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Outreach Coordinator jobs at Allied Health - 46 jobs

  • Service Coordinator-CHC

    Amerihealth Caritas Health Plan 4.8company rating

    Pittsburgh, PA jobs

    AmeriHealth Caritas is seeking service-oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team. Ideal candidates will have experience assessing those needing personal care services for instrumental daily living activities. As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up. Work Arrangement * This role is remote and will be community-facing * Qualified candidates must live in and be able to travel through Westmoreland and Fayette counties in PA. Responsibilities Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing process Collect additional necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP Conducts reevaluation of level of care annually or more frequently as needed following CHC requirements Works with the participant to complete activities necessary to maintain eligibility Education and Experience Bachelor's Degree in social work, psychology, or related field is preferred 3+ years of social service (in lieu of a Bachelor's degree) or related healthcare experience that required the following: working with people who need personal care services conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services knowledge of the home and community-based service system and how to access/arrange for services maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests * 2 to 3 years of Case management experience Licensure * Valid and current driver's license with reliable transportation with state-mandated minimum insurance Skills & Abilities Must be computer proficient and have a working knowledge of MS Office specifically Excel High speed internet Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulation AmeriHealth Caritas is a mission-driven organization with more than 40 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. We'd like to hear from you if you want to make a difference in people's lives. Our Comprehensive Benefits Package Flexible work solutions, including remote options and hybrid work schedules, Competitive pay, Paid time off, including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement, and more.
    $37k-48k yearly est. 6d ago
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  • Service Coordinator-CHC

    Amerihealth Caritas 4.8company rating

    Pittsburgh, PA jobs

    AmeriHealth Caritas is seeking service-oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team.Ideal candidates will have experience assessing those needingpersonal care services for instrumental daily living activities. As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up. **Work Arrangement** + This role is remote and will be community-facing + Qualified candidates must live in and be able to travel through Westmoreland and Fayette counties in PA. **Responsibilities** + Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports + Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation + Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options + Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing process + Collect additional necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP + Conducts reevaluation of level of care annually or more frequently as needed following CHC requirements + Works with the participant to complete activities necessary to maintain eligibility **Education and Experience** + Bachelor's Degree in social work, psychology, or related field is preferred + 3+ years of social service (in lieu of a Bachelor's degree) or related healthcare experience that required the following: + working with people who need personal care services + conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services + knowledge of the home and community-based service system and how to access/arrange for services + maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests + 2 to 3 years of Case management experience **Licensure** + Valid and current driver's license with reliable transportation with state-mandated minimum insurance **Skills & Abilities** + Must be computer proficient and have a working knowledge of MS Office specifically Excel + High speed internet + Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulation AmeriHealth Caritas is a mission-driven organization with more than 40 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. We'd like to hear from you if you want to make a difference in people's lives. **Our Comprehensive Benefits Package** Flexible work solutions, including remote options and hybrid work schedules, Competitive pay, Paid time off, including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement, and more. As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
    $37k-48k yearly est. 6d ago
  • Service Coordinator-CHC

    Amerihealth Caritas 4.8company rating

    Pittsburgh, PA jobs

    AmeriHealth Caritas is seeking service-oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team.Ideal candidates will have experience assessing those needingpersonal care services for instrumental daily living activities. As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up. **Work Arrangement** + This role is remote and will be community-facing + Qualified candidates must live in and be able to travel throughout Lawrence county in PA and surrounding areas. **Responsibilities** + Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports + Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation + Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options + Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing process + Collect additional necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP + Conducts reevaluation of level of care annually or more frequently as needed following CHC requirements + Works with the participant to complete activities necessary to maintain eligibility **Education and Experience** + Bachelor's Degree in social work, psychology, or related field is preferred + 3+ years of social service (in lieu of a Bachelor's degree) or related healthcare experience that required the following: + working with people who need personal care services + conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services + knowledge of the home and community-based service system and how to access/arrange for services + maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests + 2 to 3 years of Case management experience **Licensure** + Valid and current driver's license with reliable transportation with state-mandated minimum insurance **Skills & Abilities** + Must be computer proficient and have a working knowledge of MS Office specifically Excel + High speed internet + Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulation AmeriHealth Caritas is a mission-driven organization with more than 40 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. We'd like to hear from you if you want to make a difference in people's lives. **Our Comprehensive Benefits Package** Flexible work solutions, including remote options and hybrid work schedules, Competitive pay, Paid time off, including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement, and more. As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
    $37k-48k yearly est. 6d ago
  • Service Coordinator-CHC

    Amerihealth Caritas Health Plan 4.8company rating

    Pittsburgh, PA jobs

    AmeriHealth Caritas is seeking service-oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team. Ideal candidates will have experience assessing those needing personal care services for instrumental daily living activities. As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up. Work Arrangement * This role is remote and will be community-facing * Qualified candidates must live in and be able to travel throughout Lawrence county in PA and surrounding areas. Responsibilities Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing process Collect additional necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP Conducts reevaluation of level of care annually or more frequently as needed following CHC requirements Works with the participant to complete activities necessary to maintain eligibility Education and Experience Bachelor's Degree in social work, psychology, or related field is preferred 3+ years of social service (in lieu of a Bachelor's degree) or related healthcare experience that required the following: working with people who need personal care services conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services knowledge of the home and community-based service system and how to access/arrange for services maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests * 2 to 3 years of Case management experience Licensure * Valid and current driver's license with reliable transportation with state-mandated minimum insurance Skills & Abilities Must be computer proficient and have a working knowledge of MS Office specifically Excel High speed internet Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulation AmeriHealth Caritas is a mission-driven organization with more than 40 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. We'd like to hear from you if you want to make a difference in people's lives. Our Comprehensive Benefits Package Flexible work solutions, including remote options and hybrid work schedules, Competitive pay, Paid time off, including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement, and more.
    $37k-48k yearly est. 6d ago
  • Supervisor Service Coordinator

