RN - Registered Nurse - Hospital Case Manager GeisingerRN - Registered Nurse - Hospital Case ManagerLewistown, PADesigns an individualized plan of care and fosters a team approach by working collaboratively with the patient or member, family, primary care provider, and other members of the health care team to ensure coordination of services. Through professional growth, quality improvement, and interdisciplinary collaboration, we’ve built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact.
Nurse Practitioner (PRN) - In-Home Health Assessments Matrix Medical NetworkNurse Practitioner (PRN) - In-Home Health AssessmentsState College, PA$1,800–$11,500Matrix Medical Network pioneered the first national in-home clinical network, and today we’re an independent provider of comprehensive health assessments serving people across the nation. Additional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments.
Inpatient Registered Nurse (RN) or Social Worker (MSW) Care Manager, Part Time, Miners Campus St. Luke's Health Network, Inc.Inpatient Registered Nurse (RN) or Social Worker (MSW) Care Manager, Part Time, Miners CampusCoaldale, PAPart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Social Worker or Registered Nurse Care Manager is responsible for coordinating the complex discharge planning needs of patients, as well as to provide supportive counseling, psycho-social assessment, and interventions for designated patient populations across the continuum of care.
Inpatient Care Manager, Registered Nurse (RN) or Social Worker (MSW), Per Diem, Miners Campus St. Luke's Health Network, Inc.Inpatient Care Manager, Registered Nurse (RN) or Social Worker (MSW), Per Diem, Miners CampusCoaldale, PAPart timeThe Social Worker Care Manager per diem is responsible for coordinating the complex discharge planning needs of patients, as well as to provide supportive The Social Worker or Registered Nurse Care Manager is responsible for coordinating the complex discharge planning needs of patients, as well as to provide supportive counseling, psycho-social assessment, and interventions for designated patient populations across the continuum of care. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
Case Management Support Intern Pennsylvania State UniversityCase Management Support InternPAExamples of situations with which the office can assist are academic distress, financial insecurity, housing/food insecurity, death of an immediate family member, family emergency/crisis, mental health concerns, medical emergency and/or hospitalization, long-term illness, being named in allegations of misconduct, navigating a university misconduct process, and/or unexpected events or challenges. The Student Care & Advocacy case management intern serves as a support for the case management team in addressing unforeseen student situations such as complex behavioral and/or psychological challenges, social or adjustment problems, academic related challenges, and financial insecurity.
Case Manager (RN), Tyrone & State College Hospitals Penn Highlands HealthcareCase Manager (RN), Tyrone & State College HospitalsTyrone, PAThe RN will be responsible for determining the medical necessity of admissions and extended stays to meet the hospital's objectives for assuring high quality patient care with effective and efficient utilization of available health facilities and services. AS THE REGISTERED NURSE (RN) CASE MANAGER, you will be responsible for hospital case management, utilization review, discharge planning, and integrating social service functions into patient care.
Blended Case Manager Alternative Community Resource Programs IncBlended Case ManagerAltoona, PAFull timeA bachelor's degree with major course work in sociology, social welfare, psychology, gerontology, anthropology, other social sciences, criminal justice, theology, nursing, counseling or education (OR) be a registered nurse (OR) a high school diploma and 12 semester credit hours in sociology, social welfare, psychology, gerontology, or other social science and 2 years of experience in direct contact with mental health consumers (OR) a high school diploma and 5 years of mental health direct care experience in public or private human services with employment as an intensive case management staff person prior to April 1, 1989. Home and community is defined broadly to include field contacts which may take place on the street, at the person's residence or place of work, psychiatric treatment facilities, rehabilitation programs, and/or other agencies where support or entitlements are available to the client.
Case Manager (Head Start Family Advocate) Child Advocates of Blair CountyCase Manager (Head Start Family Advocate)Altoona, PAFull timeAs a full time, Case Manager at Child Advocates of Blair County, you'll have the exciting opportunity to work onsite providing vital support, resources and coordinating services to those who need it most. A passion for helping others, excellent communication skills, and an empathetic approach are essential for building trust and rapport with families.
Blended Case Manager MerakeyBlended Case ManagerLewistown, PAThrough BHHEP, eligible students can receive a paid senior‑year internship with Merakey and may also access tuition assistance of up to $20,000 for bachelor's programs or up to $40,000 for master's programs, all while gaining hands‑on experience that strengthens their skills and future employability. The Blended Case Manager (BCM) provides community-based services in Juniata, Huntingdon, and Mifflin Counties, assisting children, adolescents, and adults with a variety of behavioral health, medical, and community-living needs.
