Intake Coordinator jobs at Acadia Healthcare

The Referral Coordinator is responsible for all referrals for the medical offices in the market. Process patient referrals for the practices in the market. Facilitates orders outside to outside facilities. Coordinate scheduling of office visits for the referred patient. Assist patient with finding resources that accept the various insurances. Obtains pre-authorization from payers. Calls insurance companies to get medications approved that may have been denied due to formulary changes. High School Diploma/GED 4 years of experience in a Physician Practice required Completion of Medical Office Assistant program preferred Healthcare management/administration certification preferred EMR/EHR experience preferred, NextGen or Athena experience preferred Proficiency in a windows environment with a working knowledge of Word, Outlook, and the Internet is required Willingness to be flexible and adaptable in a complex, matrix environment #LI-WB1 1. Process patient referral 2. Facilitates orders outside to outside facilities 3. Answers telephones in a prompt and courteous manner 4. Coordinate scheduling of office visits for the referred patient 5. Assist patient with finding resources that accept the various insurances 6. Obtains pre-authorization from payers 7. Calls insurance companies to get medications approved that may have been denied due to formulary changes 8. Ensures that all contacts with patients, the public, physicians and other personnel are carried out in a friendly, courteous, helpful and considerate manner 9. Manage, copy, and review medical records to ensure accuracy

The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and working closely with payers, internal departments, and revenue cycle teams to identify and address denial trends. This role plays a critical part in the denials management process, supporting efforts to improve claims resolution, reduce future denials, and ensure compliance with payer guidelines. As a Denial Appeals Coordinator at Community Health Systems (CHS) - PCCM, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. Essential Functions * Monitors assigned denial pools and work queues in Artiva, HMS, Hyland, BARRT, and other host systems, ensuring timely follow-up on denials and appeals. * Conducts follow-up calls and payer portal research to track the status of submitted appeals and claim determinations, documenting all actions taken. * Communicates with key stakeholders across revenue cycle, billing, and clinical teams to resolve denial trends and improve claim submission accuracy. * Tracks and documents all denial and appeal activity, maintaining accurate records in system logs, account notes, and tracking reports. * Ensures compliance with all payer guidelines and regulatory requirements, keeping up to date with policy changes and appeal submission rules. * Manages BARRT requests (Outbound/Inbound) in a timely manner, ensuring that all required documentation and system updates are completed. * Identifies root causes of denials and collaborates with internal teams to implement process improvements that reduce future denials. * Prepares and submits appeal documentation, ensuring that all required medical records, forms, and supporting materials are included. * Performs other duties as assigned. * Maintains regular and reliable attendance. * Complies with all policies and standards. * This is a fully remote position Qualifications * H.S. Diploma or GED required * Associate Degree or higher in Healthcare Administration, Business, Finance, or a related field preferred * 1-3 years of experience in denials management, insurance claims processing, or revenue cycle operations required * Experience in revenue cycle processes in a hospital or physician office required * Experience with payer appeals, claim resolution, and healthcare billing systems preferred Knowledge, Skills and Abilities * Strong understanding of payer guidelines, claim adjudication processes, and denial management strategies. * Proficiency in Artiva, HMS, Hyland, BARRT, and other revenue cycle applications. * Excellent problem-solving skills, with the ability to analyze denial trends and recommend corrective actions. * Strong written and verbal communication skills, with the ability to engage effectively with payers, internal teams, and leadership. * Detail-oriented with strong organizational and documentation skills, ensuring compliance with payer appeal deadlines. * Ability to work independently and manage multiple priorities in a fast-paced environment. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. But we're not only about work. We know employing a skilled and engaged team of professionals is vitally important to our success, so we make sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

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** The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting members' medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This is a home-office based position with field responsibilities. You will spend approximately 50% to 75% of the time in the field within an assigned coverage area. Candidates must be in Franklin County, OH and willing to commute to surrounding counties. If you reside in Franklin County, OH or surrounding counties, you will have the flexibility to work remotely* as you take on some tough challenges. **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, unrestricted independent licensure as a Registered Nurse in Ohio + 2+ years of clinical experience as an RN + 1+ years of experience with MS Office, including Word, Excel, and Outlook + Reliable transportation and the ability to travel up to 75% within Franklin County, OH and surrounding counties in OH to meet with members and providers + Reside in Franklin County, OH and surrounding counties **Preferred Qualifications:** + BSN, Master's Degree or Higher in Clinical Field + CCM certification + 1+ years of community case management experience coordinating care for individuals with complex needs + Experience working in team-based care + Background in Managed Care *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 $28.27 to $50.48 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._

