Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision.
  
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  Environment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more!
  

What you should know

• 
  
• 
  Internal Associates: Already a Healthcare Warrior? Apply internally through Jobvite.
  
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  Process: Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check.
  
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  Diversity, Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers, we’re committed to empowering our ERGs, and we’re proud to be an equal opportunity employer .
  
  
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  Tobacco-Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.
  
• 
  Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate’s unique combination of experience and qualifications related to the position.
  
• 
  Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
  
• 
  Agencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.
  

Reasonable Accommodation: Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request.

Recruiting Scams: Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending in @ . Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe you’ve encountered a recruiting scam, report it to the Federal Trade Commission and your state’s Attorney General.

General Summary of Position

Serves as a member of the Case Management Team and applies RN clinical expertise and medical appropriateness to care coordination and discharge planning. Facilitates the delivery of quality cost effective patient-centered care from pre-admission through post-discharge timeframe. Ensures the care is designed to meet individualized patient outcomes. Monitors the care and services delivered to selected patient populations during the acute hospital stay promotes effective case management and utilization of resources and works to achieve optimal clinical and resource outcomes for the acute and post-hospital phases of care.

Primary Duties and Responsibilities

• Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
• Collaborates with the multidisciplinary health care team to develop and coordinate the plan of care.
• Communicates with patient family and/or significant other health care team external case manager community resources and facility to address appropriate issues and patient/family goals.
• Demonstrates the ability to develop a plan of care that addresses needs across the continuum; have an intervention for problems identified; develop long- and short-term goals with specific time frames for resolution; identify specific services to be provided in the care plan; include the family/care-giver in the plan of care; and show life planning contingencies such as power of attorney and/or advance directives.
• Evaluates and documents the patient's response to the plan of care and achievement of outcomes. Makes recommendations for modifications to the plan of care as indicated. Adheres to all policies and procedures regarding documentation and confidentiality of information.
• Maintains knowledge of regulatory agencies' requirements necessary criteria for admission to various care settings and Medicare's/Medicaid's reimbursement methods for different levels of care.
• Manages a caseload of patients. Identifies essential resources needed to implement the plan of care.
• Manages own professional growth in the area of managed care care management other health care financial trends clinical practice and research.
• Manages patient care according to multidisciplinary plan of care and/or managed care contracts by directing decision making and identifying and managing barriers that impact on patient care outcomes.
• Participates in Performance and Service Improvement teams. Assists in program evaluation through customer service surveys LOS data analysis charge/discharge data comparison to state averages and best practice/benchmark data.
• Performs a comprehensive assessment in collaboration with interdisciplinary team to identify patient-specific problems and needs related to diagnosis treatment including psychosocial and financial concerns as well as medical.

Minimal Qualifications
Education

• Associate's degree in Nursing (ADN) required
• Bachelor's degree in Nursing (BSN) preferred

Experience

• Minimum of 2 years clinical experience in an acute care hospital setting required
• 1-2 years case management experience preferred

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia or Maryland depending on work location required
• CCM - Certified Case Manager preferred

Knowledge Skills and Abilities

• Ability to use computer to enter and retrieve data.
• Working knowledge of Microsoft Word Excel and PowerPoint applications.
• Effective verbal and written communication skills.
• Must be able to run and analyze departmental productivity reports.
• Excellent interpersonal skills required.

Location Detail: Charlotte Hungerford Hospital (10115)

Shift Detail: Per Diem for 8 hour shifts during the week and weekends

Work where every moment matters.

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here.  We invite you to become part of Connecticut’s most comprehensive healthcare network. 

Charlotte Hungerford Hospital is a 122-bed, general acute care community hospital located in Torrington, Connecticut, that serves as a regional health care resource for the 100,000 residents of Litchfield County and Northwest Connecticut.  CHH offers personalized attention from an expert team of caregivers and physicians that utilize advanced technology and clinical partnerships in a convenient, safe and comfortable patient environment.

POSITION SUMMARY/PURPOSE

Care Management is a collaborative practice model including patients, nurses, social workers, physicians, healthcare team members,, caregivers and the community.  The Case Management process encompasses communication and facilitates care along a continuum through effective resource coordination.  The goals of the Care Management Team include the achievement of optimal health, access to care and appropriate utilization of resources balanced with the patient’s right to self-determination.

