Acadia Healthcare jobs - 1,211 jobs

Under general direction, implement menus and coordinate food preparation and serve meals. Cook and prepare food according to approved menus. Direct activities of workers who assist in preparing and serving meals. Clean and inspect equipment, kitchen appliances and work areas to ensure cleanliness and functional operation. Take inventory of supplies and equipment. Work with Food Service leadership or Dietitian to ensure menus are varied, nutritionally balanced and appetizing. Perform and coordinate food production, cleaning, maintenance, and inventory control activities. Ensure compliance with established policies and procedures, quality standards, cost parameters, and appropriate regulatory requirements. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. null

The Telephonic Case Manager RN in Medical Oncology provides remote nursing support by coordinating patient care, educating members, and ensuring adherence to treatment plans. This role involves assessing patient health, identifying barriers, and connecting patients with necessary resources to improve health outcomes. Working primarily via telephone, the position requires strong clinical expertise, communication skills, and proficiency in healthcare technology systems. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today! The Telephonic Case Manager RN Medical/Oncology will identify, coordinate, and provide appropriate levels of care. The Telephonic Case Manager RN Medical/Oncology is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. This is a full-time, Monday - Friday, 8am-5pm position in your time zone. You'll enjoy the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Make outbound calls and receive inbound calls to assess members current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current, unrestricted RN license in state of residence Active Compact RN License or ability to obtain upon hire 3+ years of experience in a hospital, acute care or direct care setting Proven ability to type and have the ability to navigate a Windows based environment Have access to high-speed internet (DSL or Cable) Dedicated work area established that is separated from other living areas and provides information privacy Preferred Qualifications BSN Certified Case Manager (CCM) 1+ years of experience within Medical/Oncology Case management experience Experience or exposure to discharge planning Experience in a telephonic role Background in managed care *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Keywords: telephonic case management, oncology nurse, patient education, care coordination, medical management, healthcare advocacy, remote nursing, chronic disease management, UnitedHealth Group, RN license

The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. Primary Responsibilities: Facilitate member education and involvement of caregiver in the delivery of interventions Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources Ensure that members understand treatment options and are effectively linked to treatment resources Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support) Consider the member's needs holistically to identify gaps in care requiring intervention Exhibit excellent customer service in engaging providers in collaborative planning Create and maintain appropriate clinical records Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program Conduct condition specific research to meet member needs Maintain success stories which can be utilized to promote program Provide case management support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment Explanation of authorization process Complete discharge follow-up & if needed, discharge planning / support You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. Active, unrestricted clinical license to practice independently without supervision in the state of Missouri 2+ years of post-licensure experience in a related mental health environment 1+ years of case management experience Proven intermediate level computer skills including proficiency with MS Office Suite Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home Reside in Missouri Preferred Qualifications: Hospital experience including intakes, assessments, discharge planning, and/or case management Community mental health experience including case management Experience doing chart reviews Experience consulting with facility and/or hospital staff to coordinate treatment plans Dual diagnosis experience with mental health and substance abuse Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients Experience with government funded programs Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

OneGI is seeking a BC/ BE Gastroenterologist to join an established practice in Canton, Ohio. A patient-centric group providing world-class care! Highlights: General GI Practice w/ APP support Pathology, Research, Imaging, Anesthesia support services Strong relationship with community hospital 1 ASC location with ownership potential 2-year practice partnership track Benefits: Competitive Base Salary with Competitive Production Earnings Sign On Bonus and Moving Expenses Medical, Dental, Vision, 401k Match Malpractice Insurance At One GI , we provide exceptional gastroenterology care that puts patients at the forefront. Since our inception in 2020, we have grown rapidly while remaining steadfast in our commitment to driving excellence and upholding the highest standards in gastroenterology practice. Our renowned physician leadership, collaborative team culture, state-of-the-art ancillary services, and robust network strength empower our physicians to deliver personalized, compassionate care tailored to each patient's unique needs. One GI is more than just an organization; it's a community of over 1,300 dedicated individuals united by a shared purpose: creating a better healthcare experience for patients, colleagues, and communities. We are a diverse team of professionals who bring our unique perspectives and expertise to the table, fostering an environment of collaboration and continuous improvement. Each One GI practice is the leading provider of gastroenterology care in its respective community, retaining its regional name and unique reputation while leveraging the expansive resources and backing of our national organization. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: Support internal clinical, financial and quality data analysis to support value-based care agreements with various provider types at a national and local level Create and support standard financial, utilization and quality reporting in accordance with contracting guidelines Support ad-hoc analysis through gathering claims, financial, or membership data and summarizing key findings clearly with limited guidance Support internal data analysis and other deliverables through data troubleshooting and data validation with guidance Understand conceptual strategies and be able to present key deliverables, answer questions, participate in discussions, and make recommendations via meetings and emails Lead projects to completion by contributing to the analysis and creation of financial reporting or the automation of reporting Proactively manage routine processes and anticipating customer needs through independent prioritization Serve as a resource to executive leadership in support of value based contracting strategy Solve complex and ambiguous problems with broad impact on the business through critical thinking and resourcefulness You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 3+ years of experience in an analytics capacity with evidence of proactive critical thinking and creative problem solving Experience in the healthcare insurance industry with exposure to medical claims data Intermediate or higher level of proficiency in MS Excel and Pivot Tables Beginner or higher level of proficiency with coding in Snowflake, Toad, Snowsight, SQL, or SAS Demonstrated highly effective verbal and written communication skills for a variety of audiences Demonstrated ability to effectively manage multiple priorities Preferred Qualification: Demonstrated familiarity with SMART or other claims platform *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together. Join a dynamic and forwardthinking legal team at the forefront of artificial intelligence and technology in healthcare. As Associate General Counsel, you will help shape the legal framework for emerging AI solutions and advanced technologies, supporting enterprise initiatives that are transforming how care is delivered and experienced. No prior experience in AI or healthcare is required-we will provide the training and resources you need to succeed. What matters most is exceptional analytical judgment and strategic legal thinking. The ideal candidate quickly synthesizes complex facts, frames issues crisply, and crafts practical, businesssavvy strategies. You know when to escalate, when to influence, and when to pivot-embracing diverse perspectives and driving toward thoughtful, durable outcomes. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: AI Legal Guidance: Provide legal support to the AI Review Board (AIRB) and the Responsible AI program, advising on new AI use cases and solutions Offer legal guidance throughout the development and lifecycle of AI solutions and products Ensure AI initiatives meet legal and enterprise standards by partnering with technical and business stakeholders to address novel legal questions in a rapidly evolving space AI Legislative & Regulatory Support: Monitor, interpret, and advise on proposed and enacted AI legislation and regulation and otherwise collaborate on policy related matters Support implementation of new laws across a complex, highly matrixed organization Technology: Advise on technology-related legal matters Support texting campaigns including compliance with the Telephone Consumer Protection Act (TCPA) Advise and partner with the business in managing risk and implementing best practices for communications and technology solutions Otherwise provide legal support for technology initiatives and team projects You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Juris Doctorate degree Licensed to practice law in the United States 5+ years of legal experience, including time in private practice Proven ability to build and maintain solid working relationships across functions Comfortable operating in a fast-paced, results-oriented environment Demonstrated ability to identify issues, offer timely and proactive advice, and follow through to resolution Expertise, judgment, and presence to advise leadership on complex legal matters Preferred Qualifications: Litigation experience Exceptional legal analysis, written and verbal communication skills Results-driven with intellectual curiosity and a solid work ethic Ownership mindset with accountability for deliverables Poise and confidence to engage with senior legal and business leaders Organizational agility to advocate for key decisions while remaining open to other ideas and collaborative pivots *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $134,600 to $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. At United HealthCare, your performance, your ideas and your innovative thinking will help us improve the lives of millions. As the Actuarial Consultant, you'll play a pivotal role in shaping pricing strategies and ensuring compliance for one of UnitedHealthcare's most innovative and high-profile products. The role requires a self-starter who can effectively manage timelines to meet filing deadlines and possesses the ability to communicate effectively with Departments of Insurance (DOIs) to address their objections. The challenges here are significant. You'll be responsible for the ownership of the Stop Loss rate filing preparation and submission process essential to the success of our Level Funded business and for contributing to the development of the pricing behind those filings. You'll also be counted on to perform analyses to support business leaders and inform decisions for this flagship offering. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: Own the preparation and submission of Level Funded Stop Loss rate filings while adhering to a defined filing schedule Independently manage and respond to filing objections from DOIs Assist in development of Level Funded Stop Loss pricing to support traditional and non-traditional products Contribute to ad hoc analyses assigned to the broader team Collaborate and communicate effectively with broader teams and DOIs You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's degree or equivalent experience Fellow of Society of Actuaries (FSA), Associate of Society of Actuaries (ASA), or near ASA designation 3+ years of Actuarial/Analytical/Data Science/Healthcare experience Hands-on experience in building actuarial models Basic or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system Preferred Qualifications: Experience working with health care claims experience (i.e., understanding of costs, expected claims, benefit pricing...) Expertise in modeling for stop loss, excess of loss and reinsurance Advanced or higher proficiency in SAS (Statistical Analysis System) or SQL (Structure Query Language) or other programming system Excellent communication skills Excellent organizational and documentation skills Proven problem-solving skills (identification of issue, causes, solution, implementation plan) *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

A leading healthcare company is seeking a Director - Automations & Efficiencies to lead innovative projects aimed at enhancing operational effectiveness. This role involves overseeing automation initiatives in a healthcare environment, managing strategic partnerships, and improving processes through advanced technologies. The ideal candidate has significant experience in healthcare payer operations, RPA technologies, and cross-functional leadership. This position offers flexibility to work remotely from anywhere within the U.S. #J-18808-Ljbffr

OneGI is seeking a BC/ BE Gastroenterologist in Brunswick, Ohio. A terrific opportunity to join an outpatient practice that provides world-class care! Highlights: General GI Practice; 100% outpatient/ASC setting APP support Infusion, Pathology, Research, Anesthesia, Hem Banding available support services 1 ASC location with ownership potential 2-year practice partnership track Benefits: Competitive Base Salary with Competitive Production Earnings Sign On Bonus and Moving Expenses Medical, Dental, Vision, 401k Match Malpractice Insurance At One GI , we provide exceptional gastroenterology care that puts patients at the forefront. Since our inception in 2020, we have grown rapidly while remaining steadfast in our commitment to driving excellence and upholding the highest standards in gastroenterology practice. Our renowned physician leadership, collaborative team culture, state-of-the-art ancillary services, and robust network strength empower our physicians to deliver personalized, compassionate care tailored to each patient's unique needs. One GI is more than just an organization; it's a community of over 1,300 dedicated individuals united by a shared purpose: creating a better healthcare experience for patients, colleagues, and communities. We are a diverse team of professionals who bring our unique perspectives and expertise to the table, fostering an environment of collaboration and continuous improvement. Each One GI practice is the leading provider of gastroenterology care in its respective community, retaining its regional name and unique reputation while leveraging the expansive resources and backing of our national organization. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This is a field-based position with a home-based office in Eastern Shore, VA Market. The Field Care Coordinator is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports. The Field Care Coordinator collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Field Care Coordinator will be traveling into enrollees' homes, nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care. The Field Care Coordinator actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. Field Care Coordinators act as liaison between the Health Plan, the Commonwealth, enrollees, and their families. Field Care Coordinators follow established professional standards of care, Commonwealth guidelines and policy and procedures. If you are located in commutable distance of Eastern Shore, VA Market, you will have the flexibility to work remotely* as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) with a 4-year degree 3+ years of care coordination or behavioral health experience and/or work in a healthcare environment 1+ years of experience with MS Office, including Word, Excel, and Outlook Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers Driver's license and reliable transportation and the ability to travel within assigned territory to meet with members and providers Preferred Qualifications: CCM certification Experience working with Medicaid / Medicare population Experience working in team-based care Long term care / geriatric experience Background in Managed Care Physical Requirements: Ability to transition from office to field locations multiple times per day Ability to navigate multiple locations/terrains to visit employees, members and/or providers Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.) Ability to remain stationary for long periods of time to complete computer or tablet work duties *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. #UHCPJ At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Internships at UnitedHealth Group. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. Join us to start Caring. Connecting. Growing together. At UHG, we've built focused businesses organized around one giant objective: making healthcare work better for everyone. Through our two business platforms, UnitedHealthcare (UHC) and Optum, we strive to improve the healthcare system and advance the health and well-being of individuals and communities. This includes the entire spectrum of healthcare participants: individual consumers, employers, commercial payers, intermediaries, physicians, hospitals, pharmaceutical and medical device manufacturers, and more. For you, that means working on high performance teams against sophisticated challenges. It's a culture of optimism that's unlike any place you've ever worked. Incredible ideas in one incredible company. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Are you ready? The UnitedHealth Group Leadership Experience (ULE) provides select participants pursuing advanced degrees with superior, cohort-based exposure, experiences, and development opportunities through best-in-class intern and full-time programs, specifically designed to develop the next generation of leaders, requiring highly motivated, passionate individuals with bright ideas and the will to lead. The ULE Internship is ten weeks long and delivered remotely, with the option to travel. Projects will vary by business and are scoped and assigned closer to Internship start. We offer full-time placement opportunities post-graduation, based on performance. The start date is June 2, 2026 During your ULE internship experience, you will: Lead high-priority work that supports one of our core businesses Gain exposure to and knowledge of the healthcare industry, Enterprise-wide businesses, functions, strategies, and senior leaders Develop relationships and networks Receive hands-on training and support Leverage business acumen and work experience to drive transformation Learn from and present to executives Contribute to fun and engaging cohorts Lay the groundwork for a meaningful and impactful career at UHG Examples of Intern projects: Build a comprehensive go-to-market strategy for UHG's Type-2 diabetes program for direct-to-consumer, risk-bearing entity (ACO), multi-payer, Medicare, and / or Medicaid channels Complete a market sizing analysis, including MVP definition and product / capability requirements for a new product in service of Optum's Health organizations and consumers Refine and implement the digital services plan for one of Optum's CDOs via the identification and strategic development of digital health initiatives and capabilities Comprehensive health equity strategy that reduces geographic health disparities and addresses specific populations' (ex. behavioral health, individuals of childbearing age) outcomes Market expansion strategy driven by data focused on geographical areas coupled with demographic information to make strategic decisions on smart growth through expansion, implementation and system readiness You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Undergraduate degree Currently pursuing an MBA or other relevant graduate degree with a target graduation date no later than July 2027 5+ years of previous professional work experience Eligible to work in the U.S. without company sponsorship, CPT/OPT now or in the future, for employment-based work authorization (F-1 students with practical training and candidates requiring H-1Bs, TNs, etc. will not be considered) Preferred Qualifications: Outstanding academic achievement Consulting and/or healthcare experience and/or involvement with consulting/healthcare clubs Excellent interpersonal, influencing and communication skills at all levels Practiced project management and navigating competing priorities Demonstrated ability to articulate and solve complex problems through strategic, analytical and creating thinking Adaptable and comfortable in ambiguity and high-impact situations High emotional intelligence and capacity to GSD (get stuff done) Champion of change and customer orientation Learning/growth oriented Aligned to UHG's values of Integrity, Compassion, Relationships, Innovation and Performance *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together Can we all can agree that the quality of health care is marching forward and upward with great momentum? Yes. But it's not just quality of care. The entire system is becoming more efficient and effective thanks to companies like UnitedHealth Group and people like you. Here's your opportunity to use your expertise in new ways as you strike the balance between health care costs and resources. Performing unit cost and contract valuation analysis, you'll ensure that healthcare contracts are priced accurately and fairly for all involved. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader. This position supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting. Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Manages unit cost budgets, target setting, performance reporting, and associated financial models. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers Analyze financial impact of provider contracts (e.g., facility; physician; ancillary) Analyze financial impact of corporate initiatives (e.g., policy changes; healthcare affordability) or external regulations (e.g., healthcare reform) Analyze payment appendices to provide options for various contracting approaches and methodologies Communicate results of financial impact and analysis to appropriate stakeholder groups (e.g., Network Management; Network Pricing leadership) Conduct financial and network pricing modeling, analysis and reporting Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies Lead large, complex projects to achieve key business objectives Influence pricing strategies and rate development by highlighting opportunities for improvement or protecting favorable rate structures Strategize rates or contract methodology with network management to create optimal contract Review competitive analysis to identify appropriate pricing rate for provider You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 4+ years of analytical experience in financial analysis, healthcare pricing, network pricing, healthcare economics or related discipline 3+ years of experience with provider payment methodologies and healthcare products 3+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools Experience with provider capitation, both diagnostic risk-adjustment and age/sex adjusted rate banding Experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts Presentation experience to internal or external stakeholders or customers Expert level proficiency in MS Excel Proven expertise in financial impact analysis, risk management and data manipulation Proven solid interpersonal, collaboration, negotiation and communication skills Proven excellent communication skills, both written and verbal Proven ability to manage multiple projects simultaneously and meet deliverable deadlines Proven ability to research and solve problems independently Preferred Qualifications: Postgraduate degree in Math, Statistics, Finance, Economics or Actuarial Science Experience in MS Access, SAS, SQL, R, or Python Experience with advanced statistical functions for financial modeling Experience with medical coding (CPT, MSDRG, REV, ICD-10, etc.) Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

