Ambulatory Care Coordinator remote jobs

, by Sunrise Sunrise Group is building the future of sleep health by combining innovative technology with expert care. Our mission is simple: make better sleep accessible to everyone. We do this in two ways: 🔹Sunrise: our technology for diagnosis, treatment, and care delivery 🔹Dreem Health: our digital clinic, where patients receive care from sleep specialists Together, we're tackling one of healthcare's biggest challenges - helping millions of people with sleep disorders get the care they deserve.We're a fast-growing team across the US and Europe, backed by more than $50M (€46M) from leading investors including Amazon's Alexa Fund, Eurazeo, Kurma, and VIVES. If you want to make a real impact in healthcare and help people sleep better, you're in the right place. And if you don't see the perfect role right now, reach out; great people often find their place here. Dreem Health is America's leading digital sleep clinic that's fixing the broken sleep care patient journey. We connect patients with sleep specialists through a straightforward telehealth platform, eliminating lengthy wait times and complicated in-lab testing. Our clinicians diagnose sleep disorders using home-based tests and deliver effective treatment plans that patients can easily follow. Dreem Health is managed by the Sunrise Group, a breakthrough technology company that's revolutionizing sleep care with innovative diagnostic and treatment technologies, including a home sleep test that's changing how sleep apnea is diagnosed. Together, we're tackling one of healthcare's biggest challenges: helping the 1+ billion people affected by sleep disorders get the care they deserve. Backed by Amazon's Alexa Fund and $35M in funding, we're just getting started. Your Opportunity As a Patient Care Coordinator at Dreem Health, you'll play a critical role in shaping the patient experience from start to finish. You won't just support our healthcare providers and answer patient inquiries - you'll own key aspects of our service delivery, drive improvements based on real patient feedback, and help create the operational foundation for a fast-growing digital sleep clinic. This is an exciting opportunity for someone who is passionate about patient care and wants to make a real impact on how care is delivered at scale. You'll learn how to navigate a tech-enabled care environment, collaborate closely with cross-functional teams, and be part of building a better, more accessible future for sleep health. If you thrive in a dynamic, mission-driven setting and are excited to grow with a company that's redefining care, we'd love to meet you. What you bring Previous experience in a patient/customer facing role Familiarity with electronic medical records (EMR/EHR) or other healthcare database systems Confidence navigating digital tools and multitasking in a fast-paced, dynamic and collaborative environment Ability to work autonomously while interacting effectively with healthcare providers, sleep specialists, and external partners Foundational understanding of billing processes and durable medical equipment (DME) A genuine commitment to deliver high-quality patient care and contributing to better access and patient outcomes What makes you stand out Completion of a Medical Assistant program or equivalent healthcare experience Strong understanding of healthcare insurances and referral processes High level of empathy and understanding of patients' needs as you strive to provide exceptional patient service and support throughout their care journey. Benefits that make a difference Be part of an international team across the US, Paris, Belgium, and Vienna Comprehensive health benefits (medical, dental, vision) 401(k) with company match 20 days PTO + 10 paid holidays + sick leave FREE One Medical membership Internet reimbursement Our team values At Dreem Health - and across Sunrise - we believe in keeping things clear and simple. We make sleep medicine more accessible by cutting through complexity and focusing on what truly matters: helping people sleep and feel better. We count on one another, building trust through dependable actions and authentic teamwork. And we always let the sun rise - leading with optimism, compassion, and the belief that better sleep unlocks a healthier, fuller life. We value people, not just paper. Don't quite meet every qualification? Apply anyway! We're interested in your unique perspective and what you'll bring to our team. Tell us your story and why you're passionate about improving sleep health. Real-world experience, empathy, and a genuine desire to help patients often matter more than checking every box. Compensation $41K-$52K Dreem Health / Sunrise is an Equal Opportunity Employer. We welcome people of all backgrounds and are committed to building a workplace where everyone feels included and respected. We do not tolerate discrimination or harassment of any kind.