Incumbents of this position are professional Registered Nurses that utilize the nursing process (assessment, planning, intervention, documentation, and evaluation) to determine and facilitate the most appropriate level of care and identification of discharge needs. Collaborates with physician to ascertain medical treatment plan and with nursing, other health care team members and health plans to fulfill the treatment plan in the highest quality, cost effective manner.  Responsible for ensuring customer satisfaction (patient, family, physician, others), maintaining patient confidentiality and being sensitive to the age and cultural specific patient needs for comfort, privacy and generalized care.  .

ESSENTIAL FUNCTIONS

1. 
   
2. Displays and upholds CHH core values of dignity, compassion, service excellence, community and integrity.  Consistently demonstrates caring for patients, for one another, and for the organization they are part of, and contributes to building trust, pride and camaraderie and collaboration with the Health Care Team.
   
3. Incumbents of this position will strive to gain the respect and maintain the dignity of patients / family members, visitors and all Charlotte Hungerford Hospital Personnel. Demonstrates a diplomatic and supportive attitude and presents the hospital in a positive manner to all persons above.  Promotes and contributes, in a positive manner, to inter- and intra-departmental relationships to ensure all needs of the patient are met.  Maintains confidentiality of all appropriate information and documentation.
   
4. Responsible for complete and thorough patient and family assessments for initial and on-going care and discharge planning, addressing physical, psychosocial, religious, cultural and educational aspects. Identifies and communicates appropriate information gathered from patient, family, chart, community agencies and colleagues to other members of the multidisciplinary health care team.  Actively coordinates patient care including the sequencing and scheduling of tests, procedures, and consultations. Works closely with physicians to coordinate hospital services from pre-hospital through post discharge recovery.
   
5. Ensures patient and family understand the diagnosis and planned course of treatment and determines and communicates discharge needs.  Identifies gaps / barriers to care and facilitates interdepartmental communications to expedite appropriate changes. Additionally, incumbents are responsible for assessing any financial needs of the patient / family, including assisting in the clarification of benefit plans.
   
6. Assists Social Worker Care Managers with highly clinical complex patient needs.
   
7. Responds expeditiously to emergency needs of patient and families in crisis by providing appropriate interventions necessary to support and stabilize.
   
8. In conjunction with patient, family, payers and other members of the health care team: formulates and implements a discharge plan to address assessed needs and patient/family concerns,; evaluates the effectiveness of the plan in meeting the established care goals; and revises the plan as needed to achieve desired outcomes.
   
9. Refers patients to a variety of resources including, but not limited to, Visiting Nurse Agency, Skilled Nursing facility, Long Term Care Hospital, Rehab Facility, Hospice Care, Durable Medical and Respiratory Care providers.
   
10. Assures Follow-up care with Providers has been arranged with confirmation of the  patient’s ability to access the scheduled appointment.
    
11. Telephone Contact to patient’s who are at a high risk for readmission within 48 hours of discharge to verify the follow-up services has occurred as planned;  Patient and Family understand and are following their discharge instructions and Patient and family are able to follow-up with their provider for evaluation.
    
12. Pro-actively advocates for patient care issues to ensure that overall quality and type of care is sensitive to each specific patient/family’s needs.
    
13. Analyzes patient care trends and actively seeks out and collaborates with the care team to improve overall quality and efficiency of care
    
14. Seeks out and/or provides peer consultation about cases that are presenting problems and or experiencing significant deviations from the plan of care. Attends and participates in extended stay rounds, daily outcome planning rounds, Case Management Team meetings and peer reviews regarding management of their caseload.
    
15. Participates in quality improvement and evaluation processes related to the Care Management function. Abstracts data from the medical record to enable the review of selected hospital core measures or for review by external agencies such as the JCAHO, CMS and/or QIO. Collects and trends a variety of data to identify avoidable hospital days and/or process improvement opportunities. 
    
16. Meet required job specific competencies for assigned unit, including mandatory educational requirements.  Maintains professional growth and development through seminars, workshops and professional affiliations to stay current on the latest trends related to position.  Participates in staff meetings, educational programs and in-service meetings to maintain competencies. Complies with hospital policies and procedures related to safety, infection control, attendance, sexual harassment, dress code, corporate compliance, confidentiality and others.  Communicates to Administrative Director and/or Management staff needs identified for self, the unit and other team members.
    

