Transitional Case Manager
Remote case management coordinator job
Explore opportunities with VNA of Maryland, 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 Transitional Case Manager (TCM), you will be facilitating seamless transitions for patients from facility settings to post-acute care. You will verify home health orders, assess care requirements, and ensure continuity of care. Your role includes assessing patients' health literacy, involving patients and families in care planning, and providing education to improve outcomes and promote self-management. You will implement rehospitalization reduction initiatives for patients at risk and communicate with healthcare providers throughout the transition.
You'll enjoy the flexibility to work remotely as you take on some tough challenges.
Primary Responsibilities:
Educate patients on post-discharge follow-up, homebound criteria, and obtaining prescriptions
Assess readmission risk using the LACE tool
Ensure patients and families have agency contact information
Coordinate ancillary services (DME, Infusion) as needed
Assist in preparing for patient care post-discharge
Liaise between the agency and healthcare providers
Communicate patient transfers and coordinate resumption of care
Provide feedback on readmissions and non-admit decisions
Perform other duties as assigned
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, LPN, or SW licensure in state of practice
Current CPR certification
1+ years home health experience or 1+ years of hospital case management experience
Current driver's license, vehicle insurance, access to a dependable vehicle or public transportation
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $48,700 to $87,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
#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.
Auto-ApplyRemote Inbound Call Support & Service Records Coordinator
Remote case management coordinator job
We are seeking professional and reliable individuals to join our remote workforce as Inbound Call Support & Service Records Coordinators. This work-from-home role supports call center operations by assisting customers, coordinating communication records, and maintaining accurate documentation across internal systems.
In this role, you will assist customers through inbound phone calls and approved written communication channels. Your responsibilities include responding to general inquiries, providing accurate information, and ensuring each interaction is handled respectfully and professionally. Clear and consistent communication is essential.
Alongside customer support, you will manage service coordination tasks. These include recording call summaries, updating internal systems with accurate information, reviewing documentation for completeness, and maintaining organized digital records. Attention to detail is critical, as accurate information supports service quality and internal reporting.
This position follows structured procedures and standard operating guidelines. Training materials, call handling instructions, and system access guidance will be provided during onboarding. Although remote, you will stay connected with supervisors and colleagues through digital collaboration platforms.
Applicants must have a reliable internet connection, a computer or laptop, and a quiet workspace suitable for professional communication. Basic computer skills, including email usage and familiarity with online tools, are required. Strong organizational and time management skills are necessary to succeed.
Previous experience in call center operations, customer support, or administrative roles is helpful but not required. Entry-level candidates are encouraged to apply, and full training will be provided.
Work schedules may be flexible, including part-time or full-time options based on operational needs. Compensation and scheduling details will be shared during the interview process. No application fees or upfront payments are required.
Case Manager
Remote case management coordinator job
Duration: 03 Months
Job Overview - Case Manager
We are seeking a self-motivated, detail-oriented, and highly organized Case Management Coordinator to support Medicaid Long Term Care/Comprehensive Program members in Miami-Dade County, FL. This role is primarily field-based, requiring approximately 75% travel within the assigned region, with 25% work-from-home responsibilities. The coordinator will assess, plan, implement, and coordinate case management services to support members' medical, social, and wellness needs across home, assisted living, and nursing facility settings.
Key Job Duties
Coordinate case management activities for Medicaid Long Term Care/Comprehensive Program enrollees
Conduct telephonic and face-to-face assessments of members in homes, assisted living facilities, and nursing homes
Perform comprehensive member evaluations using care management tools and data review
Provide coaching, education, and support to empower members to make informed healthcare decisions
Monitor, evaluate, and document care activities in compliance with regulatory and accreditation guidelines and internal policies
Utilize case management and quality management processes consistently and accurately
Experience & Qualifications Required
Bachelor's Degree required, preferably in Social Work or a related field
Case management experience required
Long-term care experience preferred
Bilingual Spanish/English strongly
Schedule
Monday-Friday, 8:00 AM - 5:00 PM (EST)
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Recruter Details:
Name: Umar Farooq
Email: **********************************
Internal Id #25-55185
Senior Coordinator, Case Management
Case management coordinator job in Columbus, OH
Senior Coordinator for Case Management, Mount Carmel East The Senior Case Management extender would work under the direction of the RN Care Managers, Utilization Review Care Manager and the Social Workers. This position functions with his/her peers and other care providers for problem solving and facilitating in-patient and post hospitalization care. And coordinate, oversee records and transmit information pertinent to the resource management of patients.
Minimum Requirements:
* Associate's Degree or High School Diploma and equivalent relevant experience required. Bachelor's degree preferred.
* Medical assistant or Licensed Practical Nurse (LPN) highly preferred.
* 5-7 years of customer service, medical assistance or secretarial experience preferred. Prior experience in a medical setting required
* Ability to organize and utilize work hours effectively and with minimal supervision
* Medical terminology preferred
Essential Responsibilities
* Enter authorization notes in Cerner-from insurance calls, faxes and authorizations in HealthQuest
* Communicate information received from payers to utilization review nurse.
* Transmit continued stay reviews and track authorizations
* Verify attendance at pain clinic/Suboxone/Methadone clinic and complete HENS/PASSR
* Scheduling PCP/follow up appointments
* Faxing and phoning agencies and facilities to assist with discharge referrals and continuity of care
* Assist with delivery of charity items-clothing/DME/meal cards, etc. and complete transportation application and arrange transportation as needed for patients at discharge
Position Highlights and Benefits:
Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
Retirement savings account with employer match starting on day one.
Generous paid time off programs.
Employee recognition programs.
Tuition/professional development reimbursement starting on day one.
RN to BSN tuition 100% paid at Mount Carmel's College of Nursing.
Relocation assistance (geographic and position restrictions apply).
Employee Referral Rewards program.
Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
Ministry/Facility Information:
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Care Coordinator - Licking
Case management coordinator job in Newark, OH
Care Coordinator
Positions within Licking and Knox Counties Available
Duties: In this role, you provide care coordination services to adult clients with mental health and substance abuse issues. Implements monitoring system, determines client needs and ensures delivery of needed treatment.
