We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. POSITION PURPOSEStaff in the Population Health and Health Services area: Utilize a collaborative process to assess, plan, implement, monitor and evaluate options and services required to meet the member’s, providers’ and communities’ healthcare needs. Utilizing the disease management referral and assessment process, the disease management nurse will identify the most appropriate resources to promote quality, cost effective outcomes. Utilization Review staff are responsible for providing clinical service and/or member management. Accountable for complying with all laws, regulations and accreditation standards that are associated with duties and responsibilities. NATURE AND SCOPE - This role does not manage people - Necessary Contacts: In order to effectively fulfill this position the incumbent must be in contact with: All internal departments, providers, subscribers, group representatives, reinsurance carriers, Department of insurance, other insurance carriers, and healthcare vendors. QUALIFICATIONS Education - High School Diploma or equivalent required Work Experience - 4 years of direct patient care experience required - Managed Care or claims processing experience and knowledge of medical terminology and ICD 10 codes required - 1 year of medical review and/or authorization experience preferred Skills and Abilities - Prefer knowledge of insurance, reinsurance, and/or customer service operations. - Ability to research and analyze cases and make appropriate quality and cost effective decisions. - Must be able to communicate effectively with members, providers, pharmacy staff and fellow employees at all levels of the organization. - Must be detail oriented, organized, and self motivated. - Must use appropriate professional judgment and be able to make decisions and delegate work appropriately while working on multiple tasks. - Working knowledge of related software and office equipment. - Ability to comprehend Medicare guidelines and assume responsibility for decisions based on these Guidelines is required. - Knowledge of coding guidelines for ICD, HCPCS and CPT preferred. Licenses and Certifications - Current, unrestricted LPN license in the state of Louisiana and/or in the required jurisdictions, or where services are provided with graduation from an accredited vocational or technical school for Practical Nursing (180 days required) - Current, unrestricted Certified Professional in Disease Management or Health Care Management license/certification in the state of Louisiana and/or in the required jurisdictions, or where services are provided (2 years required) - Current, unrestricted Certification in Utilization Review or Managed Care in the state of Louisiana and/or in the required jurisdictions, or where services are provided (2 years required) ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS - Assess member’s status by collecting in-depth information about the patient’s situation and functioning to identify needs in order to develop and implement a comprehensive disease management plan that will address needs. - Develop and implement a plan by determining specific objectives, goals, and actions as identified through the assessment in action oriented and time specific indicators. - Implement specific interventions that will lead to accomplishing the goals established in the plan. - Coordinate by organizing, integrating, and modifying the resources necessary to accomplish the goals. - Monitor by gathering sufficient information from relevant sources in order to determine the effectiveness of the plan. - Responsible for meeting targets for staff and unit performance to maximize program value and ensure achievement of department productivity goals. - Care coordination or Utilization Management as designated by RN and/or clinical leadership. - Researches and interprets contract benefits to facilitate accurate benefit administration and fulfill product-specific authorization requirements. - Conducts medical necessity reviews based upon the patient's condition and/or symptoms utilizing medically-accepted review criteria/guidelines, medical delegations and/or policies to provide quality healthcare and meet regulatory requirements. - Responsible for reviewing, resolving, and responding to issues regarding utilization of benefits. Works closely with internal and external customers to coordinate appropriate care for authorized services. - Negotiates rate of payment when provider network deficiency exists and accurately calculates and documents care management savings to initiate care management programs, identify product enhancement opportunities, and capture returns on investments (ROI). - Communicates directly with members and/or providers regarding contract requirements and collects relevant planned care information via telephone to facilitate member management. - Responsible for timely management for appropriate verbal notifications and/or written materials to ensure compliance with regulatory and/or operational guidelines. - Responsible for meeting targets for staff and unit performance to maximize program value and ensure achievement of department productivity goals. - Serves as a technical resource to the non-clinical staff by responding to inquiries regarding the interpretation of clinical information to provide clinical support for non-clinical staff involved in the review process. - Additional Accountabilities and Essential Functions - The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions - Perform other job-related duties as assigned, within your scope of responsibilities. - Job duties are performed in a normal and clean office environment with normal noise levels. - Work is predominately done while standing or sitting. - The ability to comprehend, document, calculate, visualize, and analyze are required. An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