 JOB KNOWLEDGE, SKILL REQUIREMENT AND REQUIRED ATTRIBUTES

• 
  
• Strong Communication and Interpersonal Skills
  
• Knowledge of the Nursing Process
  
• Ability to manage multiple priorities and projects form initiation to completion within prescribed schedules and utilization of resources. 
  
• Ability to effectively utilize a variety of Microsoft Office, Outlook and Meditech HCIS software, Morrisey and Web based programs required.
  
• Skilled in Motivational Interviewing
  
• Ability and willingness to follow the mission and values of the Charlotte Hungerford Hospital on a daily basis
  

EDUCATION

• 
  
• Maintains current license as a Registered Nurse in the State of Connecticut.
  
• Bachelor’s degree in Nursing preferred. 
  

EXPERIENCE   

• 
  
• Minimum of 3 years acute care hospital experience required.
  
• Care Management experience preferred.
  
• Case Management certification ACM or CCM Strongly preferred.
  

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth.  Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children.  We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.

$5,000 Sign-on Bonus for External Candidates

This position is open to candidates who live in DC, MD, or VA

This is a field-based position in the greater Washington D.C. area.

Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area.

You'll need to be flexible, adaptable and, above all, patient in all types of situations.

Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required).

• Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care
• Develop and implement care plan interventions throughout the continuum of care as a single point of contact
• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team
• Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care
• Document the plan of care in appropriate EHR systems and enter data per specified
• Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship
• Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care
• Provide ongoing support for advanced care planning
• Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals
• Understand and operate effectively/efficiently within legal/regulatory requirements
• Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard)
• Make outbound calls and receive inbound calls to assess members' current health status
• Identify gaps or barriers in treatment plans
• Provide member education to assist with self-management
• Make referrals to outside sources
• Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
• Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels

Required Qualifications:

• Current unrestricted Registered Nurse license in Washington D.C., or the ability to obtain within 90 days of hire date
• Certified in Basic Life Support
• 2+ years of experience working with MS Word, Excel and Outlook
• 1+ years of experience in post - acute care, such as long-term care
• 1+ years of clinical case management experience
• 1+ years of experience with using an Electronic Medical Record
• Valid Driver's License and access to reliable transportation
• Ability to work in a field-based capacity in Washington, D.C.
• Reside within 50 miles of Washington, DC

• Certified Case Management (CCM)
• 1+ years of experience working with the geriatric population
• 1+ years of LTSS (Long Term Services and Supports)
• 1+ years of HCBS (Home and Community Based Services) experience
• Field based experience going into members' homes
• Experience creating care plans
• Case Management experience
• Background in managing populations with complex medical or behavioral needs

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

Lutheran Services Florida (LSF) envisions a world where children are safe, families are strong, and communities are vibrant.

LSF is looking for talented Case Manager who want to make an impact in the lives of others.

The Case Manager possess social service and engagement skills and an ability to promote a culturally sensitive, performance-driven culture to meet child welfare programmatic goals.

Essential Functions:

