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Ambulatory care coordinator jobs in Toledo, OH - 24 jobs

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Ambulatory Care Coordinator
Patient Care Coordinator
Clinical Care Coordinator
MDS Coordinator
Hospitality Coordinator
Nurse Coordinator
Case Management Specialist
Managed Care Coordinator
Intake Coordinator
  • Patient Care Coordinator

    AEG 4.6company rating

    Ambulatory care coordinator job in Sylvania, OH

    Patient Care Coordinators are responsible for providing exceptional service by welcoming our patients and ensuring all check-in and checkout processes are completed. Acknowledge and greets patients, customer, and vendors as they walk into the practice, in a friendly and welcoming manner Answers and responds to telephone inquiries in a professional and timely manner Schedules appointments Gathers patients and insurance information Verifies and enters patient demographics into EMR ensuring all fields are complete Verifies vision and medical insurance information and enters EMR Maintains a clear understanding of insurance plans and is able to communicate insurance information to the patients Pulls schedules to ensure insurance eligibility prior to patient appointment and ensures files are complete Prepare insurance claims and run reports to ensure all charges are billed and filed Print and prepare forms for patients visit Collects and documents all charges, co-pays, and payments into EMR Allocates balances to insurance as needed Always maintains a clean workspace Practices economy in the use of _me, equipment, and supplies Performs other duties as needed and as assigned by manager
    $45k-57k yearly est. 3d ago
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  • Care Coordinator

    Ohioans Home Healthcare & Hospice 3.2company rating

    Ambulatory care coordinator job in Perrysburg, OH

    Location: Perrysburg, OH You make patient care your top priority. As a Care Coordinator at Ohioans Home Healthcare, your highly organized nature and detail-oriented approach are key assets in coordinating daily care for patients. In this administrative position at our Perrysburg offices, you'll schedule and manage the daily workload of caregiver staff as you coordinate care for patients. You will apply your strong assessment skills to evaluate patients referred to the agency, coordinate care between all disciplines and ensure the integrity of patient care and the quality experience we're known for. We'll rely on you to assign cases to RN case managers, manage staff productivity and play a key role as an informational resource for nurses in the field. Putting the care in your career Because we are invested in your career satisfaction, we provide: Stability: This is a full-time, in office position. Autonomy: Use your knowledge, skills and abilities to essentially direct the day of nursing staff and maintain the detailed daily patient care schedule. A Culture of Respect: Employee satisfaction is important for people who provide highly personalized care. Our culture attracts the best; in fact, 90% of our staff were referred from other employees. That speaks volumes about our reputation. Solid Support: You'll have all the resources you need to perform at the top of your game. We promote an open-door policy with access to executive management at all times, and a team of coworkers always willing to step up and pitch in. Excellent Training: Although autonomy is a benefit of this role, we still support your need for learning and development. That's why we provide training and education in order for you to maintain knowledge of new staff, and to notify management of any and all staffing needs or issues. Better Comp & Benefits: We offer competitive pay and excellent benefits that include a 401(k) plan, medical/dental/vision coverage, PTO, short-term disability, company-paid life insurance policy and much more. A provider and employer of choice Ohioans Home Healthcare is a Medicare and Medicaid Certified and CHAP-accredited skilled home health care agency serving 34 counties in Ohio and Southeast Michigan. We offer a wide range of coordinated services as we strive to meet every patient's needs with the highest level of care in a positive, safe and healing environment. For multiple years, we have been named to the Homecare Elite Top 500, presented to the top 25% of agencies across the country. We've also earned Top Workplace awards from Workforce Dynamics and the Toledo Blade , and have an A+ rating with the Better Business Bureau. Ohioans Home Healthcare is an equal opportunity employer. Requirements We are looking for candidates with: A high school diploma or GED; MA, CNA or medical background a plus Exceptional time-management and organizational skills MS Office proficiency, particularly Excel; DeVero EHR system a plus Ability to schedule and maintain contact with a large staff, as well as communicate with contracted companies (therapists) to ensure care coverage Knowledge of the home healthcare environment preferred This is an in-office position located in Perrysburg, OH #CC123
    $38k-55k yearly est. 20d ago
  • Patient Care Ambulatory Care Pre-Op and PACU

    Trinity Health 4.3company rating

    Ambulatory care coordinator job in Ann Arbor, MI

    Employment Type:Full time Shift:Day ShiftDescription: Other Job Titles: Patient Care Tech (PCT), C.N.A, and M.A. (Medical Assistant) Department: Ambulatory Surgery -Pre-Op/PACU Minimum rate of pay: 16.29 PLUS Daily PAY Position Purpose: The PCT, under the direction of a registered nurse, is responsible for direct patient care considering age specific, developmental, cultural and spiritual needs. They assist in establishing and maintaining a patient care environment that is clean, safe and conducive to patient/family wellbeing including concepts of relationship-based care. Shifts Available: 6:30 am-3:00pm; 2:30pm-11:00pm, 10:30pm-7:00am Status Available: Full-time, Part-time, Contingent/PRN Every Other Weekend and Holiday per year required for Full-time and Part-time team members. REQUIRED EDUCATION / LICENSURE High school diploma or GED Minimum of one year of previous direct care experience (acute or long term) or successful completion of CENA, PCT, MA, or EMT course. Student nurses must have completed their nursing fundamentals class of a BSN program. What you will do: Training is provided to prepare our colleagues for success. The PCT assists patient in completing ADLs including: Bathing, showering, toileting, positioning, turning, transferring, ambulation using assistive devices and with feeding and menu selection. A PCT will collects and send specimens including blood and blood cultures and inserts and removes peripheral IV catheters. They are responsible to record patient information and required data in appropriate areas in order to meet documentation requirements. Total Rewards and Benefits: Competitive compensation, DAILY PAY Benefits effective Day One! No waiting periods. Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long- term Disability Retirement savings plan with employer match and contributions Opportunity for growth and advancement throughout SJMHS and Trinity Health Tuition Reimbursement Click Here to learn more about the benefits, culture and career development opportunities available to you at Trinity Health Michigan. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
    $37k-44k yearly est. Auto-Apply 8d ago
  • Clinical Coordinator - Primary Care

