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BlueCross BlueShield of Tennessee jobs in Memphis, TN - 40 jobs

  • LTSS Provider & FEA Liaison

    Bluecross Blueshield of Tennessee 4.7company rating

    Bluecross Blueshield of Tennessee job in Memphis, TN

    Be the Bridge Between Accuracy and Efficiency! As an LTSS Claims Liaison, you're not just processing claims-you're shaping the backbone of provider success. This role is about transforming complexity into clarity by educating providers on claims submission, coding updates, and electronic transactions. You'll be the go-to expert for resolving inquiries swiftly, developing impactful training strategies, and maintaining essential resources. Your mission? Empower providers, strengthen compliance, and support workforce development so TennCare members receive timely, quality care. If you thrive on problem-solving, love turning challenges into solutions, and want to make a measurable difference in healthcare delivery-this is your opportunity to lead the way. Join us and help build a smarter, stronger LTSS network-one claim at a time! Preference for candidates who have experience with medical claims & knowledge of LTSS programs in Tennessee. Candidates must live in Tennessee or a contiguous county. Job Responsibilities Provide for education and technical assistance regarding appropriate claims submission processes and requirements including, coding updates, electronic claims transactions and electronic funds transfers. Research and resolve claims issues and inquiries promptly. Develop strategies to improve the effectiveness of BlueCare claims education and technical assistance activities Develop and maintain BlueCare provider resources i.e. provider manual, fee schedules, website, training materials Provide education and assistance with consumer-directed workers to resolve problems and address inquires May support initial and ongoing workforce development strategies and goals to support measurable actions to help ensure a qualified, competent, and sufficient workforce to consistently deliver needed services in a timely manner. Develop and initiate claims training and intervention to help provider obtain and retain compliance. Support ongoing quality initiatives for LTSS providers, and other TennCare amendment changes. Job Qualifications Education Bachelors degree in business or healthcare or relevant field or equivalent work experience required Experience 3 years - Experience managing health plan accounts with multiple customer lines Skills\Certifications Working knowledge of healthcare claims, customer service, provider network contracting, and contract compliance Ability to conduct root cause analysis, plan, organize and coordinate multiple projects Ability to quickly take complex technical subjects and distill them into user-friendly presentations and digital communications. Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) Excellent oral and written communication skills Strong interpersonal and organizational skills Proven decision making and problem solving skills Knowledge and understanding of TennCare contracts as well as state and federal regulatory requirements Proficient in Facets and CareAdvance Job Specific Qualifications LTSS experience is highly preferred Strong claims experience and understanding is preferred Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
    $68k-100k yearly est. Auto-Apply 8d ago
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  • Behavioral Health Clinical Review Manager

    Bluecross Blueshield of Tennessee 4.7company rating

    Bluecross Blueshield of Tennessee job in Memphis, TN

    Are you passionate about making a meaningful impact on the lives of individuals facing mental health challenges, while working behind the scenes? If so, Utilization Management might be the perfect fit for you! In this role, you'll play a critical part in shaping care decisions and improving outcomes, all without direct, face-to-face interaction. What You'll Do Apply your knowledge of Behavioral Health and Withdrawal Management diagnoses. Navigate the continuum of care and levels of care for Behavioral Health and Withdrawal Management. Present cases confidently and effectively during clinical rounds. Work independently with minimal supervision. Excel in a fast-paced, dynamic environment. Our Ideal Candidates will have an RN or Social Work license and: 3 years - Clinical behavioral health / substance use disorder experience required 1 year - Must be knowledgeable about community care resources and levels of behavioral health care available. Along with: 3+ years of experience in Psychiatric and/or Substance Use treatment. Background in Behavioral Health settings (both inpatient and outpatient). Prior experience in Utilization Management or Managed Care. Strong communication and presentation skills. Ability to work autonomously and manage time effectively. Adaptability and resilience in a rapidly changing work environment. Why Choose Us? This is more than a job; it's an opportunity to make a lasting difference in people's lives while leveraging your expertise in a collaborative, supportive setting. Job Responsibilities Assists non-clinical staff in performance of administrative reviews Initiate referrals to ensure appropriate coordination of care. Seek the advice of the Medical Director when appropriate, according to policy. Performing comprehensive provider and member appeals, denial interpretation for letters, retrospective claim review, special review requests, and UM pre-certifications and appeals, utilizing medical appropriateness criteria, clinical judgement, and contractual eligibility. Various immunizations and/or associated medical tests may be required for this position. Job Qualifications License Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master's level or above) (Ph.D., LCSW/LMSW, LLP, MHC, LPC, etc.) required. RN may hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law. Experience 3 years - Clinical behavioral health / substance use disorder experience required Skills\Certifications Must be knowledgeable about community care resources and levels of behavioral health care available. Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) Independent, Sound decision-making and problem-solving skills Excellent oral and written communication skills Strong interpersonal and organizational skills Strong analytical skills Positive relationship building skills and ability to engage with diverse populations Ability to quickly identify and prioritize member needs and provide structured and focused support and interventions Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
    $84k-98k yearly est. Auto-Apply 9d ago
  • Social Worker