Case Manager Cove Forge Behavioral Health CenterCase ManagerWilliamsburg, PennsylvaniaFull timeManage the client's/patient's/resident’s cases with a solid background of clinical knowledge and expertise and may be responsible for providing some therapeutic services to clients/patients/residents. · Responsible for coordinating continuum of care activities for assigned clients and ensuring optimum utilization of resources, service delivery, and compliance with external agencies and referral sources requirements.
Case Manager County of BlairCase ManagerHollidaysburg, PA$35,217Qualified candidate must hold a high school diploma or GED, although an associate degree in criminal justice, paralegal training, social work, sociology, psychology, or other directly related field is a plus; minimum of two years' related administrative experience is required; skills sought include strong customer service orientation; effective interpersonal relations and communications skills (both verbal and written); basic math skills; proofreading skills and attention to detail; experience maintaining confidentiality; experience leading, motivating, and working closely with people of all backgrounds; skills to elicit information in emotional situations; demonstrated experience setting schedules and meeting deadlines, and juggling multiple priorities; and computer literacy. Our hire conducts conferences with involved parties to gather earnings and medical information then populated within Pennsylvania Child Support Enforcement System (PACSES) to recommend an appropriate amount of child and/or spousal support to be paid upon the filing of a complaint; conducts conferences when petitions are filed for increase, decrease, and termination; prepares court documents and attends court hearings; maintains oversight of cases; tracks missed payments, monitors enforcement remedies; prepares cases for court; and completes paperwork.
Case Manager Encompass Health Rehabilitation Hospital of Nittany ValleyCase ManagerPleasant Gap, PAJoin Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.
Blended Case Manager Strawberry Fields IncBlended Case ManagerState College, PADevereux is proud to offer ASCEND - the first career accelerator program exclusively designed to give behavioral healthcare workers - the career guidance, one-on-one coaching, skills and financial assistance you need to reach your full potential. Strawberry Fields, Inc. is seeking a Blended Case Manager (BCM) with experience working with children and adolescents to support individuals with serious and persistent mental illness.
RN Case Manager - Geisinger Hospice - State College, PA UnitedHealth Group IncRN Case Manager - Geisinger Hospice - State College, PAState College, PAClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Registered Nurse Case Manager Bristol Hospice, LLCRegistered Nurse Case ManagerAltoona, PAAre you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families?. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities.
PA RN Case Manager/Clinical Instructor Abby CarePA RN Case Manager/Clinical InstructorState College, PennsylvaniaWe're looking for a skilled, compassionate Registered Nurse to step into a dual-function hybrid role at Abby Care — combining hands-on patient case management with clinical education and caregiver training. Based in State College, PA , you'll serve as an RN Case Manager , coordinating comprehensive care for a diverse patient caseload, while also taking on a Clinical Instructor function, preparing the next generation of Home Health Aides and contributing to our curriculum and training programs.
LPNRN for Full Time 1st shift Pediatric Case in Irvona Interim HealthCare IncLPNRN for Full Time 1st shift Pediatric Case in IrvonaPAFrequent exposure to communicable diseases, bloodborne pathogens and/or other potentially infectious or hazardous materials and situations that require following extensive safety precautions and may include the use of protective equipment. Able to constantly stand, walk, bend, stoop, squat, kneel and reach freely and assist patients with standing, walking and transferring.
Home Health Aide HHACNA Pediatric Case in Philipsburg Interim HealthCare IncHome Health Aide HHACNA Pediatric Case in PhilipsburgPAGeneral Purpose: Are members of the interdisciplinary team who provide hands-on personal care, report changes in the patient's/client's condition, perform simple procedures as an extension of therapy or nursing services, and provide incidental/instrumental activities of daily living as assigned to patients/clients in the home setting as permitted by the policies and procedures of Interim HealthCare and any other federal, state and local law or regulation. A school of nursing student in the last year of a program or has documentation from the school of successful demonstration of personal care aide skills or graduate RN or LPN/LVN with proof of graduation; OR Successfully completed: A specific aide training and competency evaluation program as required by State and the federal regulations (42 CFR §484.80); or.