    Zepf 3.8company rating

    Ambulatory care coordinator job in Toledo, OH

    Zepf Center has been serving the Lucas County community for over 50 years. We are the leading provider of behavioral health and substance use disorder services in Northwest Ohio. Services include adult and child psychiatric, substance abuse, case management, residential, Crisis Care, and therapy programs, as well as career development and wellness services. Zepf Center also offers primary care medical services to our patients to contribute to their continuum of care. Zepf Center is a trauma-informed agency and environment for both patients and staff. General Summary: The Clinical Coordinator will be responsible for overseeing the day-to-day operations of the Primary Care clinic to ensure efficient workflows, high-quality patient care, and compliance with regulatory standards. This role will coordinate care across multiple service lines, support providers and staff with clinical and administrative functions, manage reporting and data tracking, and oversee scheduling and resource allocation. The Clinical Coordinator serves as a key liaison between patients, providers, behavioral health, case management, and external partners, ensuring seamless and patient-centered care. Essential Duties and Responsibilities: Manage daily clinic operations to ensure smooth patient flow, efficient resource use, and a positive patient experience. Monitor, evaluate, and improve clinic workflows; update and maintain Standard Operating Procedures (SOPs). Coordinate care between Primary Care providers, case management, behavioral health, and specialty services. Monitor and manage care coordination activities for high-risk or complex patients. Support and participate in community outreach and patient engagement activities. Track operational reports (e.g., no-shows, discharges, patient panel management, provider productivity, enrollment). Identify trends and recommend action steps to improve efficiency, patient retention, and scheduling practices. Oversee supply and medication inventory, ordering, cost analysis, and vendor relationships. Ensure compliance with Point-of-Care (POC) testing procedures, including staff training, daily maintenance, and quality assurance. Oversee lab result tracking, ensuring timely documentation and provider follow-up. Assign and track peer reviews for Primary Care staff. Manage provider and staff schedules; coordinate coverage, including assisting with clinical and/or administrative duties at times of absences Assist with onboarding, training, and mentoring of new staff. Assist with monitoring and reviewing 340b medication activities and reports Collaborate with the Health Center Director of Operations to prepare and present operational data. Perform other duties as assigned. Specific/Individual Competencies: Professional, courteous, and respectful approach with patients, staff, and community partners. Strong organizational and problem-solving skills with the ability to prioritize competing demands. Ability to adapt to change, remain flexible, and foster continuous process improvement. Maintains confidentiality and complies with HIPAA and other regulatory standards. Demonstrates accountability, initiative, and reliability in daily responsibilities. Organizational Competencies: Demonstrates knowledge of the agency's mission, vision, goals, and policies. Strives for high patient and provider satisfaction through collaborative teamwork. Models professionalism, integrity, and ethical conduct in all interactions. Abides by the agency's and/or professional code of ethics and care. Requirements Position Qualifications: Associate degree in Nursing, Healthcare Administration, or related field required; LPN, RN, or other healthcare-related associate degree strongly considered. Bachelor's degree in Nursing, Healthcare Administration, Business Administration, or related field preferred. Minimum 3-5 years of experience in a healthcare setting, preferably in Primary Care, with demonstrated operational and administrative responsibilities. Experience with staff scheduling, workflow coordination, and quality improvement initiatives. Strong computer skills, including proficiency in Microsoft Office Suite (Excel, Word, Outlook, PowerPoint). Experience with Electronic Health Records (EHR) systems preferred. Strong written and verbal communication skills with the ability to build effective relationships across teams. Demonstrated ability to analyze data and prepare reports to support decision-making. Prior experience in a FQHC setting and familiarity with the 340b program is a plus
    $38k-49k yearly est. 60d+ ago
  • MDS Coordinator

    Career Strategies 4.0company rating

    Ambulatory care coordinator job in Toledo, OH

    Job Title: MDS Coordinator Responsibilities: Coordinate the Minimum Data Set (MDS) process for residents in accordance with regulatory guidelines Conduct comprehensive assessments of residents' health status and care needs Collaborate with interdisciplinary teams to develop individualized care plans Ensure accuracy and completeness of MDS assessments and documentation Stay updated on changes in regulations and requirements related to MDS Train and educate staff on MDS processes and documentation standards Participate in quality improvement initiatives and audits. Communicate effectively with residents, families, and healthcare professionals Requirements: Current licensure as a Registered Nurse (RN) Previous experience as an MDS Coordinator preferred. Knowledge of MDS process and regulations Strong attention to detail and organizational skills Excellent communication and interpersonal abilities Ability to work collaboratively in a team environment Proficiency in electronic health record systems preferred To apply, please submit your resume and cover letter to asnook@csi4jobs.com. Equal Opportunity Employer
    $59k-74k yearly est. 60d+ ago
  • Patient Care Coordinator

    Sedgwick 4.4company rating

    Ambulatory care coordinator job in Toledo, OH

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Patient Care Coordinator Are you looking for an impactful job that offers the opportunity to develop a professional career? Bring your 1-2 years' experience in an office setting and grow with us! + A stable and consistent work environment in an office and/or virtual setting + A training program to learn how to help employees and customers from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional growth opportunities through increasing responsibilities + A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE** : To provide world class customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and/or confirming delivery of said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as well as referrals already in process. + Procures vendor partners for each referral as it relates to the goods or services requested. + Responsible for making or taking phone calls on existing referrals, new referrals, or other team members referrals. + Provides quotes back to clients for approval or follow up on quotes already sent to obtain written approval for requested referrals ensuring that each referral is deemed medically necessary and approved by the claim's adjuster. + Confirms all required and relevant billing information exists in each referral as it relates to the workflow and billing processes in place and moves those referrals to be billed each day. + Processes referrals per state regulations and workers compensation guidelines. + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** + Education & Licensing: High school diploma or GED required. + Skills: Strong oral and written communication, computer literate - including Microsoft Office, organizational skills required + PC literate, including Microsoft Office products, Windows environment. + Must meet minimum typing requirements. + Experience: Clerical or customer service experience or equivalent combination of education and experience preferred **TAKING CARE OF YOU** + Entry-level colleagues are offered a world class training program with a comprehensive curriculum + An assigned mentor and manager that will support and guide you on your career journey + Career development and promotional growth opportunities + A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more **Work environment requirements:** Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. **NOTE** **:** Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (16.00 - 19.00). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. _ Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $25k-30k yearly est. 60d+ ago
  • Patient Care Coordinator

    Pure Smiles

    Ambulatory care coordinator job in Findlay, OH

    Be part of a family-owned, rapidly growing company that prides itself in using state-of-the-art technology, has a team-oriented work environment and gives you the opportunity to work alongside some of the dental industry's greatest owners, administrators, doctors and dental assistants. In addition, you will be paired with a team lead/office manager who is invested in you and your success! No weekends or late nights! Description: Pure Smiles-Findlay is offering an exciting career opportunity as a Patient Care Coordinator . In this role, you will: be an integral part of our dynamic team of dental health care professionals represent the Pure Smiles brand by being warm, friendly and helpful as well as a team player and comfortable with change greet and check in patients promptly and courteously, and provide them clear, accurate information about their scheduled appointment/treatment communicate with the clinical staff during the patient's appointment to keep everyone on schedule and informed about patient's needs respond to incoming text messages, emails, appointment requests, and voicemail (multi-tasking skills are critical!) coordinate with the practitioner, the patient, and their insurance provider to determine estimated treatment costs based upon the proposed treatment plans, applicable lab fees, and benefits coverageincrease new patient growth by supporting marketing and promotional programs, including recall, continuing care calls, and working with referrals We Provide: A full-time opportunity: Monday through Wednesday 7:30am-5pm and Thursday 7:30am-4pm, as well as one Friday a month from 7:30am-2pm. Paid time off, health and dental insurance, 401(k) and 401(k) matching, paid time off, 3 paid sick days, 7 paid holidays, uniform/clothing allowance, new Teammate dental exam, continuing education and much more! We are Looking for Candidates Who: have dental practice experience and know dentistry terms want to make a positive lasting difference in the lives of our patients through high quality dentistry are passionate, pursue continuous growth, possess gratitude, and have an abundance mindset approach each day with motivation, determination and confidence possess excellent communication, teamwork, multi-tasking and customer service skills are reliable, timely and able to build trust with patients thrive in a culture of empowerment, advanced technology and education enjoy working on a team and having fun! If this is you, WE are your match! Pure Smiles-Findlay looks forward to meeting you! Apply today to speak with a recruiter and learn more! *Pure Smiles is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged. Pure Smiles prohibits discrimination and harassment and affords equal employment opportunities to teammates and applicants without regard to any characteristic (or classification) protected by applicable law. Job Type: Full-time Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Health savings account Paid time off Uniform allowance Vision insurance Schedule: 8 hour shift COVID-19 considerations: Our office has COVID-19 precautions in place to protect our staff and our patients. Ability to commute/relocate: Findlay, OH: Reliably commute or planning to relocate before starting work (Required) Experience: Customer service: 2 years (Preferred) Dental terminology: 1 year (Required) Computer skills: 1 year (Required) Work Location: In person
    $23k-38k yearly est. 60d+ ago
  • Associate Patient Care Coordinator and Patient Care Coordinator

