Ambulatory care coordinator jobs in Cincinnati, OH

JOB TITLE: Surgical Coordinator DEPARTMENT: Surgery Scheduling BENEFITS: * Full Benefits Package - Medical, Vision, Dental and Life Insurance * 401k + Employer Matching * Paid Time Off and Paid Holidays * Paid Maternity Leave * Optical Education Reimbursement * Competitive Base Pay POSITION SUMMARY Deliver excellent patient-centered care by ensuring the financial and surgical communication process is complete for patients having surgical procedures. PERFORMANCE EXPECTATIONS This position will require flexibility and a broad knowledge base, with ability to perform any of the below tasks. * Schedules surgery and performs pre-surgery patient education regarding preparation for surgery and communicates with all associated facilities. * Schedules and coordinates pre-op appointments with the patient and/or the patient's care giver. * Check every patient chart for insurance benefits, prepare a cost summary and counsel patients regarding finances. * Counsel patients for Physician Fee and Eye Surgery Center. * Follow up/collect for surgery payments for ECA and ESC. EDUCATION REQUIREMENTS * High School diploma or GED * Experience in financial counseling is preferred. * Must be able to provide proof of their identity and their right to work in the United States If you need assistance with this application, please contact **************. Please do not contact the office directly - only resumes submitted through this website will be considered. EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

