Anticipated End Date: 2026-04-10 Position Title: Behavioral Health Care Manager I - North Carolina Job Description: Behavioral Health Care Manager I - North Carolina Virtual: This role enables associates to work virtually full-time, except for 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. A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care. Location: North Carolina Work Shift: 1st Shift Monday-Friday 8:00AM -5:00PM The Behavioral Health Care Manager I - North Carolina is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. How you will make an impact 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 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. Minimum Qualifications: Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and 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 RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. Licensure is a requirement for this position. However, for states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision. Preferred Skills, Capabilities and Experiences: - Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred. - Bilingual in Spanish is strongly preferred For URAC accredited areas, the following professional competencies apply: 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.

Role Description This position is Remote in Mountain OR Pacific Time Zone. You will have the flexibility to work remotely as you take on some tough challenges. As a Patient Support Center Representative, you will be responsible for acting as a patient advocate to help resolve patient issues pertaining to claims, benefit referrals, physicians, and access. You will also be responsible for managing a high volume of inbound calls, entering patient information into information systems, and resolving caller’s issues with outstanding customer service skills. In addition, you will serve as a liaison between the patient and other departments and Optum sites. This position is full time (40 hours/week). Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 8:00 pm, Monday - Friday OR 8:00 am - 6:00 pm PST, Saturday - Sunday. It may be necessary, given the business need, to work occasional overtime. We offer 30 to 90 days of paid training. The hours of training will be 8:00 am - 5:00 pm, Monday - Friday. Training will be conducted virtually from your home. Primary Responsibilities: - Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care, and concern with each and every internal and external customer. - Multi-task utilizing double monitors for data entry, phone etiquette, and use of resources while maintaining proper guidelines. - Provides services to internal and external customers involving the exchange of complex and sensitive information while acting as patient advocate. - Assists other Patient Support Center Representatives and Supervisors with daily paperwork load as needed to resolve and/or document patient issues. - Recognizes financial, medical, and legal risks based on data collected during customer interactions and follows appropriate procedures. - Meets department goals which include but are not limited to call volume, accuracy, quality, and attendance. - Utilizes Optum systems to resolve customer needs such as appointments, authorizations, claims, invoices, eligibility, benefits, appeals, TARs. - Translates oral information into concise and accurate written documentation per guidelines. - Assists new or potential members in the choice of PCP and supplies general information about the medical group. - Pages clinicians and assists Telehealth Nurses as necessary (e.g., arranging DME, transportation, and HH). - Data enters PCP changes into the system and processes paperwork as necessary. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - High School Diploma / GED OR equivalent experience. - Must be 18 years of age OR older. - 1+ years of experience working in a customer service-based role. - Proficiency in using Microsoft Suite and other systems. - Ability to work full-time (40 hours/week). Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 8:00 pm, Monday - Friday OR 8:00 am - 6:00 pm PST, Saturday - Sunday. It may be necessary, given the business need, to work occasional overtime. Preferred Qualifications - 1+ years of experience working in a healthcare setting. - Bilingual fluency in English and another language. Telecommuting Requirements - Reside within Mountain OR Pacific Time Zone. - Ability to keep all company sensitive documents secure (if applicable). - Required to have a dedicated work area established that is separated from other living areas and provides information privacy. - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions—driving brand and patient markers of success. We’re continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. Together, we can get life-changing therapies to patients who need them—faster. Responsibilities - Responsible for handling inbound and outbound calls, with ability to determine needs and provide one call resolution - Responsible for reporting adverse events within the required timeframe - Create and complete accurate referrals and applications and keep updated on policy or procedural changes - Investigate and resolve patient/physician inquiries and concerns in a timely manner - Enter detailed information into company proprietary software while conversing via telephone - Place outbound phone calls for patient follow ups or confirmations - Demonstrate superior customer support talents - Interact with the patient referral sources to process new applicants - Steward patient accounts from initial contact through final approval/denial - Prioritize multiple, concurrent assignments and work with a sense of urgency - Maintaining quality and providing an empathetic and supportive experience to the patient by controlling the patient conversation, educating the caller as they provide effective and efficient strategies and processes Qualifications - High School diploma or equivalent, preferred - Previous