    Unitedhealth Group Inc. 4.6company rating

    Memphis, TN job

    Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Medical Social Worker, provides medical social services under the direction of a physician and Interdisciplinary Group to assist in the understanding of significant social and emotional factors related to the patient's health status and in development of coping mechanisms. Primary Responsibilities: * Assists the patient, significant others, physician and health care team staff to understand significant personal, emotional, environmental and social factors related to the patient's health status on an as needed basis * Contributes as a health care team member to the development of a comprehensive, integrated Plan of Care for patients on a daily basis * Instructs health care team members on community resources available to assist patients on a as needed basis * Able to function as Bereavement Coordinator and supervise the provision of bereavement services reflective of patient / family if needed. Establishes a Plan of care that addresses bereavement needs with clear delineation of services to be provided You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Master's Degree from a school of Social Work accredited by the Council of Social Work * Current CPR certification * Licensed Social Worker in the state of residence * Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation * 1+ years of social work experience in a health care setting Preferred Qualifications: * Bereavement Coordination experience * Experience with establishing a plan of care for bereavement needs Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $58.8k-105k yearly 31d ago
  • Staff Pharmacist - Part Time

    Unitedhealth Group Inc. 4.6company rating

    Memphis, TN job

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. As a part time, nonexempt Staff Pharmacist at Lakeside Behavioral Health System, you will fill orders with accuracy; check technician-prepared products before release; maintain security of pharmacy and controlled substances; enter orders and patient information with accuracy; aid in the training of new staff; update the Director about the daily activities of the pharmacy; and aid the Director in maintaining the pharmacy. Schedule: This position will typically work two days per week including some weekends to help cover PTO and provide additional staffing. About the Facility: Located on a private 37-acre campus in Memphis, TN, Lakeside Behavioral Health System provides comprehensive behavioral health and addictive disease services, including inpatient, outpatient, and residential treatment, for people of all ages. The 313-bed facility is accredited by the Joint Commission. The centralized pharmacy staff has a good relationship with the nursing department. About the Pharmacy: Pharmacy hours are Monday-Friday, 6:00am-3:30pm, and Saturday/Sunday from 6:00am-3:30pm, and utilizes Omnicell dispensing system. Primary Responsibilities: * Fill orders with accuracy * Oversee Pharmacy technicians * Maintain security of pharmacy You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Pharmacy Degree (BS or PharmD) from an ACPE accredited school of pharmacy * Current TN pharmacist license in good standing * Ability to work independently * Experience with computer applications (word processing, spread sheets, Pharmacy information systems Preferred Qualifications: * Completion of Pharmacy residency program * Experience in a hospital setting * Experience with Omnicell Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $43.22 to $77.21 per hour based on full-time employment. We comply with all minimum wage laws as applicable At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $43.2-77.2 hourly 30d ago
  • Medicare Sales Field Agent - Memphis, TN

