The Client Case Manager will focus on streamlining and improving processes, communication, client satisfaction, and clinical quality outcomes with our client families. By concentrating on clinical outcomes, this role ensures our client families are supported throughout their episode of care by addressing the client family needs, barriers, or challenges and providing service recovery. By understanding client-specific needs and clinical outcomes, we aim to create a more effective and supportive care path experience. The Client Case Manager liaises between client families, provider network, internal CCS departments, and other resources to assess and coordinate appropriate behavioral health treatment. The client facing clinical case manager supports coordination of care to ensure that each client receives high-quality services. Core Responsibilities & Essential Job Functions - Follows care plan through effective case management - Responsible for assessing and addressing risk, and escalates high risk clinical concerns to supervisor - Serves as a liaison between treatment providers, funding sources, and client families. - Collaborates with key stakeholders to address clinical concerns related to client care. - Serves as the main contact for client families and funders and responds to all inquiries to ensure that they are addressed - Responsible for conducting service recovery efforts through a thorough clinical review of current care plan (i.e understanding barriers, challenges, clinical progress and desired outcomes) with client families. - Address and resolve any issues or complaints from client families to improve client satisfaction and access to medically necessary services through service recovery. - Responsible for reviewing clinical appropriateness of provider transfer requests and supports client’s transition to next treating provider. - Completes documentation regarding all interactions with the client, provider, and interdisciplinary team, using appropriate systems and procedures in a timely manner, per agency policies. - Supports Clinical Escalation Specialists and Provider Case Manager to address complaints and grievances by conducting client case reviews and client family outreach. Documents all client family complaints and grievances, and submits documentation to the Catalight Quality department, per policy requirements - Responsible for supporting identified coverage needs related to Behavioral Health Screening. - Monitor and analyze trends in caregiver concerns. - Prepare and present data to management on caregiver trends. - Participate in special projects, and assist with additional duties or tasks, as assigned by supervisor Qualifications Minimum Education, Experience & Training Equivalent to: - Master's degree from an accredited college or university in social work, marriage family therapy or counseling is required. - Current registration as an Associate with the California Board of Behavioral Sciences - Licensed Clinical Psychologist, LCSW, LMFT or LPCC strongly preferred. - One to two years of related professional experience working with children with autism spectrum disorders (“ASD”) and/or other related developmental disabilities in a multi-disciplinary team setting preferred - Knowledge of community resources - Previous experience with clinical case management. - Demonstrated expertise in crisis management. Knowledge & Skills: - Able to conduct strengths based, client centered clinical screener and refer clients for clinically appropriate services. - Must adhere to all federal, state, and local laws/legislations as applicable as well as HIPAA laws and regulatory agencies - Sensitivity to working with an ethnically, linguistically, culturally, and economically diverse population. - A commitment to the values of the organization while demonstrating good judgment, flexibility, patience, and discretion when dealing with confidential and sensitive matters. - Knowledgeable in Microsoft Office (Outlook, Word, Excel, etc.) - Ability to work in a fast-paced environment while effectively multitasking. - Ability to work with various individuals across all levels within the organization. - Manage day-to-day responsibilities with or without supervision. - Excellent verbal and writing skills. - Strong interpersonal skills (i.e. advanced listening techniques: empathic, active and reflective listening) - Strong client focused approach (i.e. ability to set clear boundaries and advocate for client/family needs) - Must be highly detail oriented and have strong time management skills - Ability to effectively de-escalate clients and families. - Excellent problem-solving skills. - Ability to work successfully on an interdisciplinary team. Physical Requirements: - Must be able to communicate effectively within the work environment, read and write using the primary language with the workplace. - Visual and auditory ability to work with clients, staff, and others in the workplace continuously. - Frequent speaking and listening (25-75%) to clients, staff, and others in the workplace. - Ability to utilize computer, cell phone (iPhone). - Frequent sitting. Conditions of Employment - Ability to obtain and maintain criminal record clearance through the Department of Justice (DOJ). The People & Performance Department must analyze DOJ/FBI live scan reports in accordance with applicable Federal, State, and Local laws, as well as fitness for the position. - Ability to obtain and maintain clearance through the Office of Inspector General. - Ability to obtain and maintain a National Provider Identifier (NPI). - Must attend any required training. Time Type: Full time Compensation: $107,000 - $125,000 Annually The statements contained in this job description reflect general details as necessary to describe the principal functions of this job. It should not be considered an all-inclusive listing of work requirements. Individuals may perform other duties as assigned, including work in other functional areas as deemed fit for the organization. Catalight is an equal opportunity employer.