We are looking to add a pleasant, well-mannered and experienced Front Desk Receptionist to our team on a PRN Basis! The candidate should be available days or evenings, including weekends, on an on-call basis. Ohio Hospital for Psychiatry is centrally located in Columbus, Ohio receiving referrals from all around the state. We are a 130-bed private, free-standing behavioral health facility that provides a continuum of services for adults and senior adults including crisis stabilization, medication management, group therapy, case management, and 24-hour nursing care in a safe and secure environment that is conducive to healing and recovery. OHP consists of five separate and distinct units, including: Geriatric, Adult Behavioral, Intensive Care, Dual Diagnosis & Intensive Outpatient. We are looking to add a pleasant, well-mannered and experienced Front Desk Receptionist to our team on a PRN Basis! The candidate should be available on an on-call basis, and some Friday evenings, and day or evening on Saturday and Sunday. Ohio Hospital for Psychiatry is centrally located in Columbus, Ohio receiving referrals from all around the state. We are a 130-bed private, free-standing behavioral health facility that provides a continuum of services for adults and senior adults including crisis stabilization, medication management, group therapy, case management, and 24-hour nursing care in a safe and secure environment that is conducive to healing and recovery. OHP consists of five separate and distinct units, including: Geriatric, Adult Behavioral, Intensive Care, Dual Diagnosis & Intensive Outpatient. PURPOSE STATEMENT: Perform general clerical duties in accordance with the office procedures of the facility. ESSENTIAL FUNCTIONS: * Responsible for handling front office reception and general administrative duties. * Serves visitors, vendors and other outside guests by greeting, welcoming and directing them appropriately. * Notify facility personnel of visitor's arrival. * Maintain security by following established procedures including monitoring guest logbook and issuing visitor badges, if required. * Keep track of inventory and work with supply vendors to ensure a well-stocked office. * Answer and transfer telephone calls or take messages. * Handle facility inquiries and provide general information. * Sort and deliver incoming mail and send outgoing mail. * Copy, file and update paper and electronic documents. OTHER FUNCTIONS: * Perform other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * High School diploma or equivalent required. LICENSES/DESIGNATIONS/CERTIFICATIONS: * Not Applicable BENEFITS: Ohio Hospital provides a comprehensive package of benefits for our staff working 30+ hours / week. Current benefits include: * Competitive hourly rates with shift differentials available * Medical, dental, and vision insurance * Acadia Healthcare 401(k) plan * Excellent training programs * Professional growth opportunities that are second to none in the industry - Join a team with defined career paths and a national family of hospitals and facilities! TRAINING AND ORIENTATION (optional) Ohio Hospital is committed to training and safety. All new staff will attend a 4-day hospital-wide orientation before spending additional time training within your unit. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. null

*$2,000 sign on bonus for external candidates plus an additional $1,000 if candidates have their licensure at time of offer. Guaranteed base pay + monthly sales incentive earning potential. Training fully onsite with a hybrid schedule after the completion of training!* At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. We are growing our team in Columbus, Ohio and have multiple Early Careers full-time sales opportunities available - come join our team as a Sales Agent in the Sales Development Program. In this inbound call role, you will receive a competitive base salary and bonuses based on your sales performance. You will consult customers on their insurance needs and match the correct coverages, products and benefits. Our training classes not only prepare you for your role, but we will pay for and provide support for you to obtain the required state insurance licenses. No license is required prior to starting in the role. During training, all new hires will be required to successfully complete the UHC Portfolio Agent New Hire training classes and demonstrate proficiency of the material. Work Schedule: Operating hours: Monday - Friday 7:00AM - 9:00PM; your shift will be provided during training with rotational weekend work Full time position with flexibility desired based on the seasonality of our business Work Location: Fast forward your success by participating in our onsite training program in a standard day shift for 6 - 10 weeks Site location: 5900 Parkwood Place, Dublin, OH 43016 Training fully onsite with a hybrid schedule after the completion of training Program features: Participate in a Sales Development Program that will accelerate your career with a company that will help you learn new skills and foster your continued growth Collaborate with experienced professionals, mentors, and sales leaders Build relationships within a close-knit community of peers involved in the development program to expand your network Development program is curriculum based and structured Program commitment is 18 months So, what's in it for you? Compensation & Benefits: As a licensed agent, your total compensation is determined by your ability to work hard, sell, and deliver a great customer experience Compensation = Base pay + monthly sales incentive Average first year annual earnings $60K through a combination of base plus sales commissions Top performers can earn $80K+ Sign-on bonus of up to $3,000 for external candidates (2k sign on bonus + an additional 1k if you have resident license at the time of offer) 18 days accrued Paid Time Off during first year of employment plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) Fun and competitive work environment focused both on teamwork