The Organization: Since 1955, Behavioral Health Care Partners (Formally known as Moundbuilders Guidance Center) has been providing integrated mental health and addiction treatment services for youth, adults and families. In addition, we offer:
Exceptional pay
Great benefits including health, dental, vision, life insurance and Employee Assistance Program with Mental Health Counseling
403b retirement plan with matching funds
CEUs, Licensure/Certification Reimbursements, Multiple Student Loan Forgiveness Programs, and employee discounts
Accrued paid time off including 2 weeks' vacation, 12 sick days per year, and 10 paid holidays
Flexible schedule/Potential Hybrid Model
40 hours per week
Sign on bonuses available
Our Location: Our offices are located at 65 Messimer Drive in Newark, Ohio or 8402 Blackjack Road in Mount Vernon. Both are a short 30-minute scenic commute from Columbus, Zanesville, and Lancaster.
Qualifications: Candidates must possess strong written and oral communication skills and the ability to collaborate with other service providers. High School Diploma with one to three years of care coordination experience for individuals with mental health or substance abuse issues. Preferred Associates Degree in Human Services or related field. Qualified Mental Health Specialist (QMHS). Licensed Social Worker (LSW) or Licensed Professional Counselor (LPC) preferred. State of Ohio Driver's License. BLS/CPR certification required. Basic computer, phone and typing skills are necessary for all positions.
To Apply: Online at ***************************
BHP is an EEO and ADA compliant organization.
V104- Intake Case Coordinator II
Remote case management coordinator job
For ambitious, culturally diverse, curious minds seeking booming careers, Job Duck unlocks and nurtures your potential. We connect you with rewarding, remote job opportunities with US-based employers who recognize and appreciate your skills, allowing you to not just survive but thrive.
As a lifestyle company, we ensure that everybody working here has a fantastic time, which is why we've earned the Great Place to Work Certification every year since 2022!
:
Join Job Duck as an Intake Case Coordinator and become an essential part of a dynamic team dedicated to delivering exceptional client support. In this role, you will manage critical communications with providers, verify balances, and ensure accurate documentation to keep cases moving efficiently. Your ability to stay organized and maintain professionalism will directly impact client satisfaction and operational success. This position is ideal for someone who thrives in a fast-paced environment, enjoys problem-solving, and values clear, empathetic communication.
• Salary Range: from $1,150 USD to $1,220 USD
Responsibilities include, but are not limited to:
Contact providers on behalf of clients to request and review outstanding invoices and verify balances
Coordinate timely follow-ups with stakeholders
Negotiate with providers on behalf of clients after training period
Confirm insurance coverage applicability for clients
Accurately document all findings and interactions in the CRM system
Participate in daily, weekly, and monthly team meetings
Maintain professionalism and empathy in all client and provider interactions
Communicate with multiple providers and consolidate inquiries for efficiency
Requirements:
Additional Job Description:
• Location: Virginia (Remote support for U.S.-based office)
• Time Zone: Eastern Standard Time (EST)
• Office Hours: Monday to Friday 8:30 AM - 5:30 PM EST
• Software/Tools:
• CRM: Neos
• VoIP: Intermedia
• Internal Communication: Neos, Zoom
• Email: Neos
• Calendar: Neos
Required Skills:
• Minimum of 1 year of experience in a client-facing role, such as customer service or sales.
• Advanced/native-level English skills (both written and spoken)
• Strong attention to detail and organizational skills
• Excellent verbal and written communication
• Emotional maturity and ability to handle sensitive information
• Empathetic and professional demeanor
• Ability to work independently and as part of a team
• Comfortable with CRM systems and VoIP tools
EQUIPMENT REQUIREMENTS:
• Intel i5 or better CPU (i5/i7/i9) or AMD Ryzen 5 series
• 8GB RAM (16GB recommended)
• Windows 11
• Internet speed of 15 Mbps upload and download
• Headset with microphone (laptop webcam microphones are not acceptable)
• Apple's mac OS is not supported
Work Shift:
8:30 AM - 5:30 PM [EST][EDT] (United States of America)
Languages:
English, Spanish
Ready to dive in? Apply now and make sure to follow all the instructions!
Our application process involves multiple stages, and submitting your application is just the first step. Every candidate must successfully pass each stage to move forward in the process.
Please keep an eye on your email and WhatsApp for the next steps. A recruiter will be assigned to guide you through the application process. Be sure to check your spam folder as well.
Auto-ApplySummer Youth Program Site Coordinator (Amharic Speaking)
Case management coordinator job in Columbus, OH
Basic Function
Responsible for supervising site staff, recruiting students, facilitating the youth program activities, maintaining the site, and performing program-related assignments as needed by the Youth Program Manager. This position is 40 hours per week at our site located at 525 Bernhard Rd, Whitehall, OH 43213
Responsibilities
Coordinate the development and implementation of all aspects of the summer programs.
Manage all day-to-day operations of the program sites, including organization, maintenance, cleaning, safety, and security.
Maintain student files, progress reports, attendance, and other necessary participant documents
Establish and maintain relationships and communication with youth, parents, and staff regarding students' needs and progress.
Establish and maintain communication with the participant's school regarding student needs.
Assist in facilitating partnerships with agencies that provide services to students and families.
Complete reports and administrative tasks on a timely basis
Provide site updates and create newsletters
Coordinate and recruit tutors and tutor volunteers
Plan curriculum activities and supervise implementation.
Supervise, manage, and evaluate staff.
Perform tasks pertinent to achieving goals and objectives required by the Youth Program grant, or as deemed necessary by the Program Director.
Skills
Oral communication, Professionalism, Interpersonal, Written communication, Computer literacy, Time Management, Organizational, Programming, Management, Organization Cultural Competency, Trauma Informed
Education
Bachelor's degree in education and/or social services preferred or a combination of some college and relevant experience.
