• Works collaboratively as part of the clinical team. • Develops and maintains EMR's utilized for service line documentation of care delivery. • Completes policy review and provides updates as warranted. • Reviews billing and coding as well as intermittently assist in denial management. • Coordinates and oversees student placement, ensuring appropriate support, supervision, and monitoring throughout the clinical rotation.

Role Description The Senior Behavioral Health Care Advocate (CLIP Liaison) is responsible for coordinating and managing care for members with complex behavioral health needs across the continuum of care. This role focuses on delivering high-quality care coordination, utilization management, and case management services while ensuring compliance with clinical, regulatory, and organizational standards. This position includes specialized responsibilities supporting Washington State’s Children’s Long-Term Inpatient Program (CLIP) and program. The role serves as a key liaison among members, families, providers, and community partners to ensure timely access to appropriate care and successful transitions to community-based services. If you are located in Washington, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: - Care Coordination & Case Management - Manage a caseload of members with complex behavioral health needs - Conduct assessments and develop individualized care plans - Coordinate care across providers, facilities, and community-based services - Identify and address barriers to care and service access - Support transitions between levels of care, including inpatient and outpatient settings - Maintain timely and accurate documentation in accordance with organizational standards - Meet productivity and quality performance expectations - CLIP Liaison Responsibilities - Facilitate CLIP referrals, eligibility screening, and application submissions - Screen referrals for eligibility and ensure compliance with program requirements - Educate members and families on program requirements and expectations and provide ongoing support throughout the process during treatment and discharge planning - Coordinate required documentation and clinical information for review - Prepare and submit application packets to the state for medical necessity certification - Provide guidance and mentorship to team members - Participate in and support regional review committee processes - Serve as liaison between families, providers, and state program administrators - Track referral timelines, approvals, and placement status - Support treatment planning, care coordination, and discharge planning - Utilization Management - Perform utilization reviews and authorization activities - Apply medical necessity and level-of-care criteria - Collaborate with interdisciplinary teams to review complex cases - Ensure compliance with regulatory and accreditation requirements - Quality & Operational Support - Participate in quality improvement initiatives and audits, specifically CLIP IT Committee - Identify process improvement opportunities - Serve as a subject matter expert for CLIP and care coordination workflows - Develop and implement operational workflows to enhance efficiency, consistency, and compliance Qualifications - Master’s degree in Social Work, Counseling, Psychology, or a related behavioral health field - Active, unrestricted clinical licensure to practice at the independent level (e.g., LCSW, LPC, LMHC, LMFT, Psychologist, etc.) in the state of Washington - 5+ years of experience in behavioral health, case management, or care coordination within the Washington Children’s Public System of Care - Experience working with high-risk youth and families - Knowledge of Washington Continuum of Care for children and families, behavioral health systems and community resources - Proficiency in Microsoft Office and care management systems - Permanent residency and licensure in the state of Washington Requirements - Experience in managed care or health plan environment - Experience with CLIP or similar intensive behavioral health programs - Leadership or mentoring experience - Familiarity with medical necessity criteria (e.g., ASAM, LOCUS) Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements)

Role Description The Reasons Virtual Program Therapist performs functions including assisting adult and adolescent patients in meeting their biopsychosocial needs while enabling them to access their optimal level of emotional health through therapeutic treatment, comprising: - Individual therapy - Psych diagnostic assessment - Teaching - Completing specialized clinical social work services for patients receiving care - Crisis intervention - Short-term and long-term family therapy - Group therapy - Milieu management - Providing information and referrals as needed Key Responsibilities include: - Formulate and conduct educational, therapeutic, and/or support groups online. - Communicate effectively with patients, families, health care team members, and community providers regarding resident status and progress. - Interact and communicate with community agencies in assessment of and service to patients. - Provide liaison and referral services to community agencies and appear in court when requested or subpoenaed. - Maintain confidentiality in compliance with professional ethics according to professional and facility standards. Qualifications - Master's Degree required from an accredited college or university, in Social Work or a clinical related mental health field preferred. - Minimum of one (1) year experience in a psychiatric health care setting, with direct experience in family and group therapies, crisis intervention, and treatment skills preferred. - Experience with eating disorders population preferred. - Master’s prepared or higher; Licensed and/or License-eligible therapist preferred. - Bilingual (Spanish) highly preferred. Requirements - A familiarity and ease with online video-assisted communication. - May be required to work flexible hours and overtime. - Saturday coverage as needed. Benefits - Challenging and rewarding work environment. - Career and growth opportunities. - Comprehensive benefits. - Competitive compensation.

Role Description We are seeking an experienced Licensed Practical Nurse (LPN) to join our remote care management team. This role works closely with clinical staff to provide patient education, monitor patient conditions, and communicate changes in condition to the appropriate healthcare providers. The LPN serves as a key point of contact for patients and helps support care plan adherence in a telehealth environment. This position requires an active New York LPN license and the ability to quickly adapt to a fast-paced remote care setting. Training will be approximately one week before assuming responsibility for a patient panel. Key Responsibilities - Engage patients in one-on-one telephonic and virtual interactions to reinforce care plans and support health goals - Deliver patient-centered nursing support and education - Collect and update clinical information, including health history, medications, vital signs, and patient-reported symptoms - Monitor patient progress through scheduled follow-ups and review of remote monitoring data - Identify and communicate changes in patient condition to the appropriate clinical team members - Educate patients on medications, symptom management, preventive care, and early warning signs - Support patients in implementing care plans through guidance on healthy lifestyle habits and disease management - Document patient interactions accurately and in accordance with established clinical standards - Collaborate with RNs, providers, and care team members to support positive patient outcomes - Assist with coverage across programs as needed to support operational and patient care needs Qualifications - Active Licensed Practical Nurse (LPN) license in New York - Minimum 3 years of clinical nursing experience - Strong patient education and communication skills - Ability to work independently in a remote environment - Experience documenting clinical information accurately and thoroughly - Proficiency with electronic health records and telehealth technology - Strong organizational, critical thinking, and time management skills Preferred Qualifications - Multi-state LPN license - Additional licensure in Texas, Hawaii, or Connecticut - Experience with cardiac care, heart failure, or chronic disease management - Telehealth, remote patient monitoring, or care management experience - Bilingual English/Spanish What We're Looking For - Ability to learn quickly and work independently with minimal supervision - Strong clinical judgment and patient engagement skills - Excellent communication and documentation abilities - Adaptability in a fast-paced healthcare environment - Commitment to delivering high-quality, patient-centered care Compensation $25/hr Interested in Learning More? Apply directly or contact Tenavi Staffing to discuss this opportunity.