Behavioral Health Continuing Education Coordinator Job at Advocate Health Care (Winston Salem)

Behavioral Health Medical Director

The Behavioral Health (BH) Medical Director leverages clinical expertise to prov...

Location

United States

Salary:

189600.00 - 237000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

MD or DO degree and 5+ years of direct clinical patient care experience post residency or fellowship including behavioral health environments
Current and ongoing Board Certification in psychiatry by the American Board of Psychiatry and Neurology (ABPN) required
Additional Board Certification in Child and Adolescent Psychiatry or Addiction Medicine
A current and unrestricted license in the state of California and willing to obtain additional license(s)
No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements
Minimum 5 years of Utilization Review or Hospital experience required
Minimum 3 years of compliance related experience preferred
Managed Care experience preferred in utilization review and case management
Expertise in behavioral health case management, utilization review and telehealth delivery
Ability to design and evaluate behavioral health programs, integrating evidence-based practices and holistic wellbeing approaches

Job Responsibility

Oversee and participate in behavioral health case management, including utilization review, telephonic care, and urgent response coordination for behavioral health and substance use disorder needs
Conduct reviews for medical necessity for prior authorization, continued stay, and post-service claims, applying medical policy, guidelines, and current research
Integrate behavioral health screening and interventions within physical health case management programs, utilizing standardized tools (e.g., PHQ2, PHQ9) and ensuring appropriate referrals
Support and monitor virtual behavioral health services, ensuring access, privacy, and continuity of care for all age groups, including children, teens, and adults
Supervise and provide clinical oversight for residential and outpatient behavioral health programs, including partial hospitalization and intensive outpatient services, with an emphasis on family engagement and comprehensive discharge planning
Lead the development and implementation of comprehensive behavioral health strategies, including program design, staff education, and quality improvement initiatives
Maintain compliance with national guidelines (e.g., MCG, InterQual, specialty college recommendations) and regulatory requirements (federal, state, ERISA) specific to behavioral health
Oversee the negotiation and implementation of cost management strategies to affect quality outcomes, reflecting data in monthly case management reviews
Participate in grievance and appeals processes, including escalated behavioral health issues
Collaborate with the VP of Care Management to establish work procedures and processes that support company and departmental standards, procedures, and strategic directives

What we offer

Comprehensive medical and dental coverage through our own health solutions
Mental health support and wellness programs designed by experts who get it
Flexible work arrangements that fit your life
Retirement planning support to help you build real wealth for the future
Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
Professional development opportunities and clear career progression paths
Mentorship from industry leaders who want to see you succeed
Learning budget to invest in skills that matter to your future
Unlimited PTO policy

Parttime

Integrated Care Manager

Responsible for promoting continuity of care through a collaborative process tha...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).

Job Responsibility

Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan
Answer a diverse and high volume of health insurance related customer calls on a daily basis
Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
Maintain complete and accurate records per department policy
Demonstrate ability to apply plan policies and procedures effectively

Fulltime

Senior Manager, Security - Threat Management

The Senior Manager, Security – Threat Management leads the development and execu...

Location

United States of America , Bentonville

Salary:

90000.00 - 180000.00 USD / Year

Walmart

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Human Resources, Risk Management, or related field and 4 years’ experience in security, emergency management, risk management, law enforcement, fire service, or related area OR 6 years’ experience in security, emergency management, risk management, law enforcement, fire service, or related area
Proven leadership skills with the ability to mentor, develop, and manage high-performing teams
Experience in crisis and emergency management, coordinating multi-disciplinary response efforts effectively
Strong analytical capabilities to evaluate security risks and implement data-driven protective strategies
Ability to develop and execute strategic disaster response and recovery plans aligned with corporate policies
Excellent communication skills to engage stakeholders and influence security governance globally
Commitment to ethical standards, compliance, and continuous improvement in security programs
Two years of threat management experience and/or behavior assessment, mental health background support, counseling, mental health, therapy and education

