Ambulatory care coordinator jobs in Winston-Salem, NC

CFSP Managed Care Coordinator Sign-on Bonus: $2500 We are currently seeking people in the following counties and look forward to speaking with you! (Alamance, Caswell, Chatham, Davidson, Davie, Durham, Forsyth, Guilford, Orange, Person, Randolph, Rockingham, Stokes, Surry, and Yadkin) Location: Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. These roles are statewide field-based and requires you to interact with patients, members, or providers in person four to five days per week. We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision a North Carolina where all children and families thrive in safe, stable, and nurturing homes. The CFSP Managed Care Coordinator is responsible for the overall management of the member's individual service plan within the scope of position in the NC CFSP Program, as required by applicable state law and contract. How you will make an impact: * Provide integrated whole-person Care Management under the CFSP Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs. * Offer Trauma-Informed Care by recognizing the role of ACEs in the CFSP population and coordinating cross-agency care to support children's diverse needs, including physical, behavioral, social, educational, and legal aspects. * Collaborate closely with each Member's County Child Welfare Worker to align health care needs with permanency planning goals. * Work with a multidisciplinary care team, including primary health care and behavioral health professionals, specialty providers, and stakeholders in the child welfare system, to coordinate care (e.g., coordination involving juvenile justice awareness). * Conduct telephonic or face-to-face assessments using predefined questions to identify, evaluate, coordinate, and manage member program needs. * Identify members with potential clinical health care needs using predefined tools, coordinating their cases with clinical healthcare management and an interdisciplinary team for care coordination support. * Oversee non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for cost-effective and efficient service utilization. * Set short- and long-term goals in collaboration with members, caregivers, families, natural supports, and physicians. * Identify members who would benefit from expanded services. Minimum Requirements * Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community based organizations; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: * Must reside in North Carolina. * BA/BS degree preferred in a field related to health, psychology, sociology, social work, nursing or another relevant human services area. * Two (2) years of experience working directly with individuals served by the child welfare system is preferred. * Travels to worksite and other locations as necessary. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

LOCAL HOME DAILY CDL A DRIVER HOURLY PAY Drivers Start up to $25.00 Per Hour Overtime Safety Bonus Referral Bonus Paid Weekly, Direct Deposit Dry Van, Flatbed, Switchers Needed Flexible Hours Full and Part Time Weekends if you want Benefits for Full Tim Drivers Includes: Medical and dental insurance Short and Long-Term Disability 401k 18+ months verifiable CDL truck driving experience within the last 3 years Good MVR & work history (no job-hopping, please!) Positive customer service attitude Reliable transportation to and from the yard Must have a safe and clean record Must agree to a full background check Must be able to drive a manual transmission truck (not automatic)

Avid Health delivers exceptional personalized in-home care services by hiring compassionate people who believe in taking care of our clients, fellow employees, and the communities we serve. We believe in Access, Value-Based Care, Innovation, and Dedication to Quality. JOIN OUR TEAM! Avid is hiring a Care Coordinator for our Piedmont Region. This position is available immediately. The role of the Care Coordinator (CC) is to provide the day-to-day coordination and scheduling of quality and qualified field employees with clients. The CC is responsible to maintain current client services and intake of new clients to agency. CC is held accountable to communicate and update all client care information into agency EMR system to ensure clients' Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) needs are met by all members of the interdisciplinary team. This position will be based out of the High Point branch and covers Guilford and the surrounding counties. Role is office based, as well as some community events. We have a stable client census with consistent assignments and hours, offering you the ability to work with clients and their caregivers long-term. Essential Job Responsibilities: Participate in all general office administrative operations including on-call responsibilities to ensure business continuity. Manage intake coordination tasks from all referral sources while continuing to seek new referral opportunities to support branch operational growth goals. Maintains accurate client schedules by learning and familiarizing self on field employees' availability and their respective skill level to effectively meet client's level of care needs. Ensures client schedules are covered daily for new intakes and shift replacements due to staff PTO, sicknesses, and emergency call outs. Manage client/contract satisfaction with the highest level of customer service standards, communication, and documentation. Build relationships with clients to encourage compliance with care plans and client safety. Ensure all forms of communication with clients, families, health plan providers, and field employees are documented timely to promote continuity of care across all interdepartmental functions. File all employee and client paperwork as appropriate within 7 days of documentations into agency EMR. Manage time and attendance of field employees and ensure daily compliance with Electronic Visit Verification (EVV) requirements for timely payroll and billing processing. Review EVV data and process weekly payroll for all branch field employees. Ensure timely collection of timesheet records for schedules with unsuccessful EVV records. Conduct audit review of field employees' visit notes and EVV data to ensure compliance with client's ADL and IADL needs. Orientate and supervise field employees to client care plans and provide remedial training and mentoring as needed. Work with Recruitment and Compliance departments to communicate recruitment needs. Manage and monitor field employees to ensure compliance with state, federal, and contractual annual health and training requirements. Support branch recruitment efforts by distributing applications to potential new hires and forward completed forms to Regional Recruiter or Human Resources to process. Run reports and utilize data from EMR to manage individual KPI goals and expectations. Follow Agency Policies and Procedures and ensure all HIPAA regulations are adhered to. All other duties as assigned. You have a lot to offer! And so do we! Benefits: Competitive pay, paid weekly Medical Insurance (choice of 3 plans), with company contribution Dental Insurance Vision Insurance Life and AD&D Insurance Short and Long-Term Disability Insurance 401k plan with company match Paid Time Off Holiday Pay Ongoing training Performance based bonus Avid Health at Home is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. Requirements Qualifications: Education: College degree preferred or equivalent work experience. Licensure/Certification: CNA license preferred. Travel: Travel is required for business purposes. The employee must have a valid driver's license issued by the state in which they work, a satisfactory driving record, and an operational vehicle. Work Experience: Minimum of two years' related experience required. Working knowledge of commonly used medical concepts, practices, and procedures preferred. Hours of Work: Monday-Friday, 8am-5pm. Occasional need for flexible hours to meet the educational needs of staff and agency. Able to rotate calls and respond to assist as needed while on call. Skills and Additional Requirements: Essential Technical Skills: Working knowledge of Word, Excel, Windows, Email, typing of 35 wpm and accurate data entry skills A specific understanding of geographical/cultural requirements of branch office is preferred. Satisfactory verbal and written communication skills. Ability to concentrate with frequent interruption, handle pressure of deadline, good judgement, ability to follow procedures, ability to work independently. Ability to prioritize work activities and complete assignments in a self-directed manner with minimum need for constant supervision. Language: Bilingual - English/Spanish a plus.