    Humana 4.8company rating

    Memphis, TN job

    Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live in the designated territory to effectively serve their local community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll help bring Humana's strategy to life: Deliver on the fundamentals, differentiate through exceptional service, and grow by expanding our reach and impact. What You'll Do in This FIELD Based Role: Deliver: Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage. Differentiate: Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visits-providing a personalized experience that sets Humana apart. Grow: Drive self-generated sales, meet performance goals, and expand Humana's presence in the market by becoming a valued resource in your community. You'll engage with customers in the FIELD through a mix of in-person, virtual, and phone interactions. Face-to-face visits in prospective members' homes are a key part of this role. Why Join Humana? People-first culture that supports your personal and professional growth. Inclusive and diverse environment that values multilingual talent and cultural understanding. Autonomy and flexibility to manage your schedule and success. Purpose-driven mission to help people achieve their best health-and transform healthcare along the way. Benefits include: Medical, Dental, Vision, and a variety of other supplemental insurances Paid Time Off (PTO) and Paid Holidays 401(k) retirement savings plan with a competitive match Tuition reimbursement and/or scholarships for qualifying dependent children And much more! Use your skills to make an impact Required Qualifications Active Health Insurance License or ability to obtain. Must reside in the designated local territory to effectively serve the community. Comfortable with daily face-to-face interactions in prospective members' homes and engaging with the community through service, organizations, volunteer work, or local events. Valid state driver's license and proof of personal vehicle liability insurance meeting at least 25/25/10 coverage limits (or higher, based on state requirements). Preferred Qualifications Active Life and Variable Annuity Insurance License. Prior experience selling Medicare products. Experience in public speaking or delivering presentations to groups. Associate's or Bachelor's degree. Experience using Microsoft Office tools such as Teams, Excel, Word, and PowerPoint. Bilingual in English and Spanish, with the ability to speak, read, and write fluently in both languages. Additional Information This position is in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and MVR review. Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. Schedule: Meeting with members requires appointments and/or event times that may vary on nights and weekends. Flexibility is essential to your success. Training: The first five weeks of employment and attendance is mandatory. Interview Format: As part of our hiring process for this opportunity, we are using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected to move forward in the process, you will receive a text message inviting you to participate in a HireVue prescreen. In this prescreen, you will receive a set of questions via text and given the opportunity to respond to each question. You should anticipate this prescreen taking about 15 minutes. Your responses will be reviewed and if selected to move forward, you will be contacted with additional details involving the next step in the process. Pay Range The range below reflects a good faith estimate of total compensation for full time (40 hours per week) employment at the time of posting. This compensation package includes both base pay and commission with guarantee. The pay range may be higher or lower based on geographic location. Actual earnings will vary based on individual performance, with the base salary and commission structure aligned to company policies and applicable pay transparency requirements. $80,000 - $125,000 per year #medicaresalesrep Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $30k-38k yearly est. Auto-Apply 60d+ ago
  • Cook - Hospice Inpatient Unit

    Unitedhealth Group Inc. 4.6company rating

    Collierville, TN job

    Explore opportunities with Baptist Reynolds Hospice House, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Cook, you will prepare and serve meals to patients and families with care and attention to dietary needs, ensuring food is available 24/7. You maintain a clean, safe kitchen environment, operate equipment properly, and follow all food safety and sanitation procedures. You will also support patient care by coordinating with staff, attending to special events, and keeping open communication with the care team. Primary Responsibilities: * Follow dietary guidelines and accommodate special events or requests as assigned * Maintain and operate a clean, safe, sanitary kitchen and dining room environment * Stock and organize food and snacks in designated areas * Communicate regularly with nursing staff and care teams to support patient dietary needs * Maintain confidentiality and professionalism in all interactions You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Ability to work with others as an effective team builder and team player * Skilled as establishing/maintaining working relationships * Ability to work autonomously, take initiative, set priorities, organize work, and make independent decisions * Excellent communication skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $24.23 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $16-24.2 hourly 5d ago
  • CNA - Hospice

    Unitedhealth Group Inc. 4.6company rating

    Memphis, TN job

    Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Home Health Aide or CNA, you will provide patients with in-home personal care and designated health related services to maintain the patient's physical and emotional well being. Primary Responsibilities: * May provide or assist clients with activities of daily living including bathing in bed, tub or shower; care of hair including shampoo, combing and brushing; care of teeth and mouth including denture care; nail care, filing only; skin care including peri care and applying lotion; transfer of patient from bed to chair and to wheelchair. Transfer of patients on and off bedpan, commode and toilet * Reports observations of the client's condition to the agency director or accounts manager * Drives safely, complies with traffic regulations, and wears a seat belt when business travel is required * Assists with household tasks directly essential to clients' personal care You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Current driver's license, vehicle insurance, and reliable transportation or access to public transportation * Current CPR certification * Ability to work flexible hours and independently * Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client State-Specific Requirements (remove as applicable) * TN: Successful completion of a total of seventy-five (75) hours of training which include sixteen (16) hours of clinical training prior to or during the first three (3) months of employment and who is qualified to provide basic services, including simple procedures as extension of therapy services, personal care regarding nutritional needs, ambulation and exercise, and household services essential to health care at home Preferred Qualifications: * 6+ months of home care experience Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $24.23 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $14-24.2 hourly 31d ago
  • Pharmacy Technician Medication Liaison