Experience
Teaching and previous experience working with youth in educational programs. Supervisory experience and experience working with diverse populations
Auto-ApplyPopulation Health Care Coordinator - RN
Case management coordinator job in Columbus, OH
The Population Health Care Coordinator works in collaboration and partnership within an interdisciplinary team to manage chronic healthcare conditions for patients with two or more chronic conditions and tangential issues. This role will focus on Patient Centered Medical Home (PCMH), quality improvement, comprehensive care management services, value based care, and closing care gaps. The Population Health Care Coordinator will ensure transparent whole person care and will support patient activation in care, improved population health outcomes and increased health literacy.
SALARY RANGE: $64,800-$77,700
BENEFITS:
PTO
Vision
Dental
Health
401k
Sick time
MAJOR AREAS OF RESPONSIBILITIES:
Promote timely access to appropriate and encompassing care in compliance with standards set forth through HRSA and NCQA
Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider and care team
Cultivate and support primary care and specialty provider co-management with timely communication, inquiry, follow-up and integration of information into the care plan
Increase continuity of care by supporting effective mechanisms in transitions of care and managing relationships with secondary and tertiary care providers and referrals
Increase patients' ability for self-management and shared decision-making
Establish relationships with relevant community resources, resulting in the connection of patients to these resources with the goal of enhancing patient health and well-being, increasing patient satisfaction and reducing health care costs
Assess patient health literacy and utilize effective strategies to increase understanding and activation in care
Anticipate and meet or exceed all patient needs.
Attend all Care Coordinator training courses/webinars and meetings
Collect and analyze population health outcomes and Provide feedback for the improvement of the Care Coordination Program
Assist in identifying appropriate QI initiatives to improve health outcomes for general Primary Care and Specialty Care
Facilitate, implement and evaluate QI activities to improve chronic care management among care teams
Increase efficiencies through the use of improved workflows and integration of service delivery to address complexity of chronic disease management.
Will participate in ongoing professional and personal development related to enhanced leadership activities and evidence-based practices
Other duties as assigned.
EDUCATION/LICENSURE:
Required: RN Licensed in Ohio
Required: Associate's Degree in any discipline
Knowledge, Skills, Abilities and other Qualifications:
Knowledge of clinical quality indicators for Ryan White, FQHC, Meaningful Use and PCMH
2-3 years of RN experience in a clinical setting
Evidence of essential leadership, communication and counseling skills
Highly organized with ability to keep accurate notes and records
Experience with Quality Improvement and change management preferred
Must have sensitivity to, interest in and competence in cultural differences, HIV/AIDS, minority health, and a demonstrated competence in working with persons of color, and LGBTQ communities.
Proficiency in all Microsoft Office applications and other computer applications required. Experience with EPIC highly preferred and ability to learn new technologies, web tools, and basic design tools is imperative
Knowledge of ambulatory care nursing principles or experience in an outpatient setting preferred
Must have reliable transportation and valid Ohio driver's license
OTHER INFORMATION:Background and reference checks will be conducted. In accordance with Equitas Health's Drug-Free Workplace Policy, pre-employment drug testing will be administered. Hours may vary, including working some evenings and weekends based on workload. Individuals are not considered applicants until they have been asked to visit for an interview and at that time complete an application for employment. Completing the application does not guarantee employment. EOE/AA
Work From Home-Online Hotel Coordinator-Entry Level
Remote case management coordinator job
Job Title: Work From Home-Online Hotel Coordinator-Entry Level About Destination Knot:Destination Knot is a travel planning company dedicated to creating unforgettable experiences for every type of traveler. From romantic getaways and family vacations to group trips and business stays, we provide personalized hotel and resort booking services with care and attention to detail.
Position Overview: We're looking for a motivated and detail-oriented Online Hotel Coordinator to join our remote team. This is an entry-level role ideal for someone eager to begin a career in the travel industry. You'll help match clients with the perfect hotel accommodations, manage bookings, and provide outstanding customer support throughout the planning process.
Key Responsibilities:Assist clients in researching and booking hotel and resort accommodations Respond to inquiries via email, phone, or chat in a timely, professional manner Review client preferences to recommend suitable lodging options based on budget, location, and travel dates Manage reservation details and updates using booking tools and systems Maintain accurate client records and documentation Support post-booking needs such as changes, special requests, or follow-up questions Stay informed on current travel trends, hotel promotions, and destination offerings
Qualifications:No prior travel industry experience required-training provided Strong communication and customer service skills Organized, dependable, and detail-oriented Comfortable working remotely and managing tasks independently Tech-savvy with basic knowledge of online platforms (booking systems a plus) Must be 18 years or older with reliable internet access and a computer Passion for travel and helping others plan great experiences
What We Offer:Remote, flexible work environment Entry-level onboarding and continuous training Supportive team and professional development opportunities Access to industry tools and hotel booking platforms Travel perks and performance-based incentives
Work Environment: This is a remote position with flexible hours. It's perfect for individuals who are self-motivated, enthusiastic, and ready to start a fulfilling path in the travel and hospitality industry.$40,000 - $60,000 a year We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
Auto-ApplySr Coordinator, Individualized Care (Reimbursement Coordinator)
Remote case management coordinator job
Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
Responsibilities
Investigate and resolve patient/physician inquiries and concerns in a timely manner
Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
Proactive follow-up with various contacts to ensure patient access to therapy
Demonstrate superior customer support talents
Prioritize multiple, concurrent assignments and work with a sense of urgency
Must communicate clearly and effectively in both a written and verbal format
Must demonstrate a superior willingness to help external and internal customers
Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable)
Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry
Must self-audit intake activities to ensure accuracy and efficiency for the program
Make outbound calls to patient and/or provider to discuss any missing information as applicable
Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance
Documentation must be clear and accurate and stored in the appropriate sections of the database
Must track any payer/plan issues and report any changes, updates, or trends to management
Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client
Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome
Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties
Support team with call overflow and intake when needed
Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
Qualifications
3-6 years of experience, preferred
High School Diploma, GED or technical certification in related field or equivalent experience preferred
What is expected of you and others at this level
Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
In-depth knowledge in technical or specialty area
Applies advanced skills to resolve complex problems independently
May modify process to resolve situations
Works independently within established procedures; may receive general guidance on new assignments
May provide general guidance or technical assistance to less experienced team members
TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT.
REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second)
Upload speed of 5Mbps (megabyte per second)
Ping Rate Maximum of 30ms (milliseconds)
Hardwired to the router
Surge protector with Network Line Protection for CAH issued equipment
Anticipated hourly range: $21.50 per hour - $30.70 per hour
Bonus eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with my FlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs
Application window anticipated to close: 2/11/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
To read and review this privacy notice click
here
Auto-ApplyReimbursement Coordinator, Home Infusion Peachtree Corners, GA remote hold
Remote case management coordinator job
Reimbursement Coordinator, Home Infusion Peachtree Corners, GA remote hold
Experience level: Mid-senior Experience required: 2 Years Education level: High school or equivalent Job function: Finance Industry: Accounting Compensation: position: 1 Visa sponsorship eligibility: No
Note: When submitting your candidates, please include their answers to the 5 prescreen questions and please ensure you are asking the pre-screening questions LIVE instead of via email.
Job Description:
Are you an experienced professional with a minimum of 2 years of home infusion billing and accounts receivable experience? If so, we have an exciting opportunity for you as a Home Infusion Reimbursement Coordinator. In this role, you will be a key player in ensuring accurate and timely reimbursement for home infusion services navigating the complexities of billing, claims, and compliance.
Key Responsibilities:
As a Home Infusion Reimbursement Coordinator, your primary focus will be on orchestrating the reimbursement process for home infusion services. This includes managing billing procedures, resolving complex claims, and staying abreast of regulatory changes to maintain compliance. Engage with internal and external stakeholders to streamline processes and optimize revenue outcomes. Your role will also involve collaborating with cross-functional teams to achieve service and sales goals.
Lets talk about Qualifications and Experience
Required:
Minimum of 2 years of home infusion billing experience.
2 years of experience in maintaining HIPAA standards.
Proficient in using computers and Microsoft products (Excel and Word).
Strong motivation in billing, claims, and document management.
Effective communication skills and problem-solving abilities.
High school diploma required; equivalent education and experience considered.
Preferred:
Broad knowledge of routines and procedures.
Proven track record of working towards and exceeding metrics.
PMO Notes:
This is a high-priority role.
The team is in severe need of additional support and is looking to move quickly to fill these openings.
When submitting your candidates, please include their answers to the 5 prescreen questions.
Please ensure you are asking the pre-screening questions LIVE instead of via email.
We want to know that the candidates are able to be successful in this position and knowing basic Home Infusion will help with the process.
It is a remote position; the candidate can be located anywhere in the U.S.
No timezone preference.
Flexible schedule to work MondayFriday with adjustable hours.
The approved compensation range is up to $25/hour.
This pay rate is firm.
We highly recommend posting the job under a different title. Some examples: "Billing Coordinator, Home Infusion" OR "Payor Analyst, Home Infusion" OR "Reimbursement Coordinator, Home Infusion" OR "RCM Specialist, Home Infusion"
The candidate must have Home Infusion experience.
We are looking for at least 2 years of experience as they have to understand the home infusion reimbursement process.
At least 1 year of experience must be recent/current exp.
In addition to Home Infusion experience, they should have knowledge from a Front End Billing perspective.
The team clarified that the Front End Billing exp they need is not intake (qualifying patients, test claims, etc.).
They need the skillset to create infusion claims (bill medical payors, not the RX payors/NCPP).
In an ideal world, they also have knowledge of Collections. This is a plus, but not required.
Both Home Infusion and Front End Billing experience are required.
Soft Skills: The candidate should be motivated, have critical thinking skills, and be able to take ownership of their job duties.
Recommended to target candidates from CVS Health/Quorum, as their home infusion departments are closing.
Emphasize reaching out directly to potential candidates, especially via LinkedIn searches and personalized messages.
MUST HAVE:
High school diploma required; equivalent education and experience considered.
2 years of home infusion billing experience.
2 years of experience in home infusion reimbursement process.
2 years of experience in maintaining HIPAA standards.
This role primarily focuses on Accounts Receivable, so candidates should have relevant experience in this area.
Accounts Receivable and Collections (specifically Payor Collections, not Patient Collections).
Experience in Front-End Billing.
Proficient in using computers and Microsoft products (Excel and Word).
Strong motivation in billing, claims, and document management.
Coordinator, Managed Care I - Behavioral Health/ Substance Abuse focused
Remote case management coordinator job
Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness. Utilizes available resources to promote quality, cost effective outcomes.
Description
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Position Purpose:
Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness. Utilizes available resources to promote quality, cost effective outcomes.
Location:
This is a remote position.
What You'll Do:
Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. May initiate/coordinate discharge planning or alternative treatment plans as necessary and appropriate. Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits.
Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal).
1Provides patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management programs.
Maintains current knowledge of contracts and network status of all service providers and applies appropriately. Assists with claims information, discussion, and/or resolution and refers to appropriate internal support areas to ensure proper processing of authorized or unauthorized services.
Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members.
To Qualify For This Position, You'll Need The Following:
Required Education: Associate's in a job related field.
Degree Equivalency: Graduate of Accredited School of Nursing or 2 years job related work experience .
Required Work Experience: 2 years clinical experience.
Required Skills and Abilities: Working knowledge of word processing software. Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service, organizational, and presentation skills. Demonstrated proficiency in typing, spelling, punctuation, and grammar skills. Demonstrated oral and written communication skills. Ability to persuade, negotiate, or influence others. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion.
Required Software and Tools: Microsoft Office.
Required Licenses and Certificates: Active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR, active, unrestricted LMSW (Licensed Master of Social Work) licensure from the United States and in the state of hire, OR active, unrestricted licensure as Counselor, or Psychologist from the United States and in the state of hire.
We Prefer That You Have The Following:
Preferred Education: Bachelor's degree- Nursing.
Preferred Work Experience: work experience in healthcare program management, utilization review, or clinical experience in defined specialty. Specialty areas are oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedic, general medicine/surgery.