    Amerihealth Caritas Health Plan 4.8company rating

    Philadelphia, PA jobs

    Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. We want to connect with you if you're going to make a difference. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at *************************** Responsibilities: The Service Coordination Supervisor is responsible for overseeing the operational functions of the LTSS Service Coordination team using the AmeriHealth Caritas Pennsylvania Community Health Choices model of care. Oversees the day to day operations of the LTSS department, including the development of Person-Centered Service Plans, authorization and approval of services and the coordination of benefits for all LTSS Participants. Serves as a subject matter expert for LTSS training for internal care teams and external audiences. Supports coordination of LTSS with other clinical and social services across the continuum of care, striving to enhance the quality of Participant care and services. Maintains operational processes, policies, and procedures to support LTSS care delivery Ensure quality and performance metrics are consistently met regarding LTSS, as specified in the agreement. Education/Experience: Bachelor's degree required. Pennsylvania licensed RN, LSW, or LPC required. 1 to 3 years of leadership and/or supervisory experience. 3 years working in social service or healthcare-related field. Experience working with people with disabilities or seniors in need of LTSS. Knowledge of the home and community-based service system and how to access and arrange for services. Experience conducting LTSS needs assessments and monitoring LTSS delivery. Ability to provide informed advocacy. Ability to interact with health care professionals professionally. Our Comprehensive Benefits Package Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more.
    $38k-51k yearly est. 6d ago
  • Service Coordinator

    Amerihealth Caritas 4.8company rating

    Philadelphia, PA jobs

    As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. ;You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up. **Work Arrangement** + Remote + Must be able to travel up to 90 minutes from your home to Chester, Bucks, Montgomery, Delaware, and Philadelphia Pennsylvania counties **Responsibilities;** + Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports + Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation + Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options + Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing process + Collect additional necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP + Conducts reevaluation of level of care annually or more frequently as needed following CHC requirements + Works with the participant to complete activities necessary to maintain eligibility **Education and Experience** + Bachelor's Degree in social work, psychology, or related field is preferred + 3+ years of social service (in lieu of a Bachelor's degree) or related healthcare experience that required the following: + working with people who need personal care services, + conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services + knowledge of the home and community-based service system and how to access/arrange for services + maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests. + 2 to 3 years of Case management experience **Licensure** + Valid and current driver's license **Skills & Abilities** + Must be computer proficient and have a working knowledge of MS Office specifically Excel + High speed internet + Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulations ; AmeriHealth Caritas is seeking service-oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team.;Ideal candidates will have experience assessing those needing;personal care services for instrumental daily living activities AmeriHealth Caritas is a mission-driven organization with more than 40 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs.; We'd like to hear from you if you want to make a difference in people's lives. **Our Comprehensive Benefits Package** Flexible work solutions, including remote options and hybrid work schedules, Competitive pay, Paid time off, including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement, and more. ; As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
    $38k-51k yearly est. 6d ago
  • Service Coordinator

    Amerihealth Caritas Health Plan 4.8company rating

    Philadelphia, PA jobs

    As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up. Work Arrangement * Remote * Must be able to travel up to 90 minutes from your home to Chester, Bucks, Montgomery, Delaware, and Philadelphia Pennsylvania counties Responsibilities Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing process Collect additional necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP Conducts reevaluation of level of care annually or more frequently as needed following CHC requirements Works with the participant to complete activities necessary to maintain eligibility Education and Experience Bachelor's Degree in social work, psychology, or related field is preferred 3+ years of social service (in lieu of a Bachelor's degree) or related healthcare experience that required the following: working with people who need personal care services, conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services knowledge of the home and community-based service system and how to access/arrange for services maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests. * 2 to 3 years of Case management experience Licensure * Valid and current driver's license Skills & Abilities Must be computer proficient and have a working knowledge of MS Office specifically Excel High speed internet Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulations AmeriHealth Caritas is seeking service-oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team. Ideal candidates will have experience assessing those needing personal care services for instrumental daily living activities AmeriHealth Caritas is a mission-driven organization with more than 40 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. We'd like to hear from you if you want to make a difference in people's lives. Our Comprehensive Benefits Package Flexible work solutions, including remote options and hybrid work schedules, Competitive pay, Paid time off, including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement, and more.
    $38k-51k yearly est. 6d ago
  • Supervisor Service Coordinator

    Amerihealth Caritas 4.8company rating

    Philadelphia, PA jobs

    Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. We want to connect with you if you're going to make a difference. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at *************************** **Responsibilities:** The Service Coordination Supervisor is responsible for overseeing the operational functions of the LTSS Service Coordination team using the AmeriHealth Caritas Pennsylvania Community Health Choices model of care. + Oversees the day to day operations of the LTSS department, including the development of Person-Centered Service Plans, authorization and approval of services and the coordination of benefits for all LTSS Participants. + Serves as a subject matter expert for LTSS training for internal care teams and external audiences. + Supports coordination of LTSS with other clinical and social services across the continuum of care, striving to enhance the quality of Participant care and services. + Maintains operational processes, policies, and procedures to support LTSS care delivery + Ensure quality and performance metrics are consistently met regarding LTSS, as specified in the agreement. **Education/Experience:** + Bachelor's degree required. + Pennsylvania licensed RN, LSW, or LPC required. + 1 to 3 years of leadership and/or supervisory experience. + 3 years working in social service or healthcare-related field. + Experience working with people with disabilities or seniors in need of LTSS. + Knowledge of the home and community-based service system and how to access and arrange for services. + Experience conducting LTSS needs assessments and monitoring LTSS delivery. + Ability to provide informed advocacy. + Ability to interact with health care professionals professionally. **Our Comprehensive Benefits Package** Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more. As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
    $38k-51k yearly est. 6d ago
  • Quality Outreach Specialist