    Unitedhealth Group Inc. 4.6company rating

    Memphis, TN job

    Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care. Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together. Position in this function is under the supervision of the Pharmacy Manager, the Pharmacy Technician Liaison will work independently and establish strong, credible relationships with patient, clinicians, and internal Genoa staff to help provide high level, specialized prescriptive care to patients in a fast-paced hospital and/or specialty clinic settings. Tour a Genoa Pharmacy at the following link: Genoa Healthcare On-site Pharmacy Tour (youtube.com) Position Location: Lakeside Behavior Health System, 2929 Brunswick Rd, Memphis TN, 38133. Hours: Monday-Friday: 8:00am-5:00 with a 1 hour lunch Primary Responsibilities: * Works in a hospital setting and builds solid relationships with patients, hospital staff, pharmacy team as well as other clients and stakeholders aligned with the business group * Participates in daily/weekly/monthly team meetings and acts on feedback to ensure quality care on -site * Educates potential patients about services provided at time of discharge and articulates how patients may utilize pharmacy services to obtain full benefits of the high-quality prescriptive care * Attends and contributes to daily medical team meetings and coordinates the collection of prescriptions, patient orders and all necessary paperwork for the pharmacy team in order to handle dispensing of patient medications * Schedules and coordinates pharmacist consultation review of patient's prescribed medications to drive medication adherence and education * Handles the coordination of patient medication delivery at time of discharge and ensures education has been provided to all necessary caregivers * Identifies and resolves insurance billing adjudication; including facilitating prior authorizations (PAs), and assisting in locating financial assistance for patients as needed * Conducts weekly follow up calls with hospital patients following discharge to ensure aftercare plans have been met * Identifies trends, barriers and potential process improvement opportunities and subsequently recommends customized and innovative solutions; as well as proposing value-driven change when necessary * All areas of the job description are subject to state regulations and allowances {Liaisons will be provided and trained on all state specific regulations and allowances} You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Pharmacy Tech License for the state of TN * National Pharmacy Technician Certification * 2+ years of pharmacy technician experience * Valid Driver's license and insurance * Access to reliable transportation Preferred Qualifications: * 2+ years of hospital experience of experience in a behavioral or mental health setting * Highly proficient in Microsoft Office, particularly Excel and Word * Proven solid verbal and written communication skills * Proven ability to work with a close-knit team and possess solid administrative and organizational skills * Proven ability to learn other software systems * Demonstrated ability to be detail oriented, professional, results oriented with a positive outlook and patient focus Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $20-35.7 hourly 30d ago
  • RN Patient Care Manager - Weekends - Hospice

    Unitedhealth Group 4.6company rating

    Memphis, TN job

    Explore opportunities with Baptist Trinity Home Care & Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As the Patient Care Manager -Hospice assists Executive Administrator/Executive Director/Director of Clinical Operations with all patient care activities to ensure the delivery of safe and efficient patient care which adheres to relevant standards of accepted nursing, regulatory, medical practice, and payer source criteria. **Primary Responsibilities:** + Responsible for compliance with hospice policies and procedures and with local, state, and federal regulatory requirements governing the practice of the assigned team + Actively promotes and directs assigned team regarding quality of care and safety of patients and staff + Engages in thorough problem resolution and complaint investigation + Provides in-services to staff to promote the health and safety of the patient, to familiarize staff with regulatory issues and agency policy and procedures, and to address any identified educational needs You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Current unrestricted RN licensure in state of practice + 1+ years of clinical experience + Current CPR certification requirements + Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation + Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client **Preferred Qualifications:** + 4+ years full-time experience as an RN or equivalent + Able to work independently + Good communication, writing, and organizational skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. \#LHCJobs _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $71.2k-127.2k yearly 40d ago
  • MSW - Hospice