Preferred Skills and Abilities: Working knowledge of spreadsheet, database software. Knowledge of contract language and application. Thorough knowledge/understanding of claims/coding analysis/requirements/processes.
Our Comprehensive Benefits Package Includes The Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
Some states have required notifications. Here's more information.
Auto-ApplyHealth Care Enrollment Coordinator
Case management coordinator job in Columbus, OH
STRS Ohio, STRS
The State Teachers Retirement System of Ohio (STRS Ohio) is seeking a Health Care Enrollment Coordinator to join its Member Benefits/ Health Care Production Operations team.
Established in 1920 and serving Ohio's educators, STRS Ohio is one of the nation's largest retirement systems, serving over 500,000 active, inactive, and retired public-school teachers, and university faculty members, managing approximately $96.9 billion as of June 30, 2024, in assets and paying more than $7 billion in benefits annually.
STRS Ohio provides a competitive pay, and a comprehensive benefits package including on-site parking, educational assistance, subsidized medical insurance, fully paid dental and life insurance, vacation and sick leave, retirement benefits and on-site fitness center. At STRS Ohio, you can experience rewarding work in a professional, business casual work environment. We welcome, celebrate, and promote respect for everyone. We are continually seeking bright and talented individuals to join our team.
Compensation:
$27.45/ hr. or commensurate with education and experience
Work Schedule:
8:00am-5:00pm Monday through Friday (Onsite)
General Summary:
Under the direction of the manager, Health Care (HC) Production Operations, research and resolve cross-functional health care issues, with a collaborative approach toward enrollment, eligibility and claims. Coordinate health care enrollment issue resolution for benefit recipients and enrollees. Process enrollment related workflows and daily, weekly and monthly health care reports.
Summary of Responsibilities:
Process health care enrollment and eligibility in compliance with State Teachers Retirement System of Ohio (STRS Ohio) Administrative Rules and Centers for Medicare and Medicaid Services (CMS) regulations and ensure accurate enrollee billing.
Collaboratively resolve member coverage issues as result of Medicare enrollment, acceptance into the Medicare Advantage Plan, Part D plan. Prioritize immediate access coverage issues.
Discuss high level benefits, coverage and claims processing with enrollees and plan administrators.
Work with internal and external parties including plan administrators, Medicare intermediaries and others to ensure each health care plan enrollee's issue is handled appropriately.
Utilize detailed knowledge of enrollment eligibility, 834 files (files shared between STRS Ohio and the plan administrator), pension processing system and vendor processing procedures to ensure the efficient, accurate enrollment and issue resolution.
Cultivate and maintain a detailed knowledge of STRS Ohio health care benefits, rationale for program changes.
Confer with department managers on complex escalated issues requiring thorough review and policy consideration.
The above list of duties is intended to describe the general nature and level of work performed by persons assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the persons so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct and control the work of associates under supervision.
Summary of Qualifications:
High school diploma or equivalent is required.
Bachelor's degree in a related field preferred.
Two to four years relevant work experience required, four or more years relevant work experience preferred.
Comprehensive knowledge of Medicare enrollment guidelines, benefits and programs required.
Experience explaining medical and pharmacy benefits to enrollees preferred.
Interpersonal skills necessary to deal effectively and courteously with internal and external contacts required.
Excellent organizational skills and a high degree of accuracy and attention to detail required.
Equal Employment Opportunity Employer Statement
State Teachers Retirement System of Ohio (STRS) is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees on the basis of race, color, religion, gender, gender identity or expression, national origin (ancestry), military status, disability, age, genetic information, sexual orientation, or caregiver status, in making employment-related decisions about an individual.
ADA Statement
STRS Ohio is committed to ensuring access, inclusion, and reasonable accommodations across all its services, activities, programs, and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.
Posting Drug-Free Workplace Statement
The State Teachers Retirement System of Ohio (STRS Ohio) is a drug-free workplace. The use of recreational marijuana and non-medical cannabis is strictly prohibited.
Pre-Employment Drug Testing
All final candidates tentatively selected for employment will be required to undergo a urinalysis drug screening prior to appointment. This screening includes testing for illegal substances, including marijuana. A positive test result will disqualify the applicant from employment unless valid medical documentation is provided for legally prescribed medications or a physician's recommendation for medical marijuana.
Pre-Employment Background Investigation
The final candidate selected for this position will be subject to a criminal background check. STRS Ohio will conduct an individualized assessment of any prior criminal convictions before making a determination regarding employment eligibility.
Auto-ApplyIn-Home Care Admin Coordinator
Remote case management coordinator job
The Clover Care Services organization delivers proactive support and care to our members through our clinical Clover Home Care teams, and quality improvement services to our aligned providers through our practice engagement team. Clover has built one of the most proactive, data-driven health care services platforms and is excited about how technology impacts our ability to bring transformative results to both patients and providers.
As a In-Home Care Admin Coordinator, you will:
Answer member calls, demonstrating our value of caring as you work to assist members and escalate appropriately based on protocols for emergent, urgent and non-urgent calls.
Receive inbound warm transfers from other Clover teams.
Confirm patient appointments for provider schedules.
Outreach patients not recently seen to ensure continuous care.
Prepare travel routes for clinicians based on daily scheduled visits.
Communicate effectively with care team members via team huddles and EHR documentation.
Navigate multiple computer platforms throughout the day.
Ensure team escalations are addressed timely and accurately.
Other administrative duties as assigned.
You should get in touch if:
You have high School Diploma and/or GED.
You are bilingual in English/Spanish (strongly preferred).
You have direct experience working in the healthcare setting, bonus points if in an ambulatory/outpatient practice.
You have strong administrative and computer skills, especially Google Apps (Mail, Calendar, Sheets, etc).
You have experience working with an EHR and/or Carelink.
You have customer service experience answering a large volume of incoming calls.
Benefits Overview:
Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive hourly rate. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, company holidays, access to mental health resources, and a generous time-off policy.
Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.