LTSS Concierge Coordinator (Case Manager) Hiring statewide across Ohio This position is primarily virtual but may require you to work in the field based on business need up to 10% of the time. Location: Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The MyCare Ohio health plan is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs. The LTSS Transition Concierge Coordinator is responsible for supporting the LTSS Transition Coordinator (or contracted provider) in contributing to the components of the person-centered planning process, within Transitions of Care, for individuals enrolled in specialized programs, as required by applicable state law and contract, and federal requirements. Supports in the development, monitoring, and assessment of changes during any transitions of care into the Service Coordination forms and tools, such as the individual's Person-Centered Support Plan (PCSP) in accordance with member's needs. Supports individuals in meeting their established goals, in the setting of their choice, and accessing quality health care services and supports. How you will make an impact: * Responsible for performing telephonic and/or virtual outreach to individuals in specialized programs, providers, or other key stakeholders to support the efficacy of the care plan and/or to align with contractual requirements for member outreach, such as coordination and management of an individual's LTSS waiver, behavioral health or physical health needs. * Responsible for in-person visits, as needed, to accommodate business need. * Submits utilization/authorization requests to utilization management with documentation supporting and aligning with the individual's care plan. * Utilizes tools and pre-defined identification process, consults with the primary service coordinator to monitor the PCSP, in instances in which a risk is identified related to the members LTSS, physical or behavioral health supports (including, but not limited to, potential for high-risk complications). * Engages the primary service coordinator and other clinical healthcare management and interdisciplinary teams to provide care coordination support. * Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to ensure cost effective and efficient utilization of long-term services and supports. * At the direction of the member, documents their short- and long-term service and support goals in collaboration with the member's chosen care team that may include, caregivers, family, natural supports, and physicians. * Identifies members that would benefit from an alternative level of service or other waiver programs. * May also serve as mentor, subject matter expert or preceptor for new staff, assisting in formal training of associates and may be involved in process improvement initiatives. * Responsible for reporting critical incidents to appropriate internal and external parties such as state and county agencies (Adult Protective Services, Law Enforcement). * Assists and participates in appeal or fair hearings, member grievances, appeals and state audits. Minimum Requirements: * Requires BA/BS degree and a minimum of 2 years of experience working with a social work agency; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: * Strong computer skills to include Excel, Outlook and Electronic Medical Records highly preferred. * BA/BS degree field of study in health care related field preferred. * Strong preference for case management experience with older adults or individuals with disabilities. * Specific education, years, and type of experience may be required based upon state law and contract requirements preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Job Description We are seeking a Care Coordinator! Jackson, OH Join our team! Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to their needed resources. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services - working with local partners to promote healthy people and strong communities. Our services are intended to be collaborative and personalized for the individual. The Care Coordinator's job responsibilities involve service linkage and care coordination, engaging and working with children, youth, and families with significant behavioral health needs. Care Coordination team members should have a thorough understanding of local communities, be skilled at developing working relationships with community agencies, and identify potential community supports for development to assist families/caregivers working collaboratively with Child and Family Teams. Care Coordination staff ensure children, youth, and families have a voice and choice in all coordinated care and services provided. The pay range for this position is $20.19 - $25.03 per hour based on experience, education, and/or licensure. Essential Functions: Joins with family to identify care coordination needs/services in line with service delivery standards and program outcomes to ensure the best outcomes for children, youth, and families. Works with families to define cultural factors that influence strengths, functioning, and family interaction styles to ensure ongoing engagement and success in care planning. Identifies strengths of children, youth, and families for utilization in care coordination engagement and supporting healthy outcomes. Coordinates family-based services for children, youth, and families in their home, school, and community. Ensures with family that services identified on care plans are the most appropriate, least restrictive, and meet the safety and treatment needs of the child, youth, and family. Engages and builds positive relationships with children, youth, and families in coordination with child and family teams to support the successful integration of team members and care plans. Develop collaborative and creative partnerships with community resources to meet the diverse needs of youth and families. Maintains necessary documentation, participates in program evaluation, attends team and program planning meetings, cross-systems training, and acquires knowledge of community resources. Remains current with all training requirements, including but not limited to High Fidelity Wraparound, MI, Cultural Humility, etc. All other duties as assigned. Minimum Requirements: Experience providing services and/or support to children and families connected to behavioral health, child welfare, developmental disabilities, juvenile justice, or a related public sector human services or behavioral healthcare field: three years with a high school diploma or equivalent; or two years with an associate degree or bachelor's degree; or one year with a master's degree or higher Knowledge and experience in Hi-Fidelity Wraparound preferred (Certification provided at time of employment). Two years of experience in a coordinated supportive services or care coordination role preferred. Experience working with people with autism spectrum disorders and developmental disabilities preferred. Experience in one or more of the following areas: family systems community systems and resources case management child and family counseling or therapy child protection child development Be culturally humble or responsive with training and experience to manage complex cases Have the qualifications and experience needed to work with children and families who are experiencing serious emotional disturbance (SED), trauma, co-occurring behavioral health disorders, and who are engaged with one or more child-serving systems (e.g., child welfare, intellectual and developmental disabilities, juvenile justice, education) Excellent organizational skills with the ability to stay focused and prioritize multiple tasks Demonstrates a high degree of cultural awareness. Experience with multi-need individuals and families. Broad knowledge of community service systems. Willing to participate in and lead cross-systems care coordination. Able to effectively communicate through verbal/written expression. Must be able to operate in an Internet-based, automated office environment. Valid Driver's License required Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package! Benefits include: Medical Dental Vision Short-term Disability Long-term Disability 401K w/ Employer Match Employee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues. To learn more about our organization: ***************** OUR MISSION Delivering exceptional care through connection OUR VALUES Dignity - We meet people where they are on their journey with respect and hope Collaboration - We listen to understand and ask how we can best support the people and communities we serve Wellbeing - We celebrate one another's strengths, and we support one another in being well Excellence - We demand high-quality care for those we serve, and are a leader in how we care for one another as a team Innovation - We deeply value a range of perspectives and experiences, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Make a meaningful difference by providing essential case management services to women in Ohio facing substance use challenges-many of whom are pregnant or living with persistent mental health conditions. You'll work closely with clients and treatment providers to support recovery and ensure successful outcomes through a collaborative, client-centered approach. Hours: 5:30 am to 2:00 pm Perks: Comprehensive health, dental, and vision insurance plans to ensure your and your family's well-being. Competitive salary Paid Time Off Company paid vision, basic life Insurance and long-term disability Voluntary Short-Term Disability Save for your future with our 403(b) retirement savings plan We support your career growth through ongoing training and development opportunities Access confidential counseling services, legal advice, and more through our EAP Student Loan Forgiveness Program eligible SCOPE OF RESPONSIBILITIES Provides clinical therapeutic and case management services for adults with psychiatric disabilities to assist them in improving their current level of functioning in the community. Outreach and engage potential members to evaluate appropriateness and desire for services in jails, hospitals, or street settings. Completes comprehensive initial and ongoing assessments for diagnosis and evaluation of level of functioning, support network, adequacy of living arrangements, financial status, physical health, and level of self-care. Assist clients in identifying needs, setting goals, establishing concrete objectives, and developing a coordinated care plan with a set timeframe from enrollment and annually. Ensure the member has applied for benefits and health insurance such as SSI, SSDI, Medicaid, or Medicare. Complete or assist in that process. Ensure access to local resources, including psychiatric and medical care, housing, rehabilitation programs, drug/alcohol services, socialization activities, providing transportation and accompany the client when necessary. Communicate regularly with other treatment providers. Actively reach out to clients on the caseload who have not been in contact and ensure engagement in services in their home, transitional housing placement or on the streets. Provide needed therapeutic interventions: individual, group and crisis, to address symptoms as defined in the assessment and to improve level of functioning or develop insight to reduce defined distress or stressors. May refer to or conduct support groups and teach classes on topics such as money management, vocational or job coaching, and life skills training. Complete all Residential and Women's Services chart paperwork and maintain documentation according to The Crossroads Center's standards of practice in Electronic Health Record - CareLogic and/or Methasoft within proscribed timeframes as outlined in TCC documentation policy. Meet weekly, monthly, and quarterly billing quota as presented by Clinical Director Residential and Women's Services. As time allows or as requested, assist in the daily operations of the Chaney Allen or ARC programs. Attend daily staff meetings, supervision and training as requested. Work cooperatively with other team members including sharing responsibility for 24 hour on-call coverage. Other duties as assigned. Knowledge and Abilities Ability to read, analyze and interpret human service periodicals, professional journals, technical procedures, or government regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. Knowledge of or experience with DSM IV diagnoses, assessment of level of functioning, DMH documentation, EBP's such as Motivational interviewing, DBT, Cognitive Behavioral Therapies, Trauma Informed Care, Housing First, etc. Ability to work independently and on a collaborative team. Initiative and solution focused practice. Uses good time management skills and resources to balance case load direct service and paperwork. Position Requirements Bachelor's degree in psychology, social work, or related field; Master's degree preferred. CDCA Certification in the State of Ohio. Valid Ohio Driver's License. One (1) year experience providing services to adults who have been diagnosed with a mental illness or equivalent experience; Trauma training. Proven proficiency with both oral and written communication skills. Organizational skills and the ability to complete multiple tasks a must. Strong interpersonal skills and the ability to deal effectively with the public, other employees, and elected officials. A flexible work schedule is required in order to respond to clinical needs and other emergency situations. Candidate must have own transportation and current Ohio driver's license and insurance. Position requires frequent driving and transporting. Physical Requirements While performing the duties of this job, the employee is regularly required to sit; use hands and fingers; handle or feel; reach with hands and arms; talk; and hear. The employee is frequently required to walk, balance, stoop, kneel, and/or crouch. (The employee must occasionally lift and/or move up to 15 pounds). Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus. Keyboard data entry required. Physical Requirements While performing the duties of this job, the employee is regularly required to sit; use hands and fingers; handle or feel; reach with hands and arms; talk; and hear. The employee is frequently required to walk, balance, stoop, kneel, and/or crouch. (The employee must occasionally lift and/or move up to 15 pounds). Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus. Keyboard data entry required. This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time. Equal Opportunity Employer: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