    Providence Health & Services 4.2company rating

    Ambulatory care coordinator job in Oregon, OH

    This is a combined posting for an Associate Patient Care Coordinator and Patient Care Coordinator . The requirements of each role are listed below under each associated title. Consideration for each role will be based on qualifications. If you have the qualifications of any one of these three positions, we encourage you to apply. We are growing and hiring for multiple openings in Primary Care and Specialty Care Clinics in the Portland Metro Area (Multnomah, Washington, Clackamas, and Yamhill Counties). We will discuss current open positions and your preferences during the interview. Providence caregivers are not simply valued - they're invaluable. Join our team at PROVIDENCE HEALTH & SERVICES - OREGON and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Key Responsibilities + Serve as the first point of contact, providing exceptional customer service to patients and visitors in person and by phone. + Act as a liaison between patients, providers, and care teams to ensure a smooth patient experience. + Perform front and back-office duties, including scheduling, registration, insurance verification, updating demographic information,and patient support. + Maintain clinic efficiency through accurate documentation and adherence to workflows within the electronic medical record (EPIC). + Demonstrate growth and proficiency in supporting Providence's mission of compassionate, high-quality care. + Able to manage multiple tasks and competing priorities Associate Patient Care Coordinator (1) Required Qualifications: + 6 months of customer service related experience. Preferred Qualifications: + 6 months of office experience, medical office preferred. Recent experience in the medical field. + 6 months of electronic medical record experience (e.g. EPIC) Salary Range, Oregon Min: $19.40, Max: $29.08 Patient Care Coordinator (2) Required Qualifications: + 1 year of experience in medical/healthcare setting. + Prior experience providing a high level of customer service in a fast paced environment, including handling confidential data with discretion. + Electronic Medical Records experience (e.g. EPIC) Salary Range, Oregon Min: $21.16, Max: $32.37 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers. PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's St. John's Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 410204 Company: Providence Jobs Job Category: Patient Access Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 5011 PMG N STAFFING Address: Work Location: Workplace Type: On-site Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
    $23k-35k yearly est. Auto-Apply 3d ago
  • Care Management Coordinator

    CVS Health 4.6company rating

    Ambulatory care coordinator job in Oregon, OH

    We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Program SummaryJoin our Aetna care management team as we lead the way in providing exceptional care to dual eligible populations! You will have a life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid. As a member of the care team, you will collaborate with members, the internal care team, healthcare providers, and community organizations to meet the complex healthcare and social needs of our members Be part of this exciting opportunity as we expand our DSNP services to transform lives in new markets across the country. Position Summary/MissionAs a vital member of our Special Needs Plan (SNP) care team, the Care Coordinator (CC) is responsible for coordinating care for our members through close collaboration with the Care Manager, Social Worker, and other interdisciplinary team members. This role involves evaluating member needs through the annual Health Risk Survey, addressing social determinants of health (SDoH), coordinating care across the continuum, and closing gaps in preventive and health maintenance care. Key Responsibilities:Member Evaluation: Conduct the annual Health Risk Survey to support needs identification for the member's Individual Plan of Care. Risk Escalation: Inform the assigned care manager of newly identified health/safety risks or service needs Care Coordination: Complete care coordination activities delegated by the care manager within an established timeframe. Quality Issue Escalation: inform the assigned care manager and/or associate manager of any identified quality of care issues. Advocacy: Passionately support the member's care coordination needs and drive solutions to address those needs. Member Engagement: Use problem-solving skills to find alternative contact information for members who are unreachable by care management. Employ motivational interviewing techniques to maximize member engagement and promote lifestyle changes for optimal health. Monitoring and Documentation: Adhere to case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies. Essential Competencies and Functions:Meet performance and productivity metrics, including call volume, successful member engagement, and compliance with state/federal regulatory requirements. Conduct oneself with integrity, professionalism, and self-direction. Demonstrate a willingness to learn about care management within Medicare and Medicaid managed care. Familiarity with community resources and services. Navigate various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records. Maintain strong collaborative and professional relationships with members and colleagues. Communicate effectively, both verbally and in writing. Exhibit excellent customer service and engagement skills. Required Qualifications2+ years in behavioral health, social services, or a related field relevant to the program focus Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and capable of utilizing these tools effectively in the CM Coordinator role Access to a private, dedicated workspace to fulfill job requirements effectively Candidate must reside in MST/PST state Preferred QualificationsCase Management and Discharge Planning ExperienceManaged Care ExperienceEducationHigh School Diploma with equivalent experience (REQUIRED) Associate's or Bachelor's Degree or non-licensed master's level clinician in behavioral health or human services (psychology, social work, marriage and family therapy, counseling) or equivalent experience (PREFERRED) Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$21. 10 - $36. 78This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 02/20/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $21 hourly 6d ago
  • CLINICAL CARE COORDINATOR (Ambulatory Care- Hemophilia and Coagulation Disorders Program)