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** The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting members' medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This is a home-office based position with field responsibilities. You will spend approximately 50% to 75% of the time in the field within an assigned coverage area. Candidates must be in Franklin County, OH and willing to commute to surrounding counties. If you reside in Franklin County, OH or surrounding counties, you will have the flexibility to work remotely* as you take on some tough challenges. **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, unrestricted independent licensure as a Registered Nurse in Ohio + 2+ years of clinical experience as an RN + 1+ years of experience with MS Office, including Word, Excel, and Outlook + Reliable transportation and the ability to travel up to 75% within Franklin County, OH and surrounding counties in OH to meet with members and providers + Reside in Franklin County, OH and surrounding counties **Preferred Qualifications:** + BSN, Master's Degree or Higher in Clinical Field + CCM certification + 1+ years of community case management experience coordinating care for individuals with complex needs + Experience working in team-based care + Background in Managed Care *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 $28.27 to $50.48 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._

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 The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting members' medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This is a home-office based position with field responsibilities. You will spend approximately 50% to 75% of the time in the field within an assigned coverage area. Candidates must be in Franklin County, OH and willing to commute to surrounding counties. If you reside in Franklin County, OH or surrounding counties, you will have the flexibility to work remotely* as you take on some tough challenges. 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, unrestricted independent licensure as a Registered Nurse in Ohio * 2+ years of clinical experience as an RN * 1+ years of experience with MS Office, including Word, Excel, and Outlook * Reliable transportation and the ability to travel up to 75% within Franklin County, OH and surrounding counties in OH to meet with members and providers * Reside in Franklin County, OH and surrounding counties Preferred Qualifications: * BSN, Master's Degree or Higher in Clinical Field * CCM certification * 1+ years of community case management experience coordinating care for individuals with complex needs * Experience working in team-based care * Background in Managed Care * 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 $28.27 to $50.48 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.

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility * Medical, Dental, Vision insurance * 401(k) * Associate assistance program * Employee discounts * Referral program * Early access to earned wages for hourly associates (outside of CA) * Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility * Paid Time Off * Paid holidays * Company provided life insurance * Adoption benefit * Disability (short and long term) * Flexible Spending Accounts * Health Savings Account * Optional life and dependent life insurance * Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan * Tuition reimbursement Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Represents the skilled nursing community/ies and Brookdale to assigned hospital and healthcare focused accounts to drive sales and occupancy goals for assigned skilled nursing communities. Generates referrals from hospitals and assigned accounts to increase market share to meet occupancy goals. Keeps abreast of issues impacting hospital changes as well as competitors to keep community and regional team aware of any changes that would impact the market. Partners with regional and community leadership to develop strategic plans and tactics to grow market share within assigned accounts. * Understands community budgeted occupancy goals and quality mix and referral needs of the community. * Responds to referrals in a timely manner necessary to beat the competition in the market * Utilizes Green, Yellow and Red admission guidelines to make timely admission decisions. * Completes the pre-admission assessment tools for new admissions to prepare the internal team on anticipated medical needs and anything important to ensure a smooth transition. * Partners daily with internal community admissions, clinical and operations team to ensure communication on pending referrals, admissions and other pertinent data related to admissions to the skilled community. * Visits assigned hospitals daily/weekly/monthly as necessary to maintain and to grow referral/admission volume. * Seeks to gather updated information on hospital programs, physician partners, changes in policies/protocols that could impact business relationships and communicates with community and regional leadership for ongoing strategic planning. * Promotes skilled community metrics, outcomes and programs to hospital professionals including case managers, post-acute leaders, and physicians to position Brookdale against competition and to increase referral volume. * Reports customer service issues or service recover needs to internal operations and clinical partners. * Follows up on other Brookdale community residents in the hospital to triage to skilled as appropriate or communicate and hand off to appropriate community for a smooth return. * Maintains all professional contacts and assessments in company preferred database/EHR system. * Tracks/trends all individual productivity on the monthly HCL log. * Communicates with community and regional sales leadership weekly schedule and scheduled appointments and outcomes. This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor. Education and Experience Nursing background preferred (RN, LPN) or a minimum of 3 to 5 years working in the skilled nursing or related field. Certifications, Licenses, and Other Special Requirements RN or LPN license but not required if experience in skilled nursing or related field is met. Daily car travel required so a valid drivers' license is required. Ability to work some evenings and weekends. Management/Decision Making Will be required to apply existing guidelines and procedures to make varied decisions regarding admissions to the community. Use sound judgment and experience to solve moderately to complex problems based on precedent, experience, reasonableness or a combination of these. Understands when to seek additional input from subject matter experts when needed. Knowledge and Skills Possesses extensive knowledge of a distinct skill or function and a thorough understanding of the organization and the work environment. Has a working knowledge of the post-acute industry and the functional requirements of the discipline. Ability to use a computer is a must and windows based programs (Word, Excel, etc) preferred. Effective oral and written communication skills are essential. Ability to travel in market is required. Ability to facilitate problem solving as well as work through difficult situations with teams will be essential. Physical Demands and Working Conditions * Standing * Walking * Sitting * Use hands and fingers to handle or feel * Reach with hands and arms * Stoop, kneel, crouch crawl * Talk or hear * Ability to lift: up to 25 pounds * Vision * Requires interaction with co-workers, residents or vendors Brookdale is an equal opportunity employer and a drug-free workplace.