Job Responsibility

Manage and coordinate crisis events by analyzing variables, activating responders, and ensuring effective resolution and communication with stakeholders
Oversee data-driven assessments of security risks to people, operations and assets, translating findings into actionable business risk strategies
Develop and implement value-based security and protective programs aligned with industry standards and company policies
Lead cross-functional security risk projects, influencing global security strategies and collaborating with internal and external partners
Drive execution of security business plans by identifying needs, removing obstacles, and adapting strategies to meet objectives
Provide leadership, mentoring, and development opportunities to build a high-performing security team

What we offer

performance-based bonus awards
Health benefits include medical, vision and dental coverage
Financial benefits include 401(k), stock purchase and company-paid life insurance
Paid time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting
Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement
Live Better U education benefit program

Fulltime

New

Assistant Clinical Manager

Assist PCC leadership with day to day operation to ensure high quality and cost ...

Location

United States , Park Ridge

Salary:

44.15 - 66.25 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Typically requires 3 years’ experience in specialty area
may require specialty-focused continuing education and/or certifications based upon department discretion
Ability to assume charge/schedule coordinator role
Ability to communicate effectively and work cohesively with a diverse work group
Skills specific to each unit's specialty
CPR Illinois Licensed Professional Registered Nurse Certification relative to specialty area, if applicable
Ability to travel locally
Ability to work within stressful conditions and difficult situations
Resilient and flexible in changing environment
May be exposed to hazardous material and threatening diseases

Job Responsibility

Serves in the role of Charge Nurse
Assigns patient and non-patient care in a safe, effective manner
Maintains staffing requirements in accordance with established policies, patient volume
Collaborates with physicians, management and other healthcare professionals to assure the deliver of quality care and high patient satisfaction
Contributes to achieving system, site and unit goals by prioritizing duties and responsibilities
Assures accurate reporting of census, acuity and staffing at predetermined times
Assures that Point of Care Testing/Code Carts/Code Boxes are accounted for
Assures appropriate supplies are available to staff via Lawson
Monitors/Edits Report Express Reports in a timely manner
Ensures compliance with all regulatory agency standards, i.e., federal, state, city, Accrediting Organization, IDPH and all hospital policies and procedures

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Rare Condition Manager

To support high-quality, cost-effective care by coordinating services for member...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
Associate’s Degree in general field of study or Post High School Nursing Diploma
Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
Intermediate PC proficiency
Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
Intermediate skill in word processing, spreadsheet, and database software
Maintain confidentiality and privacy
Advanced and current clinical knowledge
Practice interpersonal and active listening skills to achieve customer satisfaction
Interpret and translate policies, procedures, programs, and guidelines

Job Responsibility

Perform assessments, condition management education, training, and other clinically-based activities to coordinate care among providers, members, and family to implement the care plan
Make and answer a diverse and high volume of condition management-related member calls on a daily basis
Identify holistic member needs considering whole-person health, to include condition-specific needs, behavioral health needs, and social drivers of health needs
Analyze medical records, claims data, and other information sources
Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, BCBSAZ programs, provider networks, etc
Present status reports on cases to the manager/supervisor and, when indicated, to the medical director
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
Maintain complete and accurate records per department policy

Fulltime

Integrated Care Manager - Adult

Responsible for promoting continuity of care through a collaborative process tha...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC)
Intermediate PC proficiency
Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
Intermediate skill in word processing, spreadsheet, and database software
Maintain confidentiality and privacy
Advanced and current clinical knowledge

Job Responsibility

Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan
Answer a diverse and high volume of health insurance related customer calls on a daily basis
Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
Maintain complete and accurate records per department policy
Demonstrate ability to apply plan policies and procedures effectively

Fulltime

Curriculum Specialist - Secondary Education

The purpose of the Curriculum Specialist - Secondary is to enhance and evolve th...