    Unitedhealth Group Inc. 4.6company rating

    Memphis, TN job

    Explore opportunities with Baptist Trinity Home Care & Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Medical Social Worker, provides medical social services under the direction of a physician and Interdisciplinary Group to assist in the understanding of significant social and emotional factors related to the patient's health status and in development of coping mechanisms. Primary Responsibilities: * Assists the patient, significant others, physician and health care team staff to understand significant personal, emotional, environmental and social factors related to the patient's health status on an as needed basis * Contributes as a health care team member to the development of a comprehensive, integrated Plan of Care for patients on a daily basis * Instructs health care team members on community resources available to assist patients on a as needed basis * Able to function as Bereavement Coordinator and supervise the provision of bereavement services reflective of patient / family if needed. Establishes a Plan of care that addresses bereavement needs with clear delineation of services to be provided You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Master's Degree from a school of Social Work accredited by the Council of Social Work * Current CPR certification * Licensed Social Worker in the state of residence * Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation * 1+ years of social work experience in a health care setting Preferred Qualifications: * Bereavement Coordination experience * Experience with establishing a plan of care for bereavement needs Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $32k-36k yearly est. 30d ago
  • Licensed Practical Nurse - Cordova, TN

    Unitedhealth Group Inc. 4.6company rating

    Memphis, TN job

    Explore opportunities with Extendicare Home Health of West Tennessee, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. The Licensed Practical Nurse in Home Health is responsible for providing quality patient care and performing technical skilled care in the patient's home. Primary Responsibilities: * Provides high quality clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team, following all applicable infection control procedures * Documents patient visits thoroughly and completely per regulatory and payer requirements in the electronic medical record utilizing the agency's electronic visit verification program (as applicable) * Actively participates in the agency's care coordination process including timely reporting patients' needs and changes in condition, attending patient case conference, communicating effectively to the patient, family, physician, other clinicians, agency management staff, and case coordinator, community case managers (as applicable) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Current and unrestricted LPN licensure in state of practice * Current CPR certification * Current driver's license and vehicle insurance, access to a dependable vehicle, or public transportation * Ability to work flexible hours as required to meet identified client needs * Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client Preferred Qualifications: * Home care experience * Ability to manage multiple tasks simultaneously * Able to work independently * Good communication, writing, and organizational skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72per hour based on full-time employment. We comply with all minimum wage laws as applicable. #LHCJobs At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $20-35.7 hourly 30d ago
  • CHOICES Care Coordinator- Shelby County

    Bluecross Blueshield of Tennessee 4.7company rating

    Bluecross Blueshield of Tennessee job in Memphis, TN

    Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you. As a Care Coordinator, you will make a lasting impact on members' lives by ensuring their safety at home or within a community setting. In this role, you'll travel to member's homes for visits, while managing various demands and requests from both internal and external stakeholders. We're seeking individuals who excel in problem-solving through critical thinking, and who are adept at time management and prioritizing daily tasks. You should be self-motivated, flexible, and thrive in a fast-paced environment. Most importantly, you should have a passion for improving the quality of life for diverse members in their communities. You will be a great match for this role if you have: • 3 years of experience in a clinical setting • Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). • Exceptional customer service skills • Must live within the following counties: Memphis/Shelby County • Available for an 8:00am - 5:00pm EST(no on call) schedule, with the option (upon management approval) to work a compressed work week after 1 year. Job Responsibilities Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living. Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member. Conduct thorough and objective face-to-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho-social, financial, and employment and independent living expectations. Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met. Valid Driver's License. TB Skin Test (applies to coordinators that work in the field). Position requires 24 months in role before eligible to post for other internal positions. Various immunizations and/or associated medical tests may be required for this position. Job Qualifications Experience 2 years - Clinical experience required Skills\Certifications PC Skills required (Basic Microsoft Office and E-Mail) Effective time management skills Excellent oral and written communication skills Strong interpersonal and organizational skills License Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
    $26k-34k yearly est. Auto-Apply 60d+ ago
  • Medicare Sales Field Agent - Memphis, TN