customer service experience, preferred - Knowledge of practices and procedures commonly used in a call center or customer service environment, preferred - Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred - Ability to use well-known and company proprietary software for maximum efficiencies, preferred - Maintain a high level of productivity, preferred - Ability to multitask while conversing, preferred What is expected of you and others at this level - Applies acquired job skills and company policies and procedures to complete standard tasks - Works on routine assignments that require basic problem resolution - Refers to policies and past practices for guidance - Receives general direction on standard work; receives detailed instruction on new assignments - Refers to policies and past practices for guidance - Receives general direction on standard work; receives detailed instruction on new assignments - Consults with supervisor or senior peers on complex and unusual problems TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have ability to work the scheduled shift of Monday-Friday, 10:00am- 7:00pm CT. REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: - Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. - Download speed of 15Mbps (megabyte per second) - Upload speed of 5Mbps (megabyte per second) - Ping Rate Maximum of 30ms (milliseconds) - Hardwired to the router - Surge protector with Network Line Protection for CAH issued equipment Anticipated hourly range: $18.10 per hour - $25.80 per hour Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. - Medical, dental and vision coverage - Paid time off plan - Health savings account (HSA) - 401k savings plan - Access to wages before pay day with myFlexPay - Flexible spending accounts (FSAs) - Short- and long-term disability coverage - Work-Life resources - Paid parental leave - Healthy lifestyle programs Application window anticipated to close: 5/29/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

Job Summary: The Occupational Therapist (OT), under the direction of the Manager of Rehabilitation, is responsible for completing professional activities that include: assessment, treatment, report writing, communication with health care team and referral sources, team meetings and overall management of caseload. Areas of practice include Workplace Safety Insurance (WSIB), Auto Insurance, Vocational Rehab, Mental Health, Accessible Transit, Private services and other services as assigned. Occupational Therapy services are carried out in clients’ homes, communities, and worksites. Clinical Responsibilities: · Completing comprehensive assessments: OT In Home, Attendant Care, Worksite, Ergonomic, Cognitive, Mental Health, Accessible Transit, Home Safety, Home Accessibility, Mobility and others. · Implementing treatment programs once approved, including sourcing assistive devices, return to work programs, job coaching, behavioural activation, cognitive rehab and implementing return to activities of daily living programs. · Delegating, training and supervising Rehab Assistants. · Maintaining accurate clinical records and completing detailed reports according to Bayshore and College of Occupational Therapists of Ontario standards. · Collaborating and communicating with other members of the health care team. · Cultivating customer relationships, such as lawyers, insurers, physicians, psychologists and WSIB. · Attending and contributing to internal training and team building activities and sharing resources. Other Responsibilities: Registered and in good standing with College of Occupational Therapists of Ontario. · Participates in ongoing internal and external education activities and professional development. · Adheres to Bayshore Therapy & Rehab Policies and Procedures · Participates in quality activities and continuous improvement initiatives in keeping with the company's Quality Management System · Participates in proactive Health & Safety activities while performing all duties. Responsible to notify immediate Supervisor of any Health & Safety risks or concerns. · Maintains confidentiality of client and corporate information and discusses same only with appropriate Bayshore personnel · Completes other tasks as requested Education and Qualifications: · Bachelor or Master’s Degree in Occupational Therapy · Registration and in good standing with the College of Occupational Therapists of Ontario · Professional Liability Insurance · Completion of a Police Vulnerable Sector Check · Excellent organization, time management, analytical, communication, planning, problem-solving, and documentation skills · Enjoy variety of work, and able to meet tight deadlines · Passionate about role, enthusiastic, willingness to explore diverse opportunities, and desire to make a difference to the clients served. · Valid driver’s license and ability to drive locally and further distances if requested Experience: · Minimum of three years providing Occupational Therapy services preferred. · New graduates welcome to apply · Experience with Automobile Insurance and WSIB an asset. · ADP Authorizer and experience with complex seating an asset. · Experience with hospital discharge planning, medical legal report writing, CAT Assessments and Future Care Cost Assessments an asset. · Skills such as Ergonomics, Functional Abilities Evaluations, Vocational Rehab, Job Coaching, PGAP, mental health, ABI and SCI an asset. The Bayshore Therapy & Rehab Difference: · Work in the comfort of your own home office · Flexible schedule and diverse caseload · Competitive compensation and car allowance · Bonus opportunities · Yearly Professional Development/Education Fund · Amazing company culture · Senior OT leadership, mentoring, support and training · Laptop and cell phone · Growth and career advancement opportunities · Rehab Coordinator support · Comprehensive Benefits Package We thank all applicants for their interest; only those candidates chosen for an interview will be contacted.