Inpatient Care Manager, Registered Nurse (RN) or Social Worker (MSW), Per Diem, Miners Campus St. Luke’s University Health NetworkInpatient Care Manager, Registered Nurse (RN) or Social Worker (MSW), Per Diem, Miners CampusCoaldale, PennsylvaniaThe Social Worker Care Manager per diem is responsible for coordinating the complex discharge planning needs of patients, as well as to provide supportive The Social Worker or Registered Nurse Care Manager is responsible for coordinating the complex discharge planning needs of patients, as well as to provide supportive counseling, psycho-social assessment, and interventions for designated patient populations across the continuum of care. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
NewInpatient Registered Nurse (RN) or Social Worker (MSW) Care Manager, Part Time, Miners Campus St. Luke’s University Health NetworkInpatient Registered Nurse (RN) or Social Worker (MSW) Care Manager, Part Time, Miners CampusCoaldale, PennsylvaniaIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Social Worker or Registered Nurse Care Manager is responsible for coordinating the complex discharge planning needs of patients, as well as to provide supportive counseling, psycho-social assessment, and interventions for designated patient populations across the continuum of care.
Community Health Worker - Street Medicine Program Pennsylvania State UniversityCommunity Health Worker - Street Medicine ProgramPA$51,000–$74,000 / yearThe CHW will serve as a trusted bridge between the healthcare system and the community by conducting outreach, building relationships with individuals living outdoors or in unstable housing, helping patients navigate medical and social services, and supporting interdisciplinary street medicine teams in delivering care directly where people live. This position requires the following clearances in addition to applicable background checks: PA State Police Criminal Background Check, PA Child Abuse History Clearance Form, and Federal (FBI) Fingerprint Criminal Background Check.
CHC Service Coordinator (Hybrid- Blair and Cambria Counties University of Pittsburgh Medical CenterCHC Service Coordinator (Hybrid- Blair and Cambria CountiesPAService coordination's purpose is for a collaborative process that assesses, plans, implements coordinates, monitors, and evaluates options and services to meet an individual's health needs through communication and available resources to promote quality, cost-effective outcomes. We are seeking candidates that have a strong background in case management and care coordination, experience conducting in-home assessments and visits, and a demonstrated ability to work effectively with adult populations who have complex medical, behavioral, and social needs.
Social Worker ( BSW or MSW ) - Days GeisingerSocial Worker ( BSW or MSW ) - DaysLewistown, PAIdentifies high risk patients from a psychosocial/financial perspective, assesses they psychological needs of patients and families and provides information, support, counseling, care management, and referrals to appropriate resources. + Functions as a member of a professional team which provides evaluation and treatment for psychiatric patients including but not limited to: psychological assessment, crisis intervention, case management, patient advocacy, care coordination, and community outreach.
Assistant Director of Basic Needs Security Pennsylvania State UniversityAssistant Director of Basic Needs SecurityPA$51,000–$74,000 / yearCo-chair the Basic Needs Collaborative within the broader University basic needs framework, working in coordination with the Basic Needs Leadership Council, and partner closely with the Campus-Community Alliance, led by a fellow Assistant Director, to strengthen cross-sector collaboration. This role develops and coordinates a comprehensive, campus-wide strategy to address essential needs, including food, housing, healthcare, and transportation, while building strong partnerships across the University and community to streamline referrals and address service gaps.
County Caseworker 1 (Local Government) - Mifflin County C&Y Commonwealth of PennsylvaniaCounty Caseworker 1 (Local Government) - Mifflin County C&YMifflin County, PAMinimum Experience and Training Requirements: Two years of experience as a County Social Services Aide 3 and two years of college level course work which includes 12 college credits in sociology, social welfare, psychology, gerontology, criminal justice, or other related social sciences; or. Any equivalent combination of experience and training which includes 12 college credits in sociology, social welfare, psychology, gerontology, criminal justice, or other related social sciences and one year of experience as a County Social Services Aide 3 or in a similar position performing paraprofessional case management functions.
NewService Coordinator-CHC AmeriHealth CaritasService Coordinator-CHCLewistown, PAYou will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up. + Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports.
Independent Living Coordinator ClarvidaIndependent Living CoordinatorHuntingdon, PA$18–$19 / hourFull timeIndependent Living Coordinator, Independent Living Services, Youth Services, Community-Based Case Management, Child Welfare Jobs, Huntingdon County PA Jobs, Family Services Coordinator, Youth Development Programs, Clarvida Careers, Pennsylvania Human Services Jobs, Caseworker, Human services, Social services. About your Role: Clarvida is seeking an Independent Living Coordinator to support youth and families involved with Huntingdon County Children & Youth Services.