and individual success! Primary Responsibilities: Mainly handling inbound calling, NO knocking on doors Answer incoming phone calls from prospective members and identify the type of assistance and information the customer needs with the goal to convert the caller to a qualified lead and ultimately sale Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems Using knowledge of the product portfolio to accurately assess the distinct needs of different prospects, explain the differences between various products, and assist the prospect member in selecting a product that best meets their unique needs May make outbound calls to members to follow up on questions or to current members to review current or new products and services Assist the prospect in completion of the enrollment application over the phone with complete, accurate and required information, consistent with product requirements and enrollment guidelines Meet the goals established for the position in the areas of performance, attendance, and consumer experience Meet and maintain requirements for agent licensure, appointments, and annual product certification You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. *This is a full-time position with a start date of Monday, June 8, 2026* *UnitedHealth Group is not able to offer relocation assistance for this position* *UnitedHealth Group is not able to offer visa sponsorship now or in the future for this position* Required Qualifications: Currently in final year of obtaining a Bachelor's degree (or obtained degree no longer than 24 months prior to position start date, from an accredited college/university). Bachelor's Degree must be obtained prior to start of employment Must be eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization (F-1 students with practical training and candidates requiring H-1Bs, TNs, etc. will not be considered) Preferred Qualifications: Work or volunteer experience in sales, customer service, health care, or health insurance Experience with Microsoft Office products (Word, Excel, PowerPoint, Outlook) Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $24.04 per hour based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives. Ready to build the next breakthrough? Join us to start Caring. Connecting. Growing together. Hiring a Senior Software Engineer who has a passion for learning, is a strong problem solver, and a critical thinker with broad technical experience. We need someone who has background and experience with both legacy and new product development and DevOps delivery. This role is for an individual contributor on an Agile team requiring hands-on technical skill and problem-solving for a large, complex Microsoft .NET full stack application development project. Core application capabilities are focused on E2E Identity and Access Management (IAM). You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: The role includes, but is not limited to planning, analysis, design, development, testing, review, debugging, tools analysis, documentation, research and development, implementation, and maintenance Delivery requires automated test (manual testing as needed) mindfulness Engineering focus on enriching the Customer Experience through high quality functional delivery, efficiency, testability, reliability, scalability, availability, and security of applications Foster high performance, collaborative technical work Support mentoring of new and existing team members Present and demonstrate work to technical and non-technical stakeholders You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Undergraduate degree or equivalent experience 7+ years of experience with C# and .NET Software Development Life Cycle (SDLC) 4+ years of experience with RESTful Web API Development 4+ years of experience using SQL, Microsoft SQL Server, & SQL profiling / performance tuning 2+ years of experience with Entity Framework or equivalent experience with other data access technologies 2+ years of experience with Front end development (React / Blazer Web Assembly preferred) Expertise in Agile and DevOps methodologies Demonstrated skills in active listening with the ability to express oneself clearly and effectively Demonstrated skills and experience in collaborating, influencing, problem solving and negotiating Preferred Qualifications: Git Source Code Management, Test Automation, Azure DevOps Application Lifecycle Management (ALM) Experience with Azure Cloud Engineering, CI/CD, Microservice background, and Infrastructure as Code (IaC) Tools (e.g. Terraform) Fosters accountability, transparent communication, innovation and leading by example Identity and Access Management experience Directory Services Development, Authentication and Provisioning experience Requirements and technical specification documentation experience Proficiency in MS Office (Word, Excel, Outlook, PowerPoint, Access, MS Visio) Solid organizational skills and focus on accuracy and attention to detail *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Job DescriptionDescription: JOB TITLE: Medical Certified Professional Biller DEPARTMENT: Administration - Finance - Revenue Cycle Management REPORTS TO: Director of Revenue Cycle Management STATUS: Non-exempt SUMMARY: Responsible for entering and coding patient services into computer system and ensuring encounters transfer properly for submission to insurance payers. Sorts and files paperwork, handles insurance claims, and performs collections/refund duties. ESSENTIAL DUTIES AND RESPONSIBILITIES: Collect, post, and manage patient account payments. Submit claims to insurance payers. Review delinquent accounts and call for collection purposes. Collect unpaid claims and clear up discrepancies Process refund requests to patients and insurance payers. Maintain strict patient confidentiality and information security. Sort and file paperwork. Ensure healthcare facilities are reimbursed for all procedures. Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding. Know and understand several different coding systems, including ICD-10-CM, ICD-10-PCS, CPT, Level 1 HCPCS and Level 2 HCPCS. Use computers / billing software to prepare and transmit claims. Follow up to see if a claim is accepted or denied. Investigate rejected claim to see why denial was issued. Investigate insurance fraud and report if found. Verify coverage and eligibility for medical services. Communicate with medical providers, patients, and insurance payers. Review patient accounts and correct any missing or inaccurate information. Use billing software to prepare and transmit claims. Investigate and appeal claims that were denied. Complete data entry to update spreadsheets and reports. Adapt to updates and changes in billing software. Review patient information and translate services into correct codes. Input medical data into patient account systems. Assist with training Medical office staff on billing/coding updates SUPERVISORY RESPONSIBILITIES: This job has no direct reports. Requirements: QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. REQUIRED SKILLS: Knowledgeable and experienced with Medical Terminology Multitask oriented, organizational and team skills Proficiency with computers, Microsoft Office 360 (Outlook, Word & Excel), Adobe and medical billing software Knowledge of unfair debt collection practices and insurance guidelines Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT and HCPCS Communication skills with patients/healthcare companies Basic accounting and bookkeeping practices EDUCATION AND/OR EXPERIENCE: Certified Professional Biller (CPC) certificate in medical billing field or 3+ years related experience and/or training; or equivalent combination of education and experience. LANGUAGE SKILLS: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. REASONING ABILITY: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. COMPUTER SKILLS: To perform this job successfully, an individual should have the ability to gain knowledge of the Practice Management System, NextGen software, Microsoft Office Suite, and Accounting software. CERTIFICATES, LICENSES, REGISTRATIONS: Medical Billing and Coding Certification OTHER SKILLS, KNOWLEDGE AND ABILITIES: Ability to speak Spanish helpful. 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. While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. WORK ENVIRONMENT: 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. While performing the duties of this Job, the employee is occasionally exposed to fumes or airborne particles, toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.

Mount Carmel Behavioral Health is hiring Admissions RN's! Available Shifts and Hours: 7p-7a with rotating weekends Sign on Bonus: Full Time Night: $10,000 Pay Range: $36.00 to $44.75 per hour (dependent on years of experience) Mount Carmel Behavioral Hospital is a renowned healthcare facility committed to providing exceptional mental health services to our community and in Intake and Admissions, you can make a real difference in the lives of our patients. Key Responsibilities: Review medical documentation for all admissions, complete medication reconciliation, and obtain admission orders from physicians. Facilitate emergency transfers for patients with medical conditions beyond our facility's capabilities. Review referrals from hospitals, facilities, and community agencies, assessing medical and behavioral acuity and responding within designated timeframes. Respond to inquiries about our facility, providing appropriate recommendations and information. Conduct assessments to determine the appropriate level of care within our facility. Collaborate with medical and psychiatric personnel to ensure appropriate recommendations and admissions. Facilitate the admissions process, including assessment, consent, and inventory of patient belongings. Perform insurance benefit verifications and secure initial pre-authorization for treatment and admission. Monitor patient status throughout the admissions process, following facility policies and physician orders. Utilize web-based programs to track and review referrals. Communicate projected admissions promptly to designated internal representatives. Ensure timely receipt of all clinical information, including medical comorbidity, from referral sources or patients. Schedule and complete pre-admission assessments, consult with admitting physicians, and communicate disposition recommendations to patients or their families. Prepare and maintain accurate medical record documentation to facilitate payor authorization at the requested level of care. Complete initial pre-authorization for treatment and admission within payor timeframe guidelines. Admit patients to the registration and accounting system, completing all necessary admission and consent forms. Demonstrate a positive, empathetic, and professional attitude towards patients, prioritizing their safety and promptly addressing concerns or complaints. Coordinate care for patients who are not being admitted, ensuring they receive appropriate follow-up care and referrals. Conduct safety checks and provide supervision as required by special precautions and individualized guidelines. Coordinate care for patients who are not being admitted, ensuring they receive appropriate follow-up care and referrals. Conduct safety checks and ensure proper supervision according to special precautions and individualized guidelines. We are seeking a motivated and detail-oriented individual who is passionate about providing exceptional patient care and ensuring smooth admissions processes. If you meet the qualifications and are committed to delivering high-quality services, we encourage you to apply. Qualifications: * Minimum of an Associate's degree in Nursing. * Minimum of one year of experience working with individuals in a clinical or observational capacity, preferably within the relevant area of specialty for the hiring facility. Licenses/Designations/Certifications: Clear and active nursing license in the state. CPR and de-escalation/restraint certification required (training available upon hire and offered by the facility). First aid certification may be required based on state or facility requirements. We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. AHRN #LI-MCBH #LI-SW2

