Care Manager - MDS Coordinator (Registered Nurse)
Ambulatory care coordinator job in Spartanburg, SC
Now offering a $2,500 sign on bonus for a limited time! At Summit Hills, we are proud to be recognized as a Great Place to Work , and we believe that our success begins with one simple principle: People First. We are a luxury senior living company that is driven by compassion, respect, and the dedication to making every interaction meaningful. Our culture fosters growth, teamwork, and a genuine commitment to enriching the lives of our residents and our team members. If you're passionate about providing exceptional care in an environment where you're valued and supported, we invite you to be part of a company that truly puts people at the heart of everything we do. Now accepting applications for a Care Manager - MDS Coordinator (RN). Must have valid state nursing license. Must have skilled nursing experience. Prior MDS experience preferred.
POSITION SUMMARY: Care Manager is responsible for the development, maintenance and implementation of the standards of nursing practice and objectives as it relates to the Minimum Data Set requirements and with the established policies and procedures of the governing body in compliance with federal, state and local regulations. The Care Manager is responsible for optimal reimbursement, proper documentation/diagnoses to justify the reason for a skilled service and reimbursement request.
ESSENTIAL FUNCTIONS:
• Coordinates/manages and works with clinical staff/therapy for proper documentation/care, programs and optimal reimbursement throughout the stay of a skilled resident
• Researches all pertinent medical information/diagnoses for optimal reimbursement
• Meet regulations for timely certifications/re-certifications, and signing of all orders
• Meet all requirements in working with Managed Care organizations
• Daily meetings with therapy and line staff on progress of skilled residents
• Monitors Nursing skilled documentation and provides continued education as needed
• Participates in the development and implementation of the resident assessment process, following the Minimum Data Set requirements of Federal, State and local regulations in accordance with Senior Living Communities/Wellmore policies and procedures
• Responsible for proper ADL Documentation and continued education/training
• Audits and analyzes the MDS documents for accuracy and appropriate completion dates.
• Timely submissions of all MDS's
• Oversees and schedules resident care planning meetings.
• Assistance on floor and on-call/manager on duty as needed
• Participates in and attend all required in-service training and education sessions as scheduled.
• Other duties as assigned.
COMPETENCIES: To perform the job successfully, an individual should demonstrate the following competencies:
• Technical Skills - Individual must demonstrate current and ongoing competence in tasks assigned which indicates a specialized skill in this area above and beyond the average.
• Communication - Demonstrates an ability to effectively and regularly transfer information to necessary parties to improve the quality of work and to provide the supervisor with actionable, accurate data.
• Initiative - Is self-motivated and personally competitive. Wants to achieve for the good of the Company and the team. Seeks additional work when they have capacity. Demonstrates an ability and desire to bring new ideas and solutions to the supervisor on an ongoing basis.
• Flexibility - The ability to quickly adapt to changing conditions. The ability to navigate obstacles with ease and professionalism.
• Interpersonal Skills - Focuses on solving conflict, not blaming; listens to others without interrupting; keeps emotions under control; remains open to ideas and tries new things
• Teamwork - Balances team and individual responsibilities; encourages others and asks for help when needed. Exhibits patience and compassion.
• Professionalism - Ensures service is delivered on time and is of the highest quality. Assumes responsibility for mistakes. Presents themselves in a manner which enhances the brand image. Understands that no information is truly private and conducts online or social networking activities accordingly.
• Ethics - Treats people with respect; keeps commitments; inspires the trust of others; works ethically with integrity; upholds the Company's Guiding Principles:
o People First, Always
o We Exist to Serve our Members
o We Have a Responsibility to be Full
Physical Demands, Work Environment, and Expected Hours of Work: 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.
• This position is very active and requires frequent standing, walking, bending, kneeling, stooping and climbing.
• This position will be required to lift or carry weight up to 50 lbs. and ability to push up to 250 pounds independently.
• The individual must use proper body mechanics to assist residents in their daily living.
• This position regularly requires long hours and frequent night and weekend work.
TRAVEL: No travel is expected although occasional travel may be required for training sessions, continuing education opportunities, emergency situations, and other company functions.
EDUCATION AND EXPERIENCE REQUIREMENTS:
• Four-year college or university degree desired.
• Current state licensure as a Registered Nurse.
• Training in Medical Records regulations desired.
• Understanding of diagnosis coding
• Working knowledge of prescription drugs, therapy practices and bio-psycho-social sciences.
• Remain in good standing with all standards of the Nurse Practice Act.
• Two years' experience in a similar healthcare position preferred.
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
• Ability to read, write, speak and understand English fluently.
• Ability to meet or exceed the company's attendance and punctuality standards.
• Ability to use Electronic Records and miscellaneous software and office equipment.
• Ability to understand and follow directions as given.
• Ability to work with minimal supervision.
#SLC1
#TA3H
Patient Care Coordinator
Ambulatory care coordinator job in Simpsonville, SC
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
* High school diploma or equivalent
* Basic computer literacy
* Strong organizational skills and attention to detail
* Strong communication skills (verbal and written)
* Must be able to maintain patient and practice confidentiality
Benefits
* 401(k) with Match
* Medical/Dental/Life/STD/LTD
* Vision Service Plan
* Employee Vision Discount Program
* HSA/FSA
* PTO
* Paid Holidays
* Benefits applicable to full Time Employees only.
Physical Demands
* This position requires the ability to communicate and exchange information, utilize equipment necessary to perform the job, and move about the office.
CFSP Managed Care Coordinator- Region 1
Ambulatory care coordinator job in Greenville, SC
CFSP Managed Care Coordinator Sign-on Bonus: $2500 We are currently seeking people in the following counties and look forward to speaking with you! (Buncombe, Cherokee, Clay, Cleveland, Graham, Haywood, Henderson, Jackson, Macon, Madison, Mitchell, Polk, Swain, Transylvania, and Yancey)
Location: Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.