    University of Michigan (The Regents @ Ann Arbor 4.6company rating

    Ambulatory care coordinator job in Ann Arbor, MI

    Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. Responsibilities* * Provide safe, effective, and specialized nursing care in the ambulatory care Hemophilia and Coagulation Disorders clinic. * Clinical duties include: * Coordinate and provide focused nursing care in an ambulatory care setting for pediatric and adult patients and families for the University of Michigan Hemophilia and Coagulation Disorders program. * Active participation in collaborative problem solving with multidisciplinary teams across practice settings and the continuum of care both within and external to Michigan Medicine. * Support and provide patient care in the clinic setting inclusive of patient and family education and care coordination, teaching families how to administer factor therapies, and administering therapies as needed. * Develop and implement educational materials, standards, methods, and tools to improve patient care. * Acts on behalf of patients and families to ensure care that is safe and appropriate with consideration for values, diversity, and human rights. Highly motivated patient advocate. * Provides telephone management which includes triage of calls from patients, caregivers, clinicians, and other healthcare team members. * Participate in quality improvement initiatives at the institutional, local, state, regional, national, and/or international level. * Provide education to relevant representatives from community agencies and school leaders. * Liaise with other professional organizations to ensure compliance with program specific requirements. * Assist with patient eligibility determination for active and new research studies. * Collaborate with research coordination team with responsibilities such as collection of data, coordination of lab draws, and the IRB process. * Assist with maintenance of accurate record keeping, surveillance, and quality improvement initiatives supporting grant application, research studies, and surveillance projects. * Maintain a high level of professional conduct with minimal direct supervision. * Note: This position is funded through grant funding. Expectations * Demonstrated critical thinking skills through use of the nursing process, excellent problem-solving skills, and demonstrated ability to set priorities. * Demonstrated customer service, interpersonal communication skills, and the ability to build respectful relationships within and between units and individuals. * Demonstrated accountability and dependability including a good attendance record with punctuality. * Demonstrated adaptability to changing needs and priorities based on unit, department, and institutional goals/objectives. * Demonstrated knowledge and skills providing patient and family education and coaching related to chronic conditions including, but not limited to, diabetes, asthma, and coronary artery disease. * Proficiency with typing and electronic health record documentation. * Ability to manage complex clinical issues utilizing assessment skills, protocols, and evidence-based interventions. * Willingness to adapt to different populations ie: pediatrics, OB/GYN, adult medicine as patient demands. * Demonstrated accountability and dependability for example, completion of work, mandatories, goal setting within established timelines. Nursing Specific Info Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan medicine is comprised of over 26,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good. What Benefits can you Look Forward to? Nursing at Michigan offers a competitive salary with excellent benefits! Hourly range for RSAM Competent, Registered Nurses $43.10-$67.03/ hour * Evening Shift Differential-$3.00 / hour * Night Shift Differential- $4.00 / hour * Day Shift Weekend Differential- $2.90 / hour * Evening Shift Weekend Differential- $5.90 / hour * Night Shift Weekend Differential- $6.90 / hour * Charge Nurse Differential- $1.00 / hour The benefit package includes: * Excellent medical, dental and vision coverage * 2:1 Match on retirement savings and immediate vesting * Generous Paid Time Off Allowances * Robust Tuition and Certification support programs * Large offering of no cost CEs and professional development for advancement Nursing Specific Info This UMPNC RN posting is posted under the Role-Specific Advancement Model (RSAM) as: CLIN CARE COORD - COMPETENT. Actual RSAM LEVEL and salary will be determined at time of hire. RSAM levels range from CCC-COMPETENT to CCC-EXPERT TO CCC-MASTERY TO CCC- MASTERY PLUS Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Posting may be filled after the initial 5-day posting period. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined. If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at **************. Required Qualifications* Required Educational Requirement (applicant must meet one of the following educational requirements): Bachelors degree in Nursing - OR - Associates degree or diploma in Nursing and a Masters degree in Nursing * Current license to practice nursing in the State of Michigan. * Minimum three (3) years nursing experience. * Two (2) years within the last five (5) years Pediatric RN experience * BLS certification NOTE: Required qualifications must be met by the candidate in order to be interviewed and considered for the position. RESUME REQUIRED (for both internal & external applicants): You must attach a complete and accurate resume to be fully considered for this position. Desired Qualifications* * Minimum one (1) year recent (within the last five years) ambulatory care RN experience * Minimum one (1) year recent (within the last five years) clinical experience as a Registered Nurse caring for patients with bleeding disorders. * Experience developing patient education materials * Professional nursing certification in hematology and/or oncology specialty * Experience managing patients with hemophilia A and B in the ambulatory care setting. * Experience managing anticoagulant therapy in an ambulatory care setting * Experience with MiChart, EPIC, Cisco Finesse, Word, and Excel Work Schedule Hours/Week: Day shift, Mon-Friday, 5 days a week, 8-hour shifts with variable start times based on clinic needs. Hours: 40 hours per week Location: University of Michigan Campus and other work locations as needed to support patient populations seen in other locations. Additional Information: This is a grant-funded position. Employment is dependent on continued funding and may be terminated if funding ceases. Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes
    $43.1-67 hourly 3d ago
  • Social Work Patient Care Coordinator - 498081

    University of Toledo 4.0company rating

    Ambulatory care coordinator job in Toledo, OH

    Title: Social Work Patient Care Coordinator Department Org: Outcome Management Outpatient - 114160 Employee Classification: B6 - Unclass Part Time AFSCME HSC Bargaining Unit: AFSCME HSC Primary Location: HSC H Shift: 1 Start Time: 0800 End Time: 1630 Posted Salary: $27.98 - $33.32 Float: True Rotate: True On Call: True Travel: False Weekend/Holiday: True Job Description: General Summary • Responsible for improving the quality of patient care as a member of the multidisciplinary patient care team and responsible for identifying and facilitating the social work service needs of patients and families in the acute care and outpatient populations, including psycho-social assessment, information and referrals, high risk screening, crisis interventions, resolutions and early discharge planning. • Facilitates the discharge planning process throughout the patient's continuum, functions to promote optimal clinical, financial, and satisfactory patient outcomes. • Demonstrates professional interpersonal skills and effectively communicates with patients, families, physicians, other members of the patient care team, and representatives from the community. • Support change, challenge current health care delivery models and advocate for more efficient methods for the delivery of social work services. • Provide medical specialty care coordination as assigned. • Provide coverage of other Clinic Areas as assigned. Minimum Qualifications: Qualifications/Knowledge, Skills & Abilities (Indicate minimum required to qualify or perform this job.) • State of Ohio, Licensed Social Worker (LSW) required. • Master's Degree in Social Work required. • Licensed Independent Social Worker preferred (LISW). • Previous social work experience in a health care setting required. • Competent in computer skills (Word, Excel, Internet and e-mail) required. • Excellent written and verbal communication skills required. • Must possess a high level of integrity in dealing with confidential data. • Flexibility in daily assignment as needed. • Adherence to principles of infection control as defined by risk assessment of the job. • Weekend/holiday rotation. Preferred Qualifications: Conditions of Employment: To promote the highest levels of health and well-being, the University of Toledo campuses are tobacco-free. To further this effort, the University of Toledo Health Science Campus Medical Center is requiring candidates for employment to be nicotine-free. Pre-employment health screening requirements will include cotinine (nicotine) testing, as well as drug and other required health screenings for the position. With the exception of positions within University of Toledo Main Campus and the University of Toledo College of Medicine and Life Sciences, the employment offer is conditional upon successful completion of a cotinine test and Occupational Health clearance. Equal Employment Opportunity Statement: The University of Toledo is an equal opportunity employer. The University of Toledo does not discriminate in employment, educational programs, or activities on the basis of race, color, religion, sex, age, ancestry, national origin, sexual orientation, gender identity and expression, military or veteran status, disability, familial status, or political affiliation. The University is dedicated to attracting and retaining the best and brightest talent and fostering a culture of respect. The University of Toledo provides reasonable accommodation to individuals with disabilities. If you require accommodation to complete this application, or for testing or interviewing, please contact HR Compliance at ************************ or ************ between the hours of 8:30 a.m. and 5 p.m. or apply online for an accommodation request. Computer access is available at most public libraries and at the Office of Human Resources located in the Center for Administrative Support on the UToledo Main Campus.
    $28-33.3 hourly 60d+ ago
  • MDS Coordinator (LPN, RN)