    Horizon Blue 4.6company rating

    Hopewell, NJ jobs

    Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. This positon is responsible for the coordination, implementation, and monitoring of all Commerical (Stars) HEDIS member and provider outreach, engagement, and intervention. This positon is also responsible for assisting Manager, Outreach & Interventions operationalize all initiatives to improve our HEDIS performance by working with internal and external stakeholders.Responsibilities: Collaborate in designing, implementing, and monitoring all outreach and intervention progress with management. Builds and maintains relationships with Member Experience, PC&S, Govt. Program Communications, Enterprise Communications, Analytics, as well as external vendors to assist in implementing all initiatives to improve HEDIS performance. Support manager in monitoring initiatives and performance for all vendors and make sure initiatives are within budget and consistent with expectations to improve performance. Collects, analyzes and synthesizes data for the development of materials to guide departments decision making for Medicare and Medicaid populations' health management, cost of health care management, and quality of care. Compile comprehensive monthly, quarterly, annual reports to summarize the efficacy and impact of all interventions to assist with strategic approach to improve HEDIS performance. Includes developing summary documents and reports related to provider outreach, engagement, and intervention activities. Participates in outreach activities for the program as appropriate. Develops outreach and in-reach materials to promote services. Facilitate and participate in meetings and presentations with internal and external audiences.8. Performs other related duties as assigned or directed. Disclaimer: This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job. Education/Experience: High School Diploma/GED required. Requires a minimum of 3 years experience in Population Health Management or 3 years of experience with social determinants of health for behavioral health Experience and understanding of NCQA, HEDIS, or URAQ standards. Requires 3 - 5 years managed care experience. Knowledge: Requires knowledge of health care delivery systems, distribution channels, health care industry and health insurance industry. Knowledge of applicable laws and regulations as well as of Governmental Agencies and Regulatory. Requires knowledge of HEDIS, CAHPS, and Stars for CMS. Knowledge of quality improvement methodology. Knowledge of PC's and applicable software application Skills and Abilities: Requires excellent written and oral communication skills. Requires demonstrated aptitude for analytical thinking and ability to report findings accurately. Requires strong interpersonal, organizational and problem solving skills Requires strong project management skills. Requires strong relationship building skills to work collaboratively across departments/divisions. Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint); Should be knowledgeable in the use of intranet and internet applications. Prefers knowledge of user-oriented programming languages including SAS, SQL Travel: Some travel required Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Salary Range: $70,500 - $94,395 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes: Comprehensive health benefits (Medical/Dental/Vision) Retirement Plans Generous PTO Incentive Plans Wellness Programs Paid Volunteer Time Off Tuition Reimbursement Disclaimer: This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job. Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.
    $70.5k-94.4k yearly Auto-Apply 1d ago
  • Health Program Coordinator I

    Health Research, Inc. 4.5company rating

    Albany, NY jobs

    Applications to be submitted by January 27, 2026 Compensation Grade: P23 Compensation Details: Minimum: $86,019.00 - Maximum: $86,019.00 Annually Positions with a designated work location in New York City, Nassau, Rockland, Suffolk, or Westchester Counties will receive a $4,000 annual downstate adjustment (pro-rated for part-time positions). Department (OHEHR) AI - AIDS Institute Job Description: Responsibilities The Health Program Coordinator I (HPC I) will coordinate activities for the New York State Medical Monitoring Project (MMP). The incumbent will conduct MMP activities per approved protocols; coordinate program planning and implementation activities; implement trainings specific to the MMP patient interview, medical record abstraction process, and use of data collection tools, analyses; supervise staff; establish and maintain effective working relationships with Bureau, Division, and other applicable colleagues; coordinate and provide oversight for the collection, monitoring, reporting, and evaluation of MMP data. Minimum Qualifications A bachelor's degree in a related field and three years of experience in program coordination in a public health, health, health regulatory, or human services related program; OR an associate's degree in a related field and five years of such experience; OR seven years of such experience. A master's degree in a related field may substitute for one year of experience. At least one year of experience must have included supervision of staff and/or program management. Preferred Qualifications Work experience providing clinical or non-clinical services to individuals living with HIV/AIDS. Experience conducting interviews in public health settings such as TB, STI or HIV interviews. Experience working with confidential data. Experience in public health surveillance such as HIV/AIDS or STI surveillance. At least one year of experience supervising staff. Conditions of Employment Grant funded position. Compliance with funding requirements such as time and effort reporting, grant deliverables, and contract deliverables, is required. Valid and unrestricted authorization to work in the U.S. is required. Visa sponsorship is not available for this position. Travel up to 25% of the time will be required. The selected candidate must reside within a reasonable commuting distance of the official work location specified in the job posting and must also be located in or willing to relocate to one of the following states: New York, New Jersey, Connecticut, Vermont, or Massachusetts, prior to hire. This position is eligible for a hybrid work schedule, with a combination of onsite and remote work. HRI participates in the E-Verify Program. Affirmative Action/Equal Opportunity Employer/Qualified Individuals with Disabilities/Qualified Protected Veterans ********************** About Health Research, Inc. Join us in our mission to make a difference in public health and advance scientific research! At Health Research, Inc. (HRI), your work will contribute to meaningful change and innovation in the communities we serve! At HRI, we are on a mission to transform the health and well-being of the people of New York State through innovative partnerships and cutting-edge public health initiatives. As a dynamic non-profit organization, HRI plays a crucial role in advancing the strategic goals of the New York State Department of Health (DOH), Roswell Park Comprehensive Cancer Center (RPCCC), and other health-related entities. HRI offers a robust, comprehensive benefits package to eligible employees, including: Health, dental and vision insurance - Several comprehensive health insurance plans to choose from; Flexible benefit accounts - Medical, dependent care, adoption assistance, parking and transit; Generous paid time off - Paid federal and state holidays, paid sick, vacation and personal leave; Tuition support - Assistance is available for individuals pursuing educational or training opportunities; Retirement Benefits - HRI is a participating employer in the New York State and Local Retirement System and offers optional enrollment in the New York State Deferred Compensation Plan. HRI provides a postretirement Health Benefits Plan for qualified retirees to use towards health insurance premiums and eligible medical expenses; Employee Assistance Program - Provides educational and wellness programs, training, and 24/7 confidential services to assist employees, both personally and professionally; And so much more!
    $86k yearly Auto-Apply 7d ago
  • Intake Coordinator