    Humana 4.8company rating

    Memphis, TN job

    **Become a part of our caring community and help us put health first** With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live in the designated territory to effectively serve their local community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll help bring Humana's strategy to life: Deliver on the fundamentals, differentiate through exceptional service, and grow by expanding our reach and impact. **What You'll Do in This FIELD Based Role:** + **Deliver** : Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage. + **Differentiate** : Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visits-providing a personalized experience that sets Humana apart. + **Grow** : Drive self-generated sales, meet performance goals, and expand Humana's presence in the market by becoming a valued resource in your community. You'll engage with customers in the **FIELD** through a mix of in-person, virtual, and phone interactions. **Face-to-face visits in prospective members' homes are a key part of this role.** **Why Join Humana?** + **People-first culture** that supports your personal and professional growth. + **Inclusive and diverse environment** that values multilingual talent and cultural understanding. + **Autonomy and flexibility** to manage your schedule and success. + **Purpose-driven mission** to help people achieve their best health-and transform healthcare along the way. **Benefits include:** + Medical, Dental, Vision, and a variety of other supplemental insurances + Paid Time Off (PTO) and Paid Holidays + 401(k) retirement savings plan with a competitive match + Tuition reimbursement and/or scholarships for qualifying dependent children + **And much more!** **Use your skills to make an impact** **Required Qualifications** + **Active Health Insurance License** or ability to obtain. + Must reside in **the designated local territory** to effectively serve the community. + Comfortable with **daily face-to-face interactions** in prospective members' homes and engaging with the community through service, organizations, volunteer work, or local events. + Valid state **driver's license** and **proof of personal vehicle liability insurance** meeting at least 25/25/10 coverage limits (or higher, based on state requirements). **Preferred Qualifications** + **Active Life and Variable Annuity Insurance License** . + Prior experience **selling Medicare products** . + Experience in **public speaking or delivering presentations** to groups. + Associate's or Bachelor's degree. + Experience using Microsoft Office tools such as **Teams, Excel, Word, and PowerPoint** . + **Bilingual** in English and Spanish, with the ability to speak, read, and write fluently in both languages. **Additional Information** + This position is in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and MVR review. + Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. + Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Schedule** **:** Meeting with members requires appointments and/or event times that may vary on nights and weekends. Flexibility is essential to your success. **Training:** The first five weeks of employment and attendance is mandatory. **Interview Format:** As part of our hiring process for this opportunity, we are using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected to move forward in the process, you will receive a text message inviting you to participate in a HireVue prescreen. In this prescreen, you will receive a set of questions via text and given the opportunity to respond to each question. You should anticipate this prescreen taking about 15 minutes. Your responses will be reviewed and if selected to move forward, you will be contacted with additional details involving the next step in the process. **Pay Range** The range below reflects a good faith estimate of total compensation for full time (40 hours per week) employment at the time of posting. This compensation package includes both base pay and commission with guarantee. The pay range may be higher or lower based on geographic location. Actual earnings will vary based on individual performance, with the base salary and commission structure aligned to company policies and applicable pay transparency requirements. $80,000 - $125,000 per year \#medicaresalesrep Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $30k-38k yearly est. Easy Apply 60d+ ago
  • Cook - Hospice Inpatient Unit

    Unitedhealth Group 4.6company rating

    Collierville, TN job

    Explore opportunities with Baptist Reynolds Hospice House, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As the Cook, you will prepare and serve meals to patients and families with care and attention to dietary needs, ensuring food is available 24/7. You maintain a clean, safe kitchen environment, operate equipment properly, and follow all food safety and sanitation procedures. You will also support patient care by coordinating with staff, attending to special events, and keeping open communication with the care team. **Primary Responsibilities:** + Follow dietary guidelines and accommodate special events or requests as assigned + Maintain and operate a clean, safe, sanitary kitchen and dining room environment + Stock and organize food and snacks in designated areas + Communicate regularly with nursing staff and care teams to support patient dietary needs + Maintain confidentiality and professionalism in all interactions You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Ability to work with others as an effective team builder and team player + Skilled as establishing/maintaining working relationships + Ability to work autonomously, take initiative, set priorities, organize work, and make independent decisions + Excellent communication skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $24.23 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $16-24.2 hourly 38d ago
  • CNA - Nights - Hospice IPU

    Unitedhealth Group Inc. 4.6company rating

    Collierville, TN job

    Explore opportunities with Baptist Reynold's Hospice House, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Home and Community Bases Services Aide, you will provide support, assistance with personal hygiene and household functions for an individual to be able to remain in their own home. Primary Responsibilities: * Provide personal care and assist with daily living activities such as bathing, grooming, dressing, ambulation, and medication reminders * Support household tasks, meal preparation, and accompany clients to appointments or errands as needed * Monitor and document client condition, vital signs, and incidents; maintain confidentiality and use EVV system * Ensure a safe environment, operate medical equipment properly, and respond promptly to client needs You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Current driver's license, vehicle insurance, and reliable transportation or access to public transportation * Current CPR certification * Ability to work flexible hours and independently * Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client State-Specific Requirements: Category I and II- Home Health Aide- Medicare Certified Home Health Provider * TN: Successful completion of a total of seventy-five (75) hours of training which include sixteen (16) hours of clinical training prior to or during the first three (3) months of employment and who is qualified to provide basic services, including simple procedures as extension of therapy services, personal care regarding nutritional needs, ambulation and exercise, and household services essential to health care at home. Preferred Qualifications: * 6+ months of home care experience Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $14-27.7 hourly 8d ago
  • RN - Patient Care Manager - Hospice Inpatient Unit