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

We are seeking an experienced Patient Care Coordinator in the Statesville, NC area to join this brand-new office. This is a key role supporting the daily operations of the clinic, assisting patients, and ensuring smooth workflow. The ideal candidate must have prior hearing industry experience and be comfortable working independently with minimal supervision. Key Responsibilities Greet and check in patients, ensuring a professional and welcoming experience Manage scheduling, appointments, and follow-up communications Answer and make phone calls, handle patient inquiries, and respond to support requests Assist clinical staff with daily operations and patient care logistics Maintain accurate patient records and coordinate with providers as needed Use CYCLE software for scheduling, patient management, and documentation Support inventory management, ordering, and other administrative tasks as needed Qualifications Prior experience in a hearing healthcare or audiology setting Strong proficiency with CYCLE software Excellent communication, organizational, and multitasking skills Ability to work independently and manage multiple responsibilities in a fast-paced environment Professional, personable, and patient-focused demeanor Compensation & Benefits Hourly Rate: $20-$25 per hour, depending on experience Opportunities to grow with a new practice and advance within the franchise network Why This Opportunity is Unique This role offers the chance to be part of a brand-new practice with significant autonomy and influence over daily operations. The ideal PCC will work alongside an experienced clinical provider to help launch and grow the office while delivering top-quality care to patients. If you think this role could be a good fit, we'd love to chat! Apply today! HHR will disclose details in further conversation. Contact us today! Our service comes to you at no charge and your confidentiality is 100% protected. Hearing Healthcare Recruiters is a professional job placement and recruiting firm that focuses exclusively on the hearing industry. We work with Academia, Audiologists, ENTs, Hearing Industry Manufacturers, Hearing Instrument Specialists, Hospitals, Manufacturer Representatives, Private Practices, and Retail Dispensaries. Let's start a conversation - Hearing Healthcare Recruiters: ************ (Pacific Time Zone) HearingHealthcareRecruiters.com

Job Description Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 55 years and remains the largest community health center in central NC. Operating 11 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across many counties, including Alamance, Caswell, Chatham, Orange, and Lee. What's an FQHC? Federally Qualified Health Centers (FQHC) are community-based healthcare providers that receive funds from the Health Resources and Services Administration (HRSA) Health Center Program to provide primary care services in under-served areas. Job Title - Patient Care Coordinator Department - Admin Reports to - Center Manager Benefits - Medical, Dental, Vision, Life Insurance (Short & Long Term Disability) 403(b) Plan Paid Holidays CME (Continuing Medical Education) About Position: Performs the following functions for the patient: Check-in, registration, completes EMR documentation, collects payments, qualifies patient for sliding fee, collects patient demographics, and provides in-person and telephonic customer service. Additionally, supports the clinical team by assisting with clinical documents. Work Location: 5270 Union Ridge Road, Burlington, NC 27217 Schedule: Monday, Wednesday, Thursday, 8:00am - 5:00pm ; Tuesday 8:00am - 8:00pm ; Friday 8:00am - 1:00pm Travel: As needed Qualifications Education: Diploma, High school diploma Required: Excellent communication skills required. Preferred Experience: One to two years of customer service in health care setting. Bilingual, Spanish-speaking applicants preferred Immunizations: Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment. Pay Range: $16.43/Hourly - $22.08/Hourly ( commensurate with years of experience) EEO STATEMENT Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Powered by ExactHire:182247