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.
These roles are statewide field-based and requires you to interact with patients, members, or providers in person four to five days per week.
We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision a North Carolina where all children and families thrive in safe, stable, and nurturing homes.
The CFSP Managed Care Coordinator is responsible for the overall management of the member's individual service plan within the scope of position in the NC CFSP Program, as required by applicable state law and contract.
How you will make an impact:
* Provide integrated whole-person Care Management under the CFSP Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
* Offer Trauma-Informed Care by recognizing the role of ACEs in the CFSP population and coordinating cross-agency care to support children's diverse needs, including physical, behavioral, social, educational, and legal aspects.
* Collaborate closely with each Member's County Child Welfare Worker to align health care needs with permanency planning goals.
* Work with a multidisciplinary care team, including primary health care and behavioral health professionals, specialty providers, and stakeholders in the child welfare system, to coordinate care (e.g., coordination involving juvenile justice awareness).
* Conduct telephonic or face-to-face assessments using predefined questions to identify, evaluate, coordinate, and manage member program needs.
* Identify members with potential clinical health care needs using predefined tools, coordinating their cases with clinical healthcare management and an interdisciplinary team for care coordination support.
* Oversee non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for cost-effective and efficient service utilization.
* Set short- and long-term goals in collaboration with members, caregivers, families, natural supports, and physicians.
* Identify members who would benefit from expanded services.
Minimum Requirements
* Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community based organizations; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
* Must reside in North Carolina.
* BA/BS degree preferred in a field related to health, psychology, sociology, social work, nursing or another relevant human services area.
* Two (2) years of experience working directly with individuals served by the child welfare system is preferred.
* Travels to worksite and other locations as necessary.
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.
Auto-ApplyCare Coordinator - Foster Care
Ambulatory care coordinator job in Greenville, SC
Job Description
Miracle Hill Ministries is South Carolina's largest and most comprehensive provider of homeless services. At our core, we exist to serve people experiencing homelessness-physically, emotionally, and spiritually. We share the Good News of Jesus with them as they move toward independence, stability, and healthy relationships.
Summary / Purpose of Position: Coordinate and Supervise care coordination, case planning, individual service activity and required documentation for assigned foster families and children.
Essential Duties and Responsibilities: The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Conduct Intake and Discharge Procedures for foster children
Monitor adjustment, well-being and progress of children in placement on your caseload
Meet with children and foster parents at least once face to face each month and contact regularly as needed to advocate for and assist children with placement issues, behaviors, plan of care goals, and progress.
Ensures that Foster parents are meeting all licensing and contract regulations.
Conduct staffing with participating agencies, staff, youth, and families as required for service delivery.
Ensure Family involvement, visitation with the child/youth's family of origin, unless prohibited by the court.
Miracle Hill agency liaison with the referring agencies, local schools, community resources and providers. This includes a working relationship with SCDSS caseworkers, Guardian ad Litems, Therapists, Mentors, Biological families, and relatives.
Complete Documentation and update before deadlines including care plans, progress information and maintain child files as required by agency and state standards. (Safety plans, Individual Service Plans, progress notes and other required documentation for the child's file. Documentation will be kept in accordance with licensing standards.
Adherence to all regulatory standards and Miracle Hill Ministries policies
Prepare critical incident reports and submit them to DSS staff.
Will be assigned rotation in on-call rotation and will respond to crises or emergency situations. Assistance with the crisis situation may require a face-to-face home visit.
Advocate for children and assist children and foster parents with behavior interventions, placement stability and success for youth.
Assist with investigating allegations of abuse/neglect relating to MH foster parents as requested by Director
Assist in goal achievement for individual service plans
Have a willingness to share the good news of Jesus Christ, give a personal testimony and pray with/for those served by the ministry
This is a Full-time position that will require a significant amount of telecommuting/ remote working. This position requires individuals to perform their work from locations other than their employer's physical office, as approved by their supervisor. Locations may include, but are not limited to, foster family homes, home office, family court, hospitals, or DSS. Individuals will be obligated to travel to their physical office for meetings, supervision, paperwork or as scheduled/deemed necessary by their supervisor.
Other duties as assigned by the supervisor
Supervisory Responsibilities:
This position has responsibility for supervising foster parents and their license
Qualifications:
Education or equivalent experience: a Master's degree in social work or other related areas of study and one year of experience working with the population served; or a Bachelor's degree in social work or other related areas of study and two years of experience working with the population served. Closely related fields acceptable in meeting these qualifications include social work, counseling, psychology, sociology, criminal justice and recreational therapy.
Specialized training required: CPR/First Aid, Behavior intervention, medication administration training, trauma informed training, prudent parenting training. Provided by Miracle Hill upon hire if not current.
Other: Ability to deal with highly stressful situations and persons who may be stressed. Ability to exercise judgment and discretion in interpreting and applying various procedures and guidelines. Training in providing services to children/youth exhibiting medical, developmental and/or behavior problems and in supervisory role of those caring for children.
Licenses or Certifications: Must become Certified Adoptions Specialist within 6 months
Religious:
As an evangelical Christian ministry, Miracle Hill values its rights under federal law to hire individuals who share the Christian faith and the ministry's doctrinal beliefs.
To be considered for employment, ALL APPLICANTS MUST read and agree with our Doctrinal Statement and Employment Qualifications (scroll down on page to see qualifications).
Patient Care Coordinator
Ambulatory care coordinator job in Greer, SC
Benchmark Physical Therapy, a brand partner of Upstream Rehabilitation, is looking for a Patient Care Coordinator to join our team in Greer, SC!