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Responsibilities Have a passion for food and serving seniors? Then being a dining services coordinator at Brookdale is for you! As a serving coordinator, you will provide superior customer service by directing and coordinating the dining experience of residents and guests in an upscale atmosphere. Here you will have work-life balance with defined schedules and be a valued member of the team. You are not just serving, you are enriching lives. Become part of our family, grow your skills and career, and have the satisfaction of helping make seniors' lives brighter every day. Qualifications What it takes to be a Dining Service Coordinator at Brookdale Our Dining Service Coordinators plan, direct, coordinate activities of the dining services department, and provide food services for residents and employees. In addition, you will establish departmental regulations and procedures in conformance with administrative policies as well as develop standards for organization and supervision of dining services. Brookdale is an equal opportunity employer and a drug-free workplace.

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Responsibilities Have a passion for food and serving seniors? Then being a dining services coordinator at Brookdale is for you! As a serving coordinator, you will provide superior customer service by directing and coordinating the dining experience of residents and guests in an upscale atmosphere. Here you will have work-life balance with defined schedules and be a valued member of the team. You are not just serving, you are enriching lives. Become part of our family, grow your skills and career, and have the satisfaction of helping make seniors' lives brighter every day. Qualifications What it takes to be a Dining Service Coordinator at Brookdale Our Dining Service Coordinators plan, direct, coordinate activities of the dining services department, and provide food services for residents and employees. In addition, you will establish departmental regulations and procedures in conformance with administrative policies as well as develop standards for organization and supervision of dining services. Brookdale is an equal opportunity employer and a drug-free workplace.