Amethyst Consulting & Treatment Solutions, PLLC is seeking a compassionate and detail-oriented Intake Coordinator /Case Manager to join our dedicated team. This role is central to the enrollment process, ensuring a smooth, efficient, and client-centered experience from referral to admission. The Intake Coordinator will support both clinical and administrative functions, collaborate closely with the Chief Operating Officer or designee, and help expand our network of referral sources while upholding regulatory standards. What You'll Do Process and review all incoming client referrals and coordinate timely follow-ups Schedule appointments and assist clients in completing intake documentation Track and report on referral source activity using internal systems Verify insurance eligibility and maintain logs of authorizations and expirations Communicate program services and pathways to new clients and stakeholders Collaborate with the Chief Operating Officer or designee on outreach, marketing, and contract development with insurance providers Support field staff with community-based information and care coordination during the treatment cycle Complete enrollment, treatment, and discharge paperwork, including research data collection Assist in maintaining compliance with local, state, and federal regulations Provide educational materials and case updates to referral sources Seek and suggest new marketing strategies and service opportunities Represent Amethyst positively within the provider and community landscape. What We're Looking For Bachelor's degree preferred; equivalent experience considered Minimum 3 years of experience in intake/enrollment with Medicaid, Medicare, BCBS, Aetna, Tricare, or United Experience working with diverse and underserved populations Strong verbal and written communication skills Ability to work independently and collaboratively in a fast-paced environment Detail-oriented with excellent organizational and time management skills Working knowledge of healthcare operations and client management systems Bilingual in English and Spanish is a plus Clinical experience is an asset What We Offer: Amethyst provides a competitive benefits package that includes: Comprehensive medical, dental, and vision coverage Life insurance and disability insurance 401(k) plan Personal time off (PTO) Paid birthday Paid approved trainings and ongoing development Discretionary bonuses Travel and mileage reimbursement in line with our policies You'll be eligible for benefits after completing a 90-day introductory period. Apply today and take the next step in a career where your care makes a difference! Please submit your resume and a brief cover letter explaining why you're interested in this role.

The Case Management Coordinator is responsible for establishing, coordinating, and maintaining the process of inpatient admissions, pre-certifications, addressing insurance denials, collaborating with LLM and overseeing discharge planning and ensuring patients have a safe discharge plan. The Case Management Coordinator will collaborate with Intake Nurses, Utilization Review, Recreational Therapist and Social Workers, Patient/Family, Physicians, community resources and payers to ensure the patient's progress and level of care is appropriately determined. The Case Management Coordinator has well developed knowledge and skills in patient status determination in the assessment and care management of patients and families within the inpatient setting. The scope of practice includes patient/family assessment and management, resource management, identifying patients appropriate for Inpatient Admission, discharge planning with referral to all levels of care, and other related duties specific to the defined patient population. She/he uses knowledge of pathophysiology, pharmacology, and clinical care processes to participate with other clinical staff and physicians in the development of clinical practice guidelines and physician order sets for the purpose of improving quality of care, changing practice, and reducing costs. Has full access to patient health information Requirements Current Registered Nurse licensure in North Carolina ASN or BSN degree obtained from an accredited institution 3-5 years experience in a clinical setting required. Experience in case management preferred Project management skills Knowledgeable about Behavioral Health reporting requirements- including NHSN, Inpatient quality reporting for CMS and the Joint Commission. Experience with payor contracts, LLM's and insurance denial processes. Knowledgeable about current healthcare regulatory standards Excellent verbal, written, communication and organizational skills Knowledge of computer applications- Word, Excel, etc Essential Physical Requirements Must possess full range of body motion to pass a basic FIT test to include bending, stooping, standing and sitting for extended periods of time. Must be able to lift and carry up to 30 pounds.

**Sign On Bonus-$1000** **Location:** The locations for this position will be Lynchburg, Roanoke, Pittsylvania, or Halifax Virginia. **Field** : This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._ The **Managed Care Coordinator** is responsible for the overall management of member's individual service plan within the scope of position in the VA Foster Care Program, as required by applicable state law and contract. **How you will make an impact:** + Responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member's program needs. + Using tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk complications) and coordinates those member's cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + The process does not involve clinical judgment. + Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of services. + Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, and physicians. + Identifies members that would benefit from expanded services. **Minimum Requirements** + Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community based organizations; or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + BA/BS degree field of study in health care related field preferred. + Specific education and years and type of experience may be required based upon state law and contract requirements. + Travels to worksite and other locations as necessary. + For MMP, requires Community Health Worker certification to be obtained within one year of employment. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

S&H Youth and Adult Services in Salisbury, NC is currently hiring for a Clinical Service Coordinator to join our team. Our ideal candidate is attentive, punctual, hard-working leader and has a passion for helping others. Benefits Medical, Dental, & Vision 401K Retirement Supervision for Licensure Paid Time Off Responsibilities The Clinical Services Coordinator will manage patient access to care and the operations of all the clinical services: outpatient therapy, Peer Support services, psychiatric services and substance use programs. The Clinical Services Coordinator will provide supervision of all non-medical direct care staff in the provider agency, manage design the treatment protocols employed within the agency, ensure appropriate assessments for all consumers served, implement best practice and emerging practice protocols, review service quality, and design of all staff training. The Clinical Services Coordinator will ensure that all patients serviced by the agency meet medical necessity requirements for the level of care/treatment received. Qualifications Preferably the Clinical Service Coordinator will be a licensed clinician with the ability to read, write and understand how to follow instructions (LCSW/LCSWA, LCMHC/LCMHCA, LCAS/LCASA, LMFT/LMFTA) The Clinical Service Coordinator must be a master's level qualified professional with the ability to read, write and understand how to follow instructions The Clinical Services Coordinator must have at least two years of management experience and demonstrated knowledge and experience across all services provided to the organization's target populations. No Sex Offender Charges and no violent criminal charges Have no violent criminal record or substantiated findings of abuse or neglect listed on the North Carolina Health Care Personnel Registry