The Service Agent provides excellent experience for patients and providers by fielding and responding to their requests. They help keep provider schedules full and optimized, and guide patients through the intake process. They also ensure all patients are matched appropriately to a provider, and take care of administrative tasks like faxes, emails, and authorizations. The successful candidate must be available to work one of the following shifts:· 9:30am - 6:00pm EST· 7:30am - 4:00pm EST About us:Talkiatry transforms psychiatry with accessible, human, and responsible care. We're a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality treatment. 60% of adults in the U.S. with a diagnosable mental illness go untreated every year because care is inaccessible, while 45% of clinicians are out of network with insurers because reimbursement rates are low and paperwork is unduly burdensome. With innovative technology and a human-centered philosophy, we provide patients with the care they need-and allow psychiatrists to focus on why they got into medicine. You will: Answer incoming inquiries from patients, answer questions, and schedule appointments Make outbound phone calls to patients, pharmacies, and insurance companies Create and triage tickets in ServiceNow Ensure that providers are scheduled for best use of time Schedule appointments as needed in eClinicalWorks Support clinicians via Microsoft Teams Chat to: Schedule patient follow-up appointments Reach out to patients who are late to tele visits Send referral information to patients Send discharge letters Monitor and complete tickets in ServiceNow to: Inform patients of insurance benefits Respond to patient inquiries Add copies of insurance cards/IDs to patient documents Troubleshoot minor technological issues or escalate them to our helpdesk You have: Strong written and verbal communication skills Excellent customer service skills Ability to multitask while maintaining accuracy Enjoy working in team-based environment Must have: Experience providing phone, email and chat-based customer service Experience answering phones and multitasking in a fast-paced environment Experience scheduling appointments Medical Reception experience and experience using an Electronic Health Record (EHR) is a plus, but not required Microsoft Office (M365), plus if you have worked with Microsoft Teams Why Talkiatry: Top-notch team: we're a diverse, experienced group motivated to make a difference in mental health care Collaborative environment: be part of building something from the ground up at a fast-paced startup Excellent benefits: medical, dental, vision, effective day 1 of employment, 401K with match, generous PTO plus paid holidays, paid parental leave, and more! Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands It all comes back to care: we're a mental health company, and we put our team's well-being first Talkiatry participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For more information on E-Verify, please visit the following: EVerify Participation & IER Right to Work. At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive, and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us. We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status.

Benefits: 401(k) 401(k) matching Bonus based on performance Competitive salary Dental insurance Flexible schedule Health insurance Opportunity for advancement Paid time off Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Job SummaryWe are seeking a Spanish Speaking Care Coordinator who will be responsible for overseeing our remote patient monitoring (RPM) program. In this fully remote, flexible, role, you will work collaboratively with patients to determine their medical needs, develop the best course of action, and oversee their treatment plans, ensuring each client gets high-quality, individualized care. The ideal candidate is compassionate, patient, and knowledgeable about healthcare practices. Responsibilities Collaborate with physicians, patients, families, and healthcare staff Coordinate a variety of healthcare programs Review daily measures Oversee a monthly patient roster, ensuring comprehensive care for each individual Aiming for a patient engagement rate of 90% or higher Develop individualized care plans Educate patients on their healthcare options Create goals and monitor progress toward goals Recruit and train staff Qualifications Previous experience as a Care Coordinator or in a similar position is preferred Comprehensive knowledge of Hypertension and Diabetes Certification as a medical assistant or higher is required (licensing required in NY and NJ) Fluency in second language is a plus Strong problem-solving and organizational skills Ability to manage multiple projects or tasks and prioritize appropriately Ability to work in fast-paced situations and make sound decisions quickly Excellent interpersonal skills and high level of compassion Strong verbal and written communication skills Comfortable learning and using EHR platforms This is a remote position. Compensation: $18.00 - $23.00 per hour

Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. Responsibilities Investigate and resolve patient/physician inquiries and concerns in a timely manner Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate Proactive follow-up with various contacts to ensure patient access to therapy Demonstrate superior customer support talents Prioritize multiple, concurrent assignments and work with a sense of urgency Must communicate clearly and effectively in both a written and verbal format Must demonstrate a superior willingness to help external and internal customers Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable) Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry Must self-audit intake activities to ensure accuracy and efficiency for the program Make outbound calls to patient and/or provider to discuss any missing information as applicable Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance Documentation must be clear and accurate and stored in the appropriate sections of the database Must track any payer/plan issues and report any changes, updates, or trends to management Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties Support team with call overflow and intake when needed Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. Qualifications 3-6 years of experience, preferred High School Diploma, GED or technical certification in related field or equivalent experience preferred What is expected of you and others at this level Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments In-depth knowledge in technical or specialty area Applies advanced skills to resolve complex problems independently May modify process to resolve situations Works independently within established procedures; may receive general guidance on new assignments May provide general guidance or technical assistance to less experienced team members TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT. REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second) Upload speed of 5Mbps (megabyte per second) Ping Rate Maximum of 30ms (milliseconds) Hardwired to the router Surge protector with Network Line Protection for CAH issued equipment Anticipated hourly range: $21.50 per hour - $30.70 per hour Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings plan Access to wages before pay day with my FlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to close: 2/16/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

As a Patient Care Coordinator, you will support patients throughout their specialty therapy journey by coordinating refill activities, communicating with caregivers and healthcare providers, and ensuring timely, accurate delivery of medications. You will help create a supportive, service‑oriented experience while contributing to reliable pharmacy operations. Responsibilities * Communicate with patients, caregivers, and medical staff to coordinate medication deliveries and follow‑up needs. * Make outbound and receive inbound calls, documenting all interactions accurately. * Support pharmacy operations by evaluating product usage, documenting inventory, completing verbal assessments, and setting up medication orders under pharmacist supervision. * Update patient profiles, complete assessments, and assist with refill setup while maintaining accurate records. * Meet or exceed call productivity and quality metrics. * Provide exceptional customer service and maintain a professional, positive image. * Serve as an information conduit between pharmacy operations and patients, caregivers, or medical professionals. * Maintain compliance with organizational behaviors and competencies. * Perform additional tasks as assigned to support patient care and operational needs. Required Qualifications * High school diploma or GED. * Proficiency in Microsoft Office. Preferred Qualifications * Pharmacy technician certification. * Prior specialty healthcare experience. * Strong communication, organization, and customer service skills. * Ability to manage time effectively and work both independently and collaboratively. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Job DescriptionBenefits: 401(k) Competitive salary Flexible schedule Free uniforms Paid time off Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Job Summary We are seeking a Client Care Coordinator to join our team. In this role, you will work collaboratively with clients to determine their home care needs, develop the best course of action, and oversee their treatment plans, ensuring each client gets high-quality, individualized care. The ideal candidate is compassionate, patient, and knowledgeable about healthcare practices. Responsibilities Collaborate with physicians, patients, families, and healthcare staff Coordinate a variety of healthcare programs Develop individualized care plans Educate patients on their healthcare options Create goals and monitor progress toward goals Recruit and train staff Create schedules Qualifications Previous experience as a Care Coordinator or in a similar position is preferred Strong problem-solving and organizational skills Ability to manage multiple projects or tasks and prioritize appropriately Ability to work in fast-paced situations and make sound decisions quickly Excellent interpersonal skills and high level of compassion Strong verbal and written communication skills Work remote temporarily due to COVID-19.

We are seeking a dedicated Patient Care Coordinator with experience in medical assistance or pharmacy technology to join our team. This role involves managing patient follow-ups, updating patient information, handling electronic refill scripts, ordering labs, and relaying lab results. You will also be responsible for answering inbound phone calls and scheduling follow-ups. Responsibilities * Perform follow-ups and update patient data through data entry. * Answer and manage inbound phone calls efficiently. * Handle Electronic Refill Scripts (ERX) and order labs as needed. * Relay lab results to patients and healthcare providers. * Utilize 'Cover My Meds' for medication management. * Schedule and coordinate follow-up appointments. * Provide clinical support and assistance as required. Essential Skills * Minimum of 1 year of experience in Medical Assisting or as a Pharmacy Technician. * At least 1 year of experience in a high call volume environment. * Proficiency with Electronic Medical Records (EMR), particularly Athena. * Strong understanding of medical terminology and prior authorization processes. * Excellent customer service and communication skills. Additional Skills & Qualifications * High School Diploma required. * Experience with medical records and electronic health records. * Knowledge of insurance processes and front desk operations. * Basic Life Support (BLS) certification is a plus. Work Environment This role requires working onsite at a contact center, handling over 100 calls a day. The position is full-time, Monday through Friday, from 8 am to 5 pm. The work environment is supportive, with opportunities for career growth, pay raises based on performance, and recognition through PTO tokens. Employees enjoy comprehensive benefits including medical, dental, vision, 401K, and paid holidays. Social gatherings such as dinners, lunches, and parties are frequently organized to foster a team-oriented atmosphere. Job Type & Location This is a Contract to Hire position based out of Orlando, FL. Pay and Benefits The pay range for this position is $18.00 - $19.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jan 8, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