Description: Our Mission We meet people where they are and partner with them on their journey towards wellness. Our Vision The destination for servant leaders to provide comprehensive and exceptional care. Our Values R - Respect I - Innovation S - Stewardship E - Excellence Outreach and Enrollment Specialist Summary Collaborate with the clinical team and families of patients to enroll eligible patients in insurance programs. Duties and responsibilities include increasing access to care through application and enrollment assistance for people who may be eligible for the new affordable insurance options available beginning in 2014. A Day in the Life This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time. · Respond to incoming requests for assistance regarding the application and enrollment process. · Provide information in a fair, accurate, and impartial manner. · Remain current with eligibility requirements. · Work cooperatively with PHS providers and personnel to carry out goals and objectives of Outreach and Enrollment. · Provides leadership for the implementation and coordination of O&E activities such as hosting enrollment events, some after or before normal business hours, evenings and weekends. · Develop presentations for community groups and referral sources. · Attend all required training sessions at the federal, state and local level and meetings concerning O&E. · Safeguard data, maintain strict confidentiality of information, and perform required reporting. · Accurately complete data collection and enrollment process. · Conduct “in reach” with currently uninsured PHS patients and “outreach” with non-PHS patients in all service areas. · Monitor and report all patient correspondence including patient/non-patient completed enrollments. · Develop relationships with appropriate community partners. · Provide educational materials regarding insurance options to community partners including health departments, hospitals, urgent cares, physician's offices, and human services agencies and collaborate and coordinate outreach efforts with them. · Develop a referral tracking system. · Organize work to meet goals, objectives, and deadlines. · Multi-task and prioritize duties. · Develop promotional materials at the appropriate literacy level. · Other duties assigned by the Director of Quality Operations. · Ensure all PHSs have timely and necessary information about Ohio's consumer assistance training requirements and the roll-out of new affordable health insurance options. · Coordinate PHS O/E activities with other consumer assistance efforts in the state. · Provide technical assistance and training on effective O/E strategies and targeted technical assistance to PHSs experiencing challenges. · Monitor successes and barriers to PHS O/E activities. · CACs are expected to provide the following services to consumers, applicants, qualified individuals, enrollees, qualified employees, and qualified employers, and/or these individuals' legal representative(s) or Authorized representatives: o Provide information about the full range of Qualified Health Plans (QHPs) options and Insurance Affordability Programs for which these persons are eligible o Assist with applications for coverage in a QHP through the FFE and for Insurance Affordability Programs o Help to facilitate enrollment in QHPs and Insurance Affordability Programs (p. 1, Agreement between the CMS and CACDO). · CACs are permitted to create, collect, disclose, access, maintain, store, or use Personally Identifiable Information (PII) from consumers. · CACs are to access the CAC training hosted by the Medicare Learning Network (MLN), to complete required training and complete all exams to obtain certification. · CACs must print the certificate of completion and provide it to PHS. · CACs must submit conflict of interest disclosure forms to PHS's CAC project lead. · CACs should ensure they have read carefully and signed the CAC agreement with PHS. · CACs must prominently display their CAC certificate whenever assisting a consumer. · CACs must maintain a registration process and method to track the performance of CACs. · CACs are encouraged to provide information and assistance with exemptions and with other health coverage programs, such as drug assistance programs and programs funded under the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, but these are not required duties. · Performs all other duties and tasks as assigned. Core Competencies · Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met. · Communication: Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills. · Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements. · Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems. · Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow. Success Requirements 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. Education/Experience Bachelor's degree in human services field, or equivalent experience. Experience in planning and implementing projects and coordination of functions, and setting goals and meeting timelines. 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 current practice management system, electronic medical record, Microsoft Word, text paging, Internet, and Intranet. Certificates, Licenses, Registrations Comply with all applicable federal and state training certificates, licenses, and registrations related to the development of expertise in eligibility, enrollment, and program specifications. Obtain insurance licensure, as required. Valid driver's license, and proof of automobile insurance. Requirements: Other Applicable Requirements Skill with geriatric patients and patients in lower socio-economic sectors of the community. Ability to speak Spanish desirable. 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 are 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. Affirmative Action/EEO Statement It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the CORE Coordinator, you will support administrative and operational activities in the home health referral process to ensure complete, timely, and accurate referrals are processed and transitioned to the agency for evaluation and care. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Receives and reviews referrals and ensures timely and accurate responses * Ensures referrals include all required elements * Identifies any missing criteria requiring follow-up and communicates with appropriate team members for completion * Provides administrative support to CORE team by triaging incoming calls and entering referrals into the operating system * Communicates accurate referral information within CORE and to business development and clinical/operational teams * Actively uses systems supporting referral processes, including Forcura, e-portals, and Homecare Homebase * Serves as a liaison between operations and business development * Understands and supports admission criteria, both clinical and socio-economic, to facilitate timely decision-making and admissions * Provides general information about agency services to patients, their families, and referral sources, including timelines for patients requiring authorization for services * Ensures non-admits are labeled timely, thoroughly, and accurately * Travel may be required 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: * Exceptional organizational, time management, communication, and telephone skills * Proficiency with Microsoft Office and referral systems like Forcura, e-portals, and Homecare Homebase * Knowledge of admission criteria and general agency services * Proven excellent customer service skills * Proven solid organizational and multitasking abilities Preferred Qualifications: * Associate's degree * Familiarity with healthcare referral processes * 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 $14.00 to $27.69 per hour 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.