    Trilogy Health Services 4.6company rating

    Ambulatory care coordinator job in North Baltimore, OH

    JOIN TEAM TRILOGY At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive! POSITION OVERVIEW The MDS Coordinator (LPN, RN) is responsible for overseeing the resident assessment and care planning process and ensuring compliance with federal and state regulations related to resident assessments, quality of care and Medicare/Medicaid reimbursement. Key Responsibilities * Conduct and complete the Minimum Data Set (MDS) assessment to evaluate residents' physical, psychological and functional status, including the implementation of Care Area Assessments (CAA)s and triggers. * Evaluate each resident's condition and pertinent medical data to determine any need for special assessment activities or a need to amend the admission assessment. * Prepare and electronically transmit timely reports to the national Medicare and Medicaid databases. * Develop a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident and the goals to be accomplished for each problem/need identified. * Provide information to residents/families on Medicare/Medicaid and other financial assistance programs available to the residents. * Ensure that MDS notes are informative and descriptive of the services provided and of the residents' response to the service. * Assist with completing the care plan portion of the residents' discharge plan. Evaluate and implement recommendations from established committees as they pertain to the assessment and/or care plan functions of the health campus. Qualifications * Must have and maintain a current, valid state LPN or RN license * Three (3) to five (5) years' experience working in the MDS or assessment role in a senior residential care, healthcare, senior living industry or long-term care environment, preferred * Current, valid CPR certification required Compensation will be determined based on the relevant license or certification held, as well as the candidate's years of experience. LOCATION US-OH-North Baltimore Briar Hill Health Campus 600 Sterling Drive North Baltimore OH BENEFITS Our comprehensive Thrive benefits program focuses on your well-being, offering support for personal wellness, financial stability, career growth, and meaningful connections. This list includes some of the key benefits, though additional options are available. * Medical, Dental, Vision Coverage - Includes free Virtual Doctor Visits, with coverage starting in your first 30 days. * Get Paid Weekly + Quarterly Increases - Enjoy weekly pay and regular quarterly wage increases. * Spending & Retirement Accounts - HSA with company match, Dependent Care, LSA, and 401(k) with company match. * PTO + Paid Parental Leave - Paid time off and fully paid parental leave for new parents. * Inclusive Care - No-cost LGBTQIA+ support and gender-affirming care coordination. * Tuition & Student Loan Assistance - Financial support for education, certifications, and student loan repayment. TEXT A RECRUITER Andrea ************** ABOUT TRILOGY HEALTH SERVICES Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. We're proud to be recognized as one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. At Trilogy, we embrace who you are, help you achieve your full potential, and make working hard feel fulfilling. As an equal opportunity employer, we are committed to diversity and inclusion, and we prohibit discrimination and harassment based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. NOTICE TO ALL APPLICANTS (WI, IN, OH, MI & KY): for this type of employment, state law requires a criminal record check as a condition of employment. The MDS Coordinator (LPN, RN) is responsible for overseeing the resident assessment and care planning process and ensuring compliance with federal and state regulations related to resident assessments, quality of care and Medicare/Medicaid reimbursement. Key Responsibilities * Conduct and complete the Minimum Data Set (MDS) assessment to evaluate residents' physical, psychological and functional status, including the implementation of Care Area Assessments (CAA)s and triggers. * Evaluate each resident's condition and pertinent medical data to determine any need for special assessment activities or a need to amend the admission assessment. * Prepare and electronically transmit timely reports to the national Medicare and Medicaid databases. * Develop a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident and the goals to be accomplished for each problem/need identified. * Provide information to residents/families on Medicare/Medicaid and other financial assistance programs available to the residents. * Ensure that MDS notes are informative and descriptive of the services provided and of the residents' response to the service. * Assist with completing the care plan portion of the residents' discharge plan. Evaluate and implement recommendations from established committees as they pertain to the assessment and/or care plan functions of the health campus. Qualifications * Must have and maintain a current, valid state LPN or RN license * Three (3) to five (5) years' experience working in the MDS or assessment role in a senior residential care, healthcare, senior living industry or long-term care environment, preferred * Current, valid CPR certification required Compensation will be determined based on the relevant license or certification held, as well as the candidate's years of experience. At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive!
    $60k-73k yearly est. Auto-Apply 5d ago
  • MDS Coordinator

    Ehmss

    Ambulatory care coordinator job in Saline, MI

    Registered Nurse RN MDS - Daisy Medical is looking to add talented/dependable Registered Nurse RN MDS - - to our team! You will be joining a talented group of healthcare professionals! ************************ ASAP START 8-13 week contract (Extension Possible) DAYS Registered Nurse RN MDS - If you are interested I would need: Updated Resume showing Registered Nurse RN MDS - Experience BLS You can email me at ******************************** Or call with any questions: ************ Registered Nurse / MDS Coordinator Daisy is a very responsive and growing agency, with the #1 goal of finding talented healthcare professionals and getting them premium shift assignments! Daisy Medical Staffing is a rapidly growing company owned and operated locally by a Nurse. We offer competitive rates and flexible schedule. Daisy Medical Staffing is owned and operated by a Michigan Nurse! We are located in Southeast Michigan and our sole focus is on the staffing needs of Healthcare professionals and facilities in the greater Metro Detroit area. This allows us to have a focus on the specific needs and goals of our clients that national staffing companies cannot match. We know the needs of Allied Healthcare professionals and work tirelessly to provide a local/personalized staffing experience that is extremely unique in our industry. We look forward to working with the thousands of talented Healthcare professional in Southeast Michigan that keep our communities safe, healthy and happy! Registered Nurse RN MDS - I look forward to meeting you and welcoming you to our talented team, Claire, BSN Owner #IND2
    $66k-89k yearly est. Easy Apply 53d ago
  • Permanent Supportive Housing Case Management Specialist