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. 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Become part of our passionate travel team as a Client Care Coordinator! Youll help clients create stress-free vacations while enjoying the freedom of working from home. Responsibilities: Provide high-touch client care from first inquiry to trip completion. Assist with reservations, documentation, and itinerary planning. Proactively address client needs and concerns. Build strong relationships through excellent communication. Qualifications: Exceptional customer service and communication skills. Reliable and detail-oriented. Independent worker with strong organizational skills. Enthusiastic about travel and hospitality. What We Offer: Remote flexibility and mentorship. Inclusive, team-oriented culture. Continuous learning opportunities. Travel discounts and industry incentives.

Are you looking for a work "home" where you can use your communication skills to help people find the best solutions for their dental needs? Are you a professional and motivated team member who is outgoing and enjoys developing relationships? Are you professional, service-minded and willing to go above and beyond the basic responsibilities of the job to help someone? You can work flexible days and hours...early morning, evening and weekend opportunities if you'd like to supplement your current job or if you are looking for full-time hours. If this sounds like "you," send your resume today. Full-time team benefits include, but are not limited to: CE, in-house training, Paid Time Off, paid holidays, 401K, vision insurance, life insurance and the best dental insurance in town! No previous dental experience required. Job Types: Full-time, Part-time

Exceptional benefits worth $13,000-$18,000 per year (100% paid health/dental/vision/life, up to 26 days PTO + all federal holidays, 401(k) match) Seasons Psychotherapy Associates is a growing, mission-driven mental health group practice serving clients across Florida. We are looking for a warm, organized, fully bilingual (English/Spanish) Client Care Coordinator to be the welcoming first point of contact for our clients - entirely from home. This is a full-time, 100% remote position (Monday-Friday, typical shifts 9 AM-6 PM ET). No commuting, no required office days ever. You'll spend your day: Answering phones and emails with genuine care Conducting new-client intakes and scheduling appointments Verifying insurance, explaining services, and easing anxious callers Keeping clinician calendars and EHR notes accurate Collaborating with our supportive remote team We need: Full professional fluency in English and Spanish (spoken and written) Excellent phone voice and true empathy Strong multitasking and organization skills Reliable home office with high-speed internet Ability to pass a Level 2 fingerprint background check Current Florida residency Nice to have (but not required): 1+ years in medical office, mental health, or high-volume client service Experience with EHR or scheduling systems This role is perfect for you if you value stability, outstanding benefits, work-life balance, and helping people more than the absolute highest hourly rate - especially parents, military spouses, medical assistants wanting to leave the office, or anyone who wants fully covered healthcare and generous time off. If that sounds like you, we'd love to meet you. Apply today - we review applications daily and move quickly.

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.