Role Description The Neighbor Services Department works directly with neighbors to provide information about the Supplemental Nutrition Assistance Program (SNAP) and provide community partners with information and food resources. Outreach Interns support this work by sharing clear, accurate information about SNAP and helping applicants understand if they may be eligible for support through screenings, scheduling appointments, and referring to other support. They engage with community members at events, partner sites, and in our Brooklyn Park office, working to dispel misconceptions and increase access to food resources. Interns also provide administrative support to the Neighbor Services team, participate in meetings and trainings, and build skills in community outreach, public speaking, and intercultural communication. Duties and Responsibilities - Conduct in-person and over-the-phone outreach to partner organizations, which will include: - Speaking with neighbors about SNAP and other food support. - Providing information to increase community members' knowledge and possible future utilization of SNAP and other resources in their community. - Screening interested neighbors for SNAP eligibility and scheduling them with Second Harvest Heartland’s SNAP Team for application assistance. - Support administrative work: - Researching, updating, and creating new community resource lists. - Assisting with the department’s large volume of incoming and outgoing mail. - Preparing materials for outreach events. - Make phone calls to community members interested in applying or learning more about SNAP/CSFP and helping screen their eligibility. - Complete other responsibilities as assigned by your supervisor and other staff. Behavioral Expectations - Demonstrate behavior consistent with SHH’s mission, vision, and values daily. - Understand safety policies and actively promote safe practices in the workplace. - Strong commitment and ability to work with individuals from a wide variety of backgrounds. - Demonstrate self-awareness, including an understanding of how their own experiences, and actions will impact the team environment. - Support and collaborate on organization’s initiatives. Essential Qualifications - Access to a reliable form of transportation is required. - Initiative to identify and act on problems. - Comfort using modern technology, including computers, tablets/iPads and Microsoft Office Suite programs is preferred. Use of telephone/telephony software is required. - Time management and organizational skills, including ability to work independently and self-motivate. Desired Qualifications - Applicants in the St James/Mankato and St Cloud area are encouraged to apply. - Applicants who are bilingual in English and another language commonly spoken in Minnesota are strongly encouraged to apply. - Some languages in demand in the communities served include Spanish, Hmong, Somali, Karen and Russian. Time Requirements and Schedule - Work sites: - If located in the Twin Cities metro area, Second Harvest Heartland office site in Brooklyn Park, as well as various partner sites throughout the Twin Cities metro. - If located in the St. James/Mankato area or St. Cloud area, work sites will be remote. - Total time requirement: 6 months; 12-20 scheduled hours per week. - Orientation and Initial training: 1-3 full days in-office in Brooklyn Park. - Days of the week: Flexible but scheduled in advance. Generally, Monday through Friday with the opportunity for occasional weekend hours. - Time of the day: Flexible but scheduled in advance. Generally, 8:00 am – 4:30 pm; some evening and weekend opportunities. Professional Development Objectives - Making concrete, positive changes in the food security of households in Minnesota. - Become a knowledgeable advocate for SNAP and CSFP and other social assistance programs such as WIC, Medical Assistance, etc. - Increase personal comfort and confidence with direct service to a wide variety of populations served by Second Harvest Heartland. - Learn to work independently while serving an integral role within a broader collaborative team. - Be introduced to the inner workings of a successful non-profit and develop a range of outreach skills. - Gain exposure to a variety of program models by working closely with other non-profits and community organizations. - Increase understanding of state and federal policies regarding federally funded programs. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Environmental Demands The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Second Harvest Heartland is an EEO/AA Employer.

Contract Registered Dietitian (1099) Compensation: $45–$65 per completed visit (tiered by monthly volume) Status: Independent Contractor (1099) Location: California – Remote with In-Person Care in Riverside, CA Start Date: Upon completion of credentialing (approx. 60–90 days) 🥗 About the Opportunity Elite Nutrition Services, Inc. is seeking experienced Registered Dietitians to contract with our growing private practice. This independent contractor role is ideal for clinicians who want consistent patient flow without the overhead of running their own practice—and without giving up autonomy. You will provide nutrition care to ENS-referred patients using our established referral network, billing systems, and telehealth infrastructure, while maintaining full professional independence in how you practice. This opportunity fits RDNs who value flexibility, performance-based income, and the ability to grow their caseload on their own terms. 🌟 Why Contract With Us - Steady stream of referred patients - Billing, intake, and scheduling systems already in place - Optional participation in group programs and community initiatives - Freedom to structure your availability - Focus on care—not marketing, sales, or insurance logistics Our philosophy is “Elite Nutrition – for Every-body.” We value diverse clinical backgrounds and believe your individuality strengthens the care we deliver. 🧾 Scope of Work Contracted RDNs may: - Provide one-on-one nutrition counseling (telehealth and/or in-office) - Facilitate group classes or workshops (optional) - Contribute to educational content or programs (optional, per-project) - Deliver care in accordance with professional standards and licensure You retain control over your clinical approach, session structure, and professional methods. 🧠 Qualifications - Registered Dietitian Nutritionist (RDN) with active CA licensure - Minimum 1 year of clinical experience - Outpatient or private practice experience preferred - Comfortable with telehealth platforms and EHR systems - Maintain a HIPAA-compliant private workspace with reliable high-speed internet - Maintain active professional liability (malpractice) insurance - Ability to operate as an independent business entity - Bilingual providers strongly encouraged to apply 💵 Compensation Structure - Paid per completed visit (not hourly) - Tiered rates: $45–$65 per visit based on monthly volume - No earnings cap - Paid monthly based on completed encounters Contractors are responsible for their own taxes, insurance, and business expenses. ✨ How to Apply If you’re an RDN looking for a flexible, high-integrity way to grow your practice without the administrative burden, we’d love to connect. Apply to contract with Elite Nutrition Services, Inc. and expand your impact—on your terms. Flexible work from home options available.

