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Clinical Case Manager, Behavioral Health

CVS Health · Centralia, WA

Full-timeHealthcare - Allied HealthPosted This week
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Job description(tap to read)

Join Us At Cvs Health 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 Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of Members • Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. • Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues. • Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated. • Provides crisis follow up to members to help ensure they are receiving the appropriate treatment/services. Enhancement of Medical Appropriateness and Quality of Care • Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits • Using holistic approach consults with supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary view in order to achieve optimal outcomes • Identifies and escalates quality of care issues through established channels • Ability to speak to medical and behavioral health professionals to influence appropriate member care. • Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promotes 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 knowledgably participate with their provider in healthcare decision-making • Analyzes all utilization, self-report and clinical data available to consolidate information and begin to identify comprehensive member needs. Monitoring, Evaluation and Documentation of Care • In collaboration with the member and their care team develops and monitors established plans of care to meet the member's goals • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. • Ability to take and manage crisis calls. Required Qualifications • Unencumbered Independent Behavioral Health clinical license in the state where they reside and work: • Licensed Mental Health Counselor (LMHC) • Licensed Clinical Social Worker (LCSW) • Licensed Independent Social Worker (LISW) • Licensed Marital and Family Therapist (LMFT) • Licensed Master Social Worker (LMSW) • Licensed Professional Counselor (LPC) • 3+ years of direct clinical practice experience post masters degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility • 3+ years minimum of Behavioral Health experience • Applicants must be willing to work standard business hours in EST or CST. Preferred Qualifications • Case management and discharge planning experience • Crisis intervention skills • Managed care/utilization review experience • Ability to take and manage crisis calls Education Minimum of a Master's degree in Behavioral/Mental Health or related field Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,095.00 - $116,760.00 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

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Three Rivers Care logo

LPN Nurse Unit Manager/Infection Control

Three Rivers Care · Centralia, WA

LPN Nurse Unit Manager/Infection Control Position: ADON/IP Pay Range: $40+ DOE Location: Three Rivers Care, 1305 Alexander St, Centralia, WA 98531 About Us At Three Rivers Care (a Caldera Care facility), we are dedicated to creating a warm and welcoming environment that feels like home. Our commitment to our residents is exemplified by our team of compassionate employees. We take pride in providing top-notch care, delivering the highest standards of excellence. When a loved one comes to our facility, they will be well cared for, will feel heard, and will know that they matter. We strongly believe that the key to this is through our incredible staff! Come join our amazing team! What You Will Do • Under the supervision of the DON, you'll assume responsibility and accountability for assigned core programs • Responsible for all infection control monitoring, tracking, and prevention • Make frequent rounds to ensure nursing staff are following their assigned duties and redirect as necessary • Ensure the nursing stations are well organized, cleaned, and stocked appropriately • Participate in development and implementation of resident specific care plans • Any other tasks as directed by the DON • Complete resident treatments as needed • Maintain clean and orderly med room on unit • Attend meetings as required • Assess and implement care plans for all residents • Work closely with other departments to coordinate care for residents Must Have • Current Washington LPN license without any enforcement action against it • Minimum one year in a supervisory role in a skilled nursing setting preferred • Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations and guidelines that pertain to nursing care facilities. Caldera Cares for You! • Competitive pay scale • Full benefits package - Medical, Dental, and Vision • 401k • Life and Disability Insurance • Paid Time off Grow with Caldera • Tuition Reimbursement • Clinical Scholarships • Continued Education • Leadership training • Scholarship Programs Pay Transparency Statement Compensation for roles at Three Rivers Care varies depending on a wide array of factors including but not limited to the location, role, skill set and level of experience. As required by state and local law, Willapa Harbor Care provides a reasonable pay scale to include the hourly or salary range that Willapa Harbor Care expects to pay for roles they may be hired in Washington as stated below: Pay Range: $40+ DOE Keywords: Skilled Nursing, Nurse, Healthcare, SNF, Registered Nurse, Nursing Facility, ADON, Assistant Director of Nursing

Healthcare - Nursing
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Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com . Job Summary: Data Entry Specialist is responsible for accurately inputting patient information into Sharecare's internal systems and client Electronic Medical Record (EMR) platforms. This role requires keen attention to detail, efficient data management, and strict adherence to HIPAA compliance standards, supporting the Release of Information (ROI) process. The ideal candidate thrives in a fast-paced, collaborative environment, demonstrating a strong commitment to accuracy, productivity, and the protection of sensitive patient data. **Essential Functions: ** • Accurately enter and update patient data in internal and client-facing systems • Access and navigate multiple EMR platforms to retrieve, validate, and process patient health information (PHI) • Ensure data accuracy and consistency while meeting productivity benchmarks • Maintain strict confidentiality and comply with HIPAA and company privacy policies • Collaborate with team members to support process improvements and service quality • Provide courteous, timely, and professional communication with internal and external stakeholders as needed **Qualifications: ** • Proficiency in Microsoft Office applications • Strong organizational and multitasking skills essential • Demonstrated ability to manage time effectively and meet task deadlines  • Willingness to learn programs and processes quickly • Strong documentation, communication, and customer service skills  • Self-motivated, dependable, and able to work independently or as part of a team • Proven ability to maintain productivity, utilization and quality performance standards  **Physical Requirements: ** • Ability to sit or stand for extended periods of time • Physical capacity to lift and carry 25 lbs. • Manual dexterity is sufficientfor long periods of typing, writing, and handling documents • Visual acuity to read documents and use a computer monitor • Clear speaking and hearing ability for communication • Adequate hand-eye coordination and sensory abilities for job-related tasks. **Information Governance Accountabilities: **   • Understand the organization's information governance program & individual role responsibilities • Participate in required education and compliance training. **HIPAA/Compliance: ** • Maintain the confidentiality of patient and clientinformation • Comply withHIPAA standards and all relevant corporate integrity and security obligations. • Report unethical, fraudulent, or illegal behavior • Maintain current HIPAA certification annually Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law. Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.

RemoteAdministrative/Clerical
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Data collector / Driver

TSMG · Centralia, WA

Data Collector Terry Soot Management Group (TSMG) is a field data collection company founded in 2017 in Europe. We collect data where automation is not possible. We count features, take pictures, make videos, record speech, and scan areas for every detail you need to make more informed decisions. Our field data collection teams are spread across Europe and North America, ready to accept new challenges. The goal of the project is to help collect images of streets, main points of interest and public areas. The project is performed on cars with 360 cameras mounted on top that image the area around the vehicle and store those images on computers inside the vehicle. Later, this data will be used to enhance one the most popular online maps in the world. The data collectors will be given specific routes around public streets and areas, specifically targeting commercial districts and historical sites. Due to poor weather conditions some areas will be visited multiple times in order to collect the best quality of imaging. The project is expected to last at least 3 months and will cover different city/state zones. The ideal candidate enjoys driving, knows well the area, traffic trends, is highly responsible and reliable. The schedule expected on the project is Monday-Friday, 8 hours/day 40 hours per week. You can work more than 8 hours if you will. Requirements • Must have a valid Driver License (driving experience, 1-2 yrs minimum) • Must have parking for a vehicle • Must be authorized to work in the US • Must pass the background check • Enjoys driving, with flexible schedule • Available for a minimum of 3 months • Responsible & Reliable • Good driving skills • Great communication skills • High level of responsibility • General car knowledge • Tech savvy (smartphone and basic apps) • Basic computer skills • Self-motivated and detailed oriented We would be happy to get to know you and your skills better and see how we can support each other's growth. Please apply and let's meet!

NewCustomer Service/Call Center
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