Behavioral Consultant (BC) – CBIT for Kids Program Nulton Diagnostic & Treatment CenterBehavioral Consultant (BC) – CBIT for Kids ProgramAltoona, PAThe BC works closely with a Blended Case Manager (BCM), outpatient therapist/clinician, psychiatric provider, and wellness nurse to deliver integrated, high-quality care that reduces hospitalization risk and improves functioning across environments. · Collaborate with treatment team members including clinicians, Blended Case Managers (BCM), psychiatric providers, and wellness nurses.
Night RN Family Hospice University of Pittsburgh Medical CenterNight RN Family HospicePAThey must also demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patients' status and interpret the appropriate information needed to identify each patients' requirements relative to his/her age-specific needs and to provide the care needs as described in the department policy and procedures. Though temporary permits are valid for one year from the date of graduation, not one year from issue of permit (or until the results of the examination are known at which time it becomes null and void, UPMC requires that GNs take the licensure examination within 6 months of their start date or they will be terminated or demoted from the GN position, at the discretion of the BU.
RN Family Hospice Night Team University of Pittsburgh Medical CenterRN Family Hospice Night TeamPAThey must also demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patients' status and interpret the appropriate information needed to identify each patients' requirements relative to his/her age-specific needs and to provide the care needs as described in the department policy and procedures. Though temporary permits are valid for one year from the date of graduation, not one year from issue of permit (or until the results of the examination are known at which time it becomes null and void, UPMC requires that GNs take the licensure examination within 6 months of their start date or they will be terminated or demoted from the GN position, at the discretion of the BU.
RN Home Health Casual University of Pittsburgh Medical CenterRN Home Health CasualAltoona, PAThey must also demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patients' status and interpret the appropriate information needed to identify each patients' requirements relative to his/her age-specific needs and to provide the care needs as described in the department policy and procedures. Though temporary permits are valid for one year from the date of graduation, not one year from issue of permit (or until the results of the examination are known at which time it becomes null and void, UPMC requires that GNs take the licensure examination within 6 months of their start date or they will be terminated or demoted from the GN position, at the discretion of the BU.
Registered Nurse Home Health University of Pittsburgh Medical CenterRegistered Nurse Home HealthHuntingdon, PAThey must also demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patients' status and interpret the appropriate information needed to identify each patients' requirements relative to his/her age-specific needs and to provide the care needs as described in the department policy and procedures. Though temporary permits are valid for one year from the date of graduation, not one year from issue of permit (or until the results of the examination are known at which time it becomes null and void, UPMC requires that GNs take the licensure examination within 6 months of their start date or they will be terminated or demoted from the GN position, at the discretion of the BU.
RN Home Health Casual UPMC - Pittsburgh Medical CenterRN Home Health CasualAltoona, PAThey must also demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patients' status and interpret the appropriate information needed to identify each patients' requirements relative to his/her age-specific needs and to provide the care needs as described in the department policy and procedures. Though temporary permits are valid for one year from the date of graduation, not one year from issue of permit (or until the results of the examination are known at which time it becomes null and void), UPMC requires that GNs take the licensure examination within 6 months of their start date or they will be terminated or demoted from the GN position, at the discretion of the BU.
NewAdmissions Registered Nurse Bristol Hospice, LLCAdmissions Registered NurseState College, PAWork with the intake department so they can serve as a liaison between facility, physicians, hospitals, skilled nursing facilities, community and hospice programs, with coordination of referrals/admission process and services. Establish and monitor community, customer, payer and patient perceptions of Bristol Hospice as a high-quality provider of hospice services in the community.
NewQuality Clinical Reviewer - Hybrid/Remote Blair, Cty, PA Magellan Health IncQuality Clinical Reviewer - Hybrid/Remote Blair, Cty, PAAltoona, PARemoteLCSW - Licensed Clinical Social Worker - Care MgmtCare MgmtCare Mgmt, LMHC - Licensed Mental Health Counselor - Care MgmtCare MgmtCare Mgmt, LPC - Licensed Professional Counselor - Care MgmtCare MgmtCare Mgmt, MFT - Marriage and Family Therapist - Care MgmtCare MgmtCare Mgmt, PSY - Psychologist - Care MgmtCare MgmtCare Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtCare MgmtCare Mgmt. Assists in the planning and implementation of activities to improve delivery of services and quality of care including the development and coordination of in-service education programs for providers and care managers.