• Supports the case management supervisor in promoting efforts to achieve team and performance goals
• Maintains a caseload of children and families and ensures dependency milestones are achieved timely and with a high degree of quality.
• Accepts cases assigned by unit supervisor and assesses the safety of children in their primary residence within two working days of case transfer staffing and with identified parents. Completes a Family Assessment within 15 working days of case transfer staffing.
• Negotiate and develop a case plan through Family Team Conferencing based on identified strengths and needs of the family, the circumstances bringing the family into care, recommendations provided by the Comprehensive Behavioral Health Assessment and other relevant data. This plan is to be created in collaboration with the parents, Guardian Ad Litem, foster parents and other pertinent parties with the goal of reunification or other permanency for the child.
• Visits the child in their primary residence according to required frequency, but no less than once every 25 days. At least one visit each quarter is to be unannounced.
• Accurately documents all case activities in the Florida Safe Families Network database within 48 hours. Maintain the physical case file in chronological order, by subject, in accordance with the standardized case file format.
• Submits service requests to the lead agency and provides clients with timely referrals to services. Develops and maintains knowledge of community resources, program eligibility requirements, key contact persons, emergency procedures, and waiting lists of available resources. Maintains regular contact with service providers and documents service progress in FSFN.
• Complete and submit court documentation within required time frames. Prepares for, attends, and participates in all court activities as necessary.
• Arrange for, attend, and participate in individual case staffings as necessary. Completes and presents at all required staffings.
• Conduct initial and/or ongoing child safety assessments as required. Prepare initial and on-going safety plans as necessary.
• Arrange for emergency placement, emergency medical treatment, and emergency services for children at risk.
• Conduct diligent searches for parents and family members when deemed necessary and thoroughly document that the effort has been made to find the parents and family members.
• Conduct home studies as required for prospective placements.
• Provide relevant medical, psychological, behavioral and educational background information about the child or children to prospective care-givers as needed.
• Plan and facilitate parental and sibling visits as needed and appropriate.
• Transport and supervise children as needed.
• Ensure that all Independent Living functions are completed as required
• Attend all appointments, staff meetings, trainings, seminars, workshops, etc., as necessary and as required by the supervisor.
• Function as agency on-call Case Manager as scheduled.
• Organize, prioritize and complete all work assignments by the established deadlines.

All duties are performed in accordance with the following standards:

• Courtesy: Treat customers, the public and staff with courtesy, respect and dignity and presents a positive public image.
• Communication Skills: Keep supervisor fully informed of activities, pertinent issues, upcoming events and potential problems. Demonstrate effective oral and written communication skills in daily work.
• Team Work: Support the unit, department and/or organization and work with others in an effort to accomplish the goals of the unit, department and/or organization.
• Safety: Employee makes a reasonable effort to adhere to established safety procedures and practices in the work area.
• Training: Attend and successfully complete all mandated training courses; obtain and maintain child welfare certification through Florida Certification Board.
  Confidentiality: Adhere to all confidentiality rules.
• On-Call: Perform on-call responsibilities as assigned. Carry an active cell-phone at all times during regularly scheduled work hours and during on call hours. Immediately respond to all calls.

Other Functions:
Perform other related duties and special assignments as required.

Physical Requirements:
Must have a high level of energy, be adaptable to irregular hours, be flexible to rotate on-call as needed, be able to travel as needed.
Valid driver's license and appropriate auto liability insurance required.

Education:
Must possess a Bachelor's degree in a Human Services field. Degree in Social Work preferred.

Experience:
Must have a minimum of one year of relevant experience and achieve child welfare certification within one year of hire.

Skills:

• Excellent written and verbal communication skills.
• Possess leadership skills to help drive team goals
• Ability to remain professional and composed in a fast-paced, high stress work environment
• Familiarity with and ability to use Microsoft Office programs Word and Excel.
• Ability to type 45 words per minute.
• Ability to drive both locally and throughout the state in connection with the duties of this position.
• To fully understand case ownership responsibility as the integrator of all services and supports identified for each child, including therapy, other mental health services, health and dentistry, developmental services, educational support, permanency and safety; as well as their responsibility to make trauma sensitive transitions when it is determined that a caretaker lacks the needed level of responsibility to care for their children.

Other:
Must demonstrate sensitivity to our service population's cultural and socioeconomic characteristics and needs.

Principal Accountabilities:

• Reports directly to and follows directives of Case Management Supervisor.
• Works cooperatively with Program Director, other Case Managers and Supervisors, placement staff, Protective Investigators, Child Welfare Legal staff and agency support staff.
• Effectively manages time to ensure that all home visits are completed as required, all documentation is entered into FSFN within 48 hours, court documentation is prepared according to specified time frames and court appearances are attended as necessary.
• Follows Florida Statutes, Administrative Code, written policies and orders of the Dependency Court in managing cases toward goals recorded in case plans.

Why work for LSF?

LSF offers 60 programs across the state of Florida serving a wide range of populations in need. Mission Driven staff members become part of the LSF community while transforming the lives of those in need. Our staff additionally find growth opportunities as they explore areas of interest within the organization.

Amazing benefits package including:

• Medical, Dental and Vision
• Telehealth (24/7 online access to Doctors)
• Employee Assistance Program (EAP)
• Employer paid life insurance (1X salary)
• 13 paid holidays + 1 floating holiday
• Generous PTO policy (starting at 16 working days a year)
  • Note: Head Start employees paid time off and holiday schedule may differ
• 403(b) Retirement plan with 3% discretionary employer match OR 3% student loan repayment reimbursement
• Tuition reimbursement

LSF is proud to be an equal opportunity employer.