    Unitedhealth Group 4.6company rating

    Collierville, TN job

    Explore opportunities with Baptist Reynolds Hospice House, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As the Patient Care Manager -Hospice assists Executive Administrator/Executive Director/Director of Clinical Operations with all patient care activities to ensure the delivery of safe and efficient patient care which adheres to relevant standards of accepted nursing, regulatory, medical practice, and payer source criteria. **Primary Responsibilities:** + Responsible for compliance with hospice policies and procedures and with local, state, and federal regulatory requirements governing the practice of the assigned team + Actively promotes and directs assigned team regarding quality of care and safety of patients and staff + Engages in thorough problem resolution and complaint investigation + Provides in-services to staff to promote the health and safety of the patient, to familiarize staff with regulatory issues and agency policy and procedures, and to address any identified educational needs You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Current unrestricted RN licensure in state of practice + 1+ years of clinical experience + Current CPR certification requirements + Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation + Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client **Preferred Qualifications:** + 4+ years full-time experience as an RN or equivalent + Able to work independently + Good communication, writing, and organizational skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. \#LHCJobs _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $71.2k-127.2k yearly 40d ago
  • NP - Per Diem

    Unitedhealth Group Inc. 4.6company rating

    Memphis, TN job

    Explore opportunities with Baptist Trinity Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Hospice Nurse Practitioner, you will provide consultation in palliative care, symptom management and supportive care to meet the needs of the Hospice patient as requested by the referring physician. Primary Responsibilities: * Makes face-to-face encounter visits within prescribed time limits to qualifying Hospice patients and reports clinical findings to the Hospice Medical Director * Consults with the Hospice Medical Director as needed, informs primary physician of recommended services, and collaborates with other physicians as needed * Initiates and coordinates the plan of care. Documents problems, appropriate goals, interventions, and patient/family response to hospice care. Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care * Instructs and supervises the patient/family in self-care techniques when appropriate * Maintains accurate and relevant clinical notes regarding the patient's condition. Reports patient condition and any identified needs/issues to Administrator and Hospice Medical Director You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Active unrestricted license in the state of residence * Current certification as a clinical Nurse Specialist or Nurse Practitioner in the state of practice * Current certification by a national body such as ANCC, NBCHPN, or AANP * Current driver's license and vehicle insurance, access to a dependable vehicle or public transportation * Current CPR certification * 5+ years of nursing experience Preferred Qualifications: * Experience working with an interdisciplinary team * Clinical nursing care in oncology, hospice, geriatrics, or intensive care * Palliative Care ARNP Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $43.22 to $77.21 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $39k-48k yearly est. 16d ago
  • Staff Pharmacist - Part Time

    Unitedhealth Group 4.6company rating

    Memphis, TN job

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a part time, nonexempt Staff Pharmacist at Lakeside Behavioral Health System, you will fill orders with accuracy; check technician-prepared products before release; maintain security of pharmacy and controlled substances; enter orders and patient information with accuracy; aid in the training of new staff; update the Director about the daily activities of the pharmacy; and aid the Director in maintaining the pharmacy. **Schedule** : This position will typically work two days per week including some weekends to help cover PTO and provide additional staffing. **About the Facility** : Located on a private 37-acre campus in Memphis, TN, Lakeside Behavioral Health System provides comprehensive behavioral health and addictive disease services, including inpatient, outpatient, and residential treatment, for people of all ages. The 313-bed facility is accredited by the Joint Commission. The centralized pharmacy staff has a good relationship with the nursing department. **About the Pharmacy** : Pharmacy hours are Monday-Friday, 6:00am-3:30pm, and Saturday/Sunday from 6:00am-3:30pm, and utilizes Omnicell dispensing system. **Primary Responsibilities:** + Fill orders with accuracy + Oversee Pharmacy technicians + Maintain security of pharmacy You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Pharmacy Degree (BS or PharmD) from an ACPE accredited school of pharmacy + Current TN pharmacist license in good standing + Ability to work independently + Experience with computer applications (word processing, spread sheets, Pharmacy information systems **Preferred Qualifications:** + Completion of Pharmacy residency program + Experience in a hospital setting + Experience with Omnicell Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $43.22 to $77.21 per hour based on full-time employment. We comply with all minimum wage laws as applicable _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $43.2-77.2 hourly 60d+ ago
  • Pharmacy Technician Medication Liaison