    Wayne-Metropolitan Community Action Agency 4.0company rating

    Ambulatory care coordinator job in Wyandotte, MI

    Scope: Wayne Metro's Permanent Supportive Housing (PSH) Program is designed to provide permanent and stable housing to formerly homeless people in Wayne County. The PSH Program operates as a Housing First program and provides intensive, community-based case management services to households across the county. The PSH Case Management Specialist will maintain a caseload of up to 20 households and provide person-centered, trauma-informed services to help people obtain and remain in stable housing. This position must be filled by an individual who has a passion for social justice work, is a team player, and is committed to working alongside people as they transition out of homelessness into permanent and stable housing Essential Functions Provide supportive services and develop trusting relationships to individuals being served by Wayne Metro's Permanent Supportive Housing Program. Provide face-to-face engagements to PSH residents both in their homes and in the community. PSH Case Management Specialist are expected to meet or exceed weekly contact requirements for each of their PSH residents Engage PSH residents to collaboratively develop goals and individualized service plans to support their housing stability, mental health, substance abuse, health, education, income, employment, and other priority areas. Provide housing navigation services to individuals who are newly assigned to Wayne Metro's PSH Program, including assistance in obtaining identification documents, completing housing applications, and identifying and viewing housing units. Support residents to maintain housing stability through individually tailored services and by facilitating effective connections to community services and resources. 1o Examples of support services include successful tenancy problem-solving, independent living skill-building, connection to public benefits and employment assistance, money management support, and connection to medical, mental health, and substance use disorder services. Act as liaison with landlords and other community stakeholders to promote the success of residents and the PSH program. Collaborate with other service providers in the community to ensure that residents are receiving high-quality, effective services to meet their needs. Maintain timely and accurate written and computerized records, compile reports, and complete other program documentation (e.g. case notes, incident reports, home visit reports, monthly and quarterly reports) and maintain appropriate confidentiality of residents' information and records. Maintain a positive attitude towards assigned work, clients, and staff, and a willingness to work with others. Perform work in a professional manner that upholds Wayne Metro's policies and procedures. Other duties as assigned. Physical Requirements and Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. This job operates in a professional office environment with a usually quiet noise level. This is largely a sedentary role and the employee must occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to sit, frequently use hands to finger, handle, and to talk or hear. Qualifications Minimum Qualifications: Bachelor's degree in Human Services, Public Administration, Social Work, or Business Administration or a combination of education and experience that is similarly equivalent. A minimum of four years of experience. Knowledge of demographics in Detroit and Out- Wayne County, the needs of low-income persons and services available to meet those needs. Ability to design and implement outreach, education, and information/referral services targeted towards persons facing economic, social, health, age, and educational barriers. Ability to identify, contact and work with area social service providers in both the public and private sectors to obtain, coordinate, and modify services in the interest of aiding low-income persons. Ability to collect and evaluate data regarding service needs, present services, and service gaps; and through such an evaluation, develop means through which to address those service gaps. Ability to effectively provide supervision for assigned staff and coordinate program activities occurring at various sites. Ability to design and implement new activities including program design, staffing patterns, and program operation. Ability to communicate very effectively both in oral and in written form. Ability to empathize and communicate with those persons facing economic, social, health, age, and educational barriers. Valid driver's license and reliable transportation. Exceptional interpersonal and professional skills including but not limited to professional appearance, tact, punctuality, and dependability. Minimum Competencies: Proficiency in Microsoft Applications (Word, Excel, Power Point) required. Working knowledge of basic internet applications and programs including Google technology. The ability to learn and utilize the necessary programs for this position. Ability to evaluate programs and processes and to propose strategic efficiencies. Ability to communicate effectively both in oral and in written form. Exceptional interpersonal and professional skills including but not limited to professional appearance, tact, punctuality, and dependability. Ability to provide services for those persons facing economic, social, health, age, and educational barriers with compassion, empathy, and respect. Ability to resolve customer complaints with compassion, empathy, respect and clarity. Ability to work independently or in a team environment (as deemed necessary). Perform work in a manner that upholds Wayne Metro policies and procedures. Travel Requirements: Ability to travel to various sites. Licensing and Other Requirements: Valid identification and reliable transportation. Although the Covid-19 vaccination is no longer mandated, it is encouraged. Wayne Metro will always prioritize the safety of our staff and clients. Work Hours: Work schedule is Monday - Friday, with specific hours (and occasional Saturdays) to be determined by department needs. Other Duties: Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Wayne Metropolitan Community Action Agency is an Equal Opportunity Employer EOE/M/F/D/V
    $28k-35k yearly est. 16d ago
  • MDS Coordinator

    Gibsonburg Health

    Ambulatory care coordinator job in Gibsonburg, OH

    Windsor Lane Health Care in Gibsonburg, Ohio is seeking an experienced RN MDS Coordinator. The primary purpose of this position is to coordinate the RAI process assuring the timeliness, and completeness of the MDS, CAA's, and Interdisciplinary Care Plan. JOB DUTIES & RESPONSIBILITIES • MDS scheduling and completion per RAI guidelines including coordinating care plan development and completion with the interdisciplinary team • Develop an individualized, comprehensive resident care plan with the interdisciplinary team to ensure care area triggers are addressed • Ensure care plans are reviewed quarterly and updated as needed to reflect current resident status with individualized problems, goals, and interventions • Coordinate with other disciplines to ensure timeliness of assigned sections of MDS completion and report noncompliance to Executive Director • Signature of MDS sections V0200B comprehensive CAA completion and Z0500A MDS completion • Oversee clinical reimbursement and case management services within the center for Medicare A and B, managed care, insurance, and Medicaid (case mix) • Direct and oversee the implementation of the companies programs, policies, and procedures related to the RAI process to ensure appropriate care is rendered and appropriate reimbursement is obtained • Coordinate the timely and effective service delivery for all residents while ensuring quality clinical outcomes with appropriate reimbursement • Advocate on behalf of the resident and facility for needed resident resources and services • Provide education to other health care providers, the facility's care team, and the resident/family on Medicare, Medicaid (case mix), managed care, and MDS completion • Work as a liaison between the facility, the resident/family, rehabilitation, and other care providers • Oversee and monitor MDS documentation and charting requirements that support services provided to meet billing requirements including state specific requirements for supportive documentation • Provide oversight of the medicare and managed care residents, coordinate rehabilitation and optimal recovery, and assist with discharge planning • Oversee the validation of Medicare entitlement and eligibility for prospective residents • Complete chart audits to assess the quality of the documentation to support skilled Medicare, managed care, and Medicaid coverage • Oversee the completion of certifications/recertifications • Ensure Medicare part A and B services are appropriately billed and meet medicare documentation guidelines • Oversee the resource utilization of services covered under consolidated billing as well as ancillary costs • Direct the completion of requests for additional information claims requests and appeal for denied Medicare, managed care, and Medicaid claims • Possess knowledge of facility managed care contract coverage guidelines, outliers, and contracts to ensure care is provided and billed appropriately • Act as a liaison with the managed care plan provider to communicate resident needs while representing the interests of the facility and resident • Ensure compliance with federal and state regulations, as well as the Companies' policies and procedures regarding state specific case mix • Participate in facility meetings per policy • Oversee MDS accuracy and pertinent narrative data to support MDS assessment • Perform other duties as assigned and Conduct job responsibilities in accordance with the standards set in the code of conduct, policies and procedures, applicable federal and state laws, and applicable professional standards. Benefits: Medical, Dental, Vision, STD/LTD, 401 K, PTO NEW COMPETATIVE WAGES
    $58k-79k yearly est. 60d+ ago
  • CMS Grievance Coordinator - CMS Grievance - Willard Hospital

    Bon Secours Mercy Health 4.8company rating

    Ambulatory care coordinator job in Tiffin, OH

    Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days/Afternoons (United States of America) The CMS Grievance Coordinator is responsible for the day-to-day work with the tracking and case management of patient-related concerns, grievances, complaints and appeals received for assigned client hospital(s). This position will receive, respond and log grievances while providing investigational support and follow-up as necessary as part of the hospital response and/or appeal to a patient grievance pursuant to CMS guidelines and/or managed care requirements including state regulation(s). This position must function in collaboration with clinical quality, hospital operational leadership and the risk department (CMS Conditions of Participation are the guidelines that hospitals must follow to receive Medicare funding). ESSENTIAL JOB FUNCTIONS: Will appropriately acknowledge the receipt of all concerns, grievance/appeals and track utilizing the case management workflow methodology instructed from the BSMH Quality department. Responsible for the gathering of all pertinent and relevant information from the patient and/or family member regarding the grievance/appeal, determining the appropriate resolution of the grievance/appeal per standard policies and procedures; and notifying the appropriate parties of the resolution and ensuring that all internal processes are completed to resolve the issue(s). Provides investigation and follow-up related to patient grievance(s) ensuring appropriate resolution in writing as required by hospital policy and CMS Conditions of Participation. Collects, analyzes, and reports data through the quality reporting structure of the organization to the facility Grievance Committee and other leaders as determined by policy and/or facility leadership. Assists in preparation of annual report of the grievance/resolution process to Board of Trustees. Collaborates with quality, risk, and leadership team to investigate and ensure appropriate follow-up of grievance. Communicates effectively with patient, family, and hospitals leaders. Utilizes appropriate databases for data entry and issue tracking. Maintains accurate and timely documentation, including complete database, issue tracking and files of all concerns, grievances/appeals. Develops excellent relationships with department leaders, medical staff and others to fully investigate and resolve issues. Possesses excellent letter writing and computer skills with knowledge of Word, Excel and Power Point and a willingness to work within the electronic medical record as necessary. Able to represent the hospital in meetings and presentations to patient families and medical staff in relation to the grievance process. Demonstrates ability to identify and define problems, collect data/information, establish facts and draw valid conclusions with critical thinking skills. May be asked to be part of the Incident Command Center during a crisis by assisting the Family Information Center. Must possess a high degree of professionalism and able to set goals, prioritize and achieve results in accordance with the highest standards and applies procedures to reflect hospital and professional practice standards interpretation with clinical leaders for handling complaints and grievances. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. EMPLOYMENT QUALIFICATIONS: Required Minimum Education: 2 Year/ Associates Degree Specialty/Major: Business or Healthcare Services Preferred Education: 4 year/ Bachelor's Degree Specialty/Major: Healthcare Administration or Business Management Minimum Years and Type of Experience : 1 - 3 years healthcare experience and demonstrated customer service skills; familiarity with CMS and other managed care insurance management programs or complaint/investigation department. Other Knowledge, Skills and Abilities Required: Excellent communication skills; with ability to collaborate and communicate sensitively and respectfully. Demonstrate professionalism and leadership. Other Knowledge, Skills and Abilities Preferred: Ability to organize and prioritize Mercy Health is an equal opportunity employer. As a Mercy Health associate, you're part of a Misson that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Case Mgmt - Willard Hospital It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, a ll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************.
    $40k-53k yearly est. 3d ago
  • BHS Intake Coordinator - RN - Contingent