Description Are you looking to join a company that makes a difference? Do you want to be part of an organization with a commitment to an inclusive and supportive culture? Do you enjoy company-wide staff events with opportunities for team building and getting to know your co-workers? Join our team of compassionate, empathetic, and dedicated staff! With a career at Riveon Mental Health and Recovery, you’ll partner with a talented group of individuals in a team atmosphere, including a supportive and knowledgeable leadership team. You’ll also have access to a wealth of opportunities for your personal growth and development. Riveon Mental Health and Recovery is a leader in providing behavioral health services to adults, adolescents, and children. We engage people in our community to achieve mental and emotional well-being through prevention, treatment, and advocacy. With the merger of The LCADA Way and The Nord Center, at Riveon Mental Health and Recovery we have the opportunity to provide integrated behavioral health care with cutting edge treatments and interventions in a supportive environment. We are looking for passionate, caring, and dedicated counselors and social workers to provide office-based and telehealth services to our clients. Responsibilities include providing psychotherapy services to adults and/or children, psychosocial and diagnostic assessments, completing treatment plans, and providing individual and group counseling. We value our team members and provide an excellent total rewards package of benefits and perks designed to be customizable to your specific needs. Our Total Rewards Package – What We Offer: - Inclusive Culture with a Team Atmosphere - Collaborative environment dedicated to clinical excellence - Company-Wide All Staff Events - have fun while Teambuilding - Wellness Programs and Activities - Up to 41 days off per year (32 days of paid time off plus 9 paid holidays) - Paid Bereavement Leave - Paid Jury Duty Time - Parental Leave - Company Supported Continuing Education & Certification - PPO & HDHP Health Plan Options - Flexible Dental & Vision Plan Options - Company funded Health Savings Account - Company-Sponsored FSA and DSA Tax Savings Accounts - 100% Company Paid EAP Emotional Well-Being Support - 100% Company Paid Life Insurance and AD&D - 100% Company Paid Short-Term Disability Insurance - 100% Company Paid Long-Term Disability Insurance - Added Value Benefits including: - Critical Illness Plans for Employee and Family - Accident Plans for Employee and Family - Identity Theft Plans for Employee and Family - Pet Insurance - Short-Term Disability Plan - Whole and Term Voluntary Life Plans for Employee and Family - Voluntary AD&D Plans for Employee and Family - 403(b) Retirement Plan with Company Match - Access to Personal Financial Advisor - Generous Team Member Referral Bonus Program - License and Certification Reimbursement - License Testing Fee Reimbursement - Annual Tuition Reimbursement - Travel Expense Reimbursement - On-Site Pharmacy - Casual Dress Code - Shift Differentials and On-Call Stipends - Stipend for Bilingual, Spanish-Speaking This position is eligible for the Bilingual stipend Pay Range: $48,000 - 75,577.65 annual salary Placement within the pay scale commensurate with experience and qualifications Dependently Licensed w/ BA: $48,000 - $58,511.73 Dependently Licensed w/ MA: $53,500 - $65,216.20 Independently Licensed: $62,000 - $75,577.65 Position Purpose and Objectives: The purpose of this position is to provide managed behavioral health care services in a culturally diverse community. Essential duties include providing screening, assessment, crisis intervention and referrals; conducting short/long-term therapy, coordinating treatment and to utilize Trauma Inform Care approach to promote healing in a safe, stigma-free environment with compassion for all people. Essential Job Functions: - Provide screening, assessment, crisis intervention and referral services in response to telephone requests for aid; make assessment of clients’ problems; provide information about community resources, refer clients to most appropriate resource. - Gather information through intake interviews; evaluate nature and degree of mental/emotional distress, substance use/abuse, health issues, and social/interpersonal problems; develop individual service plans with clients. - Conduct short and long-term therapy and/or counseling sessions with individuals, couples, families and groups using various psychotherapeutic treatment modalities. - Coordinate treatment with other agencies, services and other programs within the agency. - Complete case notes on intake process, treatment plan and client’s progress in accordance with OI/OA guidelines. - Provide consultation and education service to community groups by assisting in program planning, giving educational talks and lectures, and by consulting on specific cases. - Maintain required productivity expectation. - Participate in clinical supervision and administrative meetings as required by the Clinical Services Coordinator and/supervisor. - React to change and stress productively and handle other tasks as assigned. - Maintain regular, predictable attendance and be available for evening counseling sessions. - Get along with others and work as a team. - Exhibit the knowledge, skills, abilities, and minimum requirements listed in this Position Announcement. Requirements Minimum Qualifications: - Bilingual (English/Spanish speaking) required. - A master’s degree in a mental health related field with the following license is required: LSW or LPC. LISW or LPCC, preferred. - Experience in assessment, crisis intervention, conducting long and short-term therapy and counseling or other experience in the treatment of mental health/chemical abuse are preferred. - Must have strong oral and written skills. Basic computer skills required, including familiarity with Windows and Microsoft Office. - Must be highly skilled at behavioral health screening/assessment and counseling in both chemical abuse and mental illness, making appropriate referral, and working effectively under pressure.