Anticipated End Date: 2026-03-16 Position Title: Behavioral Health Care Manager II Job Description: Behavioral Health Care Manager I LOCATION: This is a virtual eligible role supporting Connecticut Medicaid. Connecticut residency is required. HOURS: 8:30a - 5:00p, Monday through Friday. This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Behavioral Health Care Manager II is utilization management role responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. Primary duties may include but are not limited to: - Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary, quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. - Refers cases to Peer Reviewers as appropriate. - Performs psychiatric and substance abuse or substance abuse disorder assessment, coordination, implementation, case planning, monitoring, and evaluating to promote quality member outcomes to optimize member health benefits, and to promote effective use of health benefits and community resources. - Will serve as a resource to other BH Care Managers. - Assists with more complex cases and may participate in inter and intradepartmental teams, projects and initiatives. Required Qualifications - Requires MA/MS in social work, counseling, or a related behavioral health field, or a degree in nursing, and a minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background. - Current active unrestricted license such as LCSW, LMSW, LMHC, LPC, LMFT, RN, or Clinical Psychologist to practice as a health professional within the state of Connecticut is required. - Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases is required. - Prior managed care experience is required. Preferred Qualifications - Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed/Certified Behavioral Health Role Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Job DetailsJob Location: Any Location Remote US - Oklahoma City, OK 73102Position Type: Full TimeEducation Level: High School or EquivalentTravel Percentage: NoneJob Shift: DayJob Category: NurseWHO WE ARE: GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and Optimal Health for the members we serve. We are unique by providing high touch, high value and a partnership to our members. We go above and beyond to provide personalized, engaging, and responsive services to our members. We work hard to offer affordable health insurance coverage with the benefits people truly want and need. It is our hope to be more than just a health insurance company we want to be long-term partners with our members. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning. WHO YOU ARE: This position, under the direction of the Supervisor, Care Management, performs and manages all aspects of care management to improve the long-term wellness of members, becoming an advocate for our members through coordination of care. ESSENTIAL JOB FUNCTIONS: Conducts telephonic case management for complex, high-risk members to include identification and assessment of needs, planning and coordination of care, and monitoring outcomes in accordance with GlobalHealth and the departments policies and procedures. Coordinates with providers when applicable to ensure holistic, healthy, beneficial outcomes. Communicates with respect to family culture, ethnic origin, race, language, gender, age, religion, socioeconomic status, sexual orientation, mental and/or physical challenges. Through interdepartmental communication, network communication, and member outreach the Case Manager remains aware of patient needs and changes in condition, providing patient advocacy, support, assessing and ensuring quality care, and providing crisis intervention. Coordination of services for members, including community resources and collaboration with other members of the care team. Educate members and their caregivers on conditions and self-management techniques. Initiate and participate in all elements of the SNP MOC, including completing HRA, creating ICP, and initiating ICT. Complete TOC activities to include post-discharge assessment, medication reconciliation/review, and ensuring member has access to follow up care. QualificationsEDUCATION AND EXPERIENCE: Active Registered Nurse license in the state of Oklahoma required Active multi-state RN license is preferred Previous experience in managed care/utilization management preferred KNOWLEDGE, SKILLS AND ABILITIES: Knowledge of current nursing processes, techniques, and established standards, including disease management, medications, and community resources. Strong attention to detail and good organization and time management skills, including ability to multi-task, learn new skills and reach set goals. Must be able to communicate, both orally and in writing, clearly and effectively Knowledge of Microsoft software programs including Word, Excel, and PowerPoint. Proven ability to work independently or as a member of a team. WORK ENVIRONMENT: Current work environment is remote; however, some state exclusions apply. Must have access to a reliable and secured internet connection source. Work environment must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy. This position will also be required to use reasonable and necessary safeguards to protect GlobalHealth records from unauthorized access, disclosure or damage and will adhere to all GlobalHealth privacy and security policies. TRAVEL: N/A SUPERVISORY RESPONSIBILITY: N/A OTHER DUTIES: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths. Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the client's health and human service needs. It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes. Clinicians incorporate the essential functions of professional case management concepts to enhance patients’ quality of life and maximize health plan benefits. These functions include but are not limited to: coordination and delivery of healthcare services, consideration of physical, psychological, and cultural factors, assessment of the patient’s specific health plan benefits, and additional medical, community, or financial resources available. Essential Responsibilities: - Clinician Care Managers facilitate the achievement of client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation. - Collect and assess patient information pertinent to patient’s history, condition, and functional abilities in order to develop a comprehensive, individualized care management plan that promotes appropriate utilization, and cost-effective care and services. - Based on the needs and values of the client, and in collaboration with all service providers, the clinician links clients with appropriate providers and resources throughout the continuum of health and human services and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable. - Clinicians have direct communication among, the client, the payer, the primary care provider, and other service delivery professionals. The case manager is able to enhance these services by maintaining the client's privacy, confidentiality, health, and safety through advocacy and adherence to ethical, legal, accreditation, certification, and regulatory standards or guidelines. - Interact with other PacificSource personnel to assure quality customer service is provided. Act as an internal resource by answering questions requiring medical or contract interpretation that are referred from other departments, as well as