Additional Perks:
Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
Reimbursement for office setup expenses
Monthly cell phone & internet stipend
Remote-first culture, enabling collaboration with global teams
Paid parental leave for all new parents
And much more!
#LI-Remote
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
We are an E-Verify company.
A reasonable estimate of the base salary range for this role is $45,000 to $55,000. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant's education, work experience, certifications, etc.
Auto-ApplyHealth Coach Care Coordinator
Case management coordinator job in Columbus, OH
Job DescriptionDescription:
Health Coach Care Coordinator
(Columbus, OH) - Prescribe FIT LLC
Engaging with our clients' life story begins with their healthcare provider.
Prescribe FIT has designed and implemented a unique solution that actively promotes the adaptation of a healthy lifestyle that embraces daily physical activity, personalized nutrition, and healthy lifestyle choices designed to lower health care costs. We do this by remotely monitoring patients to track and analyze the lifestyle data of patients to better understand and influence behaviors through software coaching initiatives.
Role Description:
We seeking a healthcare professional to fill the role of a Health Coach Care Coordinator. The role will support and engage with patients to help them achieve an optimal level of health and maintain wellness in light of new or existing chronic conditions. The ideal candidate will provide thorough education about the patient's disease process, self-management strategies, lifestyle changes, diet and exercise, and work with the patient to overcome roadblocks. All activities are completed with the patient virtually via our software.
Candidates with an upbeat, positive, and hardworking personality will fit with our culture. The desire to help patients succeed with their goals and show empathy throughout the healthcare journey with patient is vital to this role. Must have a strong ability to problem solve.
What You will Do:
General
Chart and document patient interventions, provider interactions, and general clinical notes
Be responsive to patient communications - digital, phone, voice, video, and text
Provide thorough and personalized patient support
Be a team player and seek information when necessary
Be open to improvement and direction
Other responsibilities and duties as assigned
Lifestyle Coaching
Educate patients on physical activity, nutrition and other lifestyle choices leading to better lifestyle management
Direct patients to relevant resources available
Engage with patients comfortably on a routine basis via virtual or telephonic methods
Facilitate difficult conversations
Recognize patient needs and interventions
Address concerns and answer questions sufficiently
Identify important discussion points based on a patient's medical history
Use Motivational Interviewing (MI) to address issues
Schedule:
8-hour shift
Monday to Friday
Education:
High school or equivalent (Required)
Experience:
Medical Assisting or other Healthcare experience: 2 years (Preferred)
Work Location: Hybrid remote in Columbus, OH 43215
Requirements:
Qualifications:
Gainfully employed for 2+ years as a Medical Assistant or other Healthcare Professional in a healthcare setting working directly with patients (Required)
Associate Degree or greater in Medical Assisting or other Healthcare education (Preferred)
Current Certification from a nationally recognized organization or prior certification and willingness to renew it (Preferred)
Health Coaching/Consultation experience (Preferred).
Health Coaching certification strongly preferred, or desire to obtain one upon employment. (Company Paid) (Required)
Strong Knowledge in Technology (Required)
OIG Check Required Background Check (Required)
Must live a fit lifestyle yourself.
Employment Details: Full-time
CHOICES Care Coordinator- Shelby County
Remote case management coordinator job
Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES 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.
Auto-ApplyDirector of Nursing / Health Care Coordinator
Case management coordinator job in New Albany, OH
Job Description
**Now Offering DailyPay**
The role of the Health Care Coordinator which is commonly called a Director of Nursing is a unique opportunity for an RN with leadership/management experience in long term/skilled nursing care and providing services to elders.
If you are interested in leading an innovative care model featuring person centered care in a homelike setting, empowered self-directed work team, lower staff ratios, a place that encourages personal relationships, this opportunity may be for you.
At Otterbein, you're more than an employee, you're a Partner in Caring. Together, we work side by side toward a shared goal: delivering person-centered care that respects every resident and the choices they make.
Whether in our vibrant communities, our welcoming small house neighborhoods, Home Health, Hospice or Home Office, we provide the highest level of compassionate, quality care.
Join our team of Partners who are talented, kind, wise, funny, spirited, generous, endearing, and truly one-of-a-kind.
Responsibilities
An applicant should have an interest in caring for the overall best interest of the elders and must have an understanding of the requirements of the position.
Obtains daily report from the clinical support nurses (daily rounds are effectively conducted)
Discusses observations/concerns about clinical compliance with the CST nurses or care coordinator
Monitors compliance of collection and submission of MDS data
Reviews and assures that staff is compliant with in-service requirements and program for self-development
Monitors Quality Indicators and coordinates Quality Improvement
Monitors clinical budget and acts as a fiscal steward
Completes incident reporting and follow up
Acts as a liaison with the Medical Director(s) and completes Monthly Reports and Quarterly QI initiatives
Effectively performs performance management and hiring practices
Acts as a liaison with our health-care vendors
Covers floor as appropriate
Acts as a liaison with families when appropriate
Qualifications
Education: BA or BS in related field preferred
Licensure/Certification: Current Registered Nurse (RN) license in the State of Ohio
Experience: Excellent knowledge of and nursing experience in a long term care setting
Strong clinical skills related to elder care both in long term care and short stay post-acute rehabilitation settings
Computer skills: Outlook, Word, Excel and E-mars preferred
Excellent attention to detail
BENEFITS*
Health & Wellness
Medical Insurance with free virtual doctor visits
Vision & Dental Insurance
Pet Insurance
Life Insurance
Employee Assistance Program (EAP) for personal and professional support
Financial Security
401(k) Retirement Savings Plan with company match
Paid Time Off (PTO) that accrues immediately from day one
Paid Holidays for a healthy work-life balance
Access to DailyPay, enabling you to access up to 100% of your earned wages on a daily basis
Tuition Reimbursement up to $5,250 per year for ANY field of study
Tuition Discounts through exclusive partnerships with the University of Cincinnati, University of Toledo, and Hondros College
Employee-Sponsored Crisis Fund available for those facing unforeseen challenges
Legal & Identity Theft Protection
Growth & Development
University Partnerships with University of Cincinnati, University of Toledo, and Hondros College for exclusive tuition discounts
Multiple Partner Discounts available for various products and services through Access Perks
Access to 1,000s of hours of personal and professional development material through RightNow Media @ Work
*Some benefits, including PTO and tuition reimbursement, are based on hours worked.