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
Auto-ApplyPatient Care Coordinator
Ambulatory care coordinator job in Greenville, SC
Exciting Career Opportunity at CCRM Fertility's New Clinic!
CCRM Fertility, a leader in fertility care with over 30 locations nationwide, is excited to announce the opening of a brand-new clinic. We are looking for passionate and driven individuals to help shape the future of fertility care in our community. This is a unique chance to be part of a dynamic, growing team where your contributions will have a direct impact on the clinic's success and the lives of the families we support. If you're eager to be part of an innovative and compassionate healthcare environment, we'd love to hear from you!
Anticipated Start Date: November 10, 2025
Come join CCRM Fertility, a global pioneer in fertility treatment, research, science, specializing in IVF, fertility testing, egg freezing, preimplantation genetic testing, third party reproduction and egg donation. As a member of CCRM Fertility's diverse team of professionals, you will be a part of helping families grow and changing lives. We take pride in providing our employees with meaningful employment, a supportive culture, and a well-balanced personal & work life alignment. For more information, visit ***************
Department: Clinical Support
Work Schedule: Monday - Friday (8:00am - 4:30pm)
What We Offer Our Team Members:
Generous Paid time-off (PTO) and paid holidays
Medical, Dental, and Vision Insurance
Health benefits eligible the first day of the month following your start date.
401(k) Plan with Company Match (first of the month following 2 months of service)
Basic & Supplement Life Insurance
Employee Assistance Program (EAP)
Short-Term Disability
Flexible spending including Dependent Care and Commuter benefits.
Health Savings Account
CCRM Paid Family Medical Leave (eligible after 1 year)
Supplemental Options (Critical Illness, Hospital Indemnity, Accident)
Professional Development, Job Training, and Cross Training Opportunities
Bonus Potential
What You Will Do:
The Patient Care Coordinator (PCC) is a member of the care team and a partner with the Clinical staff to ensure that the administrative and clinical needs of the patient are handled on a timely basis. The PCC enriches the patient's experience by providing another source of contact to patients, in addition to their primary nurse, when clinical or administrative needs arise. The primary role and responsibilities for the Patient Care Coordinator is to coordinate the care of the new patient from New Patient appointment through regroup. The PCC demonstrates knowledge and skills in the care of their fertility patients. The PCC works with the Nurse Coordinators to facilitate care for the fertility patient. This position reports directly to the Clinical Manager and takes daily direction from the Clinical Manger, Physician and Practice Administrator in the coordination of clinical and administrative patient related duties.
Serve as the central resource for the new patient
Prepare New Patient chart prior to appointment: ensure records have been received. Data abstract and prepare summary for physicians
Provide guidance on next steps to all new patients after initial consult with physician. Meet with new patients and follow up regularly by phone after appointment to coordinate next step in care process.
Obtain medical records from patients, authorized providers, and insurance carriers while maintaining strict compliance with HIPAA laws and regulations
Initiate checklist and track patient workup status.
Schedule all diagnostic appointments & input all orders for appointments.
Ensure current workup labs, communicable testing, pap smear, annual exam and mammogram (if applicable) have been completed for both patient and partner.
Follow up with physician/patient on any abnormal results
Sign out care to RN when patient workup has been completed.
Fax prescriptions to pharmacy per nurse instructions
Answer new patient calls and emails
Follow up with any patient that cancels an appointment and does not reschedule
Route patient questions, problems, complaints and concerns to appropriate personnel
Required Qualifications:
Education: College degree preferred, High School Diploma required
Licensure: MA certification required, LVN or LPN preferred.
Experience: Previous healthcare experience preferred
Skills: Must be well organized with excellent communication skills. Must have excellent customer service skills, demonstrate the ability to be an effective team member, and perform duties that are delegated to
him/her.
Working Conditions: The physical demands described here are representative of those which should be met, with or without reasonable accommodation (IAW ADA Guidelines), by an employee to successfully perform the essential functions of this job. This job operates in a professional office and clinical setting. This role routinely uses standard office equipment such as computers, including computer keyboards and mice; telephones; photocopiers; scanners; filing cabinets. While performing the duties of this job, the employee is regularly required to communicate with others. The employee is frequently required to sit; will occasionally stand and/or walk; use hands and fingers to grasp, pick, pinch, type; and reach with hands and arms. Employees should have the visual acuity to perform an activity such as: preparing and analyzing data and figures, viewing a computer terminal, extensive reading, and operation of standard office machines and equipment.
CCRM's Compensation: The salary range represents the national average compensation for this position. The base salary offered will vary based on location, experience, skills, and knowledge. The pay range does not reflect the total compensation package. Our rewards may include an annual bonus, flexible work arrangements, and many other region-specific benefits.
Pre-Employment Requirements: All offers of employment are conditional upon the successful completion of the CCRM Fertility onboarding process, including verification of eligibility and authorization to work in the United States. This employer participates in the E-Verify Program in order to verify the identity and work authorization of all newly hired employees.
Equal Employment/Anti-Discrimination: We are an equal-opportunity employer. In all aspects of employment, including the decision to hire, promote, discipline, or discharge, the choice will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
Auto-ApplyPatient Care Coordinator/ Engager
Ambulatory care coordinator job in Anderson, SC
Our Mission: "Helping People Hear Better" Lucid Hearing is a leading innovator in the field of assistive listening and hearing solutions, and it has established itself as a premier manufacturer and retailer of hearing solutions with its state-of-the-art hearing aids, testing equipment, and a vast network of locations within large retail chains. As a fast-growing business in an expanding industry, Lucid Hearing is constantly searching for passionate people to work within our amazing organization.