Lutheran Services Florida is mandated to perform background screenings for employment in accordance with the Florida Care Provider Background Screening Clearinghouse as outlined in Section 435.12, Florida Statutes. Additionally, pursuant to House Bill 531 (2025), Lutheran Services Florida must ensure that all job vacancy postings and advertisements include a clear and conspicuous link to the AHCA Clearinghouse website and its requirements. For more information on background screening requirements please visit:

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

City of Kirkland

$105,122.98 - $122,830.27 Annually

Kirkland, WA

Full-Time

202100752

Fire - Mobile Integrated Health Program

03/04/2026

Exempt

AFSCME

The City of Kirkland's Fire Department is seeking to hire a Case Worker I for the Mobile Integrated Health (MIH) division!

Why Kirkland?

Ranked as one of the most livable cities in America, Kirkland is an attractive and inviting place to live, work, and visit. We have big city vision while maintaining a small-town, community feel. If you are a candidate with the desire to join an organization looking to innovate into the future, the City of Kirkland is the place for you!

If you ask our employees why they love where they work, they will tell you about the great people, work environment, supportive leadership and City Council, and fearless innovation.

We also invest in you!

Competitive Wages: We strive to maintain competitive compensation packages and work to provide wages that meet the knowledge, skills, and abilities of our employees.

Awesome benefits: The City offers benefits that are unmatched by most other employers. Please click on the benefits tab above to view more details.

Childcare Programs: To help address the challenge of reliable childcare, the City of Kirkland has agreements with two local childcare providers that offer discounted rates for our employees at 10 locations within 20 miles of Kirkland. Learn more!

Training and Career Development: The City of Kirkland believes in developing it's employees. You will have access to training opportunities designed for career development and advancement based on your position, skills, and interests.

Job Summary

• Follows up with clients and makes in-home visits to meet, interview, and assess residents after an initial encounter, referral, or response at the request of Police, Fire, or other authorized entities. Conducts biopsychosocial assessments when needed.
• Serves as one of the Department's subject matter experts on social and human services.
• Establishes and maintains relationships with outside agencies who are partners in the effort to guide 911 callers towards appropriate medical and social services.
• Participates in the development of the Department's performance metrics, tracking, and referrals related to the Mobile Integrated Health team.
• Promotes best practices in treatment approaches, support systems, and interventions through trainings that support clinical competency, culturally relevant practices, and use of appropriate technologies.
• Works with adult family homes, assisted living facilities, group homes, skilled nursing facilities and other care facilities to improve client outcomes.
• Works with City personnel who encounter and refer vulnerable individuals in need of assistance in their care, safety, mental or physical health issues.
• Keeps timely and organized progress notes on individuals enrolled for services.
• Uses clinical experience and expertise to inform evaluation, case management, coaching, and advocacy decisions with clients referred to MIH.
• Monitors and finds solutions for callers who are deemed "high users" of the 911 system.
• Provides proactive leadership to foster understanding and teamwork in the area of community response.
• Fosters a positive and supportive work environment; promotes diversity, equity, inclusion, and belonging in the workplace, contributing to an environment of respectful living and working in a multicultural society.
• Completes and maintains training requirements as established by the Department.

• Performs functions as assigned in the City's emergency response plan in the event of an emergency.