    Visiting Nurse Services Westchester 3.6company rating

    White Plains, NY jobs

    Job Description INTAKE COORDINATOR VNS Westchester, founded in 1901, is Westchester's premier and only certified home health care agency is seeking an Intake Coordinator to review and process referrals. The Intake Coordinator will screen referrals and organize the referral for skilled home care visits, capturing correct patient demographics and clinical admission information for entry into the electronic medical record. Review insurance coverage for the referral and set up accurate financial coverage through insurance eligibility investigation. Connect with professionals, caregivers or patients via electronic platforms, phone, fax or email to obtain all information needed to produce a start of care visit. As a "destination employer" VNS Westchester is widely considered a highly desirable place to work, where people actively seek out employment opportunities due to its reputation for career growth, positive work culture, competitive benefits, and strong brand image, essentially making it a "dream company" within the industry for potential employees to aspire to join and stay at long-term. We are well known in the community as a desirable place to work. A place current employees consider their home away from home. Responsibilities: Process patient referrals in the electronic medical record. Review and enter demographics, clinical information and financial reimbursement information. Review clinical documentation to ensure patient meets criteria for Certified Home Health Agency services. Schedule Start of Care date with patient, add date to the electronic medical record and on the intake board. Verify eligibility and benefits of all Medicare, Medicaid, Commercial and Managed Care Insurances utilizing websites. Verify enrollment of all new Physicians in the PECOS (provider, enrollment, chain, and ownership system) enrolled under Medicare) and OPRA (Medicaid Ordering/Prescribing/Referring/Attending) databases. Contact doctors as needed to help facilitate obtaining documents and orders for new referrals. . Screen incoming referrals and accept or decline request based on Home Care appropriateness. Contact patients, caregivers or referral sources to obtain information on referrals so that they can be admitted. Collaborate with other intake staff to gather all information for each referral. Work within the weekend rotation schedule to support the department on weekends and holidays. Cultivate relationships with medical practices who refer patients. Performs other duties as assigned. Qualifications: Proficient in data entry and navigating an EMR. Strong Experience with Insurance Referrals and Eligibility and Authorization process. Understanding of medical terminology and treatment plans. Excellent customer service & follow-up skills. Strong organizational skills/ case management experience a plus. Salary : $26.50 to $29.50 per hour Benefits: 401(k) Dental insurance Flexible schedule Health insurance Generous paid time off Referral program Vision insurance Up to $15,000 in education reimbursement Health savings accounts Pension Powered by JazzHR WfRNDtbA9w
    $26.5-29.5 hourly 3d ago
  • Intake Coordinator

    Visiting Nurse Services Westchester 3.6company rating

    White Plains, NY jobs

    VNS Westchester, founded in 1901, is Westchester's premier and only certified home health care agency is seeking an Intake Coordinator to review and process referrals. The Intake Coordinator will screen referrals and organize the referral for skilled home care visits, capturing correct patient demographics and clinical admission information for entry into the electronic medical record. Review insurance coverage for the referral and set up accurate financial coverage through insurance eligibility investigation. Connect with professionals, caregivers or patients via electronic platforms, phone, fax or email to obtain all information needed to produce a start of care visit. As a "destination employer" VNS Westchester is widely considered a highly desirable place to work, where people actively seek out employment opportunities due to its reputation for career growth, positive work culture, competitive benefits, and strong brand image, essentially making it a "dream company" within the industry for potential employees to aspire to join and stay at long-term. We are well known in the community as a desirable place to work. A place current employees consider their home away from home. Responsibilities: Process patient referrals in the electronic medical record. Review and enter demographics, clinical information and financial reimbursement information. Review clinical documentation to ensure patient meets criteria for Certified Home Health Agency services. Schedule Start of Care date with patient, add date to the electronic medical record and on the intake board. Verify eligibility and benefits of all Medicare, Medicaid, Commercial and Managed Care Insurances utilizing websites. Verify enrollment of all new Physicians in the PECOS (provider, enrollment, chain, and ownership system) enrolled under Medicare) and OPRA (Medicaid Ordering/Prescribing/Referring/Attending) databases. Contact doctors as needed to help facilitate obtaining documents and orders for new referrals. . Screen incoming referrals and accept or decline request based on Home Care appropriateness. Contact patients, caregivers or referral sources to obtain information on referrals so that they can be admitted. Collaborate with other intake staff to gather all information for each referral. Work within the weekend rotation schedule to support the department on weekends and holidays. Cultivate relationships with medical practices who refer patients. Performs other duties as assigned. Qualifications: Proficient in data entry and navigating an EMR. Strong Experience with Insurance Referrals and Eligibility and Authorization process. Understanding of medical terminology and treatment plans. Excellent customer service & follow-up skills. Strong organizational skills/ case management experience a plus. Salary : $26.50 to $29.50 per hour Benefits: 401(k) Dental insurance Flexible schedule Health insurance Generous paid time off Referral program Vision insurance Up to $15,000 in education reimbursement Health savings accounts Pension
    $26.5-29.5 hourly Auto-Apply 60d+ ago
  • Outreach Coordinator