Club:
Sam's Club in Anderson, SC
Hours:
Full time/ Tuesday-Saturday 9am-6pm
Pay:
$18+/hr
What you will be doing:
•
Share our passion of giving the gift of hearing by locating people who need hearing help
• Directing members to our hearing aid center inside the store
• Interacting with Patients to set them up for hearing tests and hearing aid purchases
• Secure a minimum of 4 immediate or scheduled full hearing tests daily for the hearing aid specialist or audiologist that works in the center
• 30-50 outbound calls daily.
• Promote all Lucid Hearing products to members with whom they engage.
• Educate members on all of products (non hearing aid and hearing aid) when interacting with them
• Assist Providers when necessary, calling past tested Members, medical referrals to schedule return, etc.
What are the perks and benefits of working with Lucid Hearing:
Medical, Dental, Vision, & Supplemental Insurance Benefits
Company Paid Life Insurance
Paid Time Off and Company Paid Holidays
401(k) Plan and Employer Matching
Continual Professional Development
Career Growth Opportunities to Become a LEADER
Associate Product Discounts
Qualifications
Who you are:
Willingness to learn and grow within our organization
Sales experience preferred
Stellar Communication skills
Business Development savvy
Appointment scheduling experience preferred
A passion for educating patients with hearing loss
Must be highly energetic and outgoing (a real people person)
Be comfortable standing multiple hours
Additional Information
We are an Equal Employment Opportunity Employer.
Transitional Care Coordinator I or II, Full Time, Day Shift
Ambulatory care coordinator job in Greenwood, SC
The Transitional Care Coordinator II is knowledgeable about disease, treatment, available community and governmental resources, psychosocial implications for individuals and families as it pertains to their age and stage of development; provides appropriate interventions and discharge planning services to the patients and families; and is pragmatic in approaching end of life and ethical issues. Communication is key to the role and various modes of communication are utilized. Performs all other duties as assigned by Transitional Care Lead and Case Management Director.
Triangle Vision Optometry Patient Care Coordinator
Ambulatory care coordinator job in Greenwood, SC
Requisition ID: 910659Store #: T048Position:Patient Care CoordinatorTotal Rewards: Benefits/Incentive Information Triangle Vision Optometry has provided superior patient care in our community and we are committed to hiring team members who are dedicated to ensuring excellent vision care is provided to every patient. Our practice fosters a work culture which supports teamwork and builds upon the skills and talents of our employees. We value individuals of integrity who are positive, dependable, and flexible in their work. In return we provide a positive and supportive work culture, offer tremendous incentive opportunities, and support professional development.
Our Practice strives to improve quality of life for our patients each day by providing the finest in eye care, expert optical professionals, and an inviting environment. We provide a wide range of vision care services including full-scope optometric patient care, ocular disease management, routine comprehensive eye exams, refractive services, Vision Therapy, and more. Our Optometrists utilize their knowledge, efficiency, and the most modern technology to provide the best vision for everyone.
Our Practice is a part of TeamVision, a Management Service Organization within EssilorLuxottica, a global leader in the design, manufacturing, and distribution of ophthalmic lenses, frames, and sunglasses. Together, we provide operational excellence to eyecare professionals with an aim to be the leading eye care provider in our community.GENERAL FUNCTION
This role supports the practice by coordinating the daily administration of doctors, visitors, and patients within the local practice. This position ensures an unsurpassed patient experience by seamlessly linking the doctor and other practice functions together. This role supports establishing the practice as the premier destination for all vision needs within the community.
MAJOR DUTIES & RESPONSIBILITIES
Greets patients without delay.
Promptly answers the telephone in a friendly and courteous manner.
Optimizes patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by phone.
Keeps patient appointments on schedule by notifying doctor/provider of patient's arrival, reviewing service delivery compared to schedule, and reminding providers of service delays.
Facilitates reminder calls to patients for appointment confirmation and order pickup notification.
Records and updates financial information, collects patient charges, and files, collects, and expedites third-party claims.
Maintains business office inventory and equipment by checking stock to determine inventory level, anticipating needed supplies, partners with Practice Manager to order office supplies, and verifies receipt of supplies.
Protects patients' rights by maintaining confidentiality of medical, personal, and financial information in accordance with HIPAA.
Determines both medical and vision insurance eligibilty in accordance with patients current plan coverage.
Ensures all office systems are maintained.
Maintains a safe working environment for all team members and patients.
Maintains operations by following policies and procedures, reporting needed changes.
Contributes to team effort by accomplishing related tasks as needed.
Works weekends and evenings in support of the business needs (varies by location).
Adheres to attendance and daily time keeping requirements.
Adheres to all company policies and procedures.
Consistently maintains proper dress code.
Performs other administrative responsibilities as assinged by Practice Manager or as business needs.
BASIC QUALIFICATIONS
High School graduate or equivalent
2+ years of office experience in a healthcare setting
Strong customer service skills (internal and external)
Strong communicator and listener
Problem solving ability
Organization skills
PREFERRED QUALIFICATIONS
Familiarity with in-store technology, such as point-of-sale, patient record systems, and other software applications
Basic knowledge of services, products, vision insurance plans/coverage and office operations
Strong interpersonal skills
This posting is for an existing vacancy within our business. Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements. In addition, you may also be offered a competitive bonus and/or commission plan, which complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various employee discounts.
EssilorLuxottica complies with all applicable laws related to the application and hiring process. If you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at ************ (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email ********************************.
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law. Native Americans in the US receive preference in accordance with Tribal Law.
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Nearest Major Market: Greenville
Nearest Secondary Market: South Carolina
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Patient Family Care Coordinator - ED PRN, Variable
Ambulatory care coordinator job in Greenville, SC
Inspire health. Serve with compassion. Be the difference.
Works with patients and families to address concerns or special needs that may arise during the clinical stay of the patient. Works directly with the interdisciplinary team to solve problems that patients and families may have with the goal of facilitating a positive patient experience. Functions independently and self-directed, frequently working in conjunction with nursing. Responds to difficult customer service situations and supports families and team members. At all times, models exemplary customer service and professionalism.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Responds to calls from staff and patients to serve as a liaison between clinical/non-clinical team members and patients/families to facilitate two-way communication, support, and information. Facilitates communication for families with the medical team; provides necessary information and comfort measures.
Completes patient rounding with a continual focus on the patient experience and documents rounding as defined by the department.
Serves as the initial point of contact when responding to concerns. Team member seeks resolution as part of real time service recovery.
Collaborates with patients, families, and team members regarding best practices to improve patient safety and quality measures.
Advocates for patients in a positive manner within the healthcare team.
Promotes positive customer relations and serves as a model for customer service by modelling exemplary Customer Service and professionalism.
Assists with locating patient belongings by following up with team members and updating the patient as needed.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, director or executive.
Minimum Requirements
Education - Associate degree in a related field of study.
Experience - Two (2) years of clinical experience with at least one (1) year in a hospital setting.
In Lieu Of
In lieu of an Associate degree, may accept High School Diploma or GED and three (3) years of related experience within a hospital setting.
Required Certifications, Registrations, Licenses
NA
Knowledge, Skills and Abilities
Knowledge of office equipment (fax/copier)
Proficient computer skills (word processing, spreadsheets, database)
Data entry skills
Work Shift
Variable (United States of America)
Location
Greenville Memorial Med Campus
Facility
1008 Greenville Memorial Hospital
Department
10089089 Emergency Services Administration
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Intake Coordinator
Ambulatory care coordinator job in Spartanburg, SC
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 in Spartanburg, SC. 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.
Transitional Care Coordinator I or II, Full Time, Day Shift
Ambulatory care coordinator job in Greenwood, SC
Job Description
The Transitional Care Coordinator II is knowledgeable about disease, treatment, available community and governmental resources, psychosocial implications for individuals and families as it pertains to their age and stage of development; provides appropriate interventions and discharge planning services to the patients and families; and is pragmatic in approaching end of life and ethical issues. Communication is key to the role and various modes of communication are utilized. Performs all other duties as assigned by Transitional Care Lead and Case Management Director.
Foster Care Clinical Care Coordinator
Ambulatory care coordinator job in Greenville, SC
For more than 126 years, Epworth has grown and adapted to the individual needs of children and families by providing a safe and nurturing environment, evidence-based practices, and programs across the continuum of care and across the state of South Carolina.
Position Summary:
Oversees clinical aspects of the Therapeutic Foster Care Program and assures that services are provided in accordance with all contracts, laws, regulations and internal policies. Facilitates therapeutic services in accordance with Epworth Children's Home's mission and values the provision of a safe, secure and nurturing living experience for clients.
Qualifications:
Bachelor's degree in social work or another license-eligible field required. Master's degree in social work or another license-eligible field preferred.
Must have an understanding of children, adolescent and family treatment as well as the ability to deliver evidence-based practice with fidelity.
Good written and oral communication skills . Must be able to read, analyze and interpret general business 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 and the general public.
LMSW, LPC, LISW-CP, or LMFT preferred.
Ability to define problems, collect data, establish facts, draw valid conclusions. Ability to deal with several abstract and concrete variables.
Must be able to pass standard background checking, including drug screen, employment physical, SLED, DSS Central Registry, and Sex Offenders Registry.
Has a belief system and engages win faith practices that are compatible with those of the United Methodist Church.
What Epworth offers full time employees:
Rewarding Client Focused work environment
Excellent Medical, Dental, Vision and Prescription Drug Plans
Company paid life insurance
Voluntary benefits such as STD, LTD, Group life
403(b) with company match
Ample vacation and sick leave
Mission/Volunteer leave
Credit Union
Employee Assistance Program
Eligible employer for the Public Service Loan Forgiveness (PSLF) program
Career opportunities throughout the state of SC!
The mission of Epworth is to serve children, youth and families through caring, safe, Christian communities, where hurts are healed, hope is nurtured, and faith in God, self, and others is developed.
Registered Nurse Home Care Coordinator PACE
Ambulatory care coordinator job in Brevard, NC
Introduction
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:Registered Nurse Home Care Coordinator with CarePartners.
***This position is eligible for a sign-on bonus, apply and connect with our recruiter to find out more!
Benefits
CarePartners, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
We are seeking a Registered Nurse Home Care Coordinator CarePatners for our PACE (Program of All Inclusive Care for the Elderly) team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!
Job Summary and Qualifications
Role Summary:
Under the supervision of the Operations Director, plans, organizes and implements in home services for PACE participants and families. Responsibilities include but are not limited to: Coordination of the day-to-day operations of the In Home Services for your team of participants. Act as the liaison between the contracted home health agency and the PACE program coordinating homecare Nurses, Home Health Aides, Homecare Services Non-Skilled Aides and the Homecare Schedulers. Utilization of nursing skills to assess participants in their home environment and coordinate plans of care with appropriate resources and provide treatments and health education for participants as appropriate. Participation on interdisciplinary team to ensure compliance with competency requirements, maintaining medical records and thorough documentation. Planning and using telehealth, assistive technology, and community resources, to create and implement health and wellness in homes.
What qualifications you will need:
Skills, Knowledge, Abilities:
Required Education:
Bachelor of Science in Nursing. Nurses with an Associate Degree or Diploma in nursing must sign agreement to obtain BSN within6 yearsof the hire date in to position. Nurses who are nearing the end of their professional career may be exempted from this requirement with CNO System Council approval.
Required License:
Must have and maintain current licensure as registered nurse with the North Carolina Board of Nursing. Compact license may apply, licensee should confirm with NCBON; BCLS
Must possess a valid drivers license, provide proof of insurance (a copy of your Declarations Page indicating you have $100k/$300k Bodily Injury/$50K Property Damage coverage) and have reliable transportation
Required Experience:
Two (2) years of experience working on an interdisciplinary team in a hospital, nursing home or community-based setting
Minimum of 1 year working with a frail or elderly population.
Willingness to work in home environments of patients who may have values or standards different from your own
Preferred Experience:
Computer literacy with EMR and familiarity with telehealth and providing consultations over a video platform
Nursing in a community home based setting preferred: 3 years
ACTT RN or Mental Health experience: 2 years
CarePartners Health Services is a healthcare organization serving western North Carolina and offering a full continuum of post-acute care. Located in Asheville, North Carolina, CarePartners provides compassionate post-acute care, including rehabilitation, home health, adult care, hospice and palliative care. CarePartners also offers a full acute care rehabilitation hospital. With more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging. CarePartners Health Services is a member of Mission Health, an operating division of HCA Healthcare.
HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you find this opportunity compelling, we encourage you to apply for our Registered Nurse Home Care Coordinator CarePatners opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
RequiredPreferredJob Industries
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IVF Nurse Coordinator
Ambulatory care coordinator job in Greenville, SC
Job Description
Exciting Career Opportunity at CCRM Fertility's New Clinic!
CCRM Fertility, a leader in fertility care with over 30 locations nationwide, is excited to announce the opening of a brand-new clinic. We are looking for passionate and driven individuals to help shape the future of fertility care in our community. This is a unique chance to be part of a dynamic, growing team where your contributions will have a direct impact on the clinic's success and the lives of the families we support. If you're eager to be part of an innovative and compassionate healthcare environment, we'd love to hear from you!
Anticipated Start Date: November 10, 2025
Work Location: Onsite
Department: Clinical
Your Schedule: Monday - Friday; 8:30am - 4:30pm; Possible evening, weekend, and holiday rotations.
What We Offer Our Team Members:
Generous Paid time-off (PTO) and paid holidays
Medical, Dental, and Vision Insurance
Health benefits eligible the first day of the month following your start date.
401(k) Plan with Company Match (first of the month following 2 months of service)
Basic & Supplement Life Insurance
Employee Assistance Program (EAP)
Short-Term Disability
Flexible spending including Dependent Care and Commuter benefits.
Health Savings Account
CCRM Paid Family Medical Leave (eligible after 1 year)
Supplemental Options (Critical Illness, Hospital Indemnity, Accident)
Professional Development, Job Training, and Cross Training Opportunities
Bonus Potential
How You Will Make an Impact: The IVF Nurse Coordinator (RN) plays a crucial role in the fertility treatment process and will make a significant impact through patient care, support, assessment, education, and counseling. The IVF Nurse Coordinator (RN) provides comprehensive care, support, and coordination throughout the IVF journey. Their role is pivotal in helping patients navigate the complexities of fertility treatments while striving for the best possible outcomes.
What You Will Do: The IVF Nurse Coordinator (RN) is responsible for providing individualized nursing care to CCRM's fertility patients through treatment coordination, medication management, patient advocacy, and outcome monitoring. This position collaborates closely with the physicians to coordinate patient care and treatment and consult with patients regarding treatment protocols, medications, and/or required testing procedures. The IVF Nurse Coordinator is expected to function independently in the role as well as in a team environment. The IVF Nurse Coordinator reports to the IVF Nurse Supervisor.
Assess patients' medical histories, reproductive health, and any underlying conditions that may impact fertility and ensure appropriate data is entered in EMR.
Collaborate with physicians to determine suitable treatment plans for individual patients.
Educate patients on the IVF process (procedures, infertility testing, insemination, in vitro (IVF) fertilization, FET, and egg vitrification, etc.), medications, potential side effects, and lifestyle factors that may affect treatment success.
Provide emotional support and counseling to each patient throughout their CCRM Journey.
Guide patients on how to self-administer medications and monitor progress; adjust medication dosages based on patients' responses and communicate any concerns to the medical team.
Coordinate and schedule surgery and ART appointments, diagnostic tests, and procedures, and ensure all consents are signed and patients adhere to the treatment timeline.
Monitor established pregnancies via ultrasonography and lab tests, through the first 8-12 weeks of pregnancy (annotated in EMR).
Serve as a liaison between patients and the medical team, relaying vital information, test results, and treatment instructions; answering any questions or concerns promptly.
Advocate for patients, ensuring their needs and preferences are taken into consideration and help patients make informed decisions about their care.
Maintain accurate and up-to-date patient records, documenting all aspects of the IVF treatment in the EMR (i.e., medication administration, test results, progress notes, physician orders, etc.).
Ensure patients understand results, discuss potential reasons for failure, and explore alternative treatment options or modifications to the treatment plan.
Perform intrauterine inseminations, as directed.
Verify all communicable disease testing is complete, accurate, and appropriate.
Other duties as assigned.
What You Bring:
Associate Degree or higher in Nursing, from an accredited school of nursing required.
Current State Registered Nurse (RN) license (without limitations) required.
Active BCLS/ACLS certification required.
3+ years RN experience preferred.
2+ years of previous experience in women's health, fertility, OB/GYN, preferred.
Working Conditions: The physical demands described here are representative of those which should be met, with or without reasonable accommodation (IAW ADA Guidelines), by an employee to successfully perform the essential functions of this job. This job operates in a professional office and clinical setting. This role routinely uses standard office equipment such as computers, including computer keyboards and mice; telephones; photocopiers; scanners; filing cabinets. While performing the duties of this job, the employee is regularly required to communicate with others. The employee is frequently required to sit; will occasionally stand and/or walk; use hands and fingers to grasp, pick, pinch, type; and reach with hands and arms. Employees should have the visual acuity to perform an activity such as: preparing and analyzing data and figures, viewing a computer terminal, extensive reading, and operation of standard office machines and equipment.
CCRM's Compensation: The salary range represents the national average compensation for this position. The base salary offered will vary based on location, experience, skills, and knowledge. The pay range does not reflect the total compensation package. Our rewards may include an annual bonus, flexible work arrangements, and many other region-specific benefits.
Pre-Employment Requirements: All offers of employment are conditional upon the successful completion of the CCRM Fertility onboarding process, including verification of eligibility and authorization to work in the United States. This employer participates in the E-Verify Program in order to verify the identity and work authorization of all newly hired employees.
Equal Employment/Anti-Discrimination: We are an equal-opportunity employer. In all aspects of employment, including the decision to hire, promote, discipline, or discharge, the choice will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
MDS Coordinator
Ambulatory care coordinator job in Spartanburg, SC
Job DescriptionCare Coordinator- MDSDescription
At Summit Hills, we are proud to be recognized as a Great Place to Work , and we believe that our success begins with one simple principle: People First. We are a luxury senior living company that is driven by compassion, respect, and the dedication to making every interaction meaningful. Our culture fosters growth, teamwork, and a genuine commitment to enriching the lives of our residents and our team members. If you're passionate about providing exceptional care in an environment where you're valued and supported, we invite you to be part of a company that truly puts people at the heart of everything we do. Now accepting applications for a Care Manager - MDS Coordinator (RN). Must have valid state nursing license. Must have skilled nursing experience. Prior MDS experience preferred.
POSITION SUMMARY: Care Manager is responsible for the development, maintenance and implementation of the standards of nursing practice and objectives as it relates to the Minimum Data Set requirements and with the established policies and procedures of the governing body in compliance with federal, state and local regulations. The Care Manager is responsible for optimal reimbursement, proper documentation/diagnoses to justify the reason for a skilled service and reimbursement request.
ESSENTIAL FUNCTIONS:
• Coordinates/manages and works with clinical staff/therapy for proper documentation/care, programs and optimal reimbursement throughout the stay of a skilled resident
• Researches all pertinent medical information/diagnoses for optimal reimbursement
• Meet regulations for timely certifications/re-certifications, and signing of all orders
• Meet all requirements in working with Managed Care organizations
• Daily meetings with therapy and line staff on progress of skilled residents
• Monitors Nursing skilled documentation and provides continued education as needed
• Participates in the development and implementation of the resident assessment process, following the Minimum Data Set requirements of Federal, State and local regulations in accordance with Senior Living Communities/Wellmore policies and procedures
• Responsible for proper ADL Documentation and continued education/training
• Audits and analyzes the MDS documents for accuracy and appropriate completion dates.
• Timely submissions of all MDS's
• Oversees and schedules resident care planning meetings.
• Assistance on floor and on-call/manager on duty as needed
• Participates in and attend all required in-service training and education sessions as scheduled.
• Other duties as assigned.
COMPETENCIES: To perform the job successfully, an individual should demonstrate the following competencies:
• Technical Skills - Individual must demonstrate current and ongoing competence in tasks assigned which indicates a specialized skill in this area above and beyond the average.
• Communication - Demonstrates an ability to effectively and regularly transfer information to necessary parties to improve the quality of work and to provide the supervisor with actionable, accurate data.
• Initiative - Is self-motivated and personally competitive. Wants to achieve for the good of the Company and the team. Seeks additional work when they have capacity. Demonstrates an ability and desire to bring new ideas and solutions to the supervisor on an ongoing basis.
• Flexibility - The ability to quickly adapt to changing conditions. The ability to navigate obstacles with ease and professionalism.
• Interpersonal Skills - Focuses on solving conflict, not blaming; listens to others without interrupting; keeps emotions under control; remains open to ideas and tries new things
• Teamwork - Balances team and individual responsibilities; encourages others and asks for help when needed. Exhibits patience and compassion.
• Professionalism - Ensures service is delivered on time and is of the highest quality. Assumes responsibility for mistakes. Presents themselves in a manner which enhances the brand image. Understands that no information is truly private and conducts online or social networking activities accordingly.
• Ethics - Treats people with respect; keeps commitments; inspires the trust of others; works ethically with integrity; upholds the Company's Guiding Principles:
o People First, Always
o We Exist to Serve our Members
o We Have a Responsibility to be Full
Physical Demands, Work Environment, and Expected Hours of Work: 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.
• This position is very active and requires frequent standing, walking, bending, kneeling, stooping and climbing.
• This position will be required to lift or carry weight up to 50 lbs. and ability to push up to 250 pounds independently.
• The individual must use proper body mechanics to assist residents in their daily living.
• This position regularly requires long hours and frequent night and weekend work.
TRAVEL: No travel is expected although occasional travel may be required for training sessions, continuing education opportunities, emergency situations, and other company functions.
EDUCATION AND EXPERIENCE REQUIREMENTS:
• Four-year college or university degree desired.
• Current state licensure as a Registered Nurse.
• Training in Medical Records regulations desired.
• Understanding of diagnosis coding
• Working knowledge of prescription drugs, therapy practices and bio-psycho-social sciences.
• Remain in good standing with all standards of the Nurse Practice Act.
• Two years' experience in a similar healthcare position preferred.
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
• Ability to read, write, speak and understand English fluently.
• Ability to meet or exceed the company's attendance and punctuality standards.
• Ability to use Electronic Records and miscellaneous software and office equipment.
• Ability to understand and follow directions as given.
• Ability to work with minimal supervision.
#SLC1
QualificationsLicenses & CertificationsRequired
Registered Nurse
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
CFSP Managed Care Coordinator - Henderson County
Ambulatory care coordinator job in Hendersonville, NC
**CFSP Managed Care Coordinator** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with you!** (Alleghany, Buncombe, Catawba, Cherokee, Clay, Cleveland, Graham, Haywood, Henderson, Jackson, Macon, Madison, Polk, Swain, Transylvania)
**Location: Field:** This field-based role in **Henderson County (Hendersonville)** , enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. These roles are county field-based and require you to interact with patients, members, or providers in person four to five days per week.
_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 accommodation is granted as required by law._
_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision North Carolina where all children and families thrive in safe, stable, and nurturing homes._
The **CFSP Managed Care Coordinator** is responsible for the overall management of the members' individual service plan within the scope of position in the NC CFSP Program, as required by applicable state law and contract.
**How you will make an impact:**
+ Provide integrated whole-person Care Management under the CFSP Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
+ Offer Trauma-Informed Care by recognizing the role of ACEs in the CFSP population and coordinating cross-agency care to support children's diverse needs, including physical, behavioral, social, educational, and legal aspects.
+ Collaborate closely with each Member's County Child Welfare Worker to align health care needs with permanency planning goals.
+ Work with a multidisciplinary care team, including primary health care and behavioral health professionals, specialty providers, and stakeholders in the child welfare system, to coordinate care (e.g., coordination involving juvenile justice awareness).
+ Conduct telephonic or face-to-face assessments using predefined questions to identify, evaluate, coordinate, and manage member program needs.
+ Identify members with potential clinical health care needs using predefined tools, coordinating their cases with clinical healthcare management and an interdisciplinary team for care coordination support.
+ Oversee non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for cost-effective and efficient service utilization.
+ Set short- and long-term goals in collaboration with members, caregivers, families, natural supports, and physicians.
+ Identify members who would benefit from expanded services.
**Minimum Requirements**
+ Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community-based organizations; or any combination of education and experience which would provide an equivalent background.
**Preferred Skills, Capabilities, and Experiences:**
+ Must reside in North Carolina.
+ BA/BS degree preferred in a field related to health, psychology, sociology, social work, nursing or another relevant human services area.
+ Two (2) years of experience working directly with individuals served by the child welfare system is preferred.
+ Travels to worksite and other locations as necessary.
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.
Patient Care Coordinator
Ambulatory care coordinator job in Simpsonville, SC
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
Transitional Care Coordinator I or II, Resource Pool, Day Shift
Ambulatory care coordinator job in Greenwood, SC
The Transitional Care Coordinator II is knowledgeable about disease, treatment, available community and governmental resources, psychosocial implications for individuals and families as it pertains to their age and stage of development; provides appropriate interventions and discharge planning services to the patients and families; and is pragmatic in approaching end of life and ethical issues. Communication is key to the role and various modes of communication are utilized. Performs all other duties as assigned by Transitional Care Lead and Case Management Director.
CFSP Managed Care Coordinator - Henderson County
Ambulatory care coordinator job in Hendersonville, NC
CFSP Managed Care Coordinator Sign-on Bonus: $2500 We are currently seeking people in the following counties and look forward to speaking with you! (Alleghany, Buncombe, Catawba, Cherokee, Clay, Cleveland, Graham, Haywood, Henderson, Jackson, Macon, Madison, Polk, Swain, Transylvania)
Location: Field: This field-based role in Henderson County (Hendersonville), enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. These roles are county field-based and require you to interact with patients, members, or providers in person four to five days per week.
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 accommodation is granted as required by law.
We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision North Carolina where all children and families thrive in safe, stable, and nurturing homes.
The CFSP Managed Care Coordinator is responsible for the overall management of the members' individual service plan within the scope of position in the NC CFSP Program, as required by applicable state law and contract.
How you will make an impact:
* Provide integrated whole-person Care Management under the CFSP Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
* Offer Trauma-Informed Care by recognizing the role of ACEs in the CFSP population and coordinating cross-agency care to support children's diverse needs, including physical, behavioral, social, educational, and legal aspects.
* Collaborate closely with each Member's County Child Welfare Worker to align health care needs with permanency planning goals.
* Work with a multidisciplinary care team, including primary health care and behavioral health professionals, specialty providers, and stakeholders in the child welfare system, to coordinate care (e.g., coordination involving juvenile justice awareness).
* Conduct telephonic or face-to-face assessments using predefined questions to identify, evaluate, coordinate, and manage member program needs.
* Identify members with potential clinical health care needs using predefined tools, coordinating their cases with clinical healthcare management and an interdisciplinary team for care coordination support.
* Oversee non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for cost-effective and efficient service utilization.
* Set short- and long-term goals in collaboration with members, caregivers, families, natural supports, and physicians.
* Identify members who would benefit from expanded services.
Minimum Requirements
* Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community-based organizations; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
* Must reside in North Carolina.
* BA/BS degree preferred in a field related to health, psychology, sociology, social work, nursing or another relevant human services area.
* Two (2) years of experience working directly with individuals served by the child welfare system is preferred.
* Travels to worksite and other locations as necessary.
Job Level:
Non-Management Non-Exempt
Workshift:
Job Family:
MED > Care Coord & Care Mgmt (Non-Licensed)
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.