Job Description MDS Coordinator - Open to LPN and RN Candidates Full Time On Site A minimum of one year of MDS experience. Come join our team in the Stokesdale, NC area! NO MED CART RESPONSIBILITIES! NO WEEKENDS! NEVER PULLED TO THE FLOOR! ? Broad River Rehab is looking for a Part Time MDS Coordinator (RN OR LPN)to work at our facility in Stokesdale, NC.This position is a day shift, Monday- Friday, position! This is a unique opportunity for an MDS Nurse to ALWAYS get to be an MDS Nurse - would you like to be able to focus on the RAI Process, knowing that you will never have to be on call for weekends, you will never have to fill empty shifts or do med cart rounds? This is an onsite position. The ideal candidate will have experience in the skilled nursing setting, prior MDS experience with a vast working knowledge of case mix, the Federal Medicare PPS process, and Medicaid reimbursement and PDPM. The MDS Coordinator, RN/LPN, assists the Director of Nursing with ensuring that documentation in the facility meets Federal, State, and Certification guidelines. The MDS Coordinator, RN/LPN coordinates the RAI process assuring the timeliness, and completeness of the MDS, CAAs, and Interdisciplinary Care Plan. • Assures the completion of the RAI Process from the MDS through the interdisciplinary completion of the plan of care. • Initiates and monitors RAI process tracking, discharge/reentry, and Medicaid tracking forms through EMR system. • Follows up with staff when necessary to assure compliance to standards of documentation. • Completes patient assessments, data collection, and interviews staff as necessary to assure good standard of practice and as instructed in the current version of RAI Manual and company policies. • Facilitates accurate determination of the Assessment Reference Date that accurately reflects the patient's care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programs. • Provides interdisciplinary schedule for all MDS assessments and care plans as required by OBRA and PPS. • Assures that appropriate signatures are obtained as required. • Ensures that the Interdisciplinary team makes decisions for either completing or not completing additional MDS assessments based on clinical criteria as identified in the most recent version of the RAI User's Manual. (Significant Change and Significant Correction) • Assist Director of Health Services or designee with identification of a significant change, physician orders and verbal reports to assure that the MDS and care plan are reflective of those changes. • Coordinates scheduling, notice of patient care planning conferences, and assures communication of outcomes/problems to the responsible staff, patient, and/or responsible party. • Assists with ensures all MDS information and care delivered as outlined in the Care Plan is supported by documentation. • Assist the Executive Director/Director of Health Services with the monitoring to ensure that a care plan is initiated on every patient upon admission to the center. • Participates in the daily stand-up meeting and communicates needs for changes in PPS timelines and Assessment Reference Dates, and deficiencies in completion of MDS, CAAs, and Care Plans. • Relays and/or acts upon information from the Case-Mix Specialist audits. • Acts as resource person for computer issues that relate to the MDS process. Contacts the help desk when indicated. • Responsible for ensuring appropriate Medicare coverage through regular communications with consultants. • Attends daily and weekly Medicare or Utilization Review meetings as required. • Corrects and ensures completion of final MDS and submits patient assessment data to the appropriate State and Federal government agencies. • Assigns, assists, and instructs all staff in the RAI Process, PPS Medicare, Medicaid (Case Mix as required) and clinical computer system in relation to these processes. • Ensures timely submission of the MDSs to the State with proper follow-up on validation errors. Maintains validation records from the submission process in a systematic and orderly fashion. Education Graduate of an approved nursing program and licensed in the state of practice required. Experience • Ideal candidate will have nursing experience in a Skilled Nursing Facility. Excellent knowledge of Case- Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required. Complete understanding and experience with PDPM. Thorough understanding of Quality Indicators and Quality Measures. Knowledge of the OBRA regulations and Minimum Data Set (MDS). Knowledge of the care planning process. Minimum of one year of MDS experience. MDS Coordinator / RN-LPN Candidates - Stokesdale, NC - Full Time Contact: Lori Martin, Recruitment Manager *******************************

Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Office Location: Available for Gastonia, Hickory, Elkin, Statesville, Forest City, or Cabarrus locations Projected Hiring Range: Depending on Experience Closing Date: Open Until Filled Primary Purpose of Position: The purpose of this position is to ensure that members receive coordination and continuity of care as they transition between different settings or levels of care. This Includes but is not limited to; acute hospitals, EDs, skilled nursing homes, facility-based crisis, assisted living facilities and jail/prisons. This position will also assist members in their efforts to improve their quality of life across the Physical Health, Behavioral Health, Intellectual/developmental Disability (IDD), Traumatic Brain Injury (TBI), and Pharmacy domains to help prevent hospital readmission. The Transitions Health Management Coordinator works with the member, Tailored Care Manager, and care team to identify and alleviate inappropriate levels of care or gaps in services. Travel is an essential function of this position. Role and Responsibilities: The Transitions Health Management Coordinator is responsible for (though not limited to): Support members transitioning from inpatient settings to the appropriate lower or lateral level of care Provide subject matter expertise, within scope, regarding member's physical and/or behavioral health to support the development and delivery of a whole person approach to Care Management Collaboratively works with other Partners team members, behavioral health providers, primary care physicians, specialty care providers and other community partners and stakeholders to support members in their home communities Conducts on site visit with member during their stay in residential or inpatient settings (e.g., acute, ED and long-term stay facilities) Conduct outreach to the member's providers. Obtain a copy of the discharge plan and review the discharge plan with the member, facility staff and Tailored Care Manager. Facilitate clinical handoffs. Assist the member in obtaining needed medications prior to discharge, ensure an appropriate care team member conducts medication reconciliation/management and support medication adherence. Develop a ninety (90) day post-discharge transition plan prior to discharge from residential or inpatient settings, in consultation with the member, facility staff and the member's care team, that outlines how the member will maintain, or access needed services and supports, transition to the new care setting, and integrate into the community. Communicate and provide education to the member and the member's caregivers and providers to promote understanding of the ninety (90) day post-discharge transition plan.(Assist with scheduling of transportation, in-home services, and follow-up outpatient visits with appropriate providers within a maximum of seven (7) Calendar Days post-discharge, unless required within a shorter timeframe. Ensures follow-up with the member within forty-eight (48) hours of discharge. Appropriately escalate high risk/high visibility and/or complex barriers/needs members who may have difficulty transitioning out of the facility in a timely manner to supervisors. High risk can involve Health and Safety of a member, staff, or organizational risk Review cases with clinical complexity with direct supervisor and follow escalation protocols to ensure timely engagement from members or our Medical Team and Provider Networks Obtain information releases that will improve care management activities on behalf of the member Knowledge, Skills and Abilities: Extensive understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version) Considerable knowledge of the MHSU/IDD service array provided through the network of the LME/MCO's providers Knowledge of LME/MCO's implementation of the 1915(b/c) waivers and accreditation Highly skilled at assuring that both long and short-range goals and needs of the individual are addressed and updated, while assuring through monitoring activities that service implementation occurs appropriately Exceptional interpersonal and communication skills Excellent computer skills including proficiency in Microsoft Office products (Word, Excel, Outlook, and PowerPoint) Excellent problem solving, negotiation, arbitration, and conflict resolution skills Detail-oriented, able to organize multiple tasks and priorities and effectively manage projects from start to finish Ability to make prompt independent decisions based upon relevant facts, to establish rapport and maintain effective working relationships Ability to change the focus of his/her activities to meet changing priorities A high level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance Education/Experience Required: Qualified Professional Care Manager (Non-Licensed): Bachelor's degree in a human service field with two years of full-time, post-bachelor's degree experience with the population served -or- Bachelor's degree in a field other than human services with four years of full-time, post-bachelor's degree experience with the population served -or- Master's degree in a human service field and one year of full-time, post-graduate degree experience with the population served Other requirements: • Must reside in North Carolina. • Must have ability to travel as needed to perform the job duties **In this role, when visiting hospitals, staff may be asked to verify the status of vaccination or immunization or a statement of exemption (including but not limited to COVID) to meet the requirements of the hospital. Education/Experience Preferred: Licensed to practice as a Registered Nurse in North Carolina and two years of experience in nursing; care management/care coordination; care transition experience. Experience in collaborative care. Licensure/Certification Requirements: See requirements above