• Skilled in tracking client progress outcomes and use of data systems for case management and outcome tracking.
• Knowledge of HIPPA and RCW's and other laws related to the maintenance, retention, and confidentiality of patient records.
• Skilled in applying a trauma-informed care approach with people of diverse backgrounds.
• Knowledge of the principles of behavior and motivation.
• Knowledge of community health, housing, financial, and behavioral health resources and criteria for providing services.
• Knowledge of local, state, and federal social service programs and eligibility criteria, including Veteran-specific programs, Medicare and Medicaid.
• Knowledge of Microsoft Office Suite (including Word, Excel, Outlook) or similar programs.
• Knowledge of business letter writing, email communications, and report preparation.
• Understanding of regional programs and initiatives, including partnerships and inter-agency cooperation with other public and private agencies in the region such as MIH in King County and the Regional Crisis Response (RCR) Agency.
• Ability to exercise good judgment and assume responsibility for decisions, consequences, and results having an impact on people, the organization, and quality of service within the assigned area.
• Ability to effectively handle confidential, delicate, and sensitive issues, using tact and diplomacy.
• Excellent interpersonal skills, including the ability to effectively communicate and build and maintain effective team relationships with employees, public officials, and diverse populations.
• Ability to communicate clearly and concisely, both verbally and in writing.
• Ability to maintain and project a calm, informational, and persuasive demeanor in stressful situations.
• Ability to establish and maintain productive professional relationships with City of Kirkland staff, MIH program partners, RCR Agency affiliates, and other community partners.
• Ability to meet the expectations and requirements of internal and external stakeholders; obtain first-hand information and use it for improvements in services; act with community in mind; establish and maintain effective relationships and gain trust and respect.
• Value Diversity, Equity, Inclusion, and Belonging. Understand and support equity and inclusion in policies and practices; work effectively with people from diverse backgrounds, perspectives and lived experience; inspire and encourage fair treatment.

Minimum Qualifications:

• Education: Master's degree in social work, sociology, psychology, human development, or other related field or Associate's license as a social worker, mental health counselor, or marriage and family therapist as defined by WAC 246-809.
• Experience: 1 year of paid experience in a health care setting, including public health or behavioral health.
• Or: In place of the above requirements, the incumbent may possess any combination of relevant education and experience which would demonstrate the individual's knowledge, skill, and ability to proficiently perform the essential duties and responsibilities listed above.

• Must have a valid Washington State Driver's license with 30 days of hire, and ability to remain insurable under the City's insurance to operate motor vehicles.
• Experience working with public safety entities preferred.

Physical Demands and Working Environment:
Must be physically capable of effectively using and operating various items of office related equipment, such as, but not limited to, a personal computer, tablet computer, calculator, copier, scanner and fax machine. Must be able to safely operate a city vehicle.
Must be physically capable of lifting, walking, moving, carrying, climbing, bending, kneeling, crawling, reaching, handling, sitting, standing, pushing, and pulling. Will navigate rugged terrains and unsanitary public places, homes, and shelters. Ability to carry, don, and doff personal and safety equipment during community response, including N95 mask and eye protection.
Work involves contact with individuals and clients who may be experiencing housing insecurity. The incumbent may be exposed to repeated emotionally disturbing situations, high-stress dynamic situations, hostile and/or aggressive behaviors, which could present a personal risk of harm. Work may require visits to jails and out-of-town locations, emergency rooms, and other medical facilities. May include exposure to bloodborne pathogens or other potentially infectious material (OPIM).
This position encounters foot hazards as defined by the WAC, which may include any of the following: falling objects, rolling objects, piercing/cutting injuries, or electrical hazards.

Selection Process

Position requires a resume and cover letter for consideration of application. Please note how you meet minimum qualifications within the cover letter. Applicants who are selected for next steps in the hiring process will be invited by phone or e-mail. Candidates are encouraged to apply at the earliest possible date as screening, interviewing, and hiring decisions will be made through the recruitment period, until such time as the vacancy is filled.

The City of Kirkland is a welcoming community where every person can thrive and grow. We value diversity, inclusion, belonging, and work together to support our community. We do this by solving problems, focusing on the customer, and respecting all people who come into the City whether to visit, live, or work. As an Equal Opportunity Employer, we are committed to creating a workforce that does not discriminate on the basis of race, sex, age, color, sexual orientation, religion, national origin, marital status, genetic information, veteran status, disability, or any other basis prohibited by federal, state or local law. We encourage qualified applicants of all backgrounds and identities to apply to our job postings. Persons with a disability who need reasonable accommodations in the application or testing process, or those needing this announcement in an alternative format, may call or Telecommunications Device for the Deaf 711.

Job Title: Case Worker

Location: New York, NY 10004 (Hybrid – Thursdays required onsite)

Pay Rate: $35 – $40 per hour

Schedule: Monday–Friday, 9:00 AM – 5:00 PM

Hours Per Week: 35 (7 hours/day)

Job Summary:

We are seeking a compassionate and organized Case Worker to support social service recipients through comprehensive needs assessments, home visits, and service coordination. This hybrid position requires strong interpersonal skills, attention to detail, and the ability to work independently in the field and remotely.