Substance Use Counselor Lewistown Comprehensive Treatment CenterSubstance Use CounselorLewistown, PennsylvaniaFull timeLewistown Comprehensive Treatment Center (CTC), located in Lewistown , PA, is part of Acadia Healthcare's Comprehensive Treatment Centers, the leading provider of medication-assisted treatment in the nation. Our counseling team provides compassionate, high-quality counseling and therapy to patients that are seeking recovery from Opioid Use Disorder.
Substance Use Counselor Acadia Healthcare Co IncSubstance Use CounselorLewistown, PAOur Team: Lewistown Comprehensive Treatment Center (CTC), located in Lewistown, PA, is part of Acadia Healthcare''s Comprehensive Treatment Centers, the leading provider of medication-assisted treatment in the nation. Required Education, Skills and Qualifications: Associate''s degree in social or health services field with 2 years of clinical experience in a health or human service agency; or.
Parole Agent 1 - Altoona District Office Commonwealth of PennsylvaniaParole Agent 1 - Altoona District OfficeAltoona, PA$55,436–$84,332 / yearI have experience writing PAROLE-RELATED reports and correspondence, including summarization reports, investigation reports, risk assessments, or institutional adjustment reports. Minimum Experience and Training Requirements: Four years of paraprofessional experience which includes two years of paraprofessional social services, human services, corrections, or law enforcement experience; or.
Care Manager BH (Onsite, PA, Hollidaysburg) Magellan Health IncCare Manager BH (Onsite, PA, Hollidaysburg)PACEAP - Certified Employee Assistance Professional - Care MgmtCare MgmtCare Mgmt, LCSW - Licensed Clinical Social Worker - Care MgmtCare MgmtCare Mgmt, LMFT - Licensed Marital and Family Therapist - Care MgmtCare MgmtCare Mgmt, LMSW - Licensed Master Social Worker - Care MgmtCare MgmtCare Mgmt, LPC - Licensed Professional Counselor - Care MgmtCare MgmtCare Mgmt, LSW - Licensed Social Worker - Care MgmtCare MgmtCare Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtCare MgmtCare Mgmt. Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings.
Care Manager - BH (Onsite, PA, Hollidaysburg) Magellan Health IncCare Manager - BH (Onsite, PA, Hollidaysburg)PACEAP - Certified Employee Assistance Professional - Care MgmtCare MgmtCare Mgmt, LCSW - Licensed Clinical Social Worker - Care MgmtCare MgmtCare Mgmt, LMFT - Licensed Marital and Family Therapist - Care MgmtCare MgmtCare Mgmt, LMSW - Licensed Master Social Worker - Care MgmtCare MgmtCare Mgmt, LPC - Licensed Professional Counselor - Care MgmtCare MgmtCare Mgmt, LSW - Licensed Social Worker - Care MgmtCare MgmtCare Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtCare MgmtCare Mgmt. Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings.
Psychiatric Nurse Practitioner - Part-Time MindCare SolutionsPsychiatric Nurse Practitioner - Part-TimeState College, PennsylvaniaCollaborative Care Planning: Partner with case managers and interdisciplinary teams to create and refine care plans, ensuring a seamless, integrated approach to behavioral health management. Conduct Comprehensive Psychiatric Evaluations: Perform thorough psychiatric assessments to establish a baseline, manage psychotropic medications, and deliver personalized, need-based care.
Senior Registered Nurse Home Health University of Pittsburgh Medical CenterSenior Registered Nurse Home HealthState College, PAAs an RN with UPMC Home Healthcare, you'll collaborate with our team of specialized nurses, rehabilitation therapists, social workers, dieticians, aides, and trained administrative staff to provide personalized patient care in a home setting. Licensure, Certifications, and Clearances: Current licensure as a Registered Professional Nurse either in the state where the facility is located or in a state covered by a licensure compact agreement with the state where the facility is located OR TPP.
Licensed Practical Nurse - LPN UnitedHealth Group IncLicensed Practical Nurse - LPNPA$28.36–$42.53 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Actively participates in the agency"s care coordination process including timely reporting patients" needs and changes in condition, attending patient case conference, communicating effectively to the patient, family, physician, other clinicians, agency management staff, and case coordinator, community case managers (as applicable).