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. Manager, Clinical Operations Support Are you a proven leader in healthcare administration ready to drive operational excellence and continuous improvement for a dynamic organization? We are looking for an experienced operations professional, particularly one with a background in managing large medical practices, clinical teams, or complex clinical operations, to join our team. This role is critical to ensuring the seamless, compliant, and highly efficient delivery of our daily operations, directly contributing to our organizational objectives and market competitiveness. What You Will Do You will be the core driver of operational performance and quality, focusing on: - Strategic Resource Management: Lead and optimize staffing, scheduling, and workload distribution across operational teams to ensure efficient resource utilization and adequate coverage, primarily within a fast-paced clinical or medical environment. - Performance and Improvement: Analyze operational performance metrics and KPIs, identify opportunities for process improvement through workflow analysis, and implement effective, measurable changes in collaboration with cross-functional teams. - Quality and Compliance Leadership: Establish and enforce rigorous compliance guidelines and quality control processes, including implementing quality assurance programs to maintain the highest standards of operational integrity and quality. - Incident and Issue Resolution: Investigate operational incidents, address stakeholder concerns, and swiftly work with relevant teams to implement corrective actions, ensuring patient or client satisfaction and risk mitigation. - Culture of Excellence: Facilitate effective communication, foster a continuous improvement culture, encourage innovation, and oversee necessary training to ensure all team members are fully versed and compliant in their roles. Experience and Skills The ideal candidate will be a highly capable leader with a strong commitment to results and collaboration. - Required: Minimum of 5 years of professional work experience, with a strong preference for experience managing large-scale medical practices, clinical teams, or high-volume healthcare operations and demonstrated excellence in: - Business Intelligence: Using data and metrics to analyze performance, forecast needs, and drive strategic recommendations. - Execution & Delivery: Planning, prioritizing, and supporting complex operational initiatives to completion. - Preferred: - Problem Solving & Decision Making: Applying sound judgment to quickly resolve operational issues and manage critical incidents. - Collaboration & Teamwork: Working effectively with diverse, cross-functional stakeholders. - Growth Mindset: A commitment to continuous learning and developing both self and others. - Education: Post-secondary/high school education or specialized training (e.g., technical/vocational programs). Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,300.00 - $119,340.00 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 https://jobs.cvshealth.com/us/en/benefits We 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.

Where You’ll Work The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first. Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave. One Community. One Mission. One California Job Summary and Responsibilities As the Continuing Care LVN Coordinator, you will perform patient care management services that support the established plan of care as directed by the other licensed staff within the department. Every day, you will assist in relaying instructions from the physician to a patient or authorized person, as well as collecting patient data, documenting patient concerns, patient messages, and any instructions or education provided within the care management operational platform. The LVN will also provide leadership to support staff. To be successful, you will demonstrate outstanding assessment and communication skills, critical thinking, time-management and strong relatioship-building skills. - Conducts telephonic screenings based on criteria, refers patients to healthcare programs, specialists and other multidisciplinary team members such as a diabetes health educator, home visit provider, geriatric clinic, home health, pharmacist, etc. As per guidelines and or red flag criteria escalates to the RN or SW or supervisor when patient needs or concerns are beyond his/her scope of practice. - Assist patients and or caregivers in achieving compliance and improving adherence to plan of care notifying RN/SW or provider of issues and collaborating with multidisciplinary team members (primary care physician, social workers, pharmacists, home visit providers, etc) based on the patient's established plan of care. - Coach's patients, family and/or caregivers about the disease process including how to recognize signs and symptoms of worsening disease and next steps. Based on care plan or program criteria, identifies appropriate cases to discontinue from the program and collaborates with SW and RN to document rationale accordingly. - Serves as an advocate and liaison between patient/family and physician, hospital staff, members of the health care team, clinic care coordinators, and community resources. - Monitors member's compliance with scheduling and keeping PCP and specialist appointments identifying patterns of nonadherence and coordinates scheduling of needed member appointments. - Assists patients with navigating the healthcare system to minimize fragmentation in services, obtain timely care and appropriate access to providers, services and necessary procedures, escalating patients as per scope of practice. ***This position is work from home in California, with a preference for candidates residing in the Ventura region. Job Requirements Minimum Qualifications: - 2 years relevant experience or advanced degree required.- Graduate of an accredited LVN school.- Clear and current CA Licensed Vocational Nurse (LVN) license.- Excellent computer skills and ability to learn new systems- Strong organizational (time management) and interpersonal skills- Ability to handle multiple priorities with strong attention to detail- Ability to communicate effectively using written and verbal skills. Proficient in email communications and internet usage along with basic use of Microsoft Excel and Word- Knowledge of information technology to evaluate care effectiveness (care process, outcomes and cost)- Ability to work autonomously within a matrix environment without direct supervision or support Preferred Qualifications: - Previous care coordination experience strongly preferred. - 5+ years experience preferred. - Disease management experience a plus. - Proficiency with EHR's a plus. - Experience with Google Workspace a plus. - Bilingual in English/Spanish preferred.

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 The Case Management Coordinator (i.e. CC) utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources. Fundamental Components - Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. - Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and implements assigned care plan activities and monitors care plan progress. - Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach, consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. - Identifies and escalates quality of care issues through established channels. - Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs. - Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. - Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. - Helps member actively and knowledgeably participate with their provider in healthcare decision-making. - Monitoring, evaluation and documentation of care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Remote Work Expectations - This a remote role, candidates must have a dedicated workspace free of interruptions. - Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted. Required Qualifications - 2+ years experience in behavioral health or social services - Candidate must have the ability to work 8:00 AM - 5:00 PM in assigned market time zone - 2+ years of experience with Microsoft Office Applications (Word, Excel, Outlook) - Candidates must have a dedicated workspace free of interruptions - Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted Preferred Qualifications - Case management and discharge planning experience - Managed care experience Education - Bachelor's Degree or non-licensed master level clinician with either degree being in behavioral health or human services preferred (psychology, social work, marriage and family therapy, counseling) or equivalent experience (REQUIRED) Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $21.10 - $36.78 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 https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 04/12/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.