    Pathstone Corporation 4.5company rating

    Lockport, NY jobs

    Serves as lead and coordinates all program outreach and recruitment activities for direct enrollment of program participants. Enhances participants' ability to access resources available in their communities. This position operates within and contributes to the goal achievement of a work team which is charged with delivery of client services including employment, training, emergency, support, advocacy, and referral services. Requirements (Education, Experience, Certification, Knowledge, Skill): Position requires knowledge, experience, and proficiency, demonstrated through up to three years of training and/or work experience in the area of job training and employment or other relevant area, with specific emphasis on the issues of rural, unemployed, previously incarcerated, high school drop outs and farmworker populations. Position requires working knowledge of computers, and record keeping. Position Responsibilities: Acquire full knowledge, including eligibility criteria, of all services available through PathStone. Maintain and monitor complete and accurate records and files on all Outreach participants. Compile and submit reports in a timely manner on Outreach Activities. Recruits and enrolls clients for training and employment opportunities and assists and supports clients in utilizing those opportunities. Furnish updates on training and employment participants in case management records and meetings. Analyze and interpret assessment results. Synthesize labor market information, participant assessment results, and employment barriers to formulate employment and training plan of action. Assist in development area. Disseminates program information to employers and service agencies. Coordinates Case management to ensure goals and objectives are met. Travel to areas where participants are located to inform, recruit and enroll individuals. Screen participants to inform and clarify alignment of individual and program goals and objectives. Ensure participant's eligibility prior to Outreach enrollment. Initiate development of written individual client employability plan. Collaborate with agency representatives, community groups, and area employers to determine employment trends and demands, and to facilitate referrals. Ensure participants receive training & employment services within ten days of enrollment into Outreach program and meet assigned program goals. Attend assigned conferences, seminars and classes in order to maintain and upgrade skills. Enhance personal knowledge, skills and abilities. Seek and act upon performance feedback. Make appropriate corrections, additions to ensure accurate Outreach Count. Establish emergency and supportive services network. Review and Coordinate Completeness of all enrollment and termination paperwork for Outreach Participants. Review monthly Management Information system reports for accuracy. Market training programs and develop placement opportunities for job ready participants. Develops, organizes and conducts Outreach information sessions for potential participants and community members. Coordinates Outreach among diverse programs to maximize community impact. Develops and conducts Job Readiness training. Coordinates and develops training for Outreach Staff as well as for participants. Working Conditions/Environment: Position requires flexible work hours, including nights, and weekends. Work indoor and outdoor. Driving is routinely required. Some lifting. Transportation Requirement: Position requires automobile, driver's license and insurance. Last Updated: N/A
    $44k-61k yearly est. Auto-Apply 60d+ ago
  • Outreach Worker SNUG

    Pathstone Corporation 4.5company rating

    Syracuse, NY jobs

    An Outreach worker responds to shootings to prevent retaliation and to assist family members of those who have been injured or killed. They engage the community, religious organizations and clergy, and local businesses through rallies and special events. Requirements (Education, Experience, Certification, Knowledge, Skill) Staff must be “credible messengers,” trusted community insiders with backgrounds similar to the high-risk youth being served They must be individuals who have clearly demonstrated positive changes in their lives and turned away from crime. They should possess long term knowledge of the target areas and community and be connected through schools (coaches), religion, extended family relationships and human services connections. Position Responsibilities Outreach workers also meets with high-risk youth involved with the program to set goals with an emphasis on providing educational and job opportunities. Additional services include drug and alcohol treatment, education and college preparations, resume building, job training readiness and referrals, anger management courses, and other resources to promote positive life skills. The Outreach Worker role provides the community with a resource that will assist the victims of crime, save lives and improve community safety by changing behaviors, attitudes, and social norms related to gun violence. Outreach Workers will work with victims of crime to connect them to services. Daily Enter daily log, case notes, and mediations in SNUG database daily Work with community stakeholders to educate the community about violence (1-minute pitch). Work with both victims and perpetrators of crime (who are often victims themselves) to provide connections to services Fulfill other responsibilities, as required. Weekly Canvas designated zones or other areas that have been assigned by supervisor Mediate conflicts that could lead to violence in target area Visit highest risk participants (must have minimum of 6 in person contacts per month) and helping with any obstacles they might have Participate in weekly one to one supervision with management Participate in weekly staff meetings Working Conditions/Environment Requires frequent exposure to individuals displaying high-risk/violent behaviors. Requires frequent weekend and night hours. Requires frequent exposure to outdoor elements regardless of the season. Requires frequent travel within the City of Syracuse to different sites as well as some travel for training purposes. Transportation Requirement Position requires automobile, driver's license, and insurance Last Updated: Created 9/20/2021 Replaces: N/A
    $39k-53k yearly est. Auto-Apply 39d ago
  • Service Coordinator I

    PCA Care Connections 4.3company rating

    Philadelphia, PA jobs

    Company name: PCA Care Connections Service Coordinator I Full Time Pay range: $43,899.00-$50,818.58 based on experience. "PCA Care Connections is a NCQA accredited non-profit agency that currently provides two types of services: Service Coordinator for Community Health Choices (CHC) participants enrolled with Pennsylvania Health and Wellness and Nursing Home Transition Services for participants enrolled with Pennsylvania Health and Wellness or Keystone First. We currently serve participants throughout the Greater Philadelphia region, including Philadelphia, Delaware, Montgomery, Bucks and Chester counties. " The mission of PCA Care Connections is “provide high quality, person-centered and cost effective Service Coordination for older adults and persons with disabilities in partnerships with managed care organizations and integrated health systems and practices. Our goals are to promote quality of life, independence, dignity, and optimal health and well-being.” Medical, prescription drug, vision, and dental coverage Flexible spending plan (health and dependent care) EAP, life insurance, short- and long-term disability insurance Pre-tax commuting, and parking benefits Annual paid time off and vacation are based depending on tenure. Requirements DESCRIPTION: Reporting to a Supervisor, this position facilitates and coordinates long-term services and supports, utilizing a person-centered approach to improve psychosocial and health outcomes. In accordance with procedures and requirements of Community Health Choices (CHC) Managed Care Organization (MCO), the Service Coordinator has responsibility for ongoing assessment, service planning, service coordination, monitoring, follow-up, and evaluation for persons with disabilities and/or older adults. The SC works within a collaborative team approach to identify and address participants' needs, preferences, and goals related to physical health, behavioral health, social services, and long-term services and supports. SCs work primarily remotely when not in the field but do have access to the office, as needed. All SCs are provided with a tablet and mobile phone to fulfill work duties. Qualifications: Associate's degree in social work, psychology, or related fields with 3 years of employment in social service or health care related setting or Bachelor's degree in social work, psychology, or related fields with at least 1 year of employment in a social service or health care related setting, preferred. Professional Characteristics: High energy level; able to manage a variety of tasks simultaneously. Excellent interpersonal and communication skills. Well organized. High level of flexibility Utilizes critical thinking Strong computer skills Cultural competency Duties and Functions: a. Conducts comprehensive person-centered assessments utilizing the InterRAI and Person-Centered Planning Tool (PCSP) tools to determine participants' needs, strengths, preferences, and goals. Inter RAI and PCSP are completed annually or whenever there is a significant change. b. Works with participant, his/her family, and/or caregiver, to develop an individualized service plan, making use of consultation with other disciplines as indicated. c. Identifies, mobilizes, and arranges informal and formal resources to meet participants' needs including LTSS services, other covered services, and non-covered community services and supports. d. Facilitates participant choice of providers and SCs. e. Adheres to all MCO required timeframes. f. Adheres to all documentation and reporting requirements. g. Participates/Conducts Interdisciplinary Team meetings h. Conducts home visits and telephone contacts per MCO standards to monitor adequacy and continued appropriateness of service plan as well as goal achievement. i. Facilitates care transitions j. Provides coordination with behavioral health services k. Monitors participant satisfaction to ensure quality of services provided. l. Supports participants with maintaining their CHC eligibility. m. Completes critical incidents and associated root cause analysis (RCA) as needed. n. Notifies participants of their rights and assists with complaint, grievance, and Fair Hearing processes o. Adheres to the Health Insurance Portability and Accountability Act (HIPAA) p. Utilizes tablet in the field. Completes all necessary forms and data entry for participants' record, other management information, and other written reports as required, such as critical incidents. q. Participates in quality improvement activities r. Participates in orientation and training and attends regularly scheduled supervision and staff meetings. Seeks opportunities for professional development. s. Other duties as assigned. Additional Requirements: Must have a valid driver's license, good driving record, and continuous access to a fully-insured car Drug testing required Pre-employment physical Second language abilities preferred For information on PCA Care Connections, including more information on our company culture, visit our website at *********************************** All applicants will receive an acknowledgement that their application has been. Those candidates selected for further consideration will be contacted. PCA Care Connections is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
    $43.9k-50.8k yearly 29d ago
  • Program Coordinator