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Grow your career with Brookdale! Our Resident Engagement Coordinators have opportunities for advancement by exploring a new career in positions such as Resident Engagement Managers, Business Office Coordinators and even Sales Managers. Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Responsibilities Utilizes a person-centered approach starting with positive perceptions of aging, while building relationships and connections amongst residents. Develops a monthly calendar, in partnership with residents, based on residents' shared interests. Collaborates with community leadership team to plan, coordinate, and execute special events at the community including, but not limited to, holiday, family, educational, and other marketing events. Plans and schedules meaningful opportunities for resident engagement outside the community, which may include driving a community vehicle. Management/Decision Making Makes standard and routine decisions based on detailed guidelines with use of independent judgment and discretion. Solves problems using clear, detailed guidelines or by reporting them to a supervisor. Physical Demands and Working Conditions Standing Walking Sitting Use hands and fingers to handle or feel Reach with hands and arms Stoop, kneel, crouch, or crawl Talk or hear Ability to lift: up to 50 pounds Vision Requires interaction with co-workers, residents or vendors Occasional weekend, evening or night work if needed to ensure shift coverage On-Call on an as needed basis Possible exposure to communicable diseases and infections Exposure to latex Possible exposure to blood-borne pathogens Possible exposure to various drugs, chemical, infectious, or biological hazards Subject to injury from falls, burns, odors, or cuts from equipment Requires Driving: Drives residents (Tier 1) Qualifications Requires at least one year of direct experience with adults. Leadership experience and a degree in a related field are preferred (therapeutic recreation, gerontology, health care, education or other related field). Must have a valid driver's license and may be required to obtain a commercial driver's license based on the needs of the community. Brookdale is an equal opportunity employer and a drug-free workplace.

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility * Medical, Dental, Vision insurance * 401(k) * Associate assistance program * Employee discounts * Referral program * Early access to earned wages for hourly associates (outside of CA) * Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility * Paid Time Off * Paid holidays * Company provided life insurance * Adoption benefit * Disability (short and long term) * Flexible Spending Accounts * Health Savings Account * Optional life and dependent life insurance * Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan * Tuition reimbursement Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Have a passion for food and serving seniors? Then being a dining services coordinator at Brookdale is for you! As a serving coordinator, you will provide superior customer service by directing and coordinating the dining experience of residents and guests in an upscale atmosphere. Here you will have work-life balance with defined schedules and be a valued member of the team. You are not just serving, you are enriching lives. Become part of our family, grow your skills and career, and have the satisfaction of helping make seniors' lives brighter every day. What it takes to be a Dining Service Coordinator at Brookdale Our Dining Service Coordinators plan, direct, coordinate activities of the dining services department, and provide food services for residents and employees. In addition, you will establish departmental regulations and procedures in conformance with administrative policies as well as develop standards for organization and supervision of dining services. Brookdale is an equal opportunity employer and a drug-free workplace.

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Behavioral Health Care Advocate you will be responsible for case management of behavioral health and substance abuse cases. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Provide case management for eligible individuals, supporting members and their families throughout the treatment continuum * Complete discharge follow-ups and provide discharge planning support when needed * Educate members and involve caregivers in care planning and interventions * Advocate for members and families, providing caregiver support and referrals as needed * Ensure members understand treatment options and are connected to appropriate resources * Promote member health, wellness, and optimal psychosocial functioning by identifying caregiver gaps and facilitating education and respite support * Assess member needs holistically to identify and address care gaps * Collaborate with providers using solid customer service and communication skills * Maintain accurate and timely clinical documentation * Participate in clinical rounds and contribute to quality improvement initiatives * Conduct condition-specific research to support member care * Document success stories to highlight program impact 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: * One of the following: * Independently Licensed Clinician with a Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling * Licensed Ph.D. * Registered Nurse with 2+ years of experience in behavioral health * Licenses must be active and unrestricted in the state of residence * 2+ years of post-licensure experience in a related mental health environment * Intermediate level proficiency in MS Office Suite including Word, Teams, and Excel * Dedicated, distraction-free workspace in home * Access to reliable high-speed internet in home (Cable Broadband, DSL, Fiber) Preferred Qualifications: * BSN (for RNs) * 1+ years of case management experience * Discharge planning experience * Chart review experience * Medical/Behavioral setting experience (i.e., hospital, managed care organization, or joint medical/behavioral outpatient practice) * Dual diagnosis experience with mental health and substance abuse * Experience working with the geriatric population * Experience working with eating disorders * Experience consulting with facility and/or hospital staff to coordinate treatment plans * Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients * 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 $58,800 to $105,000 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.