Job Description Looking for qualified MDS Coordinators (RN or LPN) to join our team! Job Type: Part-Time Are you an experienced Registered Nurse (RN) or Licensed Practical Nurse (LPN) with a passion for accuracy, compliance, and resident-centered care? We're seeking a detail-oriented MDS Coordinator to oversee the Resident Assessment Instrument (RAI) process and ensure optimal care planning and reimbursement. If you thrive in a structured yet dynamic environment and want to make a meaningful impact, we want to hear from you! Join our team as an MDS Coordinator. Major Responsibilities Coordinate and participate in the completion of the Resident Assessment Instrument (MDS, CAA's, and Care Plan) in compliance with Federal and State regulations. Monitor and document the management of Medicare and Managed Care residents, collaborating with the interdisciplinary team. Ensure accuracy in resident assessments to maximize reimbursement and provide high-quality care. Drive innovation by implementing new ideas and processes to improve resident outcomes. Maintain compliance with evolving regulations and best practices. Minimum Qualifications Active Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in good standing. 6+ months of experience as an MDS Coordinator required. Experience in Skilled Nursing/Rehabilitation preferred. RAC-CT or RNAC certification preferred. A dedicated, compassionate professional with strong attention to detail and a commitment to excellence. Pay and Benefits Competitive salary commensurate with experience Comprehensive health, dental, and vision insurance 401(k) Paid time off and holidays Why Join Our Team Get paid in advance with us: We offer access to your earned but unpaid wages. Build your own schedule: Pick up shifts when and where you want to work. We have an easy-to-use scheduling app to find and book open shifts or request additional hours. Shift options: Mornings, Afternoon, and Night's shift options available. Additional hours by request. Innovative Purchasing Program: That allows you to buy thousands of products (technology, furniture, clothing, etc.) and pay over time. Zero interest, no credit check, no hidden fees. Access to online learning 24/7: Our LMS offers free courses for senior care, health and human services industry. Use for free to help satisfy certifications or professional development. Available via computer or mobile, and many courses offer alternative languages. Phone and auto discounts: Up to 20% on employee personal wireless accounts and auto rentals through designated vendors. Employee Assistance Fund: In unexpected catastrophic situations you can confidentially apply for help. Advocacy and Community Impact: We are committed to making a positive impact on the communities we serve. We partner with local organizations, host educational events, and advocate for policies that improve the health and lives of older adults everywhere. About Us We strive to be the leading provider of compassionate, comprehensive care that supports the physical, mental, and emotional well-being of patients, while also promoting respect and autonomy. Our goal is to create an environment where patients thrive, not just survive - where every aspect of their well-being is nurtured, from health and safety to social connections and quality of life. We have innovative solutions for better health. As part of our commitment to excellence, we leverage the latest in healthcare technology to provide better outcomes for older adults. From telemedicine services and remote health monitoring to advanced diagnostic tools and customized wellness programs, we use innovation to make patient care accessible, efficient, and effective. We also embrace new treatments, therapies, and approaches that can improve quality of life, whether it's through pain management, physical rehabilitation, or mental health support. By staying at the forefront of healthcare trends and continuously evolving our services, we ensure that patients receive the best possible care. We are an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Apply now! Our application process is quick and easy. Job Posted by ApplicantPro

Patient Care Coordinators are responsible for providing exceptional service by welcoming our patients and ensuring all check-in and checkout processes are completed. * Acknowledge and greets patients, customer, and vendors as they walk into the practice, in a friendly and welcoming manner * Answers and responds to telephone inquiries in a professional and timely manner * Schedules appointments * Gathers patients and insurance information * Verifies and enters patient demographics into EMR ensuring all fields are complete * Verifies vision and medical insurance information and enters EMR * Maintains a clear understanding of insurance plans and is able to communicate insurance information to the patients * Pulls schedules to ensure insurance eligibility prior to patient appointment and ensures files are complete * Prepare insurance claims and run reports to ensure all charges are billed and filed * Print and prepare forms for patients visit * Collects and documents all charges, co-pays, and payments into EMR * Allocates balances to insurance as needed * Always maintains a clean workspace * Practices economy in the use of _me, equipment, and supplies * Performs other duties as needed and as assigned by manager * High school diploma or equivalent * Basic computer literacy * Strong organizational skills and attention to detail * Strong communication skills (verbal and written) * Must be able to maintain patient and practice confidentiality Benefits * 401(k) with Match * Medical/Dental/Life/STD/LTD * Vision Service Plan * Employee Vision Discount Program * HSA/FSA * PTO * Paid Holidays * Benefits applicable to full Time Employees only. Physical Demands * This position requires the ability to communicate and exchange information, utilize equipment necessary to perform the job, and move about the office.