    Wes Health System 4.1company rating

    Pemberton, NJ jobs

    Job DescriptionGENERAL OVERVIEW OF KEY ROLES & RESPONSIBILITIES The Program Coordinator is responsible for overall program management including the planning and execution of structured group activities. They will work with the Group Leaders to provide quality programming in health, education, and recreation to children and adolescents. Additionally, the Program Coordinator serves as the main contact for referrals and to the administration where the program will be housed. They maintain connections with parents, school personnel and other outside programs who are involved in the student's lives. ESSENTIAL & CORE FUNCTIONS: 1. Maintains policies and procedures of the program, assuring compliance with each. 2. Serve as point person for emergencies. 3. Reports to the Sr. VP of Operations any and all emergencies and/ or problems. 4. Plan, develop and provide a nurturing, structured and enriching program of after school activities for students. 5. Perform various administrative functions of the program such as composing, copying and distributing work, planning and preparing a weekly schedule for class and any other duties as assigned by the Sr. VP of Operations 6. Maintain a clean and orderly environment for the program. 7. Create structured well-rounded programs for students. 8. Serve as the Youth/Stakholders Council leader. 9. Perform outreach for youth recruitment. 10. Perform outreach and contact students enrolled in the program who are not attending. 11. Complete outreach to community leaders, groups, business with the goal of incorporating them into programming. 12. In the absence of a Group Supervisor implement activities as planned. 13. Supervise all Group Supervisors. 14. Actively engage in activities with the children and acts as a role model participant. 15. Implement a Strength Based Youth Development Approach in all interactions and programs with youth and their families. 16. Maintain student records and overall program documentation as required by the program including but not limited to Student Success Skills, Project Based Learning, Attendance, physical exams, current emergency contact information and contact with adults involved in students' lives. 17. Communicate with teachers and parents about children's daily activities and participate in parent conferences as needed. Assist with the manage 18. Assist with the management of behaviors in the program and on field trips using a proactive approach. 1. Provide individual assistance to students or families as needed. 2. Complete class presentations and preparation of students' evaluations. 3. Attend all designated orientation sessions, all scheduled trainings and meetings. 4. Enforce all rules fairly and consistently according to the policies outlined. 5. Work cooperatively with Group Leaders and program staff making use of open communication and problem- solving skills. 6. Report to work at your scheduled start time. 7. Support the After School Mission and all administrative decisions 8. Abide by all agency policies and procedures. ADDITIONAL RESPONSIBILITIES: 1. Performs other duties and special projects as assigned. Requirements PREREQUISITES & QUALIFICATION FOR THE POSITION: A Bachelor's Degree from an accredited college or university in early childhood education, childhood development, special education, elementary education or the human services field. OR A Bachelor's Degree from an accredited college or university with experience working with children and youth OR An Associates Degree or the credits equivalent to one with experience working with children and youth OR A HS Diploma and three or more years working in and overseeing a program with children and youth Experience in sensitivity with multicultural settings. Knowledge of and must be sensitive towards adolescent development issues and have a desire to work with students ages 5 through 18. Successful completion of training in CPR, and First Aid. Acceptable FBI, criminal background check and child abuse history clearances required. COMPETENCIES & PERSONAL CHARACTERISTICS 1. Proficient in computer programs such as Microsoft Office, Excell, Word and Power point. 2. Solid oral and written communication skills including business writing, proper grammar and spelling. 3. Good organizational skills including the ability to prioritize work and manage conflicting deadlines. 4. Conflict resolution skills and peer mediation experience helpful. 5. The ability to work well with others. 6. The ability to handle conflicts with diplomacy and tact. 7. The ability to listen and evaluate objectively. ORGANIZATIONAL ACCOUNTABILITY & RELATIONSHIPS: 1. The individual is to be supervised by SR VP of Operations 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 occasionally required to stand, walk, sit, use hands, fingers, or feel objects, tools or controls, reach with hand and arms, climb stairs, balance, stoop, kneel, crouch or crawl, talk or hear, taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. WORK ENVIRONMENT: Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time. The noise level in the work environment is usually moderate.
    $37k-57k yearly est. 30d ago
  • Program Coordinator