Why work for Otterbein SeniorLife:
For more than 100 years, Otterbein has provided senior housing options rooted in respect and community. We're a non-profit 501(c)(3) health and human service organization, so our values and initiatives are focused on serving our residents.
Otterbein SeniorLife consists of lifestyle communities, revolutionary small house neighborhoods, home health, and hospice care in Ohio and Indiana. We offer different lifestyle options for seniors through independent living, assisted living, skilled nursing, rehab, memory support, respite care, in-home care, and hospice services.
Apply today and begin a meaningful career as a Director of Nursing / Health Care Coordinator at Otterbein!
Virtual Care Coordinator
Remote case management coordinator job
Bond Vet is on a mission to strengthen the human-animal bond through better pet care. We offer primary and urgent care, so we're there for pets when they need us most. Our clinics are designed with pets and people in mind: warm, friendly, and highly sniffable. We balance this design with a strong focus on technology, all built in-house, which means we can easily innovate our systems to improve the veterinary team, pet, and client experience.
Role Summary
Bond Vet is redefining the veterinary care experience-combining compassionate, high-quality medicine with modern technology and thoughtful design. Our Virtual Care team plays a critical role in supporting our clinics and ensuring clients feel informed, supported, and cared for from their very first interaction. The Virtual The Virtual Care Coordinator (VCC) is the first point of contact for clients calling Bond Vet. They deliver an exceptional client experience through scheduling, communication, and administrative support. VCCs handle high-volume calls, emails, and digital messages across Yellow AI IVR, chatbot, and text platforms, escalating medical or complex issues to Virtual Nurses or clinics.
This role ensures smooth clinic operations, accurate documentation, and fast, helpful client service.
Key Focus Areas
Deliver exceptional first-touch client experience
Manage scheduling, service questions, and general inquiries
Serve as the administrative backbone for record handling and rescheduling
Triage non-medical inquiries and escalate appropriately
Support Virtual Nurses and clinics by preparing accurate client data and routing needs
Core Responsibilities
Client Communication & Experience
Answer a high volume of calls from existing and prospective clients
Navigate Yellow AI IVR outcomes, stepping in when escalations require human support
Respond to emails, texts, and chatbot escalations within expected SLAs
Build rapport quickly with clients and create a welcoming, helpful experience
Call Triage & Routing
Schedule appointments based on client needs and clinic availability
Transfer medical inquiries, prescription questions, and complex concerns to Virtual Nurses
Route calls to clinics for updates on hospitalized cases, surgery check-ins, Echo/AUS scheduling, and urgent needs
Use judgment to escalate Yellow AI or chatbot misroutes
Records, Email, & Admin Work
Retrieve, upload, and organize records from external clinics
Input vaccine and diagnostic history into Vetspire
Send records to clients, insurance companies, and referral hospitals
Close out non-essential messages to support inbox cleanliness
Assist with clinic reschedules (doctor out sick, clinic opening adjustments, etc.)
Digital Platform Navigation
GoTo: calls
Vetspire: records, message management, documentation
Slack: communication with virtual and clinic teams
Yellow AI: escalations and routing management, Gmail inboxes
Platform Responsibilities
Yellow AI IVR: handle escalated client calls that require human scheduling or problem-solving
Chatbot: respond when bot cannot answer or needs human verification
Text/SMS: manage text escalations that require manual follow-up
Email: manage heavy-volume inboxes related to records and client requests
Performance Goals
~75 calls per shift (depending on staffing and call mix)
200+ emails per Gmail shift
Timely, accurate documentation in Vetspire
High first-call resolution and client satisfaction
Role Requirements
1+ year in veterinary assistant/reception or client service within a veterinary practice
Strong multitasking skills in a high-volume environment
Excellent written and verbal communication
High attention to detail
Comfort with AI-assisted platforms and digital communication systems
Schedule: 8a-6p, 10a-8p; two weekends per 4 week schedule block
Pay: $15 - $18 per hour
At Bond Vet, we're proud to be vet founded and vet led. We are on a mission to enhance the human-animal bond through innovative urgent and primary care combined with seasoned expertise, friendliness, and compassion. Our clinics combine modern design, seamless technology, and a collaborative culture. We believe veterinary professionals deserve a career they love, not just a job. Our unique offerings include work-life flexibility, competitive pay and the chance to shape your own path. With industry-leading NPS scores, our approach resonates. Join us for a rewarding career where we work happy, feel empowered and are obsessed with pets. bondvet.com
By submitting an application, you agree to receive SMS messages from Bond Vet regarding your application and interview process, including, but not limited to, your interviews, scheduling, offers, reference checks, background checks, and general communication throughout the process. Opt out anytime by messaging STOP. Text HELP for help. Message frequency varies and message and data rates may apply. Find more information in our privacy policy.
Employment with Bond Vet is contingent upon the Company's completion of a satisfactory investigation of your background.
Auto-ApplyCare Coordinator
Case management coordinator job in Newark, OH
Want to make an impact? I Am Boundless is hiring for a Care Coordinator! Boundless is a non-profit organization specializing in assisting individuals with I/DD and has been serving Ohio for over 40 years. At I Am Boundless, we're on a mission to build a world that realizes the boundless potential of all people. Join our team, which shares a common passion and purpose in empowering our community.
Benefits - Why Join Boundless?