Explore opportunities with Lafayette Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the CORE Clinical Coordinator, you will support administrative and operational activities in the home health referral process to ensure complete, timely, and accurate referrals are processed and transitioned to the agency for evaluation and care. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Required to travel 50% of the time * Receives and reviews referrals and ensures timely and accurate responses * Provides clinical review of referrals for non-clinical team members and may assist with obtaining verbal orders when needed * Ensures referrals include all required elements * Identifies any missing criteria requiring follow-up and communicates with appropriate team members for completion * Provides administrative support to CORE team by triaging incoming calls and entering referrals into the operating system * Communicates accurate referral information within CORE and to business development and clinical/operational teams * Actively uses systems supporting referral processes, including Forcura, e-portals, and Homecare Homebase * Serves as a liaison between operations and business development * Understands and supports admission criteria, both clinical and socio-economic, to facilitate timely decision-making and admissions * Provides general information about agency services to patients, their families, and referral sources, including timelines for patients requiring authorization for services * Ensures non-admits are labeled timely, thoroughly, and accurately 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: * Clinical background * Exceptional organizational, time management, communication, and telephone skills * Proficiency with Microsoft Office and referral systems like Forcura, e-portals, and Homecare Homebase * Knowledge of clinical practices and admission criteria * Proven excellent customer service skills * Proven solid organizational and multitasking abilities * Proven ability to work flexible hours and independently Preferred Qualification: * Familiarity with healthcare referral processes * 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 $17.74 to $31.63 per hour 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.

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** The Escalations Advocate is an individual contributor role responsible for an exciting variety of responsibilities in Specialty Networks of OptumHealth. We are looking for someone with solid analytical skills, who can think critically. The perfect candidate is flexible, detail oriented, able to see the big picture, can work within and across multidisciplinary teams, build relationships and has a positive personality. We are seeking lifelong learners who stay up to date on regulations, industry trends and advancements in the field, in addition to constantly developing their personal skillset. Our team members are sought out as a valued experts by our case partners, accounts, and customers. *****Required schedule is Monday-Friday, 10:30am - 7:00pm CST***** You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Extensive work experience, possibly in multiple operational areas + Manage a challenging role in a fast - paced environment + Achieve timely resolution to urgent and non - urgent issues, most of our issues turn around in 48hrs + Synthesize and communicate complex information in understandable terms both verbally and written + Support issue resolution for a variety of internal and external customers + Critically analyze issues from multiple angles to determine the root cause and next steps + Analyze issues including conducting a root cause analysis by identifying potential compliance, process, or systemic breakdowns and communicate findings to management and issue resolution partners + Able communicate effectively with state agencies, regulators, external customers, clinical medical directors, and senior leadership + Utilize expertise to support issue resolution + Collaborate and coordinate across multiple teams, departments, and representatives + Recognize trends with escalated issues and identity, carry out or coordinate preventative action + Develop effective working relationships with the applicable internal and external customers + Ability to conduct quick and thorough in-depth research across many systems and platforms (Iset, Linx, Unet, Facets, etc.) + Work independently + Mentor and develop other team members + Hold others accountable for resolution activities + Review the work of others to assess accuracy with process requirements + Develop innovative approaches to issue resolution + Providing member advocacy including serving as a primary point of contact for members who require assistance with their healthcare needs + Reviewing and resolving complex claims issues, investigating claim discrepancies, and collaborating with the claims processing teams + Understanding medical and behavioral health terminology, treatment options, and guidelines 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:** + Behavioral Health Clinical licensure - independently clinically licensed (i.e., LPC, LCSW, LMFT, LMHC, etc.). + 5+ years of behavioral health care experience + 3+ years of customer service experience in the healthcare industry + Proven knowledge of or State and Federal regulations that govern commercial health insurance + Proficiency with computer and Windows PC applications + Proficiency with Linx, ICUE, OCM + Designated workspace and access to install secure high-speed internet via cable/DSL in home **Preferred Qualifications:** + Experience with or a willingness to learn behavioral health appeals/claims + Optum Care Advocacy or UM experience + Assessment and Triage experience *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 $58,800 to $105,000 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._