    Wes Health System 4.1company rating

    Pemberton, NJ jobs

    GENERAL OVERVIEW OF KEY ROLES & RESPONSIBILITIES The Program Coordinator is responsible for overall program management including the planning and execution of structured group activities. They will work with the Group Leaders to provide quality programming in health, education, and recreation to children and adolescents. Additionally, the Program Coordinator serves as the main contact for referrals and to the administration where the program will be housed. They maintain connections with parents, school personnel and other outside programs who are involved in the student's lives. ESSENTIAL & CORE FUNCTIONS: 1. Maintains policies and procedures of the program, assuring compliance with each. 2. Serve as point person for emergencies. 3. Reports to the Sr. VP of Operations any and all emergencies and/ or problems. 4. Plan, develop and provide a nurturing, structured and enriching program of after school activities for students. 5. Perform various administrative functions of the program such as composing, copying and distributing work, planning and preparing a weekly schedule for class and any other duties as assigned by the Sr. VP of Operations 6. Maintain a clean and orderly environment for the program. 7. Create structured well-rounded programs for students. 8. Serve as the Youth/Stakholders Council leader. 9. Perform outreach for youth recruitment. 10. Perform outreach and contact students enrolled in the program who are not attending. 11. Complete outreach to community leaders, groups, business with the goal of incorporating them into programming. 12. In the absence of a Group Supervisor implement activities as planned. 13. Supervise all Group Supervisors. 14. Actively engage in activities with the children and acts as a role model participant. 15. Implement a Strength Based Youth Development Approach in all interactions and programs with youth and their families. 16. Maintain student records and overall program documentation as required by the program including but not limited to Student Success Skills, Project Based Learning, Attendance, physical exams, current emergency contact information and contact with adults involved in students' lives. 17. Communicate with teachers and parents about children's daily activities and participate in parent conferences as needed. Assist with the manage 18. Assist with the management of behaviors in the program and on field trips using a proactive approach. 1. Provide individual assistance to students or families as needed. 2. Complete class presentations and preparation of students' evaluations. 3. Attend all designated orientation sessions, all scheduled trainings and meetings. 4. Enforce all rules fairly and consistently according to the policies outlined. 5. Work cooperatively with Group Leaders and program staff making use of open communication and problem- solving skills. 6. Report to work at your scheduled start time. 7. Support the After School Mission and all administrative decisions 8. Abide by all agency policies and procedures. ADDITIONAL RESPONSIBILITIES: 1. Performs other duties and special projects as assigned. Requirements PREREQUISITES & QUALIFICATION FOR THE POSITION: A Bachelor's Degree from an accredited college or university in early childhood education, childhood development, special education, elementary education or the human services field. OR A Bachelor's Degree from an accredited college or university with experience working with children and youth OR An Associates Degree or the credits equivalent to one with experience working with children and youth OR A HS Diploma and three or more years working in and overseeing a program with children and youth Experience in sensitivity with multicultural settings. Knowledge of and must be sensitive towards adolescent development issues and have a desire to work with students ages 5 through 18. Successful completion of training in CPR, and First Aid. Acceptable FBI, criminal background check and child abuse history clearances required. COMPETENCIES & PERSONAL CHARACTERISTICS 1. Proficient in computer programs such as Microsoft Office, Excell, Word and Power point. 2. Solid oral and written communication skills including business writing, proper grammar and spelling. 3. Good organizational skills including the ability to prioritize work and manage conflicting deadlines. 4. Conflict resolution skills and peer mediation experience helpful. 5. The ability to work well with others. 6. The ability to handle conflicts with diplomacy and tact. 7. The ability to listen and evaluate objectively. ORGANIZATIONAL ACCOUNTABILITY & RELATIONSHIPS: 1. The individual is to be supervised by SR VP of Operations 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 occasionally required to stand, walk, sit, use hands, fingers, or feel objects, tools or controls, reach with hand and arms, climb stairs, balance, stoop, kneel, crouch or crawl, talk or hear, taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. WORK ENVIRONMENT: Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time. The noise level in the work environment is usually moderate.
    $37k-57k yearly est. Auto-Apply 60d+ ago
  • Service Coordinator Trainee

    PCA Care Connections 4.3company rating

    Philadelphia, PA jobs

    Job Description Company name: PCA Care Connections Service Coordinator Trainee Full Time Pay range: $37,605.84-$43,533.46 varies based on experience. DESCRIPTION: Reporting to a Supervisor, this position facilitates and coordinates long-term services and supports, utilizing a person-centered approach to improve psychosocial and health outcomes. In accordance with procedures and requirements of Community Health Choices (CHC) Managed Care Organization (MCO), the Service Coordinator (SC) has responsibility for ongoing assessment, service planning, service coordination, monitoring, follow-up, and evaluation for persons with disabilities and/or older adults. The SC works within a collaborative team approach to identify and address participants' needs, preferences, and goals related to physical health, behavioral health, social services, and long-term services and supports. SCs work primarily remotely when not in the field but do have access to the office, as needed. All SCs are provided with a tablet and mobile phone to fulfill work duties. Requirements Qualifications: Education: High School Diploma or equivalent. Experience: Minimum of three years of employment in a social service or health care related setting. Professional Characteristics: High energy level; able to manage a variety of tasks simultaneously. Excellent interpersonal and communication skills. Well organized. High level of flexibility Utilizes critical thinking Strong computer skills Cultural competency Duties and Functions: a. Conducts comprehensive person-centered assessments utilizing the InterRAI and Person-Centered Planning Tool (PCSP) tools to determine participants' needs, strengths, preferences, and goals. Inter RAI and PCSP are completed annually or whenever there is a significant change. b. Works with participant, his/her family, and/or caregiver, to develop an individualized service plan, making use of consultation with other disciplines as indicated. c. Identifies, mobilizes, and arranges informal and formal resources to meet participants' needs including LTSS services, other covered services, and non-covered community services and supports. d. Facilitates participant choice of providers and SCs. e. Adheres to all MCO required timeframes. f. Adheres to all documentation and reporting requirements. g. Participates/Conducts Interdisciplinary Team meetings h. Conducts home visits and telephone contacts per MCO standards to monitor adequacy and continued appropriateness of service plan as well as goal achievement. i. Facilitates care transitions j. Provides coordination with behavioral health services k. Monitors participant satisfaction to ensure quality of services provided. l. Supports participants with maintaining their CHC eligibility. m. Completes critical incidents and associated root cause analysis (RCA) as needed. n. Notifies participants of their rights and assists with complaint, grievance, and Fair Hearing processes o. Adheres to the Health Insurance Portability and Accountability Act (HIPAA) p. Utilizes tablet in the field. Completes all necessary forms and data entry for participants' record, other management information, and other written reports as required, such as critical incidents. q. Participates in quality improvement activities r. Participates in orientation and training and attends regularly scheduled supervision and staff meetings. Seeks opportunities for professional development. s. Other duties as assigned. Additional Requirements: Must have a valid driver's license, good driving record, and continuous access to a fully-insured car Drug testing required Pre-employment physical Second language abilities preferred For information on PCA Care Connections, including more information on our company culture, visit our website at ********************************** All applicants will receive an acknowledgement that their application has been. Those candidates selected for further consideration will be contacted. PCA Care Connections is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
    $37.6k-43.5k yearly 11d ago
  • RADIOLOGY COORDINATOR