Financial & Retirement
401(k) Retirement Plan with 5% Employee Matching after Six Months of Employment - Immediately 100% Vested
Annual Increases
Paid Time Off
5 Weeks of Paid Time Off
8 Paid Holidays
Health & Wellness
Medical Insurance
Free Dental & Vision Insurance
Flexible Spending Account (FSA)
Dependent Care Account (DCA)
Life Insurance & Supplemental Life Insurance
Disability Insurance
Professional Support
Tuition Discount Opportunities with Schools like Capella University & Franklin University
A Qualified Employer for the Federal Public Service Loan Forgiveness (PSLF)
Paid Training & Development Opportunities
Perks & Discounts
Employee Assistance Program (EAP) - Counseling, Therapy, Finance, Legal
Discount Programs (Ex: Pet Insurance, Movie Tickets, Theme Parks, Costco Membership, etc.)
Wellbeing Resources (Up to $50 off Health Insurance Premium Monthly)
What You'll Do:
As a Care Coordinator, you'll play a meaningful role in assessing needs, service and resource linkage, and care coordination to support youth and families/ caregivers in the OhioRISE plan in achieving their health and outcomes goals. Care Coordinators are primarily community-based and may be able to perform some tasks from home. Care Coordinator Non-Licensed will work with individuals, parents/guardians, Boundless staff, community members, and other service and support providers via face-to-face engagement, telephone, video conferencing, and electronic communication. Day-to-day activities are varied based on the needs of the individuals and families/caregivers on the caseload. The Care Coordinator Non-Licensed serves as a primary point of contact and liaison for all the vital support providers in a youth or family's life, including scheduling meetings, tracking, exchanging documentation, following up on needs and appointments, and reporting outcomes.
Minimum Qualifications:
Bachelor's degree in psychology, social work, or other related field OR at least three years of experience in children's behavioral health, child welfare, developmental disabilities, juvenile justice or a related public sector human services or behavioral healthcare field, providing community-based services to children and youth, and their family or caregivers.
High School and GED required
Experience in one or more of the following areas of expertise:
Family systems
Community systems and resources
Case management
Child and family counseling or therapy 5. Child protection 6. Child development
Current High Fidelity Wrap-Around and CANS Assessor training or the ability to complete such within 90 days of hire.
Training in cultural competency or the ability to complete such within 90 days of hire.
Licensure/Certification:
Valid Ohio Driver's License with Ohio Bureau of Motor Vehicles - No more than 5 points on driving record.
Valid car insurance.
Ready to make a difference? Apply today and join a company where you can realize your Boundless potential!
All candidates selected to undergo the pre-employment process will be required to complete a background check, drug screen, and health screen, as applicable for the role.
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
Auto-ApplyCare Coordinator (OhioRISE)
Case management coordinator job in New Lexington, OH
Job Description
We are seeking a Care Coordinator! Perry County, OH
Join our team!
Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to their needed resources. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services - working with local partners to promote healthy people and strong communities. Our services are intended to be collaborative and personalized for the individual.
The Care Coordinator's job responsibilities involve service linkage and care coordination, engaging and working with children, youth, and families with significant behavioral health needs. Care Coordination team members should have a thorough understanding of local communities, be skilled at developing working relationships with community agencies, and identify potential community supports for development to assist families/caregivers working collaboratively with Child and Family Teams. Care Coordination staff ensure children, youth, and families have a voice and choice in all coordinated care and services provided.
The pay range for this position is $20.19 - $25.03 per hour based on experience, education, and/or licensure.
Essential Functions:
Joins with family to identify care coordination needs/services in line with service delivery standards and program outcomes to ensure the best outcomes for children, youth, and families.
Works with families to define cultural factors that influence strengths, functioning, and family interaction styles to ensure ongoing engagement and success in care planning.
Identifies strengths of children, youth, and families for utilization in care coordination engagement and supporting healthy outcomes.
Coordinates family-based services for children, youth, and families in their home, school, and community.
Ensures with family that services identified on care plans are the most appropriate, least restrictive, and meet the safety and treatment needs of the child, youth, and family.
Engages and builds positive relationships with children, youth, and families in coordination with child and family teams to support the successful integration of team members and care plans.
Develop collaborative and creative partnerships with community resources to meet the diverse needs of youth and families.
Maintains necessary documentation, participates in program evaluation, attends team and program planning meetings, cross-systems training, and acquires knowledge of community resources.
Remains current with all training requirements, including but not limited to High Fidelity Wraparound, MI, Cultural Humility, etc.
All other duties as assigned.
Minimum Requirements:
Experience providing services and/or support to children and families connected to behavioral health, child welfare, developmental disabilities, juvenile justice, or a related public sector human services or behavioral healthcare field:
three years with a high school diploma or equivalent; or
two years with an associate degree or bachelor's degree; or
one year with a master's degree or higher
Knowledge and experience in Hi-Fidelity Wraparound preferred (Certification provided at time of employment).
Two years of experience in a coordinated supportive services or care coordination role preferred.
Experience working with people with autism spectrum disorders and developmental disabilities preferred.
Experience in one or more of the following areas:
family systems
community systems and resources
case management
child and family counseling or therapy
child protection
child development
Be culturally humble or responsive with training and experience to manage complex cases
Have the qualifications and experience needed to work with children and families who are experiencing serious emotional disturbance (SED), trauma, co-occurring behavioral health disorders, and who are engaged with one or more child-serving systems (e.g., child welfare, intellectual and developmental disabilities, juvenile justice, education)
Excellent organizational skills with the ability to stay focused and prioritize multiple tasks
Demonstrates a high degree of cultural awareness.
Experience with multi-need individuals and families.
Broad knowledge of community service systems.
Willing to participate in and lead cross-systems care coordination.
Able to effectively communicate through verbal/written expression.
Must be able to operate in an Internet-based, automated office environment.
Valid Driver's License required
Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package!
Benefits include:
Medical
Dental
Vision
Short-term Disability
Long-term Disability
401K w/ Employer Match
Employee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues.
To learn more about our organization: *****************
OUR MISSION
Delivering exceptional care through connection
OUR VALUES
Dignity - We meet people where they are on their journey with respect and hope
Collaboration - We listen to understand and ask how we can best support the people and communities we serve
Wellbeing - We celebrate one another's strengths, and we support one another in being well
Excellence - We demand high-quality care for those we serve, and are a leader in how we care for one another as a team
Innovation - We deeply value a range of perspectives and experiences, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.