The Population Health Care Coordinator works in collaboration and partnership within an interdisciplinary team to manage chronic healthcare conditions for patients with two or more chronic conditions and tangential issues. This role will focus on Patient Centered Medical Home (PCMH), quality improvement, comprehensive care management services, value based care, and closing care gaps. The Population Health Care Coordinator will ensure transparent whole person care and will support patient activation in care, improved population health outcomes and increased health literacy. SALARY RANGE: $64,800-$77,700 MAJOR AREAS OF RESPONSIBILITIES: Promote timely access to appropriate and encompassing care in compliance with standards set forth through HRSA and NCQA Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider and care team Cultivate and support primary care and specialty provider co-management with timely communication, inquiry, follow-up and integration of information into the care plan Increase continuity of care by supporting effective mechanisms in transitions of care and managing relationships with secondary and tertiary care providers and referrals Increase patients' ability for self-management and shared decision-making Establish relationships with relevant community resources, resulting in the connection of patients to these resources with the goal of enhancing patient health and well-being, increasing patient satisfaction and reducing health care costs Assess patient health literacy and utilize effective strategies to increase understanding and activation in care Anticipate and meet or exceed all patient needs. Attend all Care Coordinator training courses/webinars and meetings Collect and analyze population health outcomes and Provide feedback for the improvement of the Care Coordination Program Assist in identifying appropriate QI initiatives to improve health outcomes for general Primary Care and Specialty Care Facilitate, implement and evaluate QI activities to improve chronic care management among care teams Increase efficiencies through the use of improved workflows and integration of service delivery to address complexity of chronic disease management. Will participate in ongoing professional and personal development related to enhanced leadership activities and evidence-based practices Other duties as assigned. EDUCATION/LICENSURE: Required: RN Licensed in Ohio Required: Associate's Degree in any discipline Knowledge, Skills, Abilities and other Qualifications: Knowledge of clinical quality indicators for Ryan White, FQHC, Meaningful Use and PCMH 2-3 years of RN experience in a clinical setting Evidence of essential leadership, communication and counseling skills Highly organized with ability to keep accurate notes and records Experience with Quality Improvement and change management preferred Must have sensitivity to, interest in and competence in cultural differences, HIV/AIDS, minority health, and a demonstrated competence in working with persons of color, and LGBTQ communities. Proficiency in all Microsoft Office applications and other computer applications required. Experience with EPIC highly preferred and ability to learn new technologies, web tools, and basic design tools is imperative Knowledge of ambulatory care nursing principles or experience in an outpatient setting preferred Must have reliable transportation and valid Ohio driver's license OTHER INFORMATION:Background and reference checks will be conducted. In accordance with Equitas Health's Drug-Free Workplace Policy, pre-employment drug testing will be administered. Hours may vary, including working some evenings and weekends based on workload. Individuals are not considered applicants until they have been asked to visit for an interview and at that time complete an application for employment. Completing the application does not guarantee employment. EOE/AA

We offer a comprehensive Benefit package to Full Time Employees: PTO 401-k with Company match Health Insurances Company Paid Life Insurance Tuition Reimbursement Employee Assistance Program Capital Health Home Care in Miamisburg, OH is hiring a FULL TIME Scheduler Client Care Coordinator (Scheduler) Job Description Summary The Client Care Coordinator/Scheduler has the primary responsibility of developing and maintaining an “employee work schedule” that satisfies the needs of the client/family, is fair to all employees, follows scheduling policies and procedures and meets the agency's goals and objectives. Essential Job Functions/Responsibilities Ensures that qualified employees are scheduled for all client visits. Prepares the schedules for the agency for employees and clients. Assures applicable visit types in scheduling system. Makes adjustments to the existing schedules as needed on a daily basis. Reviews client need and employee availability on an ongoing basis. Communicates with employees and client/families to obtain the most favorable and economically sound schedule. May be responsible for completion of assigned reports. Tracks employee attendance. May assist with part of the process of orientation for new employees. Consistent follow-up with staff regarding their schedule. Participates in appropriate continuing education as may be required. Responsible for working with contracted therapy staff to assure clients therapy visits are scheduled. Functions as a backup to other office positions. Performs other office duties as assigned. Complies with agency's policies and procedures. Assists with answering telephone lines promptly and efficiently. Special projects and other related duties as assigned by the Administrator. May participate in on-call scheduling if need arises. Handles all duties as they relate to scheduling. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description. Position Qualifications High school graduate or equivalent. Previous scheduling and computer experience desired. Previous experience in dealing with the public. Skills Required Computer skills. Excellent customer service. Able to multi-task. Ablility to follow up and complete tasks timely.

Patient Care Coordinators are responsible for providing exceptional service by welcoming our patients and ensuring all check-in and checkout processes are completed. Acknowledge and greets patients, customer, and vendors as they walk into the practice, in a friendly and welcoming manner Answers and responds to telephone inquiries in a professional and timely manner Schedules appointments Gathers patients and insurance information Verifies and enters patient demographics into EMR ensuring all fields are complete Verifies vision and medical insurance information and enters EMR Maintains a clear understanding of insurance plans and is able to communicate insurance information to the patients Pulls schedules to ensure insurance eligibility prior to patient appointment and ensures files are complete Prepare insurance claims and run reports to ensure all charges are billed and filed Print and prepare forms for patients visit Collects and documents all charges, co-pays, and payments into EMR Allocates balances to insurance as needed Always maintains a clean workspace Practices economy in the use of _me, equipment, and supplies Performs other duties as needed and as assigned by manager