CFSP Managed Care Coordinator Sign-on Bonus: $2500 We are currently seeking people in the following counties and look forward to speaking with you! (Alamance, Caswell, Chatham, Davidson, Davie, Durham, Forsyth, Guilford, Orange, Person, Randolph, Rockingham, Stokes, Surry, and Yadkin) Location: Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. These roles are statewide field-based and requires you to interact with patients, members, or providers in person four to five days per week. We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision a North Carolina where all children and families thrive in safe, stable, and nurturing homes. The CFSP Managed Care Coordinator is responsible for the overall management of the member's individual service plan within the scope of position in the NC CFSP Program, as required by applicable state law and contract. How you will make an impact: * Provide integrated whole-person Care Management under the CFSP Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs. * Offer Trauma-Informed Care by recognizing the role of ACEs in the CFSP population and coordinating cross-agency care to support children's diverse needs, including physical, behavioral, social, educational, and legal aspects. * Collaborate closely with each Member's County Child Welfare Worker to align health care needs with permanency planning goals. * Work with a multidisciplinary care team, including primary health care and behavioral health professionals, specialty providers, and stakeholders in the child welfare system, to coordinate care (e.g., coordination involving juvenile justice awareness). * Conduct telephonic or face-to-face assessments using predefined questions to identify, evaluate, coordinate, and manage member program needs. * Identify members with potential clinical health care needs using predefined tools, coordinating their cases with clinical healthcare management and an interdisciplinary team for care coordination support. * Oversee non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for cost-effective and efficient service utilization. * Set short- and long-term goals in collaboration with members, caregivers, families, natural supports, and physicians. * Identify members who would benefit from expanded services. Minimum Requirements * Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community based organizations; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: * Must reside in North Carolina. * BA/BS degree preferred in a field related to health, psychology, sociology, social work, nursing or another relevant human services area. * Two (2) years of experience working directly with individuals served by the child welfare system is preferred. * Travels to worksite and other locations as necessary. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Job DescriptionDescription: The Case Management Coordinator is responsible for establishing, coordinating, and maintaining the process of inpatient admissions, pre-certifications, addressing insurance denials, collaborating with LLM and overseeing discharge planning and ensuring patients have a safe discharge plan. The Case Management Coordinator will collaborate with Intake Nurses, Utilization Review, Recreational Therapist and Social Workers, Patient/Family, Physicians, community resources and payers to ensure the patient's progress and level of care is appropriately determined. The Case Management Coordinator has well developed knowledge and skills in patient status determination in the assessment and care management of patients and families within the inpatient setting. The scope of practice includes patient/family assessment and management, resource management, identifying patients appropriate for Inpatient Admission, discharge planning with referral to all levels of care, and other related duties specific to the defined patient population. She/he uses knowledge of pathophysiology, pharmacology, and clinical care processes to participate with other clinical staff and physicians in the development of clinical practice guidelines and physician order sets for the purpose of improving quality of care, changing practice, and reducing costs. Has full access to patient health information Requirements: Current Registered Nurse licensure in North Carolina ASN or BSN degree obtained from an accredited institution 3-5 years experience in a clinical setting required. Experience in case management preferred Project management skills Knowledgeable about Behavioral Health reporting requirements- including NHSN, Inpatient quality reporting for CMS and the Joint Commission. Experience with payor contracts, LLM's and insurance denial processes. Knowledgeable about current healthcare regulatory standards Excellent verbal, written, communication and organizational skills Knowledge of computer applications- Word, Excel, etc Essential Physical Requirements Must possess full range of body motion to pass a basic FIT test to include bending, stooping, standing and sitting for extended periods of time. Must be able to lift and carry up to 30 pounds.

Sign On Bonus-$1000 Location: The locations for this position will be Lynchburg, Roanoke, Pittsylvania, or Halifax Virginia. Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Managed Care Coordinator is responsible for the overall management of member's individual service plan within the scope of position in the VA Foster Care Program, as required by applicable state law and contract. How you will make an impact: * Responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member's program needs. * Using tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk complications) and coordinates those member's cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. * The process does not involve clinical judgment. * Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of services. * Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, and physicians. * Identifies members that would benefit from expanded services. Minimum Requirements * Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community based organizations; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: * BA/BS degree field of study in health care related field preferred. * Specific education and years and type of experience may be required based upon state law and contract requirements. * Travels to worksite and other locations as necessary. * For MMP, requires Community Health Worker certification to be obtained within one year of employment. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED > Care Coord & Care Mgmt (Non-Licensed) Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Office Location: Available for Gastonia, Hickory, Elkin, Statesville, Forest City, or Cabarrus locations Projected Hiring Range : Depending on Experience Closing Date: Open Until Filled Primary Purpose of Position: The purpose of this position is to ensure that members receive coordination and continuity of care as they transition between different settings or levels of care. This Includes but is not limited to; acute hospitals, EDs, skilled nursing homes, facility-based crisis, assisted living facilities and jail/prisons. This position will also assist members in their efforts to improve their quality of life across the Physical Health, Behavioral Health, Intellectual/developmental Disability (IDD), Traumatic Brain Injury (TBI), and Pharmacy domains to help prevent hospital readmission. The Transitions Health Management Coordinator works with the member, Tailored Care Manager, and care team to identify and alleviate inappropriate levels of care or gaps in services. Travel is an essential function of this position. Role and Responsibilities: The Transitions Health Management Coordinator is responsible for (though not limited to): Support members transitioning from inpatient settings to the appropriate lower or lateral level of care Provide subject matter expertise, within scope, regarding member's physical and/or behavioral health to support the development and delivery of a whole person approach to Care Management Collaboratively works with other Partners team members, behavioral health providers, primary care physicians, specialty care providers and other community partners and stakeholders to support members in their home communities Conducts on site visit with member during their stay in residential or inpatient settings (e.g., acute, ED and long-term stay facilities) Conduct outreach to the member's providers. Obtain a copy of the discharge plan and review the discharge plan with the member, facility staff and Tailored Care Manager. Facilitate clinical handoffs. Assist the member in obtaining needed medications prior to discharge, ensure an appropriate care team member conducts medication reconciliation/management and support medication adherence. Develop a ninety (90) day post-discharge transition plan prior to discharge from residential or inpatient settings, in consultation with the member, facility staff and the member's care team, that outlines how the member will maintain, or access needed services and supports, transition to the new care setting, and integrate into the community. Communicate and provide education to the member and the member's caregivers and providers to promote understanding of the ninety (90) day post-discharge transition plan.(Assist with scheduling of transportation, in-home services, and follow-up outpatient visits with appropriate providers within a maximum of seven (7) Calendar Days post-discharge, unless required within a shorter timeframe. Ensures follow-up with the member within forty-eight (48) hours of discharge. Appropriately escalate high risk/high visibility and/or complex barriers/needs members who may have difficulty transitioning out of the facility in a timely manner to supervisors. High risk can involve Health and Safety of a member, staff, or organizational risk Review cases with clinical complexity with direct supervisor and follow escalation protocols to ensure timely engagement from members or our Medical Team and Provider Networks Obtain information releases that will improve care management activities on behalf of the member Knowledge, Skills and Abilities: Extensive understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version) Considerable knowledge of the MHSU/IDD service array provided through the network of the LME/MCO's providers Knowledge of LME/MCO's implementation of the 1915(b/c) waivers and accreditation Highly skilled at assuring that both long and short-range goals and needs of the individual are addressed and updated, while assuring through monitoring activities that service implementation occurs appropriately Exceptional interpersonal and communication skills Excellent computer skills including proficiency in Microsoft Office products (Word, Excel, Outlook, and PowerPoint) Excellent problem solving, negotiation, arbitration, and conflict resolution skills Detail-oriented, able to organize multiple tasks and priorities and effectively manage projects from start to finish Ability to make prompt independent decisions based upon relevant facts, to establish rapport and maintain effective working relationships Ability to change the focus of his/her activities to meet changing priorities A high level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance Education/Experience Required: Qualified Professional Care Manager (Non-Licensed): Bachelor's degree in a human service field with two years of full-time, post-bachelor's degree experience with the population served -or- Bachelor's degree in a field other than human services with four years of full-time, post-bachelor's degree experience with the population served -or- Master's degree in a human service field and one year of full-time, post-graduate degree experience with the population served Other requirements: • Must reside in North Carolina. • Must have ability to travel as needed to perform the job duties **In this role, when visiting hospitals, staff may be asked to verify the status of vaccination or immunization or a statement of exemption (including but not limited to COVID) to meet the requirements of the hospital. Education/Experience Preferred: Licensed to practice as a Registered Nurse in North Carolina and two years of experience in nursing; care management/care coordination; care transition experience. Experience in collaborative care. Licensure/Certification Requirements: See requirements above