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Escalations Advocate is an individual contributor role responsible for an exciting variety of responsibilities in Specialty Networks of OptumHealth. We are looking for someone with solid analytical skills, who can think critically. The perfect candidate is flexible, detail oriented, able to see the big picture, can work within and across multidisciplinary teams, build relationships and has a positive personality. We are seeking lifelong learners who stay up to date on regulations, industry trends and advancements in the field, in addition to constantly developing their personal skillset. Our team members are sought out as a valued experts by our case partners, accounts, and customers. * Required schedule is Monday-Friday, 10:30am - 7:00pm CST* You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Extensive work experience, possibly in multiple operational areas * Manage a challenging role in a fast - paced environment * Achieve timely resolution to urgent and non - urgent issues, most of our issues turn around in 48hrs * Synthesize and communicate complex information in understandable terms both verbally and written * Support issue resolution for a variety of internal and external customers * Critically analyze issues from multiple angles to determine the root cause and next steps * Analyze issues including conducting a root cause analysis by identifying potential compliance, process, or systemic breakdowns and communicate findings to management and issue resolution partners * Able communicate effectively with state agencies, regulators, external customers, clinical medical directors, and senior leadership * Utilize expertise to support issue resolution * Collaborate and coordinate across multiple teams, departments, and representatives * Recognize trends with escalated issues and identity, carry out or coordinate preventative action * Develop effective working relationships with the applicable internal and external customers * Ability to conduct quick and thorough in-depth research across many systems and platforms (Iset, Linx, Unet, Facets, etc.) * Work independently * Mentor and develop other team members * Hold others accountable for resolution activities * Review the work of others to assess accuracy with process requirements * Develop innovative approaches to issue resolution * Providing member advocacy including serving as a primary point of contact for members who require assistance with their healthcare needs * Reviewing and resolving complex claims issues, investigating claim discrepancies, and collaborating with the claims processing teams * Understanding medical and behavioral health terminology, treatment options, and guidelines 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: * Behavioral Health Clinical licensure - independently clinically licensed (i.e., LPC, LCSW, LMFT, LMHC, etc.). * 5+ years of behavioral health care experience * 3+ years of customer service experience in the healthcare industry * Proven knowledge of or State and Federal regulations that govern commercial health insurance * Proficiency with computer and Windows PC applications * Proficiency with Linx, ICUE, OCM * Designated workspace and access to install secure high-speed internet via cable/DSL in home Preferred Qualifications: * Experience with or a willingness to learn behavioral health appeals/claims * Optum Care Advocacy or UM experience * Assessment and Triage experience * 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 $58,800 to $105,000 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.

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Grow your career with Brookdale! Our Resident Engagement Coordinators have opportunities for advancement by exploring a new career in positions such as Resident Engagement Managers, Business Office Coordinators and even Sales Managers. Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility * Medical, Dental, Vision insurance * 401(k) * Associate assistance program * Employee discounts * Referral program * Early access to earned wages for hourly associates (outside of CA) * Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility * Paid Time Off * Paid holidays * Company provided life insurance * Adoption benefit * Disability (short and long term) * Flexible Spending Accounts * Health Savings Account * Optional life and dependent life insurance * Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan * Tuition reimbursement Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. * Utilizes a person-centered approach starting with positive perceptions of aging, while building relationships and connections amongst residents. * Develops a monthly calendar, in partnership with residents, based on residents' shared interests. * Collaborates with community leadership team to plan, coordinate, and execute special events at the community including, but not limited to, holiday, family, educational, and other marketing events. * Plans and schedules meaningful opportunities for resident engagement outside the community, which may include driving a community vehicle. This job description represents an overview of the responsibilities for the above-referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by their supervisor. Education and Experience A minimum of 1 year of direct experience with adults, coordinating, planning, and executing programs is required. High school diploma or general education diploma (GED) required. Bachelor's Degree in therapeutic recreation, gerontology, health care, education, or other related field preferred. Leadership experience preferred. Certifications, Licenses, and Other Special Requirements Must have a valid driver's license and may be required to obtain a commercial driver's license based on the needs of the community Management/Decision Making Makes standard and routine decisions based on detailed guidelines with use of independent judgment and discretion. Solves problems using clear, detailed guidelines or by reporting them to a supervisor. Physical Demands and Working Conditions * Standing * Walking * Sitting * Use hands and fingers to handle or feel * Reach with hands and arms * Stoop, kneel, crouch, or crawl * Talk or hear * Ability to lift: up to 50 pounds * Vision * Requires interaction with co-workers, residents or vendors * Occasional weekend, evening or night work if needed to ensure shift coverage * On-Call on an as needed basis * Possible exposure to communicable diseases and infections * Exposure to latex * Possible exposure to blood-borne pathogens * Possible exposure to various drugs, chemical, infectious, or biological hazards * Subject to injury from falls, burns, odors, or cuts from equipment * Requires Driving: Drives residents (Tier 1) Brookdale is an equal opportunity employer and a drug-free workplace.