As the Supervisor of Patient Care Coordinators, you will guide a dedicated team that supports patients throughout their specialty therapy journey. You will oversee daily workflows, foster a culture of collaboration and service, and ensure high‑quality, patient‑centered communication. Your leadership will help strengthen operational performance, enhance the care experience, and support continuous improvement across the department. Responsibilities * Supervise daily operations by assigning tasks, supporting staff, monitoring workflow outcomes, and reporting key updates to leadership. * Maintain expertise across functional areas including onboarding, insurance verification, patient care coordination, patient advocacy, and support services. * Develop work schedules, implement departmental guidelines, lead staff meetings, and communicate updates on internal processes and contracts. * Lead recruitment, hiring, onboarding, training, and competency development to maintain a skilled and engaged workforce. * Evaluate employee performance, provide coaching, conduct performance reviews, and recommend corrective actions when necessary. * Ensure productivity standards, regulatory requirements, and accreditation expectations are consistently achieved. * Serve as a resource for staff, supporting problem resolution and addressing questions related to intake workflows. * Model organizational competencies and behaviors in all leadership activities. * Perform other duties as assigned to support patient care and operational efficiency. Required Qualifications * High school diploma or GED. * Strong leadership, communication, and organizational skills. * Ability to manage competing priorities and support team performance in a fast‑paced environment. Preferred Qualifications * Bachelor's degree or equivalent experience. * One year of leadership experience in a healthcare or professional environment. * Proficiency with Microsoft Office and related systems. * Strong decision‑making, time‑management, and conflict‑resolution skills. * Knowledge of medical terminology. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Job Title: Work From Home-Online Hotel Coordinator-Entry Level About Destination Knot:Destination Knot is a travel planning company dedicated to creating unforgettable experiences for every type of traveler. From romantic getaways and family vacations to group trips and business stays, we provide personalized hotel and resort booking services with care and attention to detail. Position Overview: We're looking for a motivated and detail-oriented Online Hotel Coordinator to join our remote team. This is an entry-level role ideal for someone eager to begin a career in the travel industry. You'll help match clients with the perfect hotel accommodations, manage bookings, and provide outstanding customer support throughout the planning process. Key Responsibilities:Assist clients in researching and booking hotel and resort accommodations Respond to inquiries via email, phone, or chat in a timely, professional manner Review client preferences to recommend suitable lodging options based on budget, location, and travel dates Manage reservation details and updates using booking tools and systems Maintain accurate client records and documentation Support post-booking needs such as changes, special requests, or follow-up questions Stay informed on current travel trends, hotel promotions, and destination offerings Qualifications:No prior travel industry experience required-training provided Strong communication and customer service skills Organized, dependable, and detail-oriented Comfortable working remotely and managing tasks independently Tech-savvy with basic knowledge of online platforms (booking systems a plus) Must be 18 years or older with reliable internet access and a computer Passion for travel and helping others plan great experiences What We Offer:Remote, flexible work environment Entry-level onboarding and continuous training Supportive team and professional development opportunities Access to industry tools and hotel booking platforms Travel perks and performance-based incentives Work Environment: This is a remote position with flexible hours. It's perfect for individuals who are self-motivated, enthusiastic, and ready to start a fulfilling path in the travel and hospitality industry.

As a Patient Care Coordinator, you will support patients throughout their specialty therapy journey by coordinating refill activities, communicating with caregivers and healthcare providers, and ensuring timely, accurate delivery of medications. You will help create a supportive, service‑oriented experience while contributing to reliable pharmacy operations. Responsibilities Communicate with patients, caregivers, and medical staff to coordinate medication deliveries and follow‑up needs. Make outbound and receive inbound calls, documenting all interactions accurately. Support pharmacy operations by evaluating product usage, documenting inventory, completing verbal assessments, and setting up medication orders under pharmacist supervision. Update patient profiles, complete assessments, and assist with refill setup while maintaining accurate records. Meet or exceed call productivity and quality metrics. Provide exceptional customer service and maintain a professional, positive image. Serve as an information conduit between pharmacy operations and patients, caregivers, or medical professionals. Maintain compliance with organizational behaviors and competencies. Perform additional tasks as assigned to support patient care and operational needs. Required Qualifications High school diploma or GED. Proficiency in Microsoft Office. Preferred Qualifications Pharmacy technician certification. Prior specialty healthcare experience. Strong communication, organization, and customer service skills. Ability to manage time effectively and work both independently and collaboratively. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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 Care Coordinator (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.

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.

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 Care Coordinator (“Care Coordinator”) 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. Care Coordinator is also responsible for providing care coordination activities and monitoring to individuals who have been deemed eligible for 1915i services by North Carolina Department of Health and Human Services (DHHS). Care Coordinator 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. Care Coordinator 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 Care Coordinator also works with other Vaya staff, members, relatives, caregivers/ natural supports, providers, and community stakeholders. As further described below, essential job functions of the Care Coordinator 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) Care Coordination 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) Care Coordination 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.

Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you. As a Care Coordinator, 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.