Beacon Orthopaedics, a brand partner of Upstream Rehabilitation, is looking for a Patient Care Coordinator to join our team in Cincinnati, OH (Kenwood or Fairfield clinic) Are you looking for a position in a growing organization where you can make a significant impact on the lives of others? What is a Patient Care Coordinator? A Patient Care Coordinator is an entry-level office role that is responsible for maintaining pleasant and consistent daily operations of the clinic. Our Patient Care Coordinators have excellent customer service skills. Patient Care Coordinators learn new things - a lot! The Patient Care Coordinator multitasks in multiple computer programs each day. A day in the life of a Patient Care Coordinator: Greets everyone who enters the clinic in a friendly and welcoming manner. Schedules new referrals received by fax or by telephone from patients, physician offices. Verifies insurance coverage for patients. Collects patient payments. Maintains an orderly and organized front office workspace. Other duties as assigned. Fulltime positions include: Annual paid Charity Day to give back to a cause meaningful to you Medical, Dental, Vision, Life, Short-Term and Long-Term Disability Insurance 3-week Paid Time Off plus paid holidays 401K + company match Position Summary: The Patient Care Coordinator - I (PCC-I) supports clinic growth through excellence in execution of the practice management role and patient intake processes. This individual will work in collaboration with the Clinic Director (CD) to carry out efficient clinic procedures. The PCC-I position is responsible for supporting the mission, vision, and values of Upstream Rehabilitation. Responsibilities: Core responsibilities Collect all money due at the time of service Convert referrals into evaluations Schedule patient visits Customer Service Create an inviting clinic atmosphere. Make all welcome calls Monitor and influence arrival rate through creation of a great customer experience Practice Management Manage schedule efficiently Manage document routing Manage personal overtime Manage non-clinical documentation Manage deposits Manage caseload, D/C candidate, progress note, and insurance reporting Monitor clinic inventory Training o Attend any required training with the Territory Field Trainers (TFT) for Raintree and other business process updates. Complete quarterly compliance training. Qualifications: High School Diploma or equivalent Communication skills - must be able to relate well to Business Office and Field leadership Ability to multitask, organizational detail, ability to meet deadlines, work with little to no supervision As a member of a team, must possess efficient time management and presentation skills Physical Requirements: This position is subject to inside environmental conditions: protections from weather conditions but not necessarily from temperature changes; exposed to noise consistent with indoor environment. This is a full-time position operating within normal business hours Monday through Friday, with an expectation of minimum of 40 hours per week; May be required to attend special events some evenings and weekends, or work additional hours as needed. This position is subject to sedentary work. Constantly sits, with ability to interchange with standing as needed. Constantly communicates with associates, must be able to hear and speak to accurately exchange information in these situations. Frequently operates a computer and other office equipment such as printers, phone, keyboard, mouse and copy machines using gross and fine manipulation. Constantly uses repetitive motions to type. Must be able to constantly view computer screen (near acuity) and read items on screen. Must have ability to comprehend information provided, use judgement to appropriately respond in various situations. Occasionally walks, stands, pushes or pulls 0-20 lbs., lifts 0-20 lbs. from floor to waist; carries, pushes, and pulls 0-20 lbs. Rarely crawls, crouches, kneels, stoops, climbs stairs or ladders, reaches above shoulder height, lifts under 10 lbs. from waist to shoulder. This job description is not an all-inclusive list of all duties that may be required of the incumbent and is subject to change at any time with or without notice. Incumbents must be able to perform the essential functions of the position satisfactorily and that, if requested, reasonable accommodations may be made to enable associates with disabilities to perform the essential functions of their job, absent undue hardship. Please do not contact the clinic directly. Follow @Lifeatupstream on Instagram, and check out our LinkedIn company page to learn more about what it's like to be part of the #upstreamfamily. CLICK HERE TO LEARN EVEN MORE ABOUT UPSTREAM

Job Description Job Type: Full-Time, Hybrid Schedule, Monday - Friday Requirements: This position requires a Bachelor's degree in Social Work, Counseling or related field from an accredited college or university Minimum of three years of experience in working with children and families. Have a background in family systems, community systems, case management, child and family counseling, child protection, or child development. Have qualifications and experience to work with children and families who are experiencing serious emotional disturbance, trauma history, co-occurring mental health and substance use disorders and/or those involved with multiple systems of care. Must be culturally responsive with training and experience to manage complex cases. Must possess minimum technical skills including familiarity with Microsoft Windows and ability to use standard Microsoft Office applications. Job Summary: Ohio RISE Care Coordinator provides family-centered and community-based wraparound services. Ohio RISE Care coordinators work with each family to develop a care plan, including transition plan and crisis plan. Develops and coordinates the wraparound team for each child served based on individual needs and strengths. Participates in after hours, on call response. Conducts regular assessment using the Child and Adolescent Needs and Strengths (CANS). Care coordinators demonstrate commitment to working with diverse populations. Key Responsibilities: Deliver structured service planning and care coordination using high-fidelity wraparound models Manage caseloads (ICC up to 10; MCC up to 25) and conduct initial face-to-face visits within required timeframes Complete comprehensive assessments (CANS), develop crisis safety plans, and create/update family-centered care plans Facilitate child and family team meetings, ensure services align with care plans, and assist with transitions across systems of care Connect families to community resources and natural supports while maintaining knowledge of local systems (health, mental health, education, juvenile justice) Prepare agendas, take meeting notes, and maintain accurate documentation in compliance with agency and regulatory standards Participate in training, maintain CANS certification, and engage in quality improvement processes Ensure timely delivery of services, meet caseload requirements, and uphold fiscal and administrative responsibilities Other duties as assigned Full benefits package includes: Health, dental, and vision insurance Retirement plan Tuition assistance Public Loan Forgiveness eligibility Paid time off and holidays Company-issued iPhone and laptop Mileage reimbursement Work Environment: Exposed to office, school, neighborhood, and home environments. Exposed to children with behavior problems. May be exposed to shouting and clients who may be verbally and physically aggressive. May be exposed to unclean environments and unfamiliar areas of town. Physical Demands: The physical demands 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 regularly required to: Regularly required to sit, stand, walk, bend, and lift up to 50 pounds. Ability to operate a motor vehicle safely in changing weather conditions required. Our Culture: Best Point is Greater Cincinnati's most prolific non-profit specializing in education, behavioral and therapeutic health services and autism services for vulnerable, at-risk youth, their families, and caregivers. Best Point is proud to embrace our ideals of an equal opportunity workplace by actions well as our words. We lead our community with respect and tolerance, internally and externally, and we expect our employees to embrace this ideal and express it in their day-to-day interactions. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against, based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category.