    Employee Benefits Fund 4.4company rating

    New York, NY jobs

    Health Center Inc. (also known as The New York Hotel Trades Council and Hotel Association of NYC, Inc Employee Benefit Funds) is a NYC based healthcare organization with ambulatory care facilities staffed with a wide range of health professionals to provide extensive medical and diagnostic services. We have an opening for a Radiology Coordinator mainly out of our Long Island City (Queens) l ocation, but will be expected to travel to our other location at an ad-hoc basis (Harlem, Midtown, and Brooklyn). The Radiology Coordinator will coordinate workflow for radiologic services and all aspects of initial registration and verification of eligibility. They will also collaborate with other members of the health center staff to ensure timely provision of services and ensure that radiology records are complete, up to date, readily accessible, secure, and in compliance with other policies and regulations. Duties and responsibilities: Monitor daily patient schedules and emergency procedure add-ons, monitor department workflows, update schedules according to staffing and coverage Monitor patient wait time and inquiries Enter abnormal results in RIS for positive results tracking, monitor offsite reports Update mammography bi-rad results, notify physicians of status in FEMR Perform monthly health center stat report, schedule departmental staff meetings Monitor radiology task list, inventory/supplies check and requests Ensure quarterly equip procedures are performed, Ensure all departments comply with MQSA and NYC DOH standards Ensure staff is completing daily tasks Coordinate with other supervisors to ensure patient and staff satisfaction Education and experience: High school diploma Experience in a health care setting Excellent interpersonal, verbal, and written communication skills Experience working within Radiology department We offer a competitive salary including, but not limited to, the following benefits: Medical, Dental, and Vision health benefits at no cost to all benefits-eligible employees and their eligible dependents Paid Time Off (Vacation, Personal, Sick days, and paid Holidays) 401(k) Plan Life Insurance Tuition Reimbursement Member's Health Assistance Program Pre-Paid Legal Services Wellness Benefits
    $55k-84k yearly est. Auto-Apply 60d+ ago
  • CTR Coordinator

    Total Health Care 3.7company rating

    Baltimore, MD jobs

    Reporting to the Linkage to Care Supervisor and part of the HIV Services Department, the CTR Coordinator is responsible for providing HIV counseling and testing and prevention services to clients of the clinic and community and is the coordinator for CTR services. This position works very closely with the various clinical departments to design services specific to the needs of the department and community partner providers and the patients for whom they serve. Contacts and interactions vary and may involve multiple constituencies such as direct interaction with THC's executive management, community organizers, the general public, THC's patients, physicians, colleagues, assigned staff, vendors, contractors and consultants for the purpose of providing and exchanging information. Example of Essential Job Functions * Coordinates and ensures compliance of CTR services by monitoring protocols and workflows of all CTR staff. * Monitors and provides reports regarding testing outcomes and referred/linked services * Ability to establish relationships with providers and key personnel throughout the system of care, as well as, relationships with outside agencies in order to assist with rapid testing. * Provides on-site Rapid HIV testing to referred individuals identified by treatment providers, community partners, and during community Outreach Events. * Refers any positive results to the relevant county/state Department of Health. * Provide Pre/Post-test counseling for any HIV testing through the CTR program. * Provides linkage to care services to individuals identified as HIV positive. * Establish and maintain relationships with Total Health Care providers and staff, as well as community agencies in order to connect required services to patients quickly. * Gather patient data and clinical information for data entry into EHR and/or other designated data/reporting system. * Flexible and able to work in a changing environment with a positive perspective. * Participates in outreach and health screening activities during events in the community. * Schedule appointments as needed. * When contacting patients for upcoming appointments, accurately communicate the appointment information and any other facility-specific information needed to have a successful appointment. * Document all contacts in a clear, concise and timely manner according to agency and departmental policy. * Attend and participate in all staff meetings, training, conferences…etc. * Works as part of the multi-disciplinary team to provide tools and strategies using a patient-centered approach to support individuals being tested and linked to care. * Work in tandem with the Outreach Coordinator to meet program goals. * Perform venipuncture and specimen procurement, if in possession of appropriate credentials (ie. Medical Assistant, Phlebotomist, etc.) to do so. * Behaves in accordance with THC's customer service standards to promote patient satisfaction which includes greeting all patients and/or visitors. * Adheres to organizational policy and procedures, OSHA, HIPAA, and other related guidelines. * Participates in quality initiatives and supports the organizational strategic goals * Other duties as assigned. Minimum Education, Training and Experience Required * A minimum of a High School Diploma is required. * HIV Testing and Counseling Certification preferred Phlebotomy experience preferred
    $38k-63k yearly est. 54d ago

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