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Grow your career with Brookdale! Our Resident Engagement Coordinators have opportunities for advancement by exploring a new career in positions such as Resident Engagement Managers, Business Office Coordinators and even Sales Managers. Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Responsibilities Utilizes a person-centered approach starting with positive perceptions of aging, while building relationships and connections amongst residents. Develops a monthly calendar, in partnership with residents, based on residents' shared interests. Collaborates with community leadership team to plan, coordinate, and execute special events at the community including, but not limited to, holiday, family, educational, and other marketing events. Plans and schedules meaningful opportunities for resident engagement outside the community, which may include driving a community vehicle. Management/Decision Making Makes standard and routine decisions based on detailed guidelines with use of independent judgment and discretion. Solves problems using clear, detailed guidelines or by reporting them to a supervisor. Physical Demands and Working Conditions Standing Walking Sitting Use hands and fingers to handle or feel Reach with hands and arms Stoop, kneel, crouch, or crawl Talk or hear Ability to lift: up to 50 pounds Vision Requires interaction with co-workers, residents or vendors Occasional weekend, evening or night work if needed to ensure shift coverage On-Call on an as needed basis Possible exposure to communicable diseases and infections Exposure to latex Possible exposure to blood-borne pathogens Possible exposure to various drugs, chemical, infectious, or biological hazards Subject to injury from falls, burns, odors, or cuts from equipment Requires Driving: Drives residents (Tier 1) Brookdale is an equal opportunity employer and a drug-free workplace. Qualifications Requires at least one year of direct experience with adults. Leadership experience and a degree in a related field are preferred (therapeutic recreation, gerontology, health care, education or other related field). Must have a valid driver's license and may be required to obtain a commercial driver's license based on the needs of the community.

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Responsibilities Responsible for planning, developing, organizing, implementing, evaluating, and directing the Social Service Department in accordance with current existing federal, state and Brookdale standards. Ensures the resident's psychosocial concrete needs are identified and met in accordance with federal, state, and Brookdale requirements. Meets with administration, medical and nursing staff, and other related departments in planning social services, as directed. Involves the resident/family in planning social service programs when possible. Interviews residents/families as necessary and in a private setting. Obtains information concerning the resident's personal and family problems, past illnesses, etc. Provides consultation to members of our staff, community agencies, etc., in efforts to solve the needs and problems of the resident through the development of social service programs. Provides information to resident/families as to Medicare/Medicaid, and other financial assistance programs available to the resident. Participates in community planning related to the interests of the facility and the services and needs of the resident and family. Plans resident's discharge. Develops and implements social care plans and resident assessments. Maintains records of outside referrals. Communicates needs and plan of care to resident, families, responsible parties, and appropriate staff. Assists in coordinating resident's financial affairs. Assists with coordination of resident room moves. This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor. Qualifications Education and Experience Bachelor's Degree in Social Work or Human Service field is required. Minimum of one (1) year of supervised work experience in a health care setting working directly with individuals, preferably the elderly. Certifications, Licenses, and Other Special Requirements None Management/Decision Making Applies existing guidelines and procedures to make varied decisions within a department. Uses sound judgment and experience to solve moderately complex problems based on precedent, example, reasonableness or a combination of these. Knowledge and Skills Possesses extensive knowledge of a distinct skill or function and a thorough understanding of the organization and work environment. Has working knowledge of a functional discipline. Physical Demands and Working Conditions Standing Requires interaction with co-workers, residents or vendors Walking Sitting Use hands and fingers to handle or feel On-Call on an as needed basis Reach with hands and arms Possible exposure to communicable diseases and infections Stoop, kneel, crouch, or crawl Talk or hear Ability to lift: Up to 25 pounds Requires Travel: Occasionally Vision Brookdale is an equal opportunity employer and a drug-free workplace.