    Henry Ford Hospital 4.6company rating

    Ambulatory care coordinator job in Wyandotte, MI

    Reports to Nurse Manager-Intake & Admissions. Under minimal supervision, reviews, and screens admission requests for inpatient psychiatric placement. Combines clinical, regulatory and hospital acceptance criteria knowledge to reduce risk of inappropriate admissions. Coordinate with non-clinical intake representatives to process efficiently and concurrently clinical, pre-registration and insurance tasks. Participates in patient admission process in collaboration with the admission (registration) and unit staff. Collaborates with Emergency Department physicians, Social Workers and Nursing staff related to initial screening reviews. Collaborates with BH physicians and unit staff to facilitate safe and effective acceptance and bed management. EDUCATION/EXPERIENCE REQUIRED: * Graduation from an accredited school of nursing. * BSN preferred. * One (1) year of Behavioral Health clinical, intake or UR experience required. Additional Information * Organization: Henry Ford Wyandotte Hospital * Department: Adult Psych-WH * Shift: Rotating * Union Code: Not Applicable
    $28k-32k yearly est. 58d ago
  • Patient Care Coordinator

    AEG 4.6company rating

    Ambulatory care coordinator job in Findlay, OH

    Patient Care Coordinators are responsible for providing exceptional service by welcoming our patients and ensuring all check-in and checkout processes are completed. Acknowledge and greets patients, customer, and vendors as they walk into the practice, in a friendly and welcoming manner Answers and responds to telephone inquiries in a professional and timely manner Schedules appointments Gathers patients and insurance information Verifies and enters patient demographics into EMR ensuring all fields are complete Verifies vision and medical insurance information and enters EMR Maintains a clear understanding of insurance plans and is able to communicate insurance information to the patients Pulls schedules to ensure insurance eligibility prior to patient appointment and ensures files are complete Prepare insurance claims and run reports to ensure all charges are billed and filed Print and prepare forms for patients visit Collects and documents all charges, co-pays, and payments into EMR Allocates balances to insurance as needed Always maintains a clean workspace Practices economy in the use of _me, equipment, and supplies Performs other duties as needed and as assigned by manager
    $44k-56k yearly est. 3d ago
  • Clinical Coordinator - Primary Care

    Zepf 3.8company rating

    Ambulatory care coordinator job in Toledo, OH

    Job DescriptionDescription: Zepf Center has been serving the Lucas County community for over 50 years. We are the leading provider of behavioral health and substance use disorder services in Northwest Ohio. Services include adult and child psychiatric, substance abuse, case management, residential, Crisis Care, and therapy programs, as well as career development and wellness services. Zepf Center also offers primary care medical services to our patients to contribute to their continuum of care. Zepf Center is a trauma-informed agency and environment for both patients and staff. General Summary: The Clinical Coordinator will be responsible for overseeing the day-to-day operations of the Primary Care clinic to ensure efficient workflows, high-quality patient care, and compliance with regulatory standards. This role will coordinate care across multiple service lines, support providers and staff with clinical and administrative functions, manage reporting and data tracking, and oversee scheduling and resource allocation. The Clinical Coordinator serves as a key liaison between patients, providers, behavioral health, case management, and external partners, ensuring seamless and patient-centered care. Essential Duties and Responsibilities: Manage daily clinic operations to ensure smooth patient flow, efficient resource use, and a positive patient experience. Monitor, evaluate, and improve clinic workflows; update and maintain Standard Operating Procedures (SOPs). Coordinate care between Primary Care providers, case management, behavioral health, and specialty services. Monitor and manage care coordination activities for high-risk or complex patients. Support and participate in community outreach and patient engagement activities. Track operational reports (e.g., no-shows, discharges, patient panel management, provider productivity, enrollment). Identify trends and recommend action steps to improve efficiency, patient retention, and scheduling practices. Oversee supply and medication inventory, ordering, cost analysis, and vendor relationships. Ensure compliance with Point-of-Care (POC) testing procedures, including staff training, daily maintenance, and quality assurance. Oversee lab result tracking, ensuring timely documentation and provider follow-up. Assign and track peer reviews for Primary Care staff. Manage provider and staff schedules; coordinate coverage, including assisting with clinical and/or administrative duties at times of absences Assist with onboarding, training, and mentoring of new staff. Assist with monitoring and reviewing 340b medication activities and reports Collaborate with the Health Center Director of Operations to prepare and present operational data. Perform other duties as assigned. Specific/Individual Competencies: Professional, courteous, and respectful approach with patients, staff, and community partners. Strong organizational and problem-solving skills with the ability to prioritize competing demands. Ability to adapt to change, remain flexible, and foster continuous process improvement. Maintains confidentiality and complies with HIPAA and other regulatory standards. Demonstrates accountability, initiative, and reliability in daily responsibilities. Organizational Competencies: Demonstrates knowledge of the agency's mission, vision, goals, and policies. Strives for high patient and provider satisfaction through collaborative teamwork. Models professionalism, integrity, and ethical conduct in all interactions. Abides by the agency's and/or professional code of ethics and care. Requirements:Position Qualifications: Associate degree in Nursing, Healthcare Administration, or related field required; LPN, RN, or other healthcare-related associate degree strongly considered. Bachelor's degree in Nursing, Healthcare Administration, Business Administration, or related field preferred. Minimum 3-5 years of experience in a healthcare setting, preferably in Primary Care, with demonstrated operational and administrative responsibilities. Experience with staff scheduling, workflow coordination, and quality improvement initiatives. Strong computer skills, including proficiency in Microsoft Office Suite (Excel, Word, Outlook, PowerPoint). Experience with Electronic Health Records (EHR) systems preferred. Strong written and verbal communication skills with the ability to build effective relationships across teams. Demonstrated ability to analyze data and prepare reports to support decision-making. Prior experience in a FQHC setting and familiarity with the 340b program is a plus
    $38k-49k yearly est. 17d ago
  • CLINICAL CARE COORDINATOR- Lactation Consultant (Von Voigtlander Womens Hospital (VVWH)