    Unitedhealth Group 4.6company rating

    Memphis, TN job

    **Opportunities with Genoa Healthcare.** A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care. Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start **Caring. Connecting. Growing together.** Position in this function is under the supervision of the Pharmacy Manager, the Pharmacy Technician Liaison will work independently and establish strong, credible relationships with patient, clinicians, and internal Genoa staff to help provide high level, specialized prescriptive care to patients in a fast-paced hospital and/or specialty clinic settings. **Tour a Genoa Pharmacy at the following link:** Genoa Healthcare On-site Pharmacy Tour (youtube.com) (******************************************** **Position Location:** Lakeside Behavior Health System, **2929 Brunswick Rd, Memphis TN, 38133.** **Hours:** Monday-Friday: 8:00am-5:00 with a 1 hour lunch **Primary Responsibilities:** + Works in a hospital setting and builds solid relationships with patients, hospital staff, pharmacy team as well as other clients and stakeholders aligned with the business group + Participates in daily/weekly/monthly team meetings and acts on feedback to ensure quality care on -site + Educates potential patients about services provided at time of discharge and articulates how patients may utilize pharmacy services to obtain full benefits of the high-quality prescriptive care + Attends and contributes to daily medical team meetings and coordinates the collection of prescriptions, patient orders and all necessary paperwork for the pharmacy team in order to handle dispensing of patient medications + Schedules and coordinates pharmacist consultation review of patient's prescribed medications to drive medication adherence and education + Handles the coordination of patient medication delivery at time of discharge and ensures education has been provided to all necessary caregivers + Identifies and resolves insurance billing adjudication; including facilitating prior authorizations (PAs), and assisting in locating financial assistance for patients as needed + Conducts weekly follow up calls with hospital patients following discharge to ensure aftercare plans have been met + Identifies trends, barriers and potential process improvement opportunities and subsequently recommends customized and innovative solutions; as well as proposing value-driven change when necessary + All areas of the job description are subject to state regulations and allowances {Liaisons will be provided and trained on all state specific regulations and allowances} You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Pharmacy Tech License for the state of TN + National Pharmacy Technician Certification + 2+ years of pharmacy technician experience + Valid Driver's license and insurance + Access to reliable transportation **Preferred Qualifications:** + 2+ years of hospital experience of experience in a behavioral or mental health setting + Highly proficient in Microsoft Office, particularly Excel and Word + Proven solid verbal and written communication skills + Proven ability to work with a close-knit team and possess solid administrative and organizational skills + Proven ability to learn other software systems + Demonstrated ability to be detail oriented, professional, results oriented with a positive outlook and patient focus Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $20-35.7 hourly 30d ago
  • CNA - PRN Nights - Hospice IPU

    Unitedhealth Group 4.6company rating

    Collierville, TN job

    **Explore opportunities with Baptist Reynold's Hospice House,** a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As the Home and Community Bases Services Aide, you will provide support, assistance with personal hygiene and household functions for an individual to be able to remain in their own home. **Primary Responsibilities:** + Provide personal care and assist with daily living activities such as bathing, grooming, dressing, ambulation, and medication reminders + Support household tasks, meal preparation, and accompany clients to appointments or errands as needed + Monitor and document client condition, vital signs, and incidents; maintain confidentiality and use EVV system + Ensure a safe environment, operate medical equipment properly, and respond promptly to client needs You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Current driver's license, vehicle insurance, and reliable transportation or access to public transportation + Current CPR certification + Ability to work flexible hours and independently + Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client **State-Specific Requirements:** Category I and II- Home Health Aide- Medicare Certified Home Health Provider + TN: Successful completion of a total of seventy-five (75) hours of training which include sixteen (16) hours of clinical training prior to or during the first three (3) months of employment and who is qualified to provide basic services, including simple procedures as extension of therapy services, personal care regarding nutritional needs, ambulation and exercise, and household services essential to health care at home. **Preferred Qualifications:** + 6+ months of home care experience Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $14-27.7 hourly 13d ago

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