Job Description Welcome! Are you ready to begin a NewPath? At NewPath, we do more to make a difference -more for each child, each client, and our community. Our dedicated team does what it takes, day and night, to get to the heart of every case and deliver the best care. Backed by a full breadth of services, we cater to each individual and answer to every need. We reach more ages with more experts for more results. Every program offers opportunity for change, every plan improves lives, and every person ignites hope, one success story at a time. Make an Impact as a Care Coordinator The NewPath Child & Family Solutions Care Coordinator is responsible for coordinating the implementation of the Plan of Care, including a Transition and Crisis Plan, through service delivery with providers and community resources. The Care Coordinator cultivates flexible, family-focused, community-based responsive services based on the High Fidelity Wrap Around model of care coordination. Location: This is is a full time position located at our NewPath Central Campus, 4721 Reading Rd. Cincinnati, OH 45237 Company Perks: Quick Reference Competitive Compensation Excellent Benefits Package Including Medical, Dental, Vision, and Life Insurance Career Growth in an Inclusive Company Culture 401(k) (4% automatic employer contribution - no required match) Paid Holidays, Vacation and Sick Days Employee Discounts & Partner Programs Tuition Reimbursement Employee Assistance Program Flex Spending Accounts Paid Family/Paternal Leave Legal Benefits Services Clinical Counseling/Therapy Licensure Supervision Hours (Cost Covered) Board Licensure Exam Cost Covered (Therapy, Counseling, and Nursing) What you need: Minimum qualifications include a High School Diploma; Bachelor's degree in relevant field preferred. Must have a minimum of three years' experience in children's behavioral health or relevant field. Must complete the high-fidelity wraparound training program provided by an independent validation entity recognized by ODM. Must successfully complete agency provided skill and competency-based training post hire. Experience in one or more of the following areas of expertise: family systems, community systems and resources, case management, child and family counseling or therapy, child protection, or child development. Experience working with children and families who are experiencing SED, trauma, co-occurring behavioral health disorders and who are engaged with one or more child-serving systems (e.g., child welfare, juvenile justice, education). Must be a minimum of 21 years of age, have a valid driver's license and proof of current auto insurance with no more than 5 points on your MVR. Must be able to pass a criminal background check. NewPath Child & Family Solutions an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. If you are unable to apply online due to a disability, or have a special need that requires accommodation, please let us know by contacting Human Resources at *********************. ** A clean criminal background check is required.

The 211 Care Coordinator assists residents in connecting to social service support by assessing needs and making referrals within a network of partnering organizations. The Care Coordinator will provide a broad-based human services needs assessment; make referrals within the referral platform; collect and record appropriate data on referrals; and follow up to ensure referrals are utilized and complete. The Care Coordination function is flexible and responsive to changing community needs. As such, the Coordinator's focus may change to meet new external and United Way opportunities, initiatives, and programs to support community members. Key Areas of Responsibility: * Assist community members by assessing needs in a compassionate method and providing referrals for immediate and intermediate needs through a network of key community partners. Referrals will be made primarily through a technology platform. The Care Coordinator is responsible for tracking when partners accept or decline referrals, when agencies contact residents, and when services are provided. The Care Coordinator will be a diligent advocate, connecting County residents with organizations to meet their needs. * Collect and record data on types of referrals made, demographics of residents receiving care coordination, and agency responses to referrals for use in daily and weekly statistical and activity reports. Participate with the Director of Community Connections and members of the United Way staff to assess and improve Care Coordination program operations. Minimum Qualifications: * Bachelor's degree in human service or related field desired. * One year of work experience in human service field and previous experience in social service interviewing is desirable. * Listening and communication skills and writing skills. * Knowledge of community resources is preferred. * Must be able to work closely with others and foster a workable, effective and productive relationship with other staff, administration, volunteers, agencies and community members. * Collaborative call center office environment. * Remote weekend work. Salary starting at $21.50 per hour plus competitive benefits package. Applicants should apply by Friday, February 2, 2024, via the link below: ******************************** UWGC is an Equal Opportunity Employer Committed to Diversity, Equity and Inclusion

Full-time Description Rediscover Purpose with ADVENT At ADVENT, we do healthcare differently. We focus on innovative solutions and patient-first care. If you're driven, creative, and ready to make an impact, join us. Now Hiring: Care Coordinator Location: Miamisburg clinic (ability to help at nearby clinics when needed) At ADVENT, our Care Coordinators are the heart of the patient experience - connecting patients, providers, and teams to deliver care that's both seamless and compassionate. This role blends empathy with action, balancing communication, problem-solving, and precision. Care Coordinators are experts in guiding patients through their treatment journey, helping them understand their options, navigate insurance, and experience ADVENT's unique approach to better breathing and better living. Great position for someone with experience working in a similar position in dermatology, plastic surgery, optical, chiropractic, wellness, weight loss clinic or spa environment. What You'll Do: Serve as the primary point of contact for patients and families, building trust and rapport, demonstrating empathy, and providing education to support the treatment plan as directed by the clinic's MD. Identify and resolve care barriers, confidently addressing patient questions, concerns, or objections, and guiding patients toward successful completion of their care journey. Balance compassion with efficiency, ensuring patients feel supported without impacting clinic workflow. Advocate for patients on financial matters, including insurance coverage, estimates/deposits, authorization status, out-of-pocket costs, and pre/post-operative instructions. Own the patient journey end-to-end, using strong listening, communication, influencing, and problem-solving skills to keep patients motivated and focused on treatment outcomes. Coordinate scheduling, follow-ups, procedures, and documentation, partnering with staff and surgeons to ensure accurate and timely completion of care. Monitor patient adherence to care plans, identify gaps in treatment, and proactively engage patients using ADVENT's value proposition and outcomes. Confidently discuss costs and payments, providing guidance and recommending next steps in the patient journey with a value-driven approach. What You Bring: Proven success in customer engagement within a sales-driven or care coordination environment (inside sales experience preferred) Bachelor's degree in healthcare, social work, or related field - or equivalent experience Skilled in managing insurance, benefits, and cost-of-care discussions with patients Strong influencer with a passion for guiding patients toward their goals and treatment outcomes Proficient in medical terminology and comfortable collaborating with providers Highly organized with exceptional attention to detail and accuracy Excellent time management; able to work independently, anticipate needs, and plan proactively Proficient in Microsoft Office Suite (Outlook, Word, PowerPoint, Excel) Willingness to support at other nearby clinics as needed Why Choose ADVENT: 16+ days PTO (prorated first year) + paid holidays Health, dental, and vision coverage with employer-paid HRA 401k match & life insurance Regular business hours - no nights or weekends A culture that values solutions and encourages growth Convenient Monday-Friday schedule, Enjoy weekends and evenings for yourself! This is a full time 32-40 hr/week flex position Explore more at: ADVENT Careers Website Salary Description $21.01 - $26.26 per hour

Job Description Practice Details: Health System has 9 Hospitals / 10 Emergency Departments / 190+ Outpatient Facilities 13K+ Employees / 600+ Employed Physicians-Advanced Practice Providers / EPIC EMR Brand NEW $75M Hospital and Medical Office Building Outpatient Only Practice with Advance Practice Providers (APP) Collaboration & Teamwork Quick ramp up for new physicians Phone Call ONLY / Hospitalists Admit Patients for You / Full Complement of Sub Specialists Procedures Available: Upper & Lower Endoscopy / Outpatient Only -No OB Competitive Guaranteed Salary Commensurate with Experience / Quality Bonus & RVU Productivity Bonus / Sign-On Bonus / Relocation Allowance / Full-Benefits / $20K to $40K Residency Stipend Available H1-B Visa Sponsorship is Available Community: Within an hour from World-Class Metropolitan area with easy access to two other large major Metropolitan areas Live in the Rural Community or Mid-Metro Suburbs dependent on practice location Often ranked as a best place to raise a family / Know your neighbors Excellent Private and Public-School options - Multiple Premiere Universities (Sports + Academics) Access to Off Broadway Productions, Golf, Museums, Great Shopping and Dining options International Airport within an hour - No Traffic Here!

Job DescriptionOverview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein's home health and hospice ministries. This position ensures timely, accurate, and efficient handling of intake calls, referral coordination, insurance authorizations, and admission processes. The role also supports payer verification, document management, and communication with referral sources. This position helps ensure a smooth and prompt patient experience while upholding Otterbein SeniorLife's mission and core values. Otterbein Home Health provides Home Health services for the elderly, complimenting already strong independent senior services, outpatient capabilities and clinical facilities at Otterbein. This wide array of services establishes one of the most extensive portfolios of independent senior care capabilities in the state. Otterbein Home Health is a Medicare-certified home health agency with an established reputation for high-quality services. Otterbein Home Health services are an integral part of Otterbein Retirement Living Communities services portfolio and available to Otterbein Lebanon residents, in addition to residents in the surrounding area. Providing a high level of personalized care, Home Health by Otterbein is guided by Otterbein's nearly century-old tradition of faith-based ministry, clinical skills and strong community ties. Hospice is a philosophy of care for those facing life-limiting illnesses, as well as their families and caregivers. The focus of hospice care is to help patients experience peace, comfort, and quality of life while also offering support and services to their family and caregivers. At Otterbein Hospice, our dedicated and compassionate team is here to help you through all stages of life's journey. When the time comes for hospice care, our team will involve you and your loved ones in your care options, and together with you, develop a personalized plan of care. Our team includes nurses, a chaplain and social worker for your care and support. We offer the peace that comes with being cared for in your home. At Otterbein, you're more than an employee, you're a Partner in Caring. Together, we work side by side toward a shared goal: delivering person-centered care that respects every resident and the choices they make. Whether in our vibrant communities, our welcoming small house neighborhoods, Home Health, Hospice or Home Office, we provide the highest level of compassionate, quality care. Join our team of Partners who are talented, kind, wise, funny, spirited, generous, endearing, and truly one-of-a-kind. Responsibilities Referral & Admissions Coordination: Answer and respond to intake calls with a sense of urgency and professionalism. Coordinate and process referrals, insurance authorizations, and admission details to support a fast and accurate start of care. Gather required patient information and enter into EMR accurately; update as needed. Assemble and manage start-of-care (SOC) or admission packets. Notify patients of out-of-pocket costs and collect payments as needed. Manage the MSP (Medicare Secondary Payer) process. Insurance & Documentation Support: Verify patient payer coverage through electronic portals. Maintain accurate records for eligibility and benefit periods. Upload and manage documents and physician orders in the EMR. Assist with time-sensitive information including benefit periods, Face-to-Face forms, and CTIs. Deliver or pick up documentation from referral sources as needed (limited travel). Compliance & Confidentiality: Maintain the confidentiality of all patient care information. Ensure patient records are secure and compliant with applicable laws and regulations. Stay current on all mandatory and departmental training. Participate in compliance projects and submit required reports as requested. Administrative Support: Assist other team members when workload permits. Provide feedback and recommendations to the Director of Shared Services. Support projects and quality initiatives, including QAPI and audits such as ADRs and RCD. Communication & Team Culture: Foster a positive, calm, and supportive environment within the department. Maintain open and respectful communication with internal teams and external partners. Provide regular updates and share critical information with the team. Exercise sound judgment and include appropriate team members in decision-making. Safety & Risk Awareness: Participate in emergency preparedness programs and drills. Identify and report safety concerns promptly. Remain aware of healthcare environment risks, including infectious materials and challenging interactions. Experience & Qualifications Associate's degree or equivalent experience preferred. Minimum of 1 year experience in admissions, authorization, or administrative experience preferred. Familiarity with EMR and healthcare systems such as Allscripts, Trella Health, PCC, MatrixCare, and Careficient preferred. Valid driver's license and insurance required. Possess exceptional interpersonal and communication skills BENEFITS* Health & Wellness Medical Insurance with free virtual doctor visits Vision & Dental Insurance Pet Insurance Life Insurance Employee Assistance Program (EAP) for personal and professional support Financial Security 401(k) Retirement Savings Plan with company match Paid Time Off (PTO) that accrues immediately from day one Paid Holidays for a healthy work-life balance Access to DailyPay, enabling you to access up to 100% of your earned wages on a daily basis Tuition Reimbursement up to $5,250 per year for ANY field of study Tuition Discounts through exclusive partnerships with the University of Cincinnati, University of Toledo, and Hondros College Employee-Sponsored Crisis Fund available for those facing unforeseen challenges Legal & Identity Theft Protection Growth & Development University Partnerships with University of Cincinnati, University of Toledo, and Hondros College for exclusive tuition discounts Multiple Partner Discounts available for various products and services through Access Perks Access to 1,000s of hours of personal and professional development material through RightNow Media @ Work *Some benefits, including PTO and tuition reimbursement, are based on hours worked. Why work for Otterbein SeniorLife: For more than 100 years, Otterbein has provided senior housing options rooted in respect and community. We're a non-profit 501(c)(3) health and human service organization, so our values and initiatives are focused on serving our residents. Otterbein SeniorLife consists of lifestyle communities, revolutionary small house neighborhoods, home health, and hospice care in Ohio and Indiana. We offer different lifestyle options for seniors through independent living, assisted living, skilled nursing, rehab, memory support, respite care, in-home care, and hospice services. Follow your passion and apply today to begin a meaningful career as an Intake & Authorization Coordinator at Otterbein!