    University of Michigan (The Regents @ Ann Arbor 4.6company rating

    Ambulatory care coordinator job in Ann Arbor, MI

    The Lactation Consultant will provide expert nursing care to assess, plan, implement, evaluate and monitor the care of lactating couplets in multiple units within University of Michigan Health, primarily in Von Voigtlander Womens Hospital (VVWH).VVWH is a dynamic 53 bed hospital, home to obstetric services in the Childrens and Womens building. VVWH performs 5,300+ deliveries per year. While many of these deliveries are routine and uncomplicated, we are uniquely qualified to handle cases that are complicated by maternal or fetal high-risk conditions. VVWH is a Level III Perinatal Center which means we have specialists available around the clock to care for both maternal and neonatal emergencies and high risk patients as well as caring for those with low risk pregnancies wishing for a "low intervention" labor and delivery process. We are staffed by a diverse group of professionals, including Certified Nurse Midwives, Obstetricians, Family Practice Physicians, Maternal-Fetal Medicine Specialists, Professional Registered Nurses, and ancillary staff. We are honored to assist families from Michigan as well as from across the country in their care during this important time in their lives. As part of our philosophy of care, we are committed to providing family-centered care. This is the delivery of safe, satisfying, quality health care which meets the psychosocial needs of the family. It is a cooperative effort of families and caregivers which recognizes the strength and integrity of the family. The perinatal team exists to provide families with safe, satisfying, family-centered health care within the childbearing continuum. We are guided by values of caring, teamwork, integrity, innovation, and excellence Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. Responsibilities* * Assess, plan, implement, evaluate and monitor the care of lactating couplets in Von Voigtlander Womens Hospital (VVWH), Brandon Newborn ICU, Mott Hospital acute care and ICU Pediatric Units, Childrens Emergency Services, Adult University Hospital/Cardiovascular Center Units, Adult Emergency Services, and the Lactation Consultant Outpatient Clinic(s). * Provide expert lactation consultative services, and act as a primary resource to all members of the health care teams within the University of Michigan Health System. * Document patient care utilizing established templates. * Lead the development, implementation and maintenance of lactation standards and practices within VVWH (and elsewhere as designated), consistent with current evidence. * Provide leadership for lactation practice updates and changes. * Investigate, design, develop, evaluate and modify patient education materials as necessary to maintain current, evidence-based information. * Design and evaluate the effectiveness of parent discharge education materials in various media formats. * Participate in planning, facilitating and conducting lactation education (e.g. orientation, inservices, conferences, workshops) for staff, students and other health care professionals. * Provide lactation continuing education workshops, inservices and classes for UMH nurses and providers in both formal and informal settings for Von Voigtlander Women?s Hospital, Brandon Newborn ICU, Mott Hospital, and School of Nursing. * Implement strategies to develop and improve the lactation knowledge and practices of VVWH/UMH staff; measure effectiveness. * Execute consultation and act as a resource for questions related to medications, breast-milk, and lactation both on the medical campus and in the community. * Provide community support via phone consultation when patients call with lactation questions after they are discharged from the hospital. * Provide patients appropriate referral to additional medical resources for complex problem solving. * Lead the development and maintenance of quality assurance and performance improvement programs and activities related to lactation. * Assist in the collection of data for research studies. * Represents the VVWH at committees/forums related to lactation care as requested. Supervision: General supervision is received from VVWH Nursing Supervisors and Clinical Nursing Director. Functional supervision is typically exercised over framework RNs, Allied Health and other support staff. The primary function of this role is Lactation Consultant in Michigan Medicine Nursing Specific Info Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan medicine is comprised of over 26,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good. What Benefits can you Look Forward to? Nursing at Michigan offers a competitive salary with excellent benefits! Hourly range for RSAM Competent, Registered Nurses $43.10-$67.03/ hour Evening Shift Differential-$3.00 / hour Night Shift Differential- $4.00 / hour Day Shift Weekend Differential- $2.90 / hour Evening Shift Weekend Differential- $5.90 / hour Night Shift Weekend Differential- $6.90 / hour Charge Nurse Differential- $1.00 / hour The benefit package includes: * Excellent medical, dental and vision coverage * 2:1 Match on retirement savings and immediate vesting * Generous Paid Time Off Allowances * Robust Tuition and Certification support programs * Large offering of no cost CEs and professional development for advancement Nursing Specific Info Salary & Nursing Framework Level: This UMPNC RN posting is posted under the Role-Specific Advancement Model (RSAM) as: CCC- COMPETENT NE Actual RSAM LEVEL and salary will be determined at time of hire. RSAM levels range from CCC-COMPETENT-NE to CCC-EXPERT-NE TO CCC-MASTERY-NE to CCC- MASTERY PLUS- NE Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Posting may be filled after the initial 5-day posting period. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined. If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at **************. Required Qualifications* Required Educational Requirement; applicant must meet one of the following: Bachelors degree in Nursing OR Associates degree or diploma in Nursing and a Masters degree or higher in Nursing Current licensure as Registered Nurse in the State of Michigan; Current Certification as a Lactation Consultant by the International Board of Lactation Consultant Examiners (IBCLC); Minimum six (6) months of current IBCLC experience in an acute care inpatient setting ,outpatient lactation clinic or home care setting.. . Demonstrated ability to work with complex lactation issues and populations. Demonstrated experience teaching breastfeeding classes to patients and/or medical staff. Ability to work with the pregnancy loss population related to lactation issue Expectations of position: Self-directed and reliable, with demonstrated ability to work independently and productively (within established timelines); Demonstrated effective interpersonal and communication skills, with ability to successfully resolve conflict respectfully and effectively with all members of the health care team; Demonstrated excellent problem solving skills; Demonstrated ability to work in a team atmosphere utilizing effective delegation skills; Demonstrated ability to provide direct, constructive feedback Ability to promote the VVWH values to empower each other to interrupt or disrupt disrespect; practice communication that is beneficial, kind and true; inspire and be inspired by our colleagues? worth, significance and integrity; cultivate respect for ourselves and others routinely, publicly and privately. In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment. RESUME REQUIRED (for both internal & external applicants): You must attach a complete and accurate resume to be fully considered for this position. Desired Qualifications* * Demonstrated experience with virtual visits or teleheath * Minimum two (2) years current RN experience in Perinatal or Neonatal Nursing, including working with lactating patients and babies * Ability to utilize word processing and data base programs such as Microsoft Word/Excel and PowerPoint to create new documents, enter data, generate graphs and produce presentations. Work Schedule Hours/Week: 40 Hours per week Shift/Hours/Days: Weekly mix of 12-hour A shifts (7a - 7:30p) and 8-hour D shifts (8a-4:30p); Weekend and Holiday shifts required. Location: Von Voigtlander Women's Birth Center- 9 East & 9 West, Mott Hospital, UH/CVC Hospitals, Michigan Medicine Outpatient Clinics Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes
    $43.1-67 hourly 5d ago

Learn more about ambulatory care coordinator jobs

How much does an ambulatory care coordinator earn in Toledo, OH?

The average ambulatory care coordinator in Toledo, OH earns between $31,000 and $57,000 annually. This compares to the national average ambulatory care coordinator range of $31,000 to $52,000.

Average ambulatory care coordinator salary in Toledo, OH

$42,000
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