Ready to make a difference in behavioral health-without leaving home? Acadia Healthcare is looking for Remote Registered Nurse Admissions Services Specialists to support our Acute Behavioral Health Facilities nationwide. Work Style: 100% Remote What you'll do: * Verify benefits for assigned facilities * Monitor and process patient referrals (including fax referrals) * Respond to inquiries within policy timeframes * Support admissions teams across the country * Work one weekend day shift (Friday, Saturday, or Sunday) What we're looking for: RN with BSN (required) Master's degree preferred (MSN, MHA, MPH, or related) Familiarity with behavioral health services and admissions processes Understanding of insurance reimbursement practices Tech-savvy with Salesforce, Concur, and MS Office At Acadia Healthcare, we're passionate about helping individuals with co-occurring mood, addiction, and trauma disorders. Our admissions team plays a critical role in making that happen-and you could be part of it. ESSENTIAL FUNCTIONS: * Manage Referral Management Portals * Monitor all faxed referrals * Monitor all webforms and call center handoffs/rollover referrals * Utilize facility admissions/exclusionary criteria to process incoming types of referrals * Respond to inquiries about the facility within facility policy timeframes. * Document calls inside of Salesforce and follow-up as needed * Complete Prior Authorization * Pre-Admit the patients in billing system * Coordinate with local admissions department regarding bed availability * Facilitate intake, admissions, and utilization review process for incoming patients. * Perform insurance benefit verifications, disseminating the information to appropriate internal staff. * Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations for referrals. * Coordinate admission and transfer between levels of care within the facility. * Communicate projected admissions to designated internal representative in a timely manner. * Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission. STANDARD EXPECTATIONS: * Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality. * Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team. LICENSES/DESIGNATIONS/CERTIFICATIONS: * Licensure, as required for the area of clinical specialty, i.e., RN license as designated by the state in which the facility operates. SUPERVISORY REQUIREMENTS: This position is an Individual Contributor We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. AHCORP ANTWK #LI-TB1

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Community Health Worker is responsible for assessment, planning and implementing care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care. They also Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services, and manage the care plan throughout the continuum of care as a single point of contact for the member. As a Community Health Worker (CHW), you will act in a liaison role with Medicaid members to ensure appropriate care is accessed as well as to provide home and social assessments and member education. The coordinator also addresses social determinant of health such as transportation, housing, and food access. Working Schedule: Monday through Friday between the hours of 8 am to 5pm. No nights, weekends, or holidays. Local travel up to 50% and mileage is reimbursed at current government rate. This position is a field-based position with a home-based office. You will work from home when not in the field. If you reside within Hamilton County, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Engage members either face to face or telephonically to assist with closing gaps in care, linking to necessary services and providing education about their health Review available member services records and relevant documentation (e.g. utilization history, functional level, stratification information) Conduct member health assessments that include bio-psychosocial, functional, and behavioral health needs Utilize interviewing techniques and active listening to collect and retain member information and incorporating responses as they are presented to complete assessment Identify member service needs related to health concerns Identify urgent member situations and escalate to next level when necessary Engage member to participate in the assessment process and collaboratively develop Health Action Plan based on their individual needs, preferences, and objective with nursing oversight Work with members to develop healthcare goals and identify potential barriers to achieving healthcare goals Identify member support systems available and incorporate into their Health Action Plan Review plan benefits and identify appropriate programs and services based on health needs and benefits Integrate health care and service needs into a plan or recommendation for member care and service Work collaboratively with the interdisciplinary care team to ensure an integrated team approach Collaborate with member to create solutions to overcome barriers to achieving healthcare goals Identify relevant community resources available based on member needs Refer members to appropriate programs and services Facilitate member choice of preferred providers Advocate for individuals and communities within the health and social service systems You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma/GED (or higher) 1+ years of experience with knowledge of the resources available, culture, and values in the community Intermediate level of computer proficiency (including Microsoft Outlook, Teams) and ability to use multiple web applications Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) Must reside within a commutable distance to Cincinnati, Ohio area and the surrounding communities Valid driver's license and current automobile insurance with access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area Ability to travel locally, up to 100 miles round trip and up to 50% of the time Must reside within Hamilton County, Ohio Preferred Qualifications: Associate degree (or higher) in a health-related field LPN (Licensed Practical Nurse) Licensure or CNA / HHA Community Health Worker (CHW) Accreditation 1+ years of field-based experience Experience/position with Community outreach Experience/position in healthcare Experience working in Managed Care Experience/position in a Community Health Related field Knowledge of Medicaid/Medicare population *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED