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Population Health Care Coordinator - RN
Equitas Health, Inc. 4.0
Ambulatory care coordinator job in Columbus, OH
The Population Health CareCoordinator 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 CareCoordinator 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
BENEFITS:
PTO
Vision
Dental
Health
401k
Sick time
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 CareCoordinator training courses/webinars and meetings
Collect and analyze population health outcomes and Provide feedback for the improvement of the CareCoordination 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
$64.8k-77.7k yearly 20d ago
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Care Coordinator - Knox
Indeed.com 4.4
Ambulatory care coordinator job in Mount Vernon, OH
CareCoordinator
Positions within Licking and Knox Counties Available
Duties: In this role, you provide carecoordination services to adult clients with mental health and substance abuse issues. Implements monitoring system, determines client needs and ensures delivery of needed treatment.
The Organization: Since 1955, Behavioral Health Care Partners (Formally known as Moundbuilders Guidance Center) has been providing integrated mental health and addiction treatment services for youth, adults and families. In addition, we offer:
Exceptional pay
Great benefits including health, dental, vision, life insurance and Employee Assistance Program with Mental Health Counseling
403b retirement plan with matching funds
CEUs, Licensure/Certification Reimbursements, Multiple Student Loan Forgiveness Programs, and employee discounts
Accrued paid time off including 2 weeks' vacation, 12 sick days per year, and 10 paid holidays
Flexible schedule/Potential Hybrid Model
40 hours per week
Sign on bonuses available
Our Location: Our offices are located at 65 Messimer Drive in Newark, Ohio or 8402 Blackjack Road in Mount Vernon. Both are a short 30-minute scenic commute from Columbus, Zanesville, and Lancaster.
Qualifications: Candidates must possess strong written and oral communication skills and the ability to collaborate with other service providers. High School Diploma with one to three years of carecoordination experience for individuals with mental health or substance abuse issues. Preferred Associates Degree in Human Services or related field. Qualified Mental Health Specialist (QMHS). Licensed Social Worker (LSW) or Licensed Professional Counselor (LPC) preferred. State of Ohio Driver's License. BLS/CPR certification required. Basic computer, phone and typing skills are necessary for all positions.
To Apply: Online at ***************************
BHP is an EEO and ADA compliant organization.
$32k-41k yearly est. 60d+ ago
Reimbursement Coordinator, Home Infusion Peachtree Corners, GA remote hold
Esrhealthcare
Remote ambulatory care coordinator job
Reimbursement Coordinator, Home Infusion Peachtree Corners, GA remote hold
Experience level: Mid-senior Experience required: 2 Years Education level: High school or equivalent Job function: Finance Industry: Accounting Compensation: position: 1 Visa sponsorship eligibility: No
Note: When submitting your candidates, please include their answers to the 5 prescreen questions and please ensure you are asking the pre-screening questions LIVE instead of via email.
Job Description:
Are you an experienced professional with a minimum of 2 years of home infusion billing and accounts receivable experience? If so, we have an exciting opportunity for you as a Home Infusion Reimbursement Coordinator. In this role, you will be a key player in ensuring accurate and timely reimbursement for home infusion services navigating the complexities of billing, claims, and compliance.
Key Responsibilities:
As a Home Infusion Reimbursement Coordinator, your primary focus will be on orchestrating the reimbursement process for home infusion services. This includes managing billing procedures, resolving complex claims, and staying abreast of regulatory changes to maintain compliance. Engage with internal and external stakeholders to streamline processes and optimize revenue outcomes. Your role will also involve collaborating with cross-functional teams to achieve service and sales goals.
Lets talk about Qualifications and Experience
Required:
Minimum of 2 years of home infusion billing experience.
2 years of experience in maintaining HIPAA standards.
Proficient in using computers and Microsoft products (Excel and Word).
Strong motivation in billing, claims, and document management.
Effective communication skills and problem-solving abilities.
High school diploma required; equivalent education and experience considered.
Preferred:
Broad knowledge of routines and procedures.
Proven track record of working towards and exceeding metrics.
PMO Notes:
This is a high-priority role.
The team is in severe need of additional support and is looking to move quickly to fill these openings.
When submitting your candidates, please include their answers to the 5 prescreen questions.
Please ensure you are asking the pre-screening questions LIVE instead of via email.
We want to know that the candidates are able to be successful in this position and knowing basic Home Infusion will help with the process.
It is a remote position; the candidate can be located anywhere in the U.S.
No timezone preference.
Flexible schedule to work MondayFriday with adjustable hours.
The approved compensation range is up to $25/hour.
This pay rate is firm.
We highly recommend posting the job under a different title. Some examples: "Billing Coordinator, Home Infusion" OR "Payor Analyst, Home Infusion" OR "Reimbursement Coordinator, Home Infusion" OR "RCM Specialist, Home Infusion"
The candidate must have Home Infusion experience.
We are looking for at least 2 years of experience as they have to understand the home infusion reimbursement process.
At least 1 year of experience must be recent/current exp.
In addition to Home Infusion experience, they should have knowledge from a Front End Billing perspective.
The team clarified that the Front End Billing exp they need is not intake (qualifying patients, test claims, etc.).
They need the skillset to create infusion claims (bill medical payors, not the RX payors/NCPP).
In an ideal world, they also have knowledge of Collections. This is a plus, but not required.
Both Home Infusion and Front End Billing experience are required.
Soft Skills: The candidate should be motivated, have critical thinking skills, and be able to take ownership of their job duties.
Recommended to target candidates from CVS Health/Quorum, as their home infusion departments are closing.
Emphasize reaching out directly to potential candidates, especially via LinkedIn searches and personalized messages.
MUST HAVE:
High school diploma required; equivalent education and experience considered.
2 years of home infusion billing experience.
2 years of experience in home infusion reimbursement process.
2 years of experience in maintaining HIPAA standards.
This role primarily focuses on Accounts Receivable, so candidates should have relevant experience in this area.
Accounts Receivable and Collections (specifically Payor Collections, not Patient Collections).
Experience in Front-End Billing.
Proficient in using computers and Microsoft products (Excel and Word).
Strong motivation in billing, claims, and document management.
$25 hourly 11d ago
In-Home Care Admin Coordinator
Clover Health
Remote ambulatory care coordinator job
The Clover Care Services organization delivers proactive support and care to our members through our clinical Clover Home Care teams, and quality improvement services to our aligned providers through our practice engagement team. Clover has built one of the most proactive, data-driven health care services platforms and is excited about how technology impacts our ability to bring transformative results to both patients and providers.
As a In-Home Care Admin Coordinator, you will:
Answer member calls, demonstrating our value of caring as you work to assist members and escalate appropriately based on protocols for emergent, urgent and non-urgent calls.
Receive inbound warm transfers from other Clover teams.
Confirm patient appointments for provider schedules.
Outreach patients not recently seen to ensure continuous care.
Prepare travel routes for clinicians based on daily scheduled visits.
Communicate effectively with care team members via team huddles and EHR documentation.
Navigate multiple computer platforms throughout the day.
Ensure team escalations are addressed timely and accurately.
Other administrative duties as assigned.
You should get in touch if:
You have high School Diploma and/or GED.
You are bilingual in English/Spanish (strongly preferred).
You have direct experience working in the healthcare setting, bonus points if in an ambulatory/outpatient practice.
You have strong administrative and computer skills, especially Google Apps (Mail, Calendar, Sheets, etc).
You have experience working with an EHR and/or Carelink.
You have customer service experience answering a large volume of incoming calls.
Benefits Overview:
Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive hourly rate. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, company holidays, access to mental health resources, and a generous time-off policy.
Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.
Additional Perks:
Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
Reimbursement for office setup expenses
Monthly cell phone & internet stipend
Remote-first culture, enabling collaboration with global teams
Paid parental leave for all new parents
And much more!
#LI-Remote
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
We are an E-Verify company.
A reasonable estimate of the base salary range for this role is $45,000 to $55,000. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant's education, work experience, certifications, etc.
$45k-55k yearly Auto-Apply 8d ago
Work From Home | Resort Coordinator - Remote
Destination Knot
Remote ambulatory care coordinator job
Job Title: All-Inclusive Resort Coordinator - Remote About Destination Knot:Destination Knot is a planning and hospitality company that specializes in unforgettable resort vacations. From romantic escapes to group retreats, we work closely with clients to match them with the perfect all-inclusive resort experience-handling the details so they can focus on making memories.
Position Overview: We are seeking an organized, personable, and service-driven All-Inclusive Resort Coordinator to join our remote team. This role involves assisting clients with planning and booking resort vacations tailored to their needs, while delivering top-tier service throughout the process. Ideal candidates enjoy helping others, are detail-oriented, and thrive in a virtual, client-facing environment.
Key Responsibilities:Consult with clients to understand their vacation preferences, travel dates, and budget Recommend all-inclusive resorts that best match client needs and expectations Research resort options, amenities, and promotions using approved booking tools Coordinate and manage reservations, ensuring accuracy and timely communication Assist with special requests, itinerary changes, and follow-up support Maintain accurate client records and manage booking documentation Stay updated on popular resort destinations, seasonal promotions, and hospitality trends
Qualifications:Previous experience in hospitality, booking coordination, or customer service is a plus Strong communication and relationship-building skills Detail-oriented with the ability to manage multiple client needs simultaneously Tech-savvy and comfortable using booking platforms and digital tools Self-motivated and dependable with the ability to work independently in a remote setting Must be 18 years or older with access to a computer and stable internet connection Passion for vacation planning and delivering exceptional service
What We Offer:Fully remote work flexibility Ongoing training and professional development Access to industry tools, resources, and resort networks Incentive opportunities based on performance Supportive team culture and growth potential Travel perks and destination learning experiences
Work Environment: This is a remote position with flexible scheduling. It's ideal for someone who thrives in a virtual setting, enjoys planning resort getaways, and values excellent client care.$30,000 - $65,000 a year We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
$30k-65k yearly Auto-Apply 4d ago
Recovery Care Coordinator (must be a Certified Recovery Specialist or meet criteria to obtain CRS)
Ophelia
Remote ambulatory care coordinator job
Are you looking for a role in a company that's solving one of the greatest challenges of our lifetime?
Ophelia helps people end their opioid use and restore their quality of life with respect for their time and dignity. Our mission is to make evidence-based treatments for opioid use disorder (OUD) accessible to everyone... and we're looking to bring more people onto our team to help us achieve it. Ophelia is a venture-backed, healthcare startup that helps individuals with OUD by providing FDA-approved medication and clinical care through a telehealth platform. Our approach is discreet, convenient, and affordable. We've been successfully operating in 14 states for almost four years and we're excited to continue our growth. We are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America. Important Role Note: We are looking for someone who is interested in becoming a Certified Recovery Specialist to support our patients in carecoordination. We will cover your training to become certified. Please note that there are several requirements to enroll in a Certified Recovery Specialist program. They are: 1. Must either live or work in Pennsylvania. 2. A minimum of 18 months of recovery in a continuous manner of personal, lived experience. 3. Minimum high school diploma/GED. Veterans may provide discharge documentation in lieu of a high school diploma/GED. If you meet these above requirements and are interested in working on our fast-paced CareCoordination team, please read on! CareCoordination at Ophelia As one of the first members of the Ophelia team that a patient will interact with, our CareCoordinators are integral to creating a best-in-class patient experience that supports Ophelia's ability to grow and achieve our mission. CareCoordinators work directly with patients to take care of a wide variety of non-clinical needs, as well as collaborating with clinicians to ensure patients are safe and delighted with their care. In this role, you will be responsible for following defined processes and protocols that ensure our patients receive consistent, high quality care. You will engage directly with Ophelia patients providing support across a wide range of areas including successfully filling pharmacy prescriptions, obtaining prior authorizations from a patient's health insurance plan, rescheduling an upcoming visit with a member of the Ophelia clinical team, collecting required documentation to allow members of Ophelia's clinical team to coordinatecare with other health care providers the patient is seeing outside of Ophelia and providing quality referrals. To be successful in this role you must become proficient in various technology platforms and channels of communication that Ophelia team members use to both provide support to our patients and to partner with cross-functional teams on improving processes and workflows. This role reports to the Lead CareCoordinator. In this role, you will:
Practice active listening, empathy, and solution-focused approaches to collaboratively engage with patients seeking support on a wide range of issues
Use effective written skills to complete professional documentation and to interact with patients, clinicians and external stakeholders through various communication channels
Prioritize effectively across multiple channels: switching between calls, messages, meetings, texts, and Slack to deliver patient-centered care
Follow care team protocols and utilize good judgment to identify barriers or disruptions to care and use appropriate strategies to overcome those barriers
Interact and problem-solve with multi-disciplinary teams such as Enrollment Coordinators, Financial Counselors, Clinicians and Tech team to ensure a safe and excellent patient experience
Resolve issues related to prescriptions and insurance/pharmacy authorizations
Follow Ophelia's policies and maintain all confidentiality, compliance, and ethical standards
Work autonomously and as part of a team within established procedures and practices
Consistently practice our cultural values: champion our patients, communicate with kindness, learn and share freely, and get results
We're looking for someone who has:
Experience delivering outstanding patient experience or customer support, ideally at a consumer-focused healthcare company
Experience de-escalating highly emotional conversations and communicating with empathy and respect to vulnerable patient populations
A collaborative mindset and ability to build rapport in a remote first work environment
The ability to remain calm and composed under pressure; experience in a fast-paced, frequently changing start-up environment a plus
Strong organizational skills and a keen eye for detail: experience maintaining patient records and accuracy in responses
High integrity, honesty, ability to build trust and maintain a strong sense of accountability
A bias for action and getting things done: proactively taking on work without prompting, swiftly implement solutions, and achieving results efficiently and effectively
Tech-savvy: you must be comfortable using various computer platforms and navigating new systems, and efficient in tech-related tasks
Experience solving problems that do not have clear or obvious solutions
Required: Meets criteria for CRS as outlined above, or has CRS certification already
Our Benefits Include:
Remote work anywhere in the United States
Competitive medical, vision, and health insurance (many plans are fully covered for the employee!)
20 days of PTO per year
10 company holidays
401k Contribution Platform
Additional benefits offered through our benefits provider such as life insurance, short and long term disability, financial wellness, virtual primary care, among others!
Ophelia Compensation Overview
We set compensation based on the level and skills required for the role. We value pay transparency and equity, and are committed to fair pay. In order to prevent pay disparities and reduce time spent in negotiations, we take a “first and best” offer approach: this means we're not holding any compensation back from our candidates, and you can feel confident that our pay is fair and does not vary based on the strength of someone's negotiation skills.
Compensation is dynamic at Ophelia: as long as the company performs well and meets our targets, there will be opportunities for increased compensation annually. We're happy to discuss this approach and our bands if you have questions during the interview process.
Compensation Range$45,000-$48,000 USD
Interested in learning more about Ophelia and this role? Apply to work with us!
$45k-48k yearly Auto-Apply 60d+ ago
Coordinator, Managed Care I - Behavioral Health/ Substance Abuse focused
Palmetto GBA 4.5
Remote ambulatory care coordinator job
Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness. Utilizes available resources to promote quality, cost effective outcomes.
Description
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Position Purpose:
Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness. Utilizes available resources to promote quality, cost effective outcomes.
Location:
This is a remote position.
What You'll Do:
Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. May initiate/coordinate discharge planning or alternative treatment plans as necessary and appropriate. Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits.
Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal).
1Provides patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management programs.
Maintains current knowledge of contracts and network status of all service providers and applies appropriately. Assists with claims information, discussion, and/or resolution and refers to appropriate internal support areas to ensure proper processing of authorized or unauthorized services.
Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members.
To Qualify For This Position, You'll Need The Following:
Required Education: Associate's in a job related field.
Degree Equivalency: Graduate of Accredited School of Nursing or 2 years job related work experience .
Required Work Experience: 2 years clinical experience.
Required Skills and Abilities: Working knowledge of word processing software. Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service, organizational, and presentation skills. Demonstrated proficiency in typing, spelling, punctuation, and grammar skills. Demonstrated oral and written communication skills. Ability to persuade, negotiate, or influence others. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion.
Required Software and Tools: Microsoft Office.
Required Licenses and Certificates: Active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR, active, unrestricted LMSW (Licensed Master of Social Work) licensure from the United States and in the state of hire, OR active, unrestricted licensure as Counselor, or Psychologist from the United States and in the state of hire.
We Prefer That You Have The Following:
Preferred Education: Bachelor's degree- Nursing.
Preferred Work Experience: work experience in healthcare program management, utilization review, or clinical experience in defined specialty. Specialty areas are oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedic, general medicine/surgery.
Preferred Skills and Abilities: Working knowledge of spreadsheet, database software. Knowledge of contract language and application. Thorough knowledge/understanding of claims/coding analysis/requirements/processes.
Our Comprehensive Benefits Package Includes The Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
Some states have required notifications. Here's more information.
$37k-53k yearly est. Auto-Apply 8d ago
Health Care Enrollment Coordinator
Strsoh
Ambulatory care coordinator job in Columbus, OH
STRS Ohio, STRS
The State Teachers Retirement System of Ohio (STRS Ohio) is seeking a Health Care Enrollment Coordinator to join its Member Benefits/ Health Care Production Operations team.
Established in 1920 and serving Ohio's educators, STRS Ohio is one of the nation's largest retirement systems, serving over 500,000 active, inactive, and retired public-school teachers, and university faculty members, managing approximately $96.9 billion as of June 30, 2024, in assets and paying more than $7 billion in benefits annually.
STRS Ohio provides a competitive pay, and a comprehensive benefits package including on-site parking, educational assistance, subsidized medical insurance, fully paid dental and life insurance, vacation and sick leave, retirement benefits and on-site fitness center. At STRS Ohio, you can experience rewarding work in a professional, business casual work environment. We welcome, celebrate, and promote respect for everyone. We are continually seeking bright and talented individuals to join our team.
Compensation:
$27.45/ hr. or commensurate with education and experience
Work Schedule:
8:00am-5:00pm Monday through Friday (Onsite)
General Summary:
Under the direction of the manager, Health Care (HC) Production Operations, research and resolve cross-functional health care issues, with a collaborative approach toward enrollment, eligibility and claims. Coordinate health care enrollment issue resolution for benefit recipients and enrollees. Process enrollment related workflows and daily, weekly and monthly health care reports.
Summary of Responsibilities:
Process health care enrollment and eligibility in compliance with State Teachers Retirement System of Ohio (STRS Ohio) Administrative Rules and Centers for Medicare and Medicaid Services (CMS) regulations and ensure accurate enrollee billing.
Collaboratively resolve member coverage issues as result of Medicare enrollment, acceptance into the Medicare Advantage Plan, Part D plan. Prioritize immediate access coverage issues.
Discuss high level benefits, coverage and claims processing with enrollees and plan administrators.
Work with internal and external parties including plan administrators, Medicare intermediaries and others to ensure each health care plan enrollee's issue is handled appropriately.
Utilize detailed knowledge of enrollment eligibility, 834 files (files shared between STRS Ohio and the plan administrator), pension processing system and vendor processing procedures to ensure the efficient, accurate enrollment and issue resolution.
Cultivate and maintain a detailed knowledge of STRS Ohio health care benefits, rationale for program changes.
Confer with department managers on complex escalated issues requiring thorough review and policy consideration.
The above list of duties is intended to describe the general nature and level of work performed by persons assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the persons so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct and control the work of associates under supervision.
Summary of Qualifications:
High school diploma or equivalent is required.
Bachelor's degree in a related field preferred.
Two to four years relevant work experience required, four or more years relevant work experience preferred.
Comprehensive knowledge of Medicare enrollment guidelines, benefits and programs required.
Experience explaining medical and pharmacy benefits to enrollees preferred.
Interpersonal skills necessary to deal effectively and courteously with internal and external contacts required.
Excellent organizational skills and a high degree of accuracy and attention to detail required.
Equal Employment Opportunity Employer Statement
State Teachers Retirement System of Ohio (STRS) is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees on the basis of race, color, religion, gender, gender identity or expression, national origin (ancestry), military status, disability, age, genetic information, sexual orientation, or caregiver status, in making employment-related decisions about an individual.
ADA Statement
STRS Ohio is committed to ensuring access, inclusion, and reasonable accommodations across all its services, activities, programs, and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.
Posting Drug-Free Workplace Statement
The State Teachers Retirement System of Ohio (STRS Ohio) is a drug-free workplace. The use of recreational marijuana and non-medical cannabis is strictly prohibited.
Pre-Employment Drug Testing
All final candidates tentatively selected for employment will be required to undergo a urinalysis drug screening prior to appointment. This screening includes testing for illegal substances, including marijuana. A positive test result will disqualify the applicant from employment unless valid medical documentation is provided for legally prescribed medications or a physician's recommendation for medical marijuana.
Pre-Employment Background Investigation
The final candidate selected for this position will be subject to a criminal background check. STRS Ohio will conduct an individualized assessment of any prior criminal convictions before making a determination regarding employment eligibility.
$27.5 hourly Auto-Apply 54d ago
Virtual Care Coordinator
Bond Vet
Remote ambulatory care coordinator job
Bond Vet is on a mission to strengthen the human-animal bond through better pet care. We offer primary and urgent care, so we're there for pets when they need us most. Our clinics are designed with pets and people in mind: warm, friendly, and highly sniffable. We balance this design with a strong focus on technology, all built in-house, which means we can easily innovate our systems to improve the veterinary team, pet, and client experience.
Role Summary
Bond Vet is redefining the veterinary care experience-combining compassionate, high-quality medicine with modern technology and thoughtful design. Our Virtual Care team plays a critical role in supporting our clinics and ensuring clients feel informed, supported, and cared for from their very first interaction. The Virtual The Virtual CareCoordinator (VCC) is the first point of contact for clients calling Bond Vet. They deliver an exceptional client experience through scheduling, communication, and administrative support. VCCs handle high-volume calls, emails, and digital messages across Yellow AI IVR, chatbot, and text platforms, escalating medical or complex issues to Virtual Nurses or clinics.
This role ensures smooth clinic operations, accurate documentation, and fast, helpful client service.
Key Focus Areas
Deliver exceptional first-touch client experience
Manage scheduling, service questions, and general inquiries
Serve as the administrative backbone for record handling and rescheduling
Triage non-medical inquiries and escalate appropriately
Support Virtual Nurses and clinics by preparing accurate client data and routing needs
Core Responsibilities
Client Communication & Experience
Answer a high volume of calls from existing and prospective clients
Navigate Yellow AI IVR outcomes, stepping in when escalations require human support
Respond to emails, texts, and chatbot escalations within expected SLAs
Build rapport quickly with clients and create a welcoming, helpful experience
Call Triage & Routing
Schedule appointments based on client needs and clinic availability
Transfer medical inquiries, prescription questions, and complex concerns to Virtual Nurses
Route calls to clinics for updates on hospitalized cases, surgery check-ins, Echo/AUS scheduling, and urgent needs
Use judgment to escalate Yellow AI or chatbot misroutes
Records, Email, & Admin Work
Retrieve, upload, and organize records from external clinics
Input vaccine and diagnostic history into Vetspire
Send records to clients, insurance companies, and referral hospitals
Close out non-essential messages to support inbox cleanliness
Assist with clinic reschedules (doctor out sick, clinic opening adjustments, etc.)
Digital Platform Navigation
GoTo: calls
Vetspire: records, message management, documentation
Slack: communication with virtual and clinic teams
Yellow AI: escalations and routing management, Gmail inboxes
Platform Responsibilities
Yellow AI IVR: handle escalated client calls that require human scheduling or problem-solving
Chatbot: respond when bot cannot answer or needs human verification
Text/SMS: manage text escalations that require manual follow-up
Email: manage heavy-volume inboxes related to records and client requests
Performance Goals
~75 calls per shift (depending on staffing and call mix)
200+ emails per Gmail shift
Timely, accurate documentation in Vetspire
High first-call resolution and client satisfaction
Role Requirements
1+ year in veterinary assistant/reception or client service within a veterinary practice
Strong multitasking skills in a high-volume environment
Excellent written and verbal communication
High attention to detail
Comfort with AI-assisted platforms and digital communication systems
Schedule: 8a-6p, 10a-8p; two weekends per 4 week schedule block
Pay: $15 - $18 per hour
At Bond Vet, we're proud to be vet founded and vet led. We are on a mission to enhance the human-animal bond through innovative urgent and primary care combined with seasoned expertise, friendliness, and compassion. Our clinics combine modern design, seamless technology, and a collaborative culture. We believe veterinary professionals deserve a career they love, not just a job. Our unique offerings include work-life flexibility, competitive pay and the chance to shape your own path. With industry-leading NPS scores, our approach resonates. Join us for a rewarding career where we work happy, feel empowered and are obsessed with pets. bondvet.com
By submitting an application, you agree to receive SMS messages from Bond Vet regarding your application and interview process, including, but not limited to, your interviews, scheduling, offers, reference checks, background checks, and general communication throughout the process. Opt out anytime by messaging STOP. Text HELP for help. Message frequency varies and message and data rates may apply. Find more information in our privacy policy.
Employment with Bond Vet is contingent upon the Company's completion of a satisfactory investigation of your background.
$15-18 hourly Auto-Apply 13d ago
Health Coach Care Coordinator
Prescribe Fit
Ambulatory care coordinator job in Columbus, OH
(Columbus, OH) - Prescribe FIT LLC
Engaging with our clients' life story begins with their healthcare provider.
Prescribe FIT has designed and implemented a unique solution that actively promotes the adaptation of a healthy lifestyle that embraces daily physical activity, personalized nutrition, and healthy lifestyle choices designed to lower health care costs. We do this by remotely monitoring patients to track and analyze the lifestyle data of patients to better understand and influence behaviors through software coaching initiatives.
Role Description:
We seeking a healthcare professional to fill the role of a Health Coach CareCoordinator. The role will support and engage with patients to help them achieve an optimal level of health and maintain wellness in light of new or existing chronic conditions. The ideal candidate will provide thorough education about the patient's disease process, self-management strategies, lifestyle changes, diet and exercise, and work with the patient to overcome roadblocks. All activities are completed with the patient virtually via our software.
Candidates with an upbeat, positive, and hardworking personality will fit with our culture. The desire to help patients succeed with their goals and show empathy throughout the healthcare journey with patient is vital to this role. Must have a strong ability to problem solve.
What You will Do:
General
Chart and document patient interventions, provider interactions, and general clinical notes
Be responsive to patient communications - digital, phone, voice, video, and text
Provide thorough and personalized patient support
Be a team player and seek information when necessary
Be open to improvement and direction
Other responsibilities and duties as assigned
Lifestyle Coaching
Educate patients on physical activity, nutrition and other lifestyle choices leading to better lifestyle management
Direct patients to relevant resources available
Engage with patients comfortably on a routine basis via virtual or telephonic methods
Facilitate difficult conversations
Recognize patient needs and interventions
Address concerns and answer questions sufficiently
Identify important discussion points based on a patient's medical history
Use Motivational Interviewing (MI) to address issues
Schedule:
8-hour shift
Monday to Friday
Education:
High school or equivalent (Required)
Experience:
Medical Assisting or other Healthcare experience: 2 years (Preferred)
Work Location: Hybrid remote in Columbus, OH 43215
Requirements
Qualifications:
Gainfully employed for 2+ years as a Medical Assistant or other Healthcare Professional in a healthcare setting working directly with patients (Required)
Associate Degree or greater in Medical Assisting or other Healthcare education (Preferred)
Current Certification from a nationally recognized organization or prior certification and willingness to renew it (Preferred)
Health Coaching/Consultation experience (Preferred).
Health Coaching certification strongly preferred, or desire to obtain one upon employment. (Company Paid) (Required)
Strong Knowledge in Technology (Required)
OIG Check Required Background Check (Required)
Must live a fit lifestyle yourself.
Employment Details: Full-time
Salary Description $20-22/hr
$20-22 hourly 60d+ ago
1915(i) Waiver Care Coordinator (Franklin/Granville/Vance)
Vaya Health 3.7
Remote ambulatory care coordinator job
LOCATION: Remote - must live in or near Franklin, Granville, or Vance County, NC. Incumbent in this role is required to reside in North Carolina or within 40 miles of the North Carolina border. This position requires travel.
GENERAL STATEMENT OF JOB
The 1915(i) Waiver CareCoordinator (“CareCoordinator”) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“members”) to ensure that these individuals receive appropriate assessment and services. CareCoordinator is also responsible for providing carecoordination activities and monitoring to individuals who have been deemed eligible for 1915i services by North Carolina Department of Health and Human Services (DHHS). CareCoordinator works with the member and care team to alleviate inappropriate levels of care or care gaps, coordinate multidisciplinary team care planning, linkage and/or coordination of services across the 1915i service array and other healthcare network(s) including the MH, SU, intellectual/ developmental disability (“I/DD”), traumatic brain injury (“TBI”) physical health, pharmacy, long-term services and supports (“LTSS”) and unmet health-related resource needs. CareCoordinator support and may provide transition planning assistance to state, and community hospitals and residential facilities and track individuals discharged from facility settings to ensure they follow up with aftercare services and receive needed assistance to prevent further hospitalization. This is a mobile position with work done in a variety of locations, including members' home communities. The CareCoordinator also works with other Vaya staff, members, relatives, caregivers/ natural supports, providers, and community stakeholders. As further described below, essential job functions of the CareCoordinator include, but may not be limited to:
Utilization of and proficiency with Vaya's Care Management software platform/ administrative health record (“AHR”)
Outreach and engagement
Compliance with HIPAA requirements, including Authorization for Release of Information (“ROI”) practices
Performing NC Medicaid 1915i Assessment tool to gather information on the member's relevant diagnosis, activities of daily living, instrumental activities of daily living, social and work-related needs, cognitive and behavioral needs, and services the member is interested in receiving
Adherence to Medication List and Continuity of Care processes
Participation in interdisciplinary care team meetings, comprehensive care planning, and ongoing care management
Transitional Care Management
Diversion from institutional placement
This position is required to meet NC Residency requirements as defined by the NC Department of Health and Human Services (“NCDHHS” or “Department”).
ESSENTIAL JOB FUNCTIONS
Assessment, Care Planning and Interdisciplinary Care Team :
Ensures identification, assessment, and appropriate person-centered care planning for members.
Meets with members to complete a standardized NC Medicaid 1915i Assessment
Links members with appropriate and necessary formal/ informal services and supports across all health domains (i.e., medical, and behavioral health home)
Supports the care team in development of a person-centered care plan (“Care Plan”) to help define what is important to members for their health and prioritize goals that help them live the life they want in the community of their choice.
Ensure the Care Plan includes specific services, including 1915(i) services to address mental health, substance use or I/DD, medical and social needs as well as personal goals
Ensure the Care Plan includes all elements required by NCDHHS
Use information collected in the assessment process to learn about member's needs and assist in care planning
Ensure members of the care team are involved in the assessment as indicated by the member/LRP and that other available clinical information is reviewed and incorporated into the assessment as necessary
Work with members to identify barriers and help resolve dissatisfaction with services or community-based interventions
Reviews clinical assessments conducted by providers and partners with licensed staff for clinical consultation as needed to ensure all areas of the member's needs are addressed. Help members refine and formulate treatment goals, identifying interventions, measurements, and barriers to the goals
Ensures that member/legally responsible person (“LRP”) is/are informed of available services, referral processes (e.g., requirements for specific service), etc.
Provides information to member/LRP regarding their choice of service providers, ensuring objectivity in the process
Works in an integrated care team including, but not limited to, an RN (Registered Nurse) and pharmacist along with the member to address needs and goals in the most effective way ensuring that member/LRP have the opportunity to decide who they want involved
Supports and may facilitate care team meetings where member Care Plan is discussed and reviewed
Solicits input from the care team and monitors progress
Ensures that the assessment, Care Plan, and other relevant information is provided to the care team
Consults with care management licensed professionals, care management supervisors, and other colleagues as needed to support effective and appropriate member care/planning process
Support Monitoring/Coordination, Documentation and Fiscal Accountability :
Serves as a collaborative partner in identifying system barriers through work with community stakeholders.
Works in partnership with other Vaya departments to identify and address gaps in services/ access to care within Vaya's catchment.
Participates in cross-functional clinical and non-clinical meetings and other projects as needed/ requested to support the department and organization.
Participates in routine multidisciplinary huddles including RN, Pharmacist, M.D. to present complex clinical case presentation and needs, providing support to other CMs (Care Manager) and receiving support and feedback regarding CM interventions for clients' medical, behavioral health, intellectual /developmental disability, medication, and other needs.
Works with 1915 (i) CareCoordination manager in participating in high-risk multidisciplinary complex case staffing as needed to include Vaya CMO/ Deputy CMO, Utilization Management, Provider Network, and Care Management leadership to address barriers, identify need for specialized services to meet client needs within or outside the current behavioral health system.
Ensure that services are monitored (including direct observation of service delivery) in all settings at required frequency and for compliance with standards
Monitors provision of services to informally measure quality of care delivered by providers and identify potential non-compliance with standards.
Ensures the health and safety of members receiving care management, recognize and report critical incidents, and escalate concerns about health and safety to care management leadership as needed.
Supports problem-solving and goal-oriented partnership with member/LRP, providers, and other stakeholders.
Promotes member satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Supports and assists members/families on services and resources by using educational opportunities to present information.
Make announced/unannounced monitoring visits, including nights/weekends as applicable.
Promote satisfaction through ongoing communication and timely follow-up on any concerns/issues
Monitor services to ensure that they are delivered as outlined in individualized service plan and address any deviations in service
Verifies member's continuing eligibility for Medicaid, and proactively responds to a member's planned movement outside Vaya's catchment area to ensure changes in their Medicaid county of eligibility are addressed prior to any loss of service. Alerts supervisor and other appropriate Vaya staff if there is a change in member Medicaid eligibility/status.
Maintain electronic health record compliance/quality according to Vaya policy
Proactively monitor own documentation to ensure that issues/errors are resolved as quickly as possible
Ensure accurate/timely submission of Service Authorization Requests (SARS) for all Vaya funded services/supports
Proactively monitors own documentation within the AHR to ensure completeness, accuracy and follow through on care management tasks.
Works with 1915 (i) CareCoordination Manager to ensure all clinical and non-clinical documentation (e.g., goals, plans, progress notes, etc.) meet all applicable federal, state, and Vaya requirements, including requirements within Vaya's contracts with NCDHHS.
Participates in all required Vaya/ Care Management trainings and maintains all required training proficiencies.
Other duties as assigned .
KNOWLEDGE, SKILLS, & ABILITIES
Ability to express ideas clearly/concisely and communicate in a highly effective manner
Ability to drive and sit for extended periods of time (including in rural areas)
Effective interpersonal skills and ability to represent Vaya in a professional manner
Ability to initiate and build relationships with people in an open, friendly, and accepting manner
Attention to detail and satisfactory organizational skills
Ability to make prompt independent decisions based upon relevant facts.
A result and success-oriented mentality, conveying a sense of urgency and driving issues to closure
Comfort with adapting and adjusting to multiple demands, shifting priorities, ambiguity, and rapid change
Thorough knowledge of standard office practices, procedures, equipment, and techniques and intermediate to advanced proficiency in Microsoft office products (Word, Excel, Power Point, Outlook, Teams, etc.), and Vaya systems, to include the care management platform, data analysis, and secondary research
Understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version) within their scope and have considerable knowledge of the MH/SU/IDD/TBI service array provided through the network of Vaya providers.
Experience and knowledge of the NC Medicaid program, NC Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements are preferred.
Ability to complete and maintain all trainings and proficiencies required by Vaya, however delivered, including but not limited to the following:
BH I/DD Tailored Plan eligibility and services
Whole-person health and unmet resource needs (Adverse Childhood Experiences, Trauma, cultural humility)
Community integration (Independent living skills; transition and diversion, supportive housing, employment, etc)
Components of Health Home Care Management (Health Home overview, working in a multidisciplinary care team, etc)
Health promotion (Common physical comorbidities, self-management, use of IT, care planning, ongoing coordination)
Other care management skills (Transitional care management, motivational interviewing, Person-centered needs assessment and care planning, etc)
Serving members with I/DD or TBI (Understanding various I/DD and TBI diagnoses, HCBS, Accessing assistive technologies, etc)
Serving children (Child and family centered teams, understanding of the “System of Care” approach)
Serving pregnant and postpartum women with Substance Use Disorder (SUD) or with SUD history
Serving members with LTSS needs (Coordinating with supported employment resources)
Job functions with higher consequences of error may be identified, and proficiency demonstrated and measured through job simulation exercises administered by the supervisor where a minimum threshold is required of the position.
EDUCATION & EXPERIENCE REQUIREMENTS
Bachelor's degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area is preferred. Required years of work experience (include any required experience in a specific industry or field of study):
Serving members with BH conditions:
Two (2) years of experience working directly with individuals with BH conditions
Serving members or recipients with an I/DD or Traumatic Brain Injury (TBI)
Two (2) years of experience working directly with individuals with I/DD or TBI
Serving members with LTSS needs
Minimum requirements defined above
Two (2) years of prior Long-tern Services and Supports and/or Home Community Based Services coordination, care delivery monitoring and care management experience.
This experience may be concurrent with the two years of experience working directly with individuals with BH conditions, an I/DD, or a TBI, described above
OR a combination of education and experience as follows:
A graduate of a college or university with a Bachelor's degree in a human services field and two years of full-time accumulated experience with population served
OR
A graduate of a college or university with a Bachelor's degree is in field other than Human Services and four years of full-time accumulated experience with population served
OR
A graduate of a college or university with a Bachelor's Degree in Nursing and licensed as RN, and four years of full-time accumulated experience with population served. Experience can be before or after obtaining RN licensure.
OR
Please note, if a graduate of a college or university with a Master's level degree in Human Services, although only one year is needed to reach QP status, the incumbent must still have at least two years of experience with the population served
*Must meet the criteria of being a North Carolina Qualified Professional with the population served in 10A NCAC 27G .0104
Licensure/Certification Required:
If Bachelor's degree in nursing and RN, incumbent must be licensed to practice in the State of North Carolina by the North Carolina Board of Nursing.
PHYSICAL REQUIREMENTS
Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists, and fingers.
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
Mental concentration is required in all aspects of work.
Ability to drive and sit for extended periods of time (including in rural areas)
RESIDENCY REQUIREMENT: The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border.
SALARY: Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation.
DEADLINE FOR APPLICATION: Open Until Filled
APPLY: Vaya Health accepts online applications in our Career Center, please visit ******************************************
Vaya Health is an equal opportunity employer.
$35k-44k yearly est. Auto-Apply 12d ago
CHOICES Care Coordinator- Shelby County
Bluecross Blueshield of Tennessee 4.7
Remote ambulatory care coordinator job
Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES CareCoordinator might be perfect for you.
As a CareCoordinator, you will make a lasting impact on members' lives by ensuring their safety at home or within a community setting. In this role, you'll travel to member's homes for visits, while managing various demands and requests from both internal and external stakeholders. We're seeking individuals who excel in problem-solving through critical thinking, and who are adept at time management and prioritizing daily tasks. You should be self-motivated, flexible, and thrive in a fast-paced environment. Most importantly, you should have a passion for improving the quality of life for diverse members in their communities.
You will be a great match for this role if you have:
• 3 years of experience in a clinical setting
• Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW).
• Exceptional customer service skills
• Must live within the following counties: Memphis/Shelby County
• Available for an 8:00am - 5:00pm EST(no on call) schedule, with the option (upon management approval) to work a compressed work week after 1 year.
Job Responsibilities
Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living.
Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member.
Conduct thorough and objective face-to-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho-social, financial, and employment and independent living expectations.
Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met.
Valid Driver's License.
TB Skin Test (applies to coordinators that work in the field).
Position requires 24 months in role before eligible to post for other internal positions.
Various immunizations and/or associated medical tests may be required for this position.
Job Qualifications
Experience
2 years - Clinical experience required
Skills\Certifications
PC Skills required (Basic Microsoft Office and E-Mail)
Effective time management skills
Excellent oral and written communication skills
Strong interpersonal and organizational skills
License
Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW).
Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times.
Number of Openings Available
1
Worker Type:
Employee
Company:
VSHP Volunteer State Health Plan, Inc
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
$37k-49k yearly est. Auto-Apply 8d ago
Care Coordinator
Honeydew
Remote ambulatory care coordinator job
Are you passionate about helping people navigate their healthcare journey? Do you thrive in a dynamic environment where you can make a real difference? Join our team as a CareCoordinator and be part of a mission-driven organization dedicated to improving patient outcomes and providing exceptional care.
About Us:
Honeydew is transforming skincare by making it accessible and affordable for everyone. Our team is dedicated to providing compassionate, personalized care to help patients achieve their skin health goals. We're seeking a highly organized and empathetic CareCoordinator to join our team and be a vital part of our mission.
Job Description:
As a CareCoordinator, you'll play a critical role in ensuring our patients receive the support and guidance they need throughout their skincare journey. This full-time, fully remote role focuses on patient communication, coordinatingcare, and managing essential administrative tasks to provide a seamless experience.
Responsibilities:
Serve as the primary point of contact for patients, providing guidance, support, and information about their care plans.
Answer patient inquiries related to appointments, medical services, and treatment options with empathy and professionalism.
Coordinate and schedule appointments, follow-ups, and referrals between patients and healthcare providers.
Ensure that all patient information and communications are accurately documented in our healthcare system.
Act as a liaison between patients, insurance providers, and medical teams to facilitate seamless care delivery.
Collaborate with healthcare professionals to develop personalized care plans for patients.
Continuously monitor patient progress and provide ongoing support, addressing any concerns or obstacles that arise.
Qualifications:
Previous experience in a healthcare setting, preferably in a carecoordination, patient support, or administrative role.
Exceptional communication skills, both verbal and written, with the ability to convey complex information clearly.
Strong organizational skills and attention to detail to manage multiple tasks and priorities.
Proficiency in using healthcare management software or similar systems.
Ability to work independently and as part of a multidisciplinary team.
A positive attitude, empathy, and a genuine passion for helping others.
Benefits:
• Flexible and remote schedule.
• Opportunity to make a meaningful impact on patients' lives.
• Join a mission-driven, innovative team dedicated to revolutionizing skincare.
Pay: $15.00 per hour
$15 hourly Auto-Apply 60d+ ago
Director of Nursing / Health Care Coordinator
Otterbein Seniorlife
Ambulatory care coordinator job in New Albany, OH
**Now Offering DailyPay**
The role of the Health CareCoordinator which is commonly called a Director of Nursing is a unique opportunity for an RN with leadership/management experience in long term/skilled nursing care and providing services to elders.
If you are interested in leading an innovative care model featuring person centered care in a homelike setting, empowered self-directed work team, lower staff ratios, a place that encourages personal relationships, this opportunity may be for you.
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
An applicant should have an interest in caring for the overall best interest of the elders and must have an understanding of the requirements of the position.
Obtains daily report from the clinical support nurses (daily rounds are effectively conducted)
Discusses observations/concerns about clinical compliance with the CST nurses or carecoordinator
Monitors compliance of collection and submission of MDS data
Reviews and assures that staff is compliant with in-service requirements and program for self-development
Monitors Quality Indicators and coordinates Quality Improvement
Monitors clinical budget and acts as a fiscal steward
Completes incident reporting and follow up
Acts as a liaison with the Medical Director(s) and completes Monthly Reports and Quarterly QI initiatives
Effectively performs performance management and hiring practices
Acts as a liaison with our health-care vendors
Covers floor as appropriate
Acts as a liaison with families when appropriate
Qualifications
Education: BA or BS in related field preferred
Licensure/Certification: Current Registered Nurse (RN) license in the State of Ohio
Experience: Excellent knowledge of and nursing experience in a long term care setting
Strong clinical skills related to elder care both in long term care and short stay post-acute rehabilitation settings
Computer skills: Outlook, Word, Excel and E-mars preferred
Excellent attention to detail
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.
Apply today and begin a meaningful career as a Director of Nursing / Health CareCoordinator at Otterbein!
$37k-52k yearly est. Auto-Apply 14d ago
Home Care Lead Service Coordinator
Addus Homecare
Ambulatory care coordinator job in Westerville, OH
To apply via text, text 9845 to ************.
This position is responsible for coordinating administrative business and other operational such as, but not limited to, HR, Payroll, A/P, scheduling direct service staff and resolving client issues. The Lead Service Coordinator will work directly with management, provide leadership, support, training and coverage to front end staff.
Hours: Full Time: Monday through Friday 8 am - 5 pm. No On call.
In office: Office location: Arcadia Home Care & Staffing 635 Park Meadow Road Ste 208 Westerville, OH 43081
At Addus we offer our team the best:
Medical, Dental and Vision Benefits
Continued Education
Company matched 401K
Daily Pay
Monthly Bonus
PTO Plan
Retirement Planning
Life Insurance
Employee discounts
Essential Duties:
Answers phones, document detailed messages and direct all messages to appropriate parties
Schedules employees as directed by client's care plan established upon intake.
Provide Client Care. Able to cover a critical client who does not have a backup in place when an aide is unavailable.
Supervises direct service employees by setting expectations for attendance, performance and conduct by holding employees accountable to the company's policies and guidelines.
Assists with the new hire process for all new employees and ensures all documentation is completed accurately and in a timely manner.
Duties will include traveling into the community multiple times a week for marketing, recruiting and client support.
Knowledge of opening and closing of the office.
Monitor staff for position covered at all times.
Notify supervisor of supplies to be ordered.
Explain office policies to patients as needed.
Process patient authorizations for treatment and consultations.
Check all insurance for accuracy, make necessary phone calls.
Serve as a role model for customer service and mentor support staff.
Maintains a high degree of confidentiality at all times due to access to sensitive information.
Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department.
Follows all Medicare, Medicaid, and HIPAA regulations and requirements.
Abides by all regulations, policies, procedures and standards.
Performs other duties as assigned.
Position Requirements & Competencies:
Bachelor s degree in related field.
3 plus years of Health Care experience required.
Strong communication skills and interpersonal skills
Valid driver s license and proof of insurance is required
Excellent Organization and Time-Management skills are required
Excellent Communication and Grammar skills
Computer proficiency MS Office and experience with medical software
Able to prioritize workload while remaining flexible
Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
To apply via text, text 9845 to ************.
#ACADCOR
#IndeedADCOR
#CBACADCOR
#DJADCOR
$34k-49k yearly est. 34d ago
Patient Care Coordinator/ Engager
Lucid Hearing Holding Company 3.8
Ambulatory care coordinator job in Chillicothe, OH
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 Chillicothe, OH
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.
$18 hourly 52d ago
Care Coordinator/Receptionist
Anew Behavioral Health, Ohio
Ambulatory care coordinator job in Newark, OH
The Receptionist/CareCoordinator is responsible for coordinating and scheduling appointments for clients, providing excellent customer service, and collaborating closely with other scheduling staff. The Receptionist/CareCoordinator will be responsible for answering telephones, scheduling client services, performing insurance verification, confirming and rescheduling client appointments, greeting and assisting client during check-in, and obtaining client documentation.
Duties and Responsibilities
Welcomes and greets all clients as they arrive and notifies providers of client arrival.
Checks client in for appointment and scans all client-completed paperwork/updates to the electronic health record.
Verifies client insurance and collecting co-pay during time of arrival and when scheduling via phone.
Schedules new clients for intake appointments; provides explanation to client of what to bring, what to expect at first appointment, and collects payment/insurance information.
Orients client to the space and providing company information such as patient rights information, privacy information, and other required notifications.
Answers all incoming calls in an efficient, pleasant, and professional manner and answer inquiries related to appointments, services, and general information.
Confirms client's appointment and information to update systems to reflect any changes such as phone number, address, insurance, and other pertinent file information.
Schedules client's return appointment and checks client out at end of visit and send client satisfaction survey after visit.
Works with clients to address concerns promptly and professionally. Also, work with client and billing to resolve any client insurance issues that impacts client's ability to receive treatment.
Assists in gathering client information to assist billing department in the event of a coding denial.
Maintains professional relationship with clients and vendors as the face of Anew Behavioral Health for the client's care experiences.
Maintains medical records and correspondence files by recording cancellations, rescheduling, and appointments.
Manages correspondence delivered to worksite.
Attends all required company education seminars/trainings and participates in team/company meetings.
Other duties as assigned.
$34k-49k yearly est. 60d+ ago
Care Coordinator
I Am Boundless 4.4
Ambulatory care coordinator job in Newark, OH
Want to make an impact? I Am Boundless is hiring for a CareCoordinator! Boundless is a non-profit organization specializing in assisting individuals with I/DD and has been serving Ohio for over 40 years. At I Am Boundless, we're on a mission to build a world that realizes the boundless potential of all people. Join our team, which shares a common passion and purpose in empowering our community.
Benefits - Why Join Boundless?
Financial & Retirement
401(k) Retirement Plan with 5% Employee Matching after Six Months of Employment - Immediately 100% Vested
Annual Increases
Paid Time Off
5 Weeks of Paid Time Off
8 Paid Holidays
Health & Wellness
Medical Insurance
Free Dental & Vision Insurance
Flexible Spending Account (FSA)
Dependent Care Account (DCA)
Life Insurance & Supplemental Life Insurance
Disability Insurance
Professional Support
Tuition Discount Opportunities with Schools like Capella University & Franklin University
A Qualified Employer for the Federal Public Service Loan Forgiveness (PSLF)
Paid Training & Development Opportunities
Perks & Discounts
Employee Assistance Program (EAP) - Counseling, Therapy, Finance, Legal
Discount Programs (Ex: Pet Insurance, Movie Tickets, Theme Parks, Costco Membership, etc.)
Wellbeing Resources (Up to $50 off Health Insurance Premium Monthly)
What You'll Do:
As a CareCoordinator, you'll play a meaningful role in assessing needs, service and resource linkage, and carecoordination to support youth and families/ caregivers in the OhioRISE plan in achieving their health and outcomes goals. CareCoordinators are primarily community-based and may be able to perform some tasks from home. CareCoordinator Non-Licensed will work with individuals, parents/guardians, Boundless staff, community members, and other service and support providers via face-to-face engagement, telephone, video conferencing, and electronic communication. Day-to-day activities are varied based on the needs of the individuals and families/caregivers on the caseload. The CareCoordinator Non-Licensed serves as a primary point of contact and liaison for all the vital support providers in a youth or family's life, including scheduling meetings, tracking, exchanging documentation, following up on needs and appointments, and reporting outcomes.
Minimum Qualifications:
Bachelor's degree in psychology, social work, or other related field OR at least three years of experience in children's behavioral health, child welfare, developmental disabilities, juvenile justice or a related public sector human services or behavioral healthcare field, providing community-based services to children and youth, and their family or caregivers.
High School and GED required
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 5. Child protection 6. Child development
Current High Fidelity Wrap-Around and CANS Assessor training or the ability to complete such within 90 days of hire.
Training in cultural competency or the ability to complete such within 90 days of hire.
Licensure/Certification:
Valid Ohio Driver's License with Ohio Bureau of Motor Vehicles - No more than 5 points on driving record.
Valid car insurance.
Ready to make a difference? Apply today and join a company where you can realize your Boundless potential!
All candidates selected to undergo the pre-employment process will be required to complete a background check, drug screen, and health screen, as applicable for the role.
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
$37k-50k yearly est. Auto-Apply 26d ago
Care Coordinator (OhioRISE)
Integrated Services for Behavioral Health 3.2
Ambulatory care coordinator job in Lancaster, OH
We are seeking a CareCoordinator! Fairfield County, OH
This role is eligible for a sign-on bonus of $3,000.00!
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 CareCoordinator's job responsibilities involve service linkage and carecoordination, engaging and working with children, youth, and families with significant behavioral health needs. CareCoordination 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. CareCoordination staff ensure children, youth and families have a voice and choice in all coordinatedcare 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 carecoordination 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 carecoordination 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 carecoordination 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 carecoordination.
Able to effectively communicate through verbal/written expression.
Must be able to operate in an Internet-based, automated office environment.
Valid Driver 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.
$20.2-25 hourly 60d+ ago
Care Coordinator - Knox
BHP 4.9
Ambulatory care coordinator job in Mount Vernon, OH
CareCoordinator
Positions within Licking and Knox Counties Available
Duties: In this role, you provide carecoordination services to adult clients with mental health and substance abuse issues. Implements monitoring system, determines client needs and ensures delivery of needed treatment.
The Organization: Since 1955, Behavioral Health Care Partners (Formally known as Moundbuilders Guidance Center) has been providing integrated mental health and addiction treatment services for youth, adults and families. In addition, we offer:
Exceptional pay
Great benefits including health, dental, vision, life insurance and Employee Assistance Program with Mental Health Counseling
403b retirement plan with matching funds
CEUs, Licensure/Certification Reimbursements, Multiple Student Loan Forgiveness Programs, and employee discounts
Accrued paid time off including 2 weeks' vacation, 12 sick days per year, and 10 paid holidays
Flexible schedule/Potential Hybrid Model
40 hours per week
Sign on bonuses available
Our Location: Our offices are located at 65 Messimer Drive in Newark, Ohio or 8402 Blackjack Road in Mount Vernon. Both are a short 30-minute scenic commute from Columbus, Zanesville, and Lancaster.
Qualifications: Candidates must possess strong written and oral communication skills and the ability to collaborate with other service providers. High School Diploma with one to three years of carecoordination experience for individuals with mental health or substance abuse issues. Preferred Associates Degree in Human Services or related field. Qualified Mental Health Specialist (QMHS). Licensed Social Worker (LSW) or Licensed Professional Counselor (LPC) preferred. State of Ohio Driver's License. BLS/CPR certification required. Basic computer, phone and typing skills are necessary for all positions.
To Apply: Online at ***************************
BHP is an EEO and ADA compliant organization.