Job DescriptionWe are Local Infusion. Local Infusion is a venture-backed healthcare company shaping the way care is delivered to patients with chronic autoimmune disease on specialty infusion medications. Our focus on patient experience, technology, and clinical integration allows us to deliver a differentiated care model that leads to lower costs for patients and enhanced outcomes. Through a blend of patient-centered design and a people-first team culture, Local Infusion puts the "local feel" of community, comfort and connection back into the patient and provider experience. At our care centers, all patients-and our team-can feel truly supported, every step of the way. What We're About We're a team of innovators, clinicians, and technologists on a mission to improve outcomes for patients, save time for physicians and make infusion therapy more affordable for everyone involved. Our mission is to transform the infusion care industry, because patients deserve better. Ownership-Takes initiative, being accountable and caring about the outcome Excellence-Do what it takes to raise the bar, being an example for our colleagues, patients and partners Curious & Inquisitive- Always seek to gather information and knowledge, and understand the way Find A Way- There will be obstacles, but we find a way, even when there isn't a defined road forward It's a Marathon, not a Sprint - We have large problems to solve, and they won't be solved overnight. We are persistent every day. Urgent - We move quickly and with purpose. Patients are waiting, and our work matters. We're looking for an Insurance & Intake Coordinator -- a "Infusion Guide" -- who is passionate about raising the bar in infusion therapy care. The Infusion Guide will contribute to the company's growth through detailed referral and intake coordination along with excellent customer and physician customer service. The Infusion Guide will make sure our patients receive the highest level of care possible in infusion therapy. This is a Full-Time position that will be located onsite whenever patients are scheduled. The ideal candidate will have prior experience reading medical charts and working on insurance pre-authorizations. The Infusion Guide role is perfect for those wishing to remain at the forefront of healthcare innovation, while having predictable hours, autonomy, and a manageable workload. In this role, you will: Handle all aspects of the infusion referral process; obtaining authorizations, financial counseling, benefit investigation Liaison with referring providers to obtain documentation necessary for treatment, and communicate status of their patients Communicate referral process and status to patients in a customer-centric way Openly communicate with referring/prescribing providers Assist in maintaining medical inventory and office supplies Dedicated 6 week training plan to help you succeed in your role Here's what we're looking for: Passion for Patient Care, and Delivering Exceptional Patient Experiences Health Care Experience Required Prior Experience in Infusion is Preferred Insurance Prior Authorization Experience Medical Terminology Experience Overall Medical Insurance Experience Ability to quickly grasp new apps Experience and strong familiarity utilizing Electronic Health Records (EHR) systems The Local Infusion Way Local Infusion is a respectful and upbeat team united by our mission of shaping the way specialty infusion care is delivered. We are highly ambitious, but understand that in order to do a great job, we have to take care of ourselves; we expect that you will have time and energy devoted to your families, friends and hobbies. As part of our team, full-time employees get: Salary starting at $25/hr Medical, dental, and vision insurance through our employer plan Short- and long-term disability coverage Matching 401k 15 Days PTO - and we want you to take it! Competitive paid parental leave and flexible return to work policy Local Infusion is an Equal Employment Opportunity (EEO) Employer. We fundamentally believe that a more diverse and inclusive team leads to a stronger company more able to achieve our vision. Compensation Range: $24.00 - $25.00

Job Type: Full-Time Requirements: Must have a Bachelor's degree in Social Work, Counseling, or a related field from an accredited institution Minimum of one (1) year clinical experience working with children and families Proficiency with Microsoft Windows and Office applications Strong documentation and time management skills Ability to work independently and collaboratively Job Summary: The primary role of this position is to deliver community-based behavioral health services tailored to the mental health needs of children and families. This includes performing a variety of functions across multiple settings, while considering family dynamics, cultural preferences, and community environments. The individual in this position will provide direct client services, engage in internal and external collaboration, assist in crisis management, and support the development of individualized service plans. They will also ensure continuity of care and provide administrative support, all while adhering to regulatory and agency standards. Key Responsibilities: Provide behavioral health interventions, including needs assessment, crisis management, and skill development. Develop and coordinate Individualized Service Plans (ISPs) in collaboration with clients, families, and service providers. Facilitate team meetings and coordinate treatment with other providers. Assist clients in accessing community resources and support systems. Promote skill generalization in community settings and support transitions between care systems. Prepare meeting agendas, take notes, and ensure timely documentation. Adhere to agency standards and participate in professional development. Provide interventions based on best practices and engage in process improvement activities. Compensation & Benefits: $18.00 to $20.00 an hour Full benefits package includes: Health, dental, and vision insurance Retirement plan Tuition assistance Public Loan Forgiveness eligibility Paid time off and holidays Weekly licensure supervision Company-issued iPhone and laptop Mileage reimbursement About Us: Best Point Education & Behavioral Health is Greater Cincinnati's most prolific non-profit organization, specializing in education, therapeutic health services, and autism support for vulnerable youth and their families. We are committed to fostering a diverse, inclusive, and equitable environment for both staff and clients. Our Culture: We believe in leading with compassion, respect, and accountability. We are an equal opportunity employer and welcome applicants from all backgrounds. All qualified candidates will receive consideration without regard to race, gender, religion, sexual orientation, veteran status, disability, or any other protected status. Work Environment: Exposed to office, community, and home environments. Exposed to adults with mental health diagnoses and associated children. May be exposed to shouting and clients who may be verbally and physically aggressive. Physical Demands: The physical demands 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 regularly required to: Regularly required to sit, stand, walk, bend, and lift up to 50 pounds. Ability to operate a motor vehicle safely in changing weather conditions required. Apply today to make a lasting impact on the lives of children and families in our community!