physicians and providers of medical services and supplies. Assist employers and agents with questions regarding healthcare resources and procedures for their employees and clients. - Practice and model effective communication skills: both written and verbal. - Utilize and promote use of evidence-based tools. - Utilize lean methodologies for continuous improvement. Supporting Responsibilities: - Meet department and company performance and attendance expectations. - Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. - Perform other duties as assigned. SUCCESS PROFILE Work Experience: Minimum of three (3) years of clinical experience, including case management. Insurance industry experience preferred. Education, Certificates, Licenses: Clinical Social Worker, Licensed Professional Counselor, or Licensed Independent Clinical Social Worker with unrestricted license required in current state of residence. OR Registered Nurse with current appropriate unrestricted state license based on line of business: Commercial and Medicare: Oregon, Idaho or Montana, and Washington; Medicaid and DSNP: Oregon. Certified Case Manager Certification (CCM) as accredited by CCMC (The Commission for Case Management) strongly desired at time of hire. CCM certification required within two years of hire. Knowledge: Knowledge of health insurance and state mandated benefits. Experience and expertise in case management practice including advocacy, assessment, planning, communication, education, resource management and service facilitation. Ability to deal effectively with people who have various health issues and concerns. Knowledge and understanding of contractual benefits and options available outside contractual benefits. Knowledge of community services, providers, vendors and facilities available to assist members. Ability to use computerized systems for data recording and retrieval. Assures patient confidentiality, privacy, and health records security. Establishes and maintains relationships with community services and providers. Maintains current clinical knowledge base and certification. Ability to work independently with minimal supervision. Competencies Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range. Base Range: $70,950.00 - $106,424.99 Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: - We are committed to doing the right thing. - We are one team working toward a common goal. - We are each responsible for customer service. - We practice open communication at all levels of the company to foster individual, team and company growth. - We actively participate in efforts to improve our many communities-internally and externally. - We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. - We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

@media (min-width:320px){ .careerSite{ width:100%; max-width:940px; margin-right:auto; margin-left:auto; } .cs-atscs-jobdet-rtpane{ padding-left: 0; } .maincont{ position:relative; top:0; z-index: 0; } .lpic{ float:left; width:50%; min-width:305px; } .rpic{ float:left; width:50%; } .col1{ display:inline-block; width:25%; min-width: 125px; line-height: 1.4; float:left; } .col1 label{ font-size:100%; color: black; padding: 0; } .col2{ display:inline-block; width:75%; min-width:100px; line-height: 1.4; float:left; } .col50per{ display:inline-block; width:50%; min-width:150px; line-height: 1.4; float:left; } .col25per{ display:inline-block; width:25%; min-width:150px; line-height: 1.4; float:left; } .fullwidth{ display:block; line-height: 1.4; width:100%; text-align:center; } .threequarterwidth{ display:block; line-height: 1.4; width:80%; text-align:center; margin-left:auto; margin-right:auto; } .g_row{ clear:both; width: 100%; padding-top:15px; } footer{ position: relative; } } @media (min-width:768px){ .cs-atscs-jobdet-rtpane{ padding-left: 250px; } .maincont{ top:0px; } } .emplink{ color: blue; cursor: pointer; text-decoration: none; font-size: 20px; font-weight: bold; } Advertisement Closes 3/11/2026 (8:00 PM EDT) 26-01112 Retirement System Counselor I Pay Grade 12 Salary $2,976.04 - $4,464.04 Monthly Employment Type EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK Click here for more details on state employment. Hiring Agency General Government Cabinet | Kentucky Public Pensions Authority Location 1260 Louisville Road Frankfort, KY 40601 USA Description The agency may authorize the selected applicant to telecommute. The agency may terminate or modify the telecommuting arrangement at any time. Kentucky Public Pensions Authority (KPPA) is currently seeking a Retirement System Counselor I for the Division of Employer Reporting, Compliance and Education (ERCE). Located in Frankfort, Kentucky, KPPA is responsible for the daily administration of three state administered retirement systems with over $29 billion in combined assets. These systems have a membership of more than 444,000 state and local government employees in the Commonwealth of Kentucky, including state employees, state police officers, city and county employees, as well as non-teaching staff of local school boards and regional universities. This position is in a team-oriented environment that provides opportunity for growth and career advancement. Generous benefits offered to full-time employees include: a KPPA retirement plan, first-day health insurance, optional dental and vision insurance, an optional health flexible spending account, life insurance, a wellness incentive program, 12 ½ paid holidays, paid vacation leave, paid sick leave, state employee discounts, training and career development opportunities, an optional deferred compensation program (401k/457), flexible work schedules, ample parking, and a walkable campus. Key Responsibilities: - Assist employers with interpretation of retirement laws and regulations. - Perform error correction to records posted by employers. - Perform adjustments to records posted by employers. - Interact with employers via phone and email to request information to correct records and to explain issues created by inaccurate reporting. - Educate employers on corrective measures to resolve and prevent future errors. Preferred Knowledge/Skills/Abilities: - Strong written and verbal skills - Attention to detail - Strong organizational skills - Time management - Ability to work under pressure For more information about Kentucky Public Pensions Authority, visit our website at: https://kyret.ky.gov/Pages/index.aspx. Minimum Requirements EDUCATION: Graduate of a college or university with a bachelor's degree. EXPERIENCE, TRAINING, OR SKILLS: NONE Substitute EDUCATION for EXPERIENCE: NONE Substitute EXPERIENCE for EDUCATION: Experience in public or business administration, accounting, wage and/or claims reporting, investigations or auditing will substitute for the education requirement on a year-for-year basis. Administrative and/or clerical experience in Kentucky Public Pensions Authority will substitute for the required education on a year-for-year basis. SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): NONE Working Conditions Work is typically performed in an office setting. Occasional travel may be required. Probationary Period This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111. If you have questions about this advertisement, please contact Kimberly Leet at kimberly.leet@kyret.ky.gov. An Equal Opportunity Employer M/F/D