Location

United States , Lake Tapps

Salary:

70000.00 - 85000.00 USD / Year

EdTech Jobs

Expiration Date

Until further notice

Requirements

Experience in curriculum development and content creation for implementation supports
Experience with delivering social and emotional learning curriculum, behavioral supports, inclusive practices for students with IEPs, and other evidence-based Tier 1 programs and practices
Strong communication, presentation, and project management skills
Strong writing and verbal skills
Strong technology skills, including Google Suite and other similar platforms
Strong understanding of AI as a tool for unique content and resource development
Minimum of 5 years working in education

Job Responsibility

Execute our process of continuous improvement of the CharacterStrong secondary curriculum
Develop new content that is relevant, engaging, and representative of the many different students and educators that CharacterStrong serves
Build and collaborate on quarterly projects and coordinate between cross-departmental teams to successfully perform curriculum and professional development audits
Utilize expertise in secondary education, evidence-based instruction and, social, emotional, and behavioral needs among youth to bring voice and perspective to content generation
Facilitate in-person and virtual professional learning for schools utilizing the secondary curriculum
Host live webinars for schools that showcase different aspects of CharacterStrong and the secondary curriculum
Conduct discovery research with educational stakeholders to identify areas for improvement and best practices in secondary education and character education, behavioral competencies, future ready strategies, and other state-mandated health and safety standards to inform curriculum revisions and enhancements
Collaborate with curriculum, product, and technology teams to explore and implement tech-enhanced solutions that personalize learning and support educator effectiveness
Develop differentiated instructional strategies and materials that support multi-tiered systems of support (MTSS) for behavior and social-emotional development in secondary settings
Design, revise, and align curriculum content with state and national standards, ensuring integration of character education and social and behavioral components into subject areas for grades 6–12

What we offer

Ability to work remotely or out of the office in WA state
New laptop computer and other needed equipment
Medical, Dental, and Vision Insurance
Employer-provided Life Insurance at no cost to employees
Paid parental leave after 12 months of employment for eligible employees
Flexible Time Off, 6 Paid Sick Days, 11 Paid Company Holidays

Fulltime

New

Nurse Practitioner or Physician Assistant - Emergency Medicine

NP or PA- Emergency Medicine - Sheboygan - Casual .01 - Experience Strongly Pref...

Location

United States , Sheboygan

Salary:

57.85 - 86.80 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Registered Nurse license issued by the state in which the team member practices
Advanced Practice Nurse Prescriber license issued by the state of Wisconsin
Nurse Practitioner (AANP) certification issued by the American Academy of Nurse Practitioners (AANP) or Nurse Practitioner (ANCC) certification issued by the American Nurses Credentialing Center (ANCC)
Drug Enforcement Administration (DEA) registration issued by the Drug Enforcement Administration (DEA) Registration
Advanced Cardiac Life Support certification (ACLS) issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required
Master's Degree in Nursing
Typically requires 5 years of experience in providing and coordinating care for patients with acute, critical and chronic health conditions as a nurse practitioner
Maintains 85% of practice within an inpatient hospital setting assigned to one or multiple inpatient departments
Demonstrated ability to work independently and as an effective member of a health care team
Ability to work in a fast paced, high stress environment while managing multiple demands

Job Responsibility

Evaluates, diagnoses, treats, and manages acute and critical patients within an hospital setting for the majority of work shift
Acts as the primary patient and physician contact
Works one-on-one with the physician to facilitate access to the specialty team for the patient
Provides for continuity of care by ensuring smooth transitions between care settings and tracks patient along the care continuum including post-discharge
Provides clinical direction to nursing staff regarding the continued care of patients
Follows through with nursing staff to ensure patient receives recommended care
Prescribes, recommends and regulates pharmacologic and non-pharmacologic therapies across multiple care settings, including controlled medications that are warranted by patient's diagnosis or changing medical condition
Provides complex care coordination, which includes managing a variety of ancillary services, pre-operative plans, discharge planning, and provider referrals
Orders, performs, and interprets procedures and diagnostic tests or studies, in the field of clinical specialty trained and determined competent by a physician, to manage simple conditions such as those produced by infection or trauma, as well as to assist in the management of more complex illness and injury
Counsels, instructs and educates patients on physical and mental health including: diet, preventive health measures, health behaviors, self-care skills, disease, treatment options, and normal growth and development

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Parttime

Behavioral Health Continuing Education Coordinator

Advocate Health Care

Location:
United States , Winston Salem

Category:
Education

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 14, 2026

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