This long-standing private hearing healthcare organization with nearly four decades of success is seeking a Patient Care Coordinator for a floating position between its Hamilton and Fairfield, OH locations. The Patient Care Coordinator will play a key role in the daily operations of the practice. This position requires a friendly, organized, and dependable professional who can create a welcoming experience for patients while maintaining smooth front-office workflow. We are seeking a candidate who can step in confidently and provide consistent, high-quality support. Key Responsibilities Greet and check in patients with professionalism and warmth Answer and make incoming/outgoing phone calls Schedule and confirm appointments Handle patient invoicing and payment collection Provide general office and administrative support Perform insurance verification if needed Maintain accurate patient records and assist with office workflow Qualifications Prior experience in a patient-facing, administrative, or healthcare setting preferred Strong customer service and communication skills Ability to multitask and maintain attention to detail Professional, dependable, and team-oriented demeanor Comfortable working in a retail-influenced healthcare environment Compensation & Benefits Hourly Rate: $16-$18 (potentially higher depending on experience) Vision, Dental, and 401(k) benefits PTO, vacation time, and a paid mental health day Access to Dave Ramsey's SmartDollar financial wellness program Monday-Friday schedule with holidays and weekends off If you think this role could be a good fit, we'd love to chat! Apply today! HHR will disclose details in further conversation. Contact us today! Our service comes to you at no charge and your confidentiality is 100% protected. Hearing Healthcare Recruiters is a professional job placement and recruiting firm that focuses exclusively on the hearing industry. We work with Academia, Audiologists, ENTs, Hearing Industry Manufacturers, Hearing Instrument Specialists, Hospitals, Manufacturer Representatives, Private Practices, and Retail Dispensaries. Let's start a conversation - Hearing Healthcare Recruiters: ************ (Pacific Time Zone) HearingHealthcareRecruiters.com

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.** **Position Location:** Hybrid schedule with 2-3 days a week in office at 600 Rodeo Dr, Suite 218, Erlanger, KY 41018 **Position Schedule:** Monday - Friday 8:00am - 5:00pm, with flexible schedule as needed. If you live near Erlanger, KY, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges. This position follows a hybrid schedule 2-3 days a week in office at 600 Rodeo Dr, Suite 218, Erlanger, KY 41018 **Primary Responsibilities:** + Coordination and collaboration of care for home infusion patients with all associated departments + Entering notifications and Providers' status of an existing inquiry, and determining if follow-up is required + Provide excellent Customer Service to both Providers and members + Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance + Administrative duties- assist with document control, emails, faxes, tasks related to support the nursing team with coordination of care for home infusion patients + Extensive work experience, possibly in multiple functions + Work does not usually require established procedures You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 1+ years of experience working within the healthcare industry + 1+ years of customer service experience + Intermediate level of proficiency with medical terminology to communicate with members and providers + Intermediate level of proficiency with Microsoft Office experiences including Word, Outlook, PowerPoint and Excel + Ability to work a hybrid schedule with 2-3 days a week in office at 600 Rodeo Dr, Suite 218, Erlanger, KY 41018, Monday through Friday from 8:00am - 5:00pm + Must be 18 years of age OR older **Preferred Qualifications:** + Home Infusion or Home Health scheduling experience + Experience working with Healthcare Insurance + Experience working in a Hospital, Physician's Office, or Medical Clinical setting + Experience working with ICD-9 / ICD-10 and CPT codes **Soft Skills:** + Works independently + Mentor's others + Acts as a resource for others + Coordinates others' activities + Applies knowledge/skills to complex activities + Demonstrates a depth and breadth of knowledge/skills in own area and is often able to apply these outsides of own function + Often acts as a technical resource to others in their own function + Anticipates customer needs and proactively identifies solutions + Solves complex problems on their own; proactively identifying new solutions to problems + Plans, prioritizes, organizes and completes work to meet established objectives + Acts as a facilitator to resolve conflicts on team; seen as key team members on project teams spanning more than own function *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._ \#RPO #YELLOW

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Patient Care Coordinator Are you looking for an impactful job that offers the opportunity to develop a professional career? Bring your 1-2 years' experience in an office setting and grow with us! + A stable and consistent work environment in an office and/or virtual setting + A training program to learn how to help employees and customers from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional growth opportunities through increasing responsibilities + A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE** : To provide world class customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and/or confirming delivery of said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as well as referrals already in process. + Procures vendor partners for each referral as it relates to the goods or services requested. + Responsible for making or taking phone calls on existing referrals, new referrals, or other team members referrals. + Provides quotes back to clients for approval or follow up on quotes already sent to obtain written approval for requested referrals ensuring that each referral is deemed medically necessary and approved by the claim's adjuster. + Confirms all required and relevant billing information exists in each referral as it relates to the workflow and billing processes in place and moves those referrals to be billed each day. + Processes referrals per state regulations and workers compensation guidelines. + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** + Education & Licensing: High school diploma or GED required. + Skills: Strong oral and written communication, computer literate - including Microsoft Office, organizational skills required + PC literate, including Microsoft Office products, Windows environment. + Must meet minimum typing requirements. + Experience: Clerical or customer service experience or equivalent combination of education and experience preferred **TAKING CARE OF YOU** + Entry-level colleagues are offered a world class training program with a comprehensive curriculum + An assigned mentor and manager that will support and guide you on your career journey + Career development and promotional growth opportunities + A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more **Work environment requirements:** Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. **NOTE** **:** Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (16.00 - 19.00). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. _ Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**