Key Responsibilities:

• Conduct home visits to assigned members and ensure HIPAA compliance
• Schedule and optimize own home visits
• Utilize home visit assessment tools to evaluate member needs
• Conduct telehealth visits when in-person visits are declined
• Escalate clinical or social concerns to the member’s designated Care Manager
• Accurately document all interactions in the Disease Care Management System (DCMS)
• Provide educational materials to members as appropriate
• Assist with basic care coordination (e.g., appointment scheduling, transportation, medication refills, DME support)
• Perform other supportive activities as assigned

Required Education & Experience:

• Associate’s Degree (Required)
• Bachelor’s Degree (Preferred)
• Previous experience in social services, case management, or a healthcare-related field strongly preferred
• Familiarity with HIPAA guidelines and care management systems

Additional Information:

• Work Setting: Hybrid (remote and field-based); in-person required on Thursdays
• Pay: $35–$40/hour
• Contract Duration: 3 Months (with possible extension based on performance)
• Location: New York, NY 10004

Brandywine Counseling & Community Services (BCCS) is seeking a dedicated Case Manager to support individuals transitioning from incarceration back into the community. If you are passionate about recovery, second chances, and reducing recidivism through meaningful support, this role offers the opportunity to make a lasting impact.

About BCCS

Since 1985, BCCS has been a trusted provider of substance use and behavioral health treatment. We enhance quality of life through Education, Advocacy, Prevention, Early Intervention, and Treatment Services — promoting hope and empowerment for individuals and families affected by mental illness, substance use, HIV, and co-occurring conditions. We promote hope and empowerment to persons and families touched by mental illness, substance abuse, HIV and multiple occurring diagnoses, and their related challenges.

What You'll Do:

• Provide intensive, recovery-oriented case management services to justice-involved individuals following release from incarceration
• Support successful community reintegration by addressing criminogenic needs, substance use recovery, mental health stability, and social determinants of health. Services are delivered using evidence-based and client-centered approaches that promote self-sufficiency, resilience, and long-term recovery
• Provide comprehensive post-release case management services to returning citizens transitioning from incarceration into the community
• Conduct strength-based assessments and develop individualized, goal-oriented service plans in collaboration with clients
• Coordinate and monitor referrals to SUD aftercare treatment, MAT providers, mental health services, housing, employment, medical care, and other supportive services
• Utilize Motivational Interviewing (MI) and Cognitive Behavioral Therapy (CBT) techniques to support behavioral change and treatment engagement
• Implement Solution-Focused Therapy (SFT) principles, emphasizing future-oriented goals, collaborative planning, and identification of client strengths and past successes
• Support a recovery-oriented approach, assisting clients in defining recovery as a personal journey of healing and transformation rather than symptom management alone
• Promote client self-empowerment, resilience, and accountability while reducing barriers to successful reentry
• Maintain regular contact with clients through in-person meetings, phone calls, and community visits as required
• Collaborate with Delaware Community Correction officers, treatment providers, and community partners to ensure continuity of care
• Maintain accurate, timely, and compliant documentation
• Participate in team meetings, supervision, training, and quality improvement activities

Qualifications for this position are:

• REQUIRED: Associate Degree with CADC/CAADC Certification OR
• REQUIRED: Bachelor’s Degree (if not CADC/CAADC Certified)
• REQUIRED: 1 Year Experience in Substance Abuse/Addiction and/or Mental Health
• PREFERRED: 1 Year Experience with Community Resources and Co-Occurring Disorders

Pay:

• Starting at $23/hour
• Commensurate with experience, education, and certification!

Schedule:

• Monday - Friday
• 7:00 a.m. - 3:00 p.m. or 8:00 a.m. - 4:00 p.m.

The compensation package for this position includes:

• Group medical, dental, and vision coverage with low employee costs
• 34 paid days off annually
• Tuition reimbursement
• A retirement plan with a company match of up to 4%!
• Brandywine Counseling is a qualified employer for Public Service Loan Forgiveness (PSLF)
• No weekends!
• Opportunity for advancement