Looking for qualified MDS Coordinators (RN or LPN) to join our team! Job Type: Part-Time Are you an experienced Registered Nurse (RN) or Licensed Practical Nurse (LPN) with a passion for accuracy, compliance, and resident-centered care? We're seeking a detail-oriented MDS Coordinator to oversee the Resident Assessment Instrument (RAI) process and ensure optimal care planning and reimbursement. If you thrive in a structured yet dynamic environment and want to make a meaningful impact, we want to hear from you! Join our team as an MDS Coordinator. Major Responsibilities Coordinate and participate in the completion of the Resident Assessment Instrument (MDS, CAA's, and Care Plan) in compliance with Federal and State regulations. Monitor and document the management of Medicare and Managed Care residents, collaborating with the interdisciplinary team. Ensure accuracy in resident assessments to maximize reimbursement and provide high-quality care. Drive innovation by implementing new ideas and processes to improve resident outcomes. Maintain compliance with evolving regulations and best practices. Minimum Qualifications Active Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in good standing. 6+ months of experience as an MDS Coordinator required. Experience in Skilled Nursing/Rehabilitation preferred. RAC-CT or RNAC certification preferred. A dedicated, compassionate professional with strong attention to detail and a commitment to excellence. Pay and Benefits Competitive salary commensurate with experience Comprehensive health, dental, and vision insurance 401(k) Paid time off and holidays Why Join Our Team Get paid in advance with us: We offer access to your earned but unpaid wages. Build your own schedule: Pick up shifts when and where you want to work. We have an easy-to-use scheduling app to find and book open shifts or request additional hours. Shift options: Mornings, Afternoon, and Night's shift options available. Additional hours by request. Innovative Purchasing Program: That allows you to buy thousands of products (technology, furniture, clothing, etc.) and pay over time. Zero interest, no credit check, no hidden fees. Access to online learning 24/7: Our LMS offers free courses for senior care, health and human services industry. Use for free to help satisfy certifications or professional development. Available via computer or mobile, and many courses offer alternative languages. Phone and auto discounts: Up to 20% on employee personal wireless accounts and auto rentals through designated vendors. Employee Assistance Fund: In unexpected catastrophic situations you can confidentially apply for help. Advocacy and Community Impact: We are committed to making a positive impact on the communities we serve. We partner with local organizations, host educational events, and advocate for policies that improve the health and lives of older adults everywhere. About Us We strive to be the leading provider of compassionate, comprehensive care that supports the physical, mental, and emotional well-being of patients, while also promoting respect and autonomy. Our goal is to create an environment where patients thrive, not just survive - where every aspect of their well-being is nurtured, from health and safety to social connections and quality of life. We have innovative solutions for better health. As part of our commitment to excellence, we leverage the latest in healthcare technology to provide better outcomes for older adults. From telemedicine services and remote health monitoring to advanced diagnostic tools and customized wellness programs, we use innovation to make patient care accessible, efficient, and effective. We also embrace new treatments, therapies, and approaches that can improve quality of life, whether it's through pain management, physical rehabilitation, or mental health support. By staying at the forefront of healthcare trends and continuously evolving our services, we ensure that patients receive the best possible care. We